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University Health in San Antonio is seeking board-certified Advanced Practice Providers (Acute Care Nurse Practitioners and Physician Assistants) to join a high-acuity, multidisciplinary critical care team at University Hospital. This role supports a 24/7, high-intensity ICU model serving complex patient populations including solid organ transplantation, cardiothoracic surgery, cardiac care, and ECMO therapy. Our collaborative model integrates Surgical Critical Care and Anesthesia Critical Care services to deliver comprehensive, patient-centered care across all ICU service lines.

About the Program The critical care team is structured to provide:

• 24/7 on-site coverage by Faculty Intensivists and Advanced Practice Providers (APPs)
• Support from multidisciplinary Residents and Critical Care Fellows
• Clearly defined structures and processes to ensure quality and consistency of care
• Real-time collaboration across service lines to develop and implement conjoint care plans

Qualifications

• Board-certified Acute Care Nurse Practitioner (ACNP) or Physician Assistant
• Active or eligible for Texas licensure
• ICU experience strongly preferred
• Demonstrated ability to thrive in a high-acuity, team-based environment
• Strong clinical judgment, communication, and collaboration skills

Why Join University Health? University Health is proud to offer a supportive and rewarding work environment, including:

• Competitive total compensation package
• Affordable medical insurance and comprehensive benefits
• Loan repayment program up to $50,000 over 5 years
• Annual professional business expense allowance plus CME days
• Annual tuition reimbursement and certification support
• Deferred compensation retirement plan with employer match
• Generous paid time off
• Opportunity to work alongside highly skilled and respected physicians
• Strong culture of teamwork and peer camaraderie

About University Health University Health is a nationally recognized academic health system committed to delivering high-quality care, advancing medical education, and improving community health across South Texas.

Why San Antonio?

San Antonio offers an exceptional quality of life with a low cost of living, rich cultural heritage, a vibrant culinary and arts scene, and easy access to the Texas Hill Country. The city combines major metropolitan amenities with a welcoming, family-friendly atmosphere and year-round outdoor activities.

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
4.    Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
5.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%            Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:
•    Completes all forms accurately and in accordance with agency guidelines/policies.
•    Appropriately describes the patient’s functional limitations to justify hospice eligibility.
•    Documents all verbal orders for new or changed orders according to agency guidelines.
•    Completes clinical notes in accordance with agency guidelines and time frames.
•    Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
•    Documents involvement of the patient and family in the development of the plan of care.
                  
    1.4        5%            Contributes to program effectiveness as evidenced by:
•    Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
•    Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
•    Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
•    Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
•    Promoting change and being proactive in suggesting ideas and new ways of doing things.
•    Demonstrating ability to prioritize and enhance services during fluctuating patient census.
         
    2.0        20%        PRODUCTIVITY/USE OF TIME:
                    
    2.1        10%        Organizes and performs work effectively and efficiently as evidenced by:
•    Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
•    Recognizing and performing duties in an independent manner.
•    Accepting personal responsibility for the completion and quality of work outcomes.
•    Meeting assigned deadlines.
•    Maintaining a clean and safe environment.
                 
    2.2        10%        Maintains and adjusts schedule to enhance team performance as evidenced by:
•    Reporting to work on time and returning promptly from errands, breaks, and meals.
•    Managing personal work schedule and time off to promote smooth agency/unit operations.
•    Assisting other team members to ensure completion of all work assignments.
•    Demonstrating flexibility with changing workload/assignments.
                
    3.0        20%        TEAM WORK:
 Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
    
•    Communicating in a positive and productive manner.
•    Demonstrating respect for team members.
•    Managing stress and personal feelings without a negative impact on the team.
•    Maintaining positive attitude about assignments and team members.
•    Promoting professional / personal growth of co-workers by sharing knowledge and resources.
•    Working collaboratively and cooperating with other agencys / units.

     
4.0    20%    MISSION, VISION, VALUES:
        
4.1       10%    Maintains and promotes customer satisfaction.

•    Responding to all customers in a courteous, sensitive and respectful manner.
•    Abiding by the confidentiality and ethics policies of Well Care Hospice.
•    Participates in community outreach activities that promotes goals and objectives of the agency.
        
4.2    10%    Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

•    Practicing personal cost containment by responsible use of equipment, supplies, and resources.
•    Completing the review period without a formal disciplinary action.*
•    Presenting a clean and neat appearance in personal attire and one’s work area.
•    Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*
* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.
 
JOB SPECIFICATIONS
  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  2.    Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.    Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.

  4.    Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.

  5.    Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.    Essential Physical Requirements:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reac

Position Purpose: 
Join us in providing primary medical management in collaboration with our esteemed PACE Organization (PO) Physicians. As a Nurse Practitioner, you'll conduct assessments, develop care plans, and ensure participants receive comprehensive care while fostering a warm and supportive environment. 

What You Will Do: 

• Collaborate with PO physicians, performing assessments and implementing care plans. 

• Participate in discharge planning and provide acute illness treatment. 

• Conduct home visits when necessary. 

• Assist in formulating clinical policies and procedures. 

• Participate in provider on-call rotation. 

Minimum Qualifications: 

• Master's degree in Nursing with five (5) to seven (7) years of experience required preferably in long-term care. Must possess a current, unencumbered, active license to practice in the state of PO. CDS Certification and DEA Registration required. Board Certification by ANCC or AANP. 

• Certification as a Nurse Practitioner with prescriptive authority required. Current BLS required. 

• A minimum of one (1) year working with the frail or elderly population or if less than one (1) year of experience, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring.

• Current BLS certification. 

• Ability to travel within the Center's geographic region. 

Position Highlights and Benefits: 

• Comprehensive benefits package, including First Day medical coverage, dental, vision, and paid time off. 

• Low-cost medical, dental, and vision insurance plans. Enjoy lower-cost medical services when you visit facilities within the Trinity Health network. 

• Access to wages earned daily through Daily Pay. 

• Incentives through our Employee Referral program. 

• Compassionate, patient-centered environment. 

• Comprehensive orientation and professional development opportunities. 

• Fast response interview times and job offers! 

Ministry/Facility Information: 
Trinity Health PACE, provides comprehensive care for the elderly, enabling them to live in their communities. Our PACE center meets safety requirements and offers adult day programs, medical clinics, and therapy facilities. Guided by Gospel values, we serve with reverence, commitment, safety, justice, stewardship, and integrity. Join us in making a transformative healing impact in our communities. 

If you're passionate about providing top-notch care to our participants and thrive in a collaborative environment, apply now to join our team! 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

ESSENTIAL FUNCTIONS 

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.  

Deliver patient care through patient preparation, vital sign collection, and documentation. Assist with various procedures, exams, and diagnostic equipment (e.g., tympanometry, spirometry). Maintain aseptic techniques during preparation, procedures, and medication administration.  

Administer medications, treatments, and immunizations under the direction of providers. 

Prepare and organize patient charts with necessary information. File dictations and ensure completion of all required documentation. Communicate with patient regarding test results and plan of care   

Schedule procedures, labs, x-rays, and surgeries; provide pre- and post-surgery information. Assist with patient outreach for overdue visits, labs, and referrals. 

Coordinate physician schedules and ensure insurance pre-certifications. Schedule and manage patient follow-ups, ensuring continuity of care. 

Maintain patient confidentiality and adhere to organizational standards and ethical guidelines. 

Educate patients and families based on assessed needs and discharge plans. 

Promote evidence-based resources to optimize nursing practice and patient care. 

Proactively serves as a patient advocate by utilizing courteous and professional etiquette at all times reflecting positive tone and speaking distinctly with poise, tact and assurance. Assures accurate and complete messages to appropriate personnel. 

Assists in training, orienting, and supporting new colleagues. Work includes cross coverage in other clinic areas as team needs. 

Document patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Escalate non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s). 

Ensure safety checklists/quality controls are completed as required. 

Other duties as needed and assigned by the manager. 

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.  

MINIMUM QUALIFICATIONS 

Must be comfortable operating in a collaborative, shared leadership environment.  

Successful completion of a medical assistant program accredited by the Commission on Accreditation of Allied Health Programs (CAAHP) or Accrediting Bureau of Health Education Schools (ABHES). 

Must obtain one of the following certifications listed for a Medical Assistant with their corresponding listed certification provider within one year of hire: 

Acceptable Certifications:  

• Certification: Certified Medical Assistant (CMA). Provided by the American Association of Medical Assistants (AAMA) 

• Certification: Registered Medical Assistant (RMA). Provided by the American Medical Technologists (AMT)  

• Certification: Medical Assistant (NCMA). Provided by the National Center for Competency Testing  

• Certification: Clinical Medical Assistant Certification (CMA). Provided by the American Medical Certification Association.  

• Certification: Certified Clinical Medical Assistant (CCMA). Provided by the National Health Career Association.  

• Certification: Nationally Registered Certified Medical Assistant (NRCMA). Provided by the National Association for Health Professionals (NAHP) 

• Certification: NPCE MA. Provided by the National Phlebotomy Certification Examination (NPCE).  

Basic Life Support (BLS) certification required within 3 months of hire. 

Proof of completion of Mandatory Reporter abuse training specific to the population served within 3 months of hire. 

Proficient in basic computer skills (Windows environment, web-based navigation, email, MS Office). 

Ability to work with diverse groups of people and in a collaborative, shared leadership environment. 

Requires the ability to read, write and understand the English language, and communicate effectively with patient, visitors, and colleagues while performing their job duties. 

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.  

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Want to learn more about MercyOne Ruan Neurology CareClick here: MercyOne Ruan Neurology Care | MercyOne

Join the MercyOne Family! We are looking to hire a Clinic RN Navigator  for our MercyOne Ruan Neurology Care

Clinic

As a Clinic RN Navigator  at MercyOne, you will work collaboratively with physicians, staff and other health care professionals, to develop, implement, and evaluate, integrated and comprehensive plans of care for patients.  Ensures best practice and high quality standards of health care are maintained across the continuum.

Schedule:

• Full time 40 hours a week
• M-F 7a-4:30p
• No Weekends no Holidays

General Requirements:

Develop, implement, and evaluate clinical practice guidelines/care paths for patients.

• Collaborate with all of the health care team, to assist in the provision of quality patient care, and facilitate the identification of potential care problems.
• Assist as a liaison with patients and their families to physicians, staff, and other health care professionals, to coordinate patient care across all settings, and ensure high quality outcomes.
• Welcome calls from patients and families, answering questions concerning care, and follow-up as necessary.
• Proactively act as a patient advocate, working to overcome patient barriers, and resolve concerns.
• Provide educational information and resources to patients, to assist patients and family with coping, and foster self-care activities.
• Review literature, methodology, outcomes, and implications of nursing/medical research, and disseminate findings.
• Establish and maintain a knowledge base of on-going clinical research activities.
• Perform other duties as assigned.

Education:

• Graduate of an accredited school of nursing program required.
• BSN preferred.
• Current/valid RN license from the state licensing board required.
• Basic Life Support (BLS) for the Healthcare Provider certified or obtained within three (3) months of hire.
• Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.
• 3 years RN experience in a clinic or hospital setting required

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.