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• 0-1 years of experience: $10,000
• 1-3 years of experience: $15,000
• 3+ years of experience: $20,000

POSITION PURPOSE

Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

ESSENTIAL FUNCTIONS

1. Conducts an initial assessment to gather data.

• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
• Completes all areas of the admission assessment database within 24 hours of admission.

2. Identifies patient problems and develops them into an outcome/goal-based plan of care.

• Initiates the patient problem list and incorporates relevant medical history into the plan of care.
• Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
• Determines nursing interventions to achieve those outcomes/goals.
• Prioritizes patient care needs/ activities.
• Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
• Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.

3. Implements the outcome/goal- based plan of care.

• Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
• Organizes and prioritizes care for the patients within the team.
• Delegates tasks appropriately to other team members.
• Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
• Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
• Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
• Uses nursing judgment to determine the appropriate frequency and components of reassessment.
• Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
• Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
• Participates in develop discharge plan.
• Documents discharge instructions for patient and/or significant other and/or other care provider. 

4. Evaluates patient progress and revises the outcome/goal-based plan as needed.

• Evaluates patient response(s) to interventions.
• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
• Updates the problem list and outcomes/goals.

5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.

• Communicates relevant clinical information to physicians regarding the patient’s condition.
• Reports progress toward outcomes/goals and/or changes in condition to other health team members.
• Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
• Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
• Documents completely, comprehensively and legibly and in accordance with policy.

6. Demonstrates clinical competence.

• Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
• Assures medication safety by following the “5 Rights” of medication administration.
• Prioritizes and implements intervention according to patient assessment.
• Demonstrates competency in computer systems and applications required for role.
• Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
• Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
• Completes assigned shift duties and assures resolution of discrepancies.

7. Manages telemetry and cardiac monitoring when applicable.

• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Must be capable of managing multiple patients requiring continuous cardiac monitoring.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• May be required to assist with data collection and quality improvement initiatives.
• Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
• May be asked to participate in unit-based committees and provide education to nursing staff as requested.

8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.

9. Collects, analyzes, interprets and applies age-specific data.

• Performs tasks/procedures, uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.

10. Adheres to all safety, infection control and colleague health policies and procedures.

• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
• Reports and removes unsafe equipment/furniture.
• Asks for assistance when needed to assure safety for all involved.
• Maintains a safe working environment and practices safe working habits.

11. 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.

Mission Statement:  We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Core Values:

• Reverence:  We honor the sacredness and dignity of every person.
• Commitment to Those who are Poor:  We stand with and serve those who are poor, especially those most vulnerable.
• Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
• Justice:  We foster right relationships to promote the common good, including sustainability of Earth.
• Stewardship:  We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
• Integrity: We are faithful to those we say we are.

MINIMUM QUALIFICATIONS

• Associate degree in nursing required
• Bachelor of Science in Nursing (BSN) preferred.
• Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
• American Heart Association Basic Life Support (BLS) required. 
• American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities. 
• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire. 
• High language, intermediate to high math, high critical thinking ability.  Basic computer skills required. 

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics.  In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.

2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.

3. Stand; Walk/Move About 76-100% of the time

4. Must possess the ability to comply with Trinity Health policies and procedures. 

The most significant duties have been included in this description.  Other duties may be assigned as necessary.  The facility reserves the right to modify this job description as needed to accurately reflect the duties assigned.

Our Commitment

Summary:

Assists in the examination, treatment and care of patients. Also, responsible for phones, appointments, obtaining insurance authorizations for test/surgeries, medical record preparation. Associate is also responsible for assisting the supervising physician or nurse as needed;
and assisting with surgical procedures and with admitting and screening patients.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assists physicians by preparing patients for an examination/treatment/procedure, etc.
• Obtain patients films, reports, CD’s and have ready for physician viewing prior to physician appointment.
• Removing staples, sutures, external fixation devices as ordered by the physician.
• Collecting or assisting with the collection of specimens, including venipuncture, C & S. Prepare specimens for processing as directed by physician.
• Assisting physician with procedures as needed.
• Instructing patients regarding care of casts, splints, dressings, etc.
• Transport/transfer patients when required.
• Takes blood pressure, weight, height, pulse, temperature and/or respiration and completed patient history information, vital signs, chief complaints;
  assists with any procedures, injections, etc. ordered by the provider.
• Responsible for handling all aspects of a clinic/hospital wide activity such as phone usage, appointments, data entry of charts and lab and x-ray with patient transport ans assistance as needed.
• Maintain cleanliness of exam rooms and instrumentation per clinic and OSHA policies. Prepare exam rooms with necessary instruments and supplies.
• Performs POCT Procedures as trained and instructed.
• Order medical supplies per clinical standards.
• Document all incidents according to mandated rules and regulations and properly dispose of contaminated and disposable items.
• Ensure all patient information is scanned appropriately and the medical record is complete with all reports (signed by physician), etc prior to patient visit.
• Demonstrates competence to perform assigned patient care responsibilities in a
• manner that meets the age specific and developmental needs of patients served by the department.
• Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age specific, and other developmental needs of each patient served.
• Follows/uses AIDET guidelines at all times.
• Demonstrate adherence to the CORE values of CHRISTUS Santa Rosa Health Care.
• Maintains HIPAA Compliance Standards at all times.
• Perform administrative duties including, but not limited to filing, faxing, copying, setting appointments, insurance verification, and making phone calls.
• Performs other duties as assigned.
• Some travel between clinics/hospitals will be required.
• Performs other related work as required.

Job Requirements:

Education/Skills

• High School Diploma or equivalent required
• Bilingual (English/Spanish) preferred

Experience

• 3 – 4 years of experience doing advanced cases preferred

Licenses, Registrations, or Certifications

• BLS required
• Certification from an accredited Medical Assistant program preferred

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Summary:

Assists in the examination, treatment and care of patients. Also, responsible for phones, appointments, obtaining insurance authorizations for test/surgeries, medical record preparation. Associate is also responsible for assisting the supervising physician or nurse as needed;
and assisting with surgical procedures and with admitting and screening patients.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assists physicians by preparing patients for an examination/treatment/procedure, etc.
• Obtain patients films, reports, CD’s and have ready for physician viewing prior to physician appointment.
• Removing staples, sutures, external fixation devices as ordered by the physician.
• Collecting or assisting with the collection of specimens, including venipuncture, C & S. Prepare specimens for processing as directed by physician.
• Assisting physician with procedures as needed.
• Instructing patients regarding care of casts, splints, dressings, etc.
• Transport/transfer patients when required.
• Takes blood pressure, weight, height, pulse, temperature and/or respiration and completed patient history information, vital signs, chief complaints;
  assists with any procedures, injections, etc. ordered by the provider.
• Responsible for handling all aspects of a clinic/hospital wide activity such as phone usage, appointments, data entry of charts and lab and x-ray with patient transport ans assistance as needed.
• Maintain cleanliness of exam rooms and instrumentation per clinic and OSHA policies. Prepare exam rooms with necessary instruments and supplies.
• Performs POCT Procedures as trained and instructed.
• Order medical supplies per clinical standards.
• Document all incidents according to mandated rules and regulations and properly dispose of contaminated and disposable items.
• Ensure all patient information is scanned appropriately and the medical record is complete with all reports (signed by physician), etc prior to patient visit.
• Demonstrates competence to perform assigned patient care responsibilities in a
• manner that meets the age specific and developmental needs of patients served by the department.
• Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age specific, and other developmental needs of each patient served.
• Follows/uses AIDET guidelines at all times.
• Demonstrate adherence to the CORE values of CHRISTUS Santa Rosa Health Care.
• Maintains HIPAA Compliance Standards at all times.
• Perform administrative duties including, but not limited to filing, faxing, copying, setting appointments, insurance verification, and making phone calls.
• Performs other duties as assigned.
• Some travel between clinics/hospitals will be required.
• Performs other related work as required.

Job Requirements:

Education/Skills

• High School Diploma or equivalent required
• Bilingual (English/Spanish) preferred

Experience

• 3 – 4 years of experience doing advanced cases preferred

Licenses, Registrations, or Certifications

• BLS required
• Certification from an accredited Medical Assistant program preferred

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Under the general direction of the Pharmacy Manager or designee, will dispense drugs prescribed by physicians and other health practitioners and provide information to patients about medications and their use. He or she may advise physicians and other health practitioners on the selection, dosage, interactions, and side effects of medications. 

• Compounds and dispenses medications and other pharmaceutical supplies, reviews orders and prescriptions for appropriateness and patient safety
• Ensures that medication profiles are accurate and up to date
• Checks for drug interactions, incompatibilities and optimum drug therapy
• Participates in narcotic and controlled drug distribution programs as required
• Audits medication records and makes necessary corrections 
• Explains proper use of all prescriptions for outpatients.
• Accountable for investigational drug study integrity
• Ensures that non-sterile, sterile, and hazardous medications are prepared in accordance with USP 795, 797, and 800 regulation
• Supplies drug information to physicians, nurses and other members of the health care team
• Participates in the department's in-service education program.
• Performs monthly nursing unit inspections as assigned  
• Perform other duties as required.
   

Required:

• BS or PharmD Degree

Preferred: 

• Completion of ASHP residency program

Required:

• Active NYS Pharmacy License

Preferred: 

• Board Certification from the Board of Pharmaceutical Specialties

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Req Id  96096 
Department  PHARMACY - INPATIENT 
Shift Variable
Shift Hours Worked  8.00
FTE 1 
Work Schedule  SALARIED GENERAL
Employee Status A1 - Full-Time 
Union Non-Union
Pay Range $107 -$170k/Salaried

#GP01

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The primary role of the Home Infusion Nurse is to provide clinical care and education to home-based patients receiving a wide range of parenteral medications dispensed from Optum Infusion Pharmacy (the "Company"). The most common route of administration is intravenous, however medications may also be given via subcutaneous infusion or injection, intramuscular injection, or intraspinal (intrathecal and epidural) infusion. Service delivery takes place in patient homes and also in ambulatory infusion suites, where available. All infusion services and medication delivery is provided in accordance with Optum Infusion Pharmacy policies, procedures and therapy-specific protocols, and based on comprehensive orders received from a physician or licensed practitioner. The Home Infusion Nurse fills an integral role in the clinical operations of the organization, working collaboratively with the multi-disciplinary team needed to prepare, deliver and seek reimbursement for the infusion therapy that is safely and effectively administered to each patient.

Schedule for this position will be Monday, Wednesday, Thursday, and Friday, 10am-8pm. This is a heavy travel position, mileage is reimbursed and drive time is part of the schedule. Patient population includes both adult and pediatric patients.

Primary Responsibilities:

• Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self-care and self-administration, and clinical monitoring of patient response to therapy
• Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of caregiver support, and willingness of patient and/or caregivers to become as independent in therapy administration and monitoring of response to therapy as possible
• Obtain and document patient's medical history at the start of care and ongoing, particularly as related to the diagnosis being treated with the prescribed infusion therapy
• Complete all required clinical documentation thoroughly and timely, including nursing plans of care (POC), plans of treatment (POT), visit notes, clinical summaries, medication profiles, discharge summaries and any updates provided to members of the patient's care team, as well as obtaining patient and/or caregiver signatures on relevant consents and required forms
• Participate in case conferences as needed to comprehensively plan patient care with the multi-disciplinary care team
• Provide skilled care to patients of varying ages and medical conditions, as outlined in the plan of care and in accordance with physician orders and the plan of treatment
• Establish, secure and maintain vascular access devices as prescribed, including (but not limited to) peripheral IV (PIV) placement, PICC and tunneled central venous catheter dressing changes, and implanted port access
• Administer medications as prescribed, performing therapy-specific clinical assessments in accordance with the Company's policies, procedures and protocols, which may include frequent vital sign monitoring, management of acute infusion reactions, monitoring of side effects, and procurement of laboratory specimens
• Communicate observations of patient response to therapy and overall physical assessment/condition with members of the care team in a timely manner, which may include the nursing supervisor, dispensing pharmacist, registered dietitian, and licensed prescriber, among others
• Establish collaborative relationships with home health agencies (HHAs) delivering services on behalf of / or in conjunction with the Company, providing agency education and support as requested by the nursing supervisor
• Maintain a comprehensive knowledge base of infusion therapies administered in the home and ambulatory infusion center, utilizing Company policies, procedures and protocols in addition to all available training resources to ensure understanding of each therapy before initiating treatment
• Maintain current nursing licensure in all states in which patients are serviced, as required by the respective State Boards of Nursing and/or Department of Health
• Comply with all State and Federal regulations and laws, including employee health and safety protections mandated by the Occupational Safety and Health Administration (OSHA), patient privacy and data security required by the Health Insurance Portability and Accountability Act (HIPAA), as well as all home infusion standards of practice
• Complete all training required upon hire and annually per policy, including cardiopulmonary resuscitation (CPR) certification
• Serve as a professional representative of the Company when meeting with and/or providing education to external customers, payers and referral sources
• Assist in staff orientation and training, serving as a clinical educator and resource as requested
• Drive personal/rental vehicle (per travel policy) in the completion of job duties, including (but not limited to) travel to the Company office, patient homes, area hospitals, physician offices, home health agency offices, and the Company's Ambulatory Infusion Suite (AIS)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in

Required Qualifications:

• Active and unrestricted licensure as a Registered Nurse (RN) in the state(s) of practice and others as requested
• Available to commit to the required schedule of M,W,TH,F 10am-8pm.
• Pediatric experience
• Current Basic Life Support (BLS) and/or CPR certification, or willing to obtain prior to starting employment
• 1+ years of experience working as an RN in a clinical care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, emergency department, intensive care unit, post-anesthesia care unit, or similar setting)
• Proficient with electronic medical record documentation
• Demonstrated ability to work with an interdisciplinary team of professionals including pharmacists and technicians, physicians and other licensed prescribers, registered dietitians, home health agencies (HHAs), sales representatives, and others as needed to provide comprehensive care and support of patients and caregivers
• Demonstrated ability to and able to work independently in home or alternate-site settings
• Demonstrated ability to and able to assume a flexible work schedule
• Demonstrated ability to and able to meet attendance, overtime, after-hours on-call, and other reliability requirements of the position
• Access to reliable transportation that will enable travel to customer and/or patient sites

Preferred Qualifications:

• Experience administering infusion therapy in a home or alternate-site setting
• Bilingual with Spanish
• Knowledge of and experience with Microsoft Office and electronic medical records (EMR) programs
• Knowledge of the Infusion Nursing Society (INS) standards of practice, policies and procedures
• Knowledgeable of HIPAA patient privacy and data security requirements, OSHA employee protection regulations, and The Joint Commission's accreditation standards for home health and home infusion pharmacy (or other relevant accrediting organizations)
• Proficient with Microsoft Office
• Proven excellent organizational and critical thinking skills
• Proven effective interpersonal communications, both written and verbal
• Proven effective teaching skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.