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RN/LPN Full Time Night Shift + Daily Pay
✦ New
Salary not disclosed
Grafton, Ohio 1 day ago

FT NightsPT DaysShifts:We offer a great FULL TIME benefits and perks package!Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.Examples that are available for help: Medical (BCBS)-for Employee, Spouse, and/or Dependents.HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!Dental (Guardian)-for Employee, Spouse, and/or Dependents.Hospital Indemnity (Guardian)-for Employee, Spouse, and/or Dependents.Metlife Legal (Legal Shield)-for Employee, Spouse, and/or Dependents.Assistance with Adoption, Lawyers, Wills and Trusts and much more!No waiting periods, no claim forms, no deductibles!Wide range of coverages for your fur babies!All dog and cat breeds are covered.

~ Tuition Reimbursement

Worked Holidays Paid @ Double Time!On Demand Pay Option (Examples: ZayZoon, Daily Pay)Bonuses:Employee Referral Bonus OpportunitiesShift Pick Up BonusesTraining Bonuses

We offer a great PART TIME perks package too!Worked Holidays Paid @ Double Time!On Demand Pay Option (Examples: ZayZoon, Daily Pay)Bonuses:Employee Referral Bonus OpportunitiesShift Pick Up BonusesTraining Bonuses

You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When our employees feel special, so do our residents. We are currently seeking applicants for Licensed Practical Nurse (LPN) positions. This position is also often referred to as Practical Nurse or PN. What do you do as an LPN at Danbury?~ Our Licensed Practical Nurses provide direct nursing care to residents, prepare and administer medications, perform routine charting and documentation duties, and perform other duties necessary to ensure that our residents' total regimens of care are maintained.

What experience or skills do you need to be a Licensed Practical Nurse at Danbury?Experience in a nursing capacity in a senior living setting is helpful, but not required.We are seeking Licensed Practical Nurses (LPNs) who are outstanding in their profession and would work well with our team.If you're a Licensed Practical Nurse (LPN) and want to make our residents' days better then apply now for immediate consideration!Danbury Senior Living provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

permanent
Senior Java Engineer - (Full-Time)
Salary not disclosed
Atlanta, GA 3 days ago

Senior Java Engineer - (Full-Time)


InRhythm is a leading modern product consultancy and digital innovation firm with a mission to make a dent in the digital economy. Founded in 2002, InRhythm is currently engaged by Fortune 50 enterprises to bring their next generation of digital products and platforms to market. InRhythm has helped hundreds of teams launch mission-critical products that have created a positive impact worth billions of dollars.

InRhythm’s unique capabilities of Product Innovation and Platform Modernization services are the most sought-after. The InRhythm team of A+ thought leaders don’t just “get an assignment,” they join the company to do what they love. It’s that passion that has helped us grow rapidly and consistently deliver on our commitment to helping clients develop better, faster, and in rhythm.


What We Do At InRhythm

We bring enterprises' most urgent, important products to market with high-velocity, high- quality and 10x impact. We enable innovative cultures by coaching teams with the right mix and maturity of modern tools, methods, and thought leadership.

This is a unique opportunity to get in on the ground floor of an evolving team. InRhythm clients include a broad range of highly visible and recognizable customers, including, but not limited to:

  • Goldman Sachs
  • Fidelity
  • Morgan Stanley
  • Mastercard


From greenfield to tier-one builds, our clients look to us to deliver their mission-critical projects related to product strategy, design, cloud native applications, as well as mobile and web development. The projects we work on literally change the world. They change the way we live, work, and think in a positive way.


We are looking for a Senior Java Engineer:

As a Senior Java Engineer, you will work with lead-level and fellow senior-level engineers to architect and implement solutions that enable customers to get the most out of what the client can offer. In this role, you will develop performant and robust Java applications while supplying the continued evaluation and advancement of web technologies in the organization.


At InRhythm, you will:

  • Work on a high-velocity scrum team
  • Work with clients to come up with solutions to real-world problems
  • Architect and implement scalable end-to-end Web applications
  • Help team lead facilitate development processes
  • Provide estimates and milestones for features/stories
  • Work with your mentor to learn and grow and mentor less experienced engineers
  • Contribute to the growth of InRhythm via interviewing and architecting


What you bring to the table:

  • 5+ years of Java development within an enterprise-level domain
  • Java 8 (11 preferred) features like lambda expressions, Stream API, CompletableFuture, etc.
  • Skilled with low-latency, high volume application development
  • Team will need expertise in CI/CD, and shift left testing
  • Nice to have Golang and/or Rust
  • Experienced with asynchronous programming, multithreading, implementing APIs, and Microservices, including Spring Boot
  • Proficiency with SQL
  • Experience with data sourcing, data modeling and data enrichment
  • Experience with Systems Design & CI/CD pipelines
  • Cloud computing, preferably AWS
  • Solid verbal and written communication and consultant/client-facing skills are a must. As a true consultant, you are a self-starter who takes initiative.
  • Solid experience with at least two (preferably more) of the following:
  • Kafka (Core Concepts, Replication & Reliability, Kafka Internals, Infrastructure & Control, Data Retention and Durability)
  • MongoDB
  • Sonar
  • Jenkins
  • Oracle DB, Sybase IQ, DB2
  • Drools or any rules engine experience
  • CMS tools like Adobe AEM
  • Search tools like Algolia, ElasticSearch or Solr
  • Spark


Core Technical Skills (Must Have)

  • Java (5+ years enterprise experience) – Strong expertise in Java 8/11 features (Streams, Lambda, CompletableFuture, Multithreading)
  • Spring Framework / Spring Boot – Microservices, REST APIs, dependency injection
  • Git – Version control and collaborative development workflows
  • Kibana – Log monitoring, observability, troubleshooting production systems
  • Bash – Shell scripting, automation, deployment support


What makes you stand out from the pack:

  • Payments or Asset/Wealth Management experience
  • Mature server development and knowledge of frameworks, preferably Spring
  • Enterprise experience working and building enterprise products, long term tenure at enterprise-level organizations, experience working with a remote team, and being an avid practitioner in their craft
  • You have pushed code into production and have deployed multiple products to market, but are missing the visibility of a small team within a large enterprise technology environment.
  • You enjoy coaching junior engineers, but want to remain hands-on with code.
  • Open to work hybrid - 3 days per week from office


Why Be an InRhythmer?

People at InRhythm are entrepreneurs and innovators at heart and problem solvers who find new ways to overcome challenges. InRhythm continues to evolve and grow – and is now prepared to accelerate “scale” with the addition of this role to our community.

We’ve been named an Inc. 5000 Hall of Fame Fastest Growing Company for 9 years, Deloitte Fast 500 company for 5 years, and Consulting Magazine Fastest Growing Company winner several years in a row. If you’re looking forward to working with awesome colleagues in a high- growth environment and tight-knit community, we’re looking forward to hearing from you.



At InRhythm we believe in building a better workplace. When you join our team, you can expect a number of work/life benefits:

  • Comprehensive and customizable Medical, Dental, and Vision Plans
  • 401(k) Matching
  • Paid Parental Leave
  • Scalable PTO
  • Reimbursements for personalized birthday experiences
  • Social and Flexible Work Environment
  • Weekly Happy Hours and Cultural Events to get to know your team
  • Media Streaming, Book, and Fitness Allowances
permanent
LPN - Nursing - 3rd Shift, Full Time/Part Time
✦ New
🏢 Danbury North Ridgeville
Salary not disclosed
Grafton, Ohio 1 day ago

FT NightsPT DaysShifts:We offer a great FULL TIME benefits and perks package!Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.Examples that are available for help: Medical (BCBS)-for Employee, Spouse, and/or Dependents.HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!Dental (Guardian)-for Employee, Spouse, and/or Dependents.Hospital Indemnity (Guardian)-for Employee, Spouse, and/or Dependents.Metlife Legal (Legal Shield)-for Employee, Spouse, and/or Dependents.Assistance with Adoption, Lawyers, Wills and Trusts and much more!No waiting periods, no claim forms, no deductibles!Wide range of coverages for your fur babies!All dog and cat breeds are covered.

~ Tuition Reimbursement

Worked Holidays Paid @ Double Time!On Demand Pay Option (Examples: ZayZoon, Daily Pay)Bonuses:Employee Referral Bonus OpportunitiesShift Pick Up BonusesTraining Bonuses

We offer a great PART TIME perks package too!Worked Holidays Paid @ Double Time!On Demand Pay Option (Examples: ZayZoon, Daily Pay)Bonuses:Employee Referral Bonus OpportunitiesShift Pick Up BonusesTraining Bonuses

You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When our employees feel special, so do our residents. We are currently seeking applicants for Licensed Practical Nurse (LPN) positions. This position is also often referred to as Practical Nurse or PN. What do you do as an LPN at Danbury?~ Our Licensed Practical Nurses provide direct nursing care to residents, prepare and administer medications, perform routine charting and documentation duties, and perform other duties necessary to ensure that our residents' total regimens of care are maintained.

What experience or skills do you need to be a Licensed Practical Nurse at Danbury?Experience in a nursing capacity in a senior living setting is helpful, but not required.We are seeking Licensed Practical Nurses (LPNs) who are outstanding in their profession and would work well with our team.If you're a Licensed Practical Nurse (LPN) and want to make our residents' days better then apply now for immediate consideration!Danbury Senior Living provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

permanent
Clinic RN - Monday - Friday, Full Time!
Salary not disclosed
San Antonio, TX 3 days ago
Description
Summary:
Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and assists physicians/healthcare providers in the treatment of patients.
Responsibilities:
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses psychological, emotional, cultural, and social needs of patient and families.
Administering medications and treatments; monitoring for side-effects and effectiveness of the treatment prescribed; documenting patient history, symptoms, medication, and care given.
Assess learning needs and provide education to patients, family members and/or care givers; identifying issues and resources.
Utilizes the Nursing Process
Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, Spiritual, and development needs of patient and families
Communicates findings to appropriate healthcare team members
Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals
Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Performs timely reassessment and documentation
Must be able to perform unit specific competencies based on the specific patient care need for designated unit's patient population
Patient Throughput & Patient Flow Process
~ Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow

Unit Operations
~ Demonstrates good stewardship in proper use and maintenance of equipment and supplies

Safe Practice/Quality Care/Regulations
Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes
Demonstrates accountability for nursing research and quality improvement activities
Provides evidence-based nursing care
Communicates patient information effectively across the continuum of care
Leadership
~ Serves as a leader of patient care

Clinical Policies and Standards
Follows a specific set of standards and associated clinical procedures
Analyzes policy and standards documentation and ensures organizational compliance
Provides feedback for improvement of procedures
Assists in the development and implementation of specific procedures
Works with control and monitoring mechanisms, tools and techniques
Health Information Documentation
Shares experiences with maintaining paper and electronic patient documentation
Walk through the steps and procedures for receiving, validating and updating patient records
Describes the flow of information between various stations or units
Discusses the functions, features and document flow of electronic documentation
Transcribes verbal orders; explains techniques forensuring their accuracy
Medical Equipment
Describes experience with basic medical equipment used in own unit or facility
Uses standard diagnostic tools and techniques to resolves common equipment problems
Educates patients about the appropriate use of home medical equipment
Ensures that all equipment and related supplies are in proper working order prior to use
Inspects, troubleshoots and evaluates incoming equipment
Medical Order Processing
Shares experiences with processing medical orders for one or more groups of patients or conditions
Describes functions and features of the system used to enter, validate, update and forward medical orders
Discusses common errors, their sources and procedures for correcting
Explains considerations for entering and following standing orders
Differentiates between standing orders and preprinted orders and considerations for each
Patient Chart Reading and Interpretation
Describes experiences in reading and interpreting patient charts for patients under own care
Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions
Recognizes unexpected readings and alerts nursing or medical staff
Relates examples of mis-readings or misinterpretations and lessons learned
Reviews, discusses and validates own interpretation with others
Patient Safety
Shares experiences with ensuring safety for one or more patient groups or settings
Explains key features of safety guidelines and procedures for those groups and settings
Listens and responds to safety inquiries from patients and family members
Recognizes and addresses physiological and psychological signs of problems
Describes considerations for patients who can cause to harm to self, versus harm to others
Requirements:
Education/Skills
Graduate of a Registered Nursing program, Bachelor’s Degree preferred
Excellent written and verbal communication skills
Experience
Completion of Nurse Residency Program
Six (6) months’ to one (12) months clinical patient care experience in a relevant setting
Licenses, Registrations, or Certifications
RN license in good standing in state of employment or a compact state, if applicable
American Heart Association Basic Life Support
Work Schedule:

8AM - 5PM Monday-Friday
Work Type:
Full Time
permanent
Ambulatory Care Nurse *Full time*
🏢 Christus Health
Salary not disclosed
San Antonio, TX 3 days ago
Description
Summary:
Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and assists physicians/healthcare providers in the treatment of patients.
Responsibilities:
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses psychological, emotional, cultural, and social needs of patient and families.
Administering medications and treatments; monitoring for side-effects and effectiveness of the treatment prescribed; documenting patient history, symptoms, medication, and care given.
Assess learning needs and provide education to patients, family members and/or care givers; identifying issues and resources.
Utilizes the Nursing Process
Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, Spiritual, and development needs of patient and families
Communicates findings to appropriate healthcare team members
Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals
Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Performs timely reassessment and documentation
Must be able to perform unit specific competencies based on the specific patient care need for designated unit's patient population
Patient Throughput & Patient Flow Process
~ Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow

Unit Operations
~ Demonstrates good stewardship in proper use and maintenance of equipment and supplies

Safe Practice/Quality Care/Regulations
Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes
Demonstrates accountability for nursing research and quality improvement activities
Provides evidence-based nursing care
Communicates patient information effectively across the continuum of care
Leadership
~ Serves as a leader of patient care

Clinical Policies and Standards
Follows a specific set of standards and associated clinical procedures
Analyzes policy and standards documentation and ensures organizational compliance
Provides feedback for improvement of procedures
Assists in the development and implementation of specific procedures
Works with control and monitoring mechanisms, tools and techniques
Health Information Documentation
Shares experiences with maintaining paper and electronic patient documentation
Walk through the steps and procedures for receiving, validating and updating patient records
Describes the flow of information between various stations or units
Discusses the functions, features and document flow of electronic documentation
Transcribes verbal orders; explains techniques forensuring their accuracy
Medical Equipment
Describes experience with basic medical equipment used in own unit or facility
Uses standard diagnostic tools and techniques to resolves common equipment problems
Educates patients about the appropriate use of home medical equipment
Ensures that all equipment and related supplies are in proper working order prior to use
Inspects, troubleshoots and evaluates incoming equipment
Medical Order Processing
Shares experiences with processing medical orders for one or more groups of patients or conditions
Describes functions and features of the system used to enter, validate, update and forward medical orders
Discusses common errors, their sources and procedures for correcting
Explains considerations for entering and following standing orders
Differentiates between standing orders and preprinted orders and considerations for each
Patient Chart Reading and Interpretation
Describes experiences in reading and interpreting patient charts for patients under own care
Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions
Recognizes unexpected readings and alerts nursing or medical staff
Relates examples of mis-readings or misinterpretations and lessons learned
Reviews, discusses and validates own interpretation with others
Patient Safety
Shares experiences with ensuring safety for one or more patient groups or settings
Explains key features of safety guidelines and procedures for those groups and settings
Listens and responds to safety inquiries from patients and family members
Recognizes and addresses physiological and psychological signs of problems
Describes considerations for patients who can cause to harm to self, versus harm to others
Requirements:
Education/Skills
Graduate of a Registered Nursing program, Bachelor’s Degree preferred
Excellent written and verbal communication skills
Experience
Completion of Nurse Residency Program
Six (6) months’ to one (12) months clinical patient care experience in a relevant setting
Licenses, Registrations, or Certifications
RN license in good standing in state of employment or a compact state, if applicable
American Heart Association Basic Life Support
Work Schedule:

8AM - 5PM Monday-Friday
Work Type:
Full Time
permanent
Registered Nurse Float I - Nursing Float Pool - Full Time
✦ New
🏢 Christus Health
Salary not disclosed
Alexandria, LA 1 day ago
Description

Summary:

The competent Nurse, in the Medsurg or Telemetry clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Meets expectations for flexibility of assignment within the ministry.
  • Proactively provide assignment availability on a regular basis.
  • Able to be assigned to more than one unit.
  • Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
  • Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
  • Using the appropriate protocol, administers medications and treatments;
    monitors for side-effects and effectiveness of the treatment prescribed.
  • Documents patient history, symptoms, medication, and care given.
  • Assess learning needs and provides education to patients, family members and/or care givers;
    identify issues and resources.

CORE COMPETENCIES

Standard I: Utilizes the Nursing Process

  • Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
  • Communicates findings to appropriate healthcare team members.
  • Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
  • Implements patient care and therapeutic procedures;
    monitors and documents progression of treatment and teaching goals.
  • Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
  • Performs timely reassessment and documentation.
  • Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.

Standard II. Patient Throughput & Patient Flow Process

  • Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
  • Utilizes appropriate systems of communication and tools to facilitate the discharge process.
  • Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.

Standard III. Unit Operations

  • Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
  • Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
  • Assesses departmental staffing needs;
    actively participates in resourcing efforts.
  • Educates and trains others on the operations, ethics, and regulations within the industry.

Standard IV. Safe Practice/Quality Care/Regulations

  • Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
  • Demonstrates accountability for nursing research and quality improvement activities.
  • Provides evidence-based nursing care.
  • Communicates patient information effectively across the continuum of care.
  • Educates and trains others on the operations, ethics, and regulations within the industry.
  • Knowledge of federal, state and local healthcare-related laws and regulations;
    ability to comply with these in healthcare practices and activities.

TECHNICAL COMPETENCIES

Clinical Policies and Standards

  • Follows a specific set of standards and associated clinical procedures.
  • Analyzes policy and standards documentation and ensures organizational compliance.
  • Provides feedback for improvement of procedures.
  • Assists in the development and implementation of specific procedures.
  • Works with control and monitoring mechanisms, tools and techniques.

Health Information Documentation

  • Shares experiences with maintaining paper and electronic patient documentation.
  • Walk through the steps and procedures for receiving, validating and updating patient records.
  • Describes the flow of information between various stations or units.
  • Discusses the functions, features and document flow of electronic documentation.
  • Transcribes verbal orders;
    explains techniques forensuring their accuracy.
  • Explains health information documentation best practices and their rationale across health care practices.

Medical Equipment

  • Describes experience with basic medical equipment used in own unit or facility.
  • Uses standard diagnostic tools and techniques to resolves common equipment problems.
  • Educates patients about the appropriate use of home medical equipment.
  • Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
  • Inspects, troubleshoots and evaluates incoming equipment.

Medical Order Processing

  • Shares experiences with processing medical orders for one or more groups of patients or conditions.
  • Describes functions and features of the system used to enter, validate, update and forward medical orders.
  • Discusses common errors, their sources and procedures for correcting.
  • Explains considerations for entering and following standing orders.
  • Differentiates between standing orders and preprinted orders and considerations for each.

Patient Chart Reading and Interpretation

  • Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
  • Reviews patients’ charts for completion and accuracy;
    identifies and alerts to mistakes or omissions.
  • Recognizes unexpected readings and alerts nursing or medical staff.
  • Relates examples of mis-readings or misinterpretations and lessons learned.
  • Reviews, discusses and validates own interpretation with others.

Patient Safety

  • Shares experiences with ensuring safety for one or more patient groups or settings.
  • Explains key features of safety guidelines and procedures for those groups and settings.
  • Listens and responds to safety inquiries from patients and family members.
  • Recognizes and addresses physiological and psychological signs of problems.
  • Describes considerations for patients who can cause to harm to self, versus harm to others.
  • Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.

Job Requirements:

Education/Skills

  • Bachelor of Science Degree in Nursing, preferred

Experience

  • Minimum of 2 years of combined experience required in Medsurg and Telemetry
  • 5 years of experience preferred

Licenses, Registrations, or Certifications

  • BLS required
  • ACLS required
  • RN License in the state of employment or compact required

Work Schedule:

24 HOURS

Work Type:

Full Time

permanent
Registered Nurse- Fulltime- Nursing Pool
🏢 Christus Health
Salary not disclosed
Tyler, TX 2 days ago
Description
Summary:
The competent Nurse, in the Critical Care and similar clinical setting , practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Meets expectations for flexibility of assignment within the ministry.
Proactively provide assignment availability on a regular basis.
Able to be assigned to more than one unit.
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
Documents patient history, symptoms, medication, and care given.
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
CORE COMPETENCIES
Standard I: Utilizes the Nursing Process

Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
Communicates findings to appropriate healthcare team members.
Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals.
Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
Performs timely reassessment and documentation.
Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.
Standard II. Patient Throughput & Patient Flow Process

Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
Utilizes appropriate systems of communication and tools to facilitate the discharge process.
Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.
Standard III. Unit Operations

Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
Assesses departmental staffing needs; actively participates in resourcing efforts.
Educates and trains others on the operations, ethics, and regulations within the industry.
Standard IV. Safe Practice/Quality Care/Regulations

Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
Demonstrates accountability for nursing research and quality improvement activities.
Provides evidence-based nursing care.
Communicates patient information effectively across the continuum of care.
Educates and trains others on the operations, ethics, and regulations within the industry.
Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.
TECHNICAL COMPETENCIES
Clinical Policies and Standards

Follows a specific set of standards and associated clinical procedures
Analyzes policy and standards documentation and ensures organizational compliance..
Provides feedback for improvement of procedures.
Assists in the development and implementation of specific procedures.
Works with control and monitoring mechanisms, tools and techniques.
Health Information Documentation

Shares experiences with maintaining paper and electronic patient documentation.
Walk through the steps and procedures for receiving, validating and updating patient records.
Describes the flow of information between various stations or units.
Discusses the functions, features and document flow of electronic documentation.
Transcribes verbal orders; explains techniques forensuring their accuracy.
Explains health information documentation best practices and their rationale across health care practices.
Medical Equipment

Describes experience with basic medical equipment used in own unit or facility.
Uses standard diagnostic tools and techniques to resolves common equipment problems.
Educates patients about the appropriate use of home medical equipment.
Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
Inspects, troubleshoots and evaluates incoming equipment.
Medical Order Processing

Shares experiences with processing medical orders for one or more groups of patients or conditions.
Describes functions and features of the system used to enter, validate, update and forward medical orders.
Discusses common errors, their sources and procedures for correcting.
Explains considerations for entering and following standing orders.
Differentiates between standing orders and preprinted orders and considerations for each.
Patient Chart Reading and Interpretation

Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions.
Recognizes unexpected readings and alerts nursing or medical staff.
Relates examples of mis-readings or misinterpretations and lessons learned.
Reviews, discusses and validates own interpretation with others.
Patient Safety

Shares experiences with ensuring safety for one or more patient groups or settings.
Explains key features of safety guidelines and procedures for those groups and settings.
Listens and responds to safety inquiries from patients and family members.
Recognizes and addresses physiological and psychological signs of problems.
Describes considerations for patients who can cause to harm to self, versus harm to others.
Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.
Job Requirements:

Education/Skills

~ Bachelor of Science Degree in Nursing, preferred

Experience

~ Minimum of 2 years of combined experience required in both the Critical Care setting and one other specialty (e.G. Medsurg, Telemetry, IMC or Emergency)
~5 years of experience preferred

Licenses, Registrations, or Certifications

BLS required
ACLS required
RN License in the state of employment or compact required
PALS is required at CHRISTUS Children’s Hospital
NRP is required at CHRISTUS Children’s Hospital

Work Schedule:

7PM - 7AM
Work Type:

Full Time
permanent
Physician Advisor Full Time
✦ New
🏢 Christus Health
Salary not disclosed
Texarkana, TX 1 day ago
Description

Roles and Responsibilities Overview
The Physician Advisor is a full-time administrative physician role serving CHRISTUS St. Michael hospital and its affiliates through teaching, consulting, and advising both the Care Management Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules and regulations, collaboration and relationships with payers, and the community. The PA also ensures physician support and execution for the Care Management and CDI Departments' initiatives by promoting effective and efficient physician documentation to support the patient's Level of Care (LOC), billing status, and appropriateness of Medicare Severity-Diagnosis Related Group (MS-DRG)/DRG assignment. The PA will submit monthly time records documenting time actually spent in the provision of the responsibilities outlined below. M-F, no call responsibilities!

Reporting Relationship
The PA reports directly to the Chief Medical Officer of St. Michael hospital- Texarkana

Professional Qualifications
The Physician Advisor-Care Management and Clinical Documentation Improvement role should be staffed by a physician with the following qualifications:

- 5 years of clinical experience

- Licensed physician in state of residence

- Board certified in a clinical specialty

- Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred

- Experienced in clinical practice with an understanding of utilization review

- -Served on or chaired an Utilization Management Committee

- -Demonstrated cost-efficient practice

-

Physician Advisor - Care Management & CDI Duties and Responsibilities

Utilization Management Plan: 20%

In collaboration with the Director of CM, lead the Utilization Review Committee

Conduct secondary status reviews for appropriate level of care determination

Conduct peer-to-peer consults with the payor medical directors for the denied cases, to resolve medical necessity issues prior to claims submission.

In collaboration with the CMO and Director of CM, monitor key metrics for UM and participate in action steps to achieve targets. Metrics include (but not limited to):

Denial trends, appeals & recoveries

Length of stay- inpatient and observation

Condition Code 44

Physician & Staff Education: 15%

Provide education to physicians and other clinicians related to regulatory requirements, appropriate billing status and utilization of alternate levels of care, community resources, and end of life care.

Work with physicians to facilitate referrals to the continuum of care

Facilitate, mentor, and educate other physicians regarding payer requirements

Provide mentoring/coaching to UR Case Managers to increase knowledge in care progression

Educate physicians on the benefits and importance of a clinical documentation program and how to work with CDI specialists



Care Management: 50%

Participate in daily IDRs takes action to expedite testing and treatment to promote efficient patient care and appropriate LOC

Provides guidance/assistance to the Emergency Department Physicians and CM staff to ensure correct LOC designation at intake

Act as a liaison with payers to facilitate approvals and prevent denials or carved-out days when appropriate

Participate in review of long-stay patients escalated from Care Management to facilitate the use of the most appropriate LOC

Review cases that indicate a need for issuance of a hospital notice of non-coverage determination. Discuss the case with the attending physician and if additional clinical information is not available, discuss the process for issuance and appeal with the physician.

Document patient care reviews, decisions, and other pertinent information per hospital policy

Possess foundational knowledge of InterQual and MCG criteria

Participate in Care Management Leadership & staff meetings to help identify and progress toward departmental goals

Notify the Care Manager of any conflict of interest in reviewing a particular patient record. Assist with identifying a physician to review such record.

Clinical Documentation Integrity 15%

Provide feedback to physicians in each service on clinical documentation using specific case examples/3M

Highlights/ Benefits:

- Balanced professional and personal lifestyle

- Competitive compensation and benefits

- No state income tax

- Relocation assistance

Community Description:

- Easy drive to Dallas

- Enjoy the lush green countryside, pine tree-covered hills and lakes.

- Year-round outdoor activities include golfing, hunting, fishing, camping, hiking, and boating.

- Excellent public and private schools

Recruiter Contact Information :

Recruiter Contact Information :

Liz Flippo

Email :

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We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

permanent
Full Time Rheumatology Physician
✦ New
$300,000 - 330,000
Loma Linda, CA 1 day ago
Loma Linda University Faculty Medical Group, Department of Internal Medicine is seeking a Rheumatologist to join our team.
Are you looking for an opportunity that offers career growth potential, the time and flexibility to pursue academic interests, student loan repayment qualification, providing care for an underserved community, shaping the next generation of rheumatologists, a great work life balance with over 35 CME and vacation days plus sick leave if needed? We are seeking candidates who want to devote their careers to academic medicine and are interested in both teaching and scholarly pursuits. Apart from running a very active consultation service at the Loma Linda University Medical Center and outpatient clinics at our Faculty Medical Offices, we also provide outpatient and inpatient services at the Riverside University Health System Medical Center in Moreno Valley. Currently, inpatient services are shared between all physicians, and we are growing our division to reduce the call requirement per physician. We offer excellent support staff for prior authorization completion, scribes, and the opportunity to work in a team-based approach with a nurse practitioner.
The Division of Rheumatology is currently comprised of 5.5 faculty, with plans to grow to 9 full-time faculty, and offers robust faculty development and physician wellness offerings. Some recent examples are: physician vitality; financial planning for physicians; physician wellness; physician feedback and preparing learners to get feedback; positive psychology for the physician; getting involved in clinical trials; diversity, equity and inclusion in medical education; a pottery class; a painting class; local hike; In addition to division-specific faculty development, Loma Linda University School of Medicine provides free education-related CME to support our faculty through the promotions process. Loma Linda faculty have access to free courses on leadership, grant writing, and personal and professional development. Whether your passion lies with healthcare administration, clinical research, medical education or patient care, we have the resources to support you and help you thrive.
Faculty engage with fellows, residents and students weekly. We run clinical trials and also engage in health services, medical education and other research. Center for Arthritis, Lupus center, Scleroderma Center, Myositis Center, Sjogren’s Syndrome Center, Vasculitis Center, and the Center for Bone Health and Osteoporosis. Ultrasound machines are available at all of our sites. Apart from doing musculoskeletal ultrasound, we also engage in vasculitis, parotid and lung ultrasound.
Faculty within the Department of Medicine are welcome to explore academic pursuits through teaching and/or research, as well as provide care to the underserved through our partnerships with SAC Health System in the Inland Empire and Guam Seventh-day Adventist Clinic in Micronesia. Loma Linda University Faculty Medical Group is affiliated with Loma Linda University Medical Center, Children’s Hospital and School of Medicine, with the mission to deliver whole-person care at a world class level of clinical excellence. The Medical Center serves as the largest tertiary referral source in both Riverside and San Bernardino counties with a surrounding population approaching 4 million and is the only Level I Trauma Center serving a four-county area that covers approximately 25 percent of the state. The Medical Center and Children’s Hospital are equipped with over 850 licensed beds.
Join our group of passionate leaders in the field of rheumatology and find joy in the practice of medicine. New graduates are welcome to apply. Loma Linda, recognized as the only Blue Zone in the nation, is a family-friendly community known for its strong sense of community and commitment to health and wellness. Nestled at the foot of the San Bernardino mountains, we have convenient access to beaches, skiing, hiking, and a variety of other outdoor activities. This growing region has a low cost of living and excellent private and public school systems. Generous Retirement Contribution
Comprehensive Medical/Dental Coverage
Relocation Assistance (if applicable)
Paid Life Insurance
permanent
Rheumatologist, Full-time
✦ New
🏢 Loma Linda University Faculty Medical Group
$300,000 - 330,000
Loma Linda, CA 1 day ago
Loma Linda University Faculty Medical Group, Department of Internal Medicine is seeking a Rheumatologist to join our team.
Are you looking for an opportunity that offers career growth potential, the time and flexibility to pursue academic interests, student loan repayment qualification, providing care for an underserved community, shaping the next generation of rheumatologists, a great work life balance with over 35 CME and vacation days plus sick leave if needed? We are seeking candidates who want to devote their careers to academic medicine and are interested in both teaching and scholarly pursuits. Apart from running a very active consultation service at the Loma Linda University Medical Center and outpatient clinics at our Faculty Medical Offices, we also provide outpatient and inpatient services at the Riverside University Health System Medical Center in Moreno Valley. Currently, inpatient services are shared between all physicians, and we are growing our division to reduce the call requirement per physician. We offer excellent support staff for prior authorization completion, scribes, and the opportunity to work in a team-based approach with a nurse practitioner.
The Division of Rheumatology is currently comprised of 5.5 faculty, with plans to grow to 9 full-time faculty, and offers robust faculty development and physician wellness offerings. Some recent examples are: physician vitality; financial planning for physicians; physician wellness; physician feedback and preparing learners to get feedback; positive psychology for the physician; getting involved in clinical trials; diversity, equity and inclusion in medical education; a pottery class; a painting class; local hike; In addition to division-specific faculty development, Loma Linda University School of Medicine provides free education-related CME to support our faculty through the promotions process. Loma Linda faculty have access to free courses on leadership, grant writing, and personal and professional development. Whether your passion lies with healthcare administration, clinical research, medical education or patient care, we have the resources to support you and help you thrive.
Faculty engage with fellows, residents and students weekly. We run clinical trials and also engage in health services, medical education and other research. Center for Arthritis, Lupus center, Scleroderma Center, Myositis Center, Sjogren’s Syndrome Center, Vasculitis Center, and the Center for Bone Health and Osteoporosis. Ultrasound machines are available at all of our sites. Apart from doing musculoskeletal ultrasound, we also engage in vasculitis, parotid and lung ultrasound.
Faculty within the Department of Medicine are welcome to explore academic pursuits through teaching and/or research, as well as provide care to the underserved through our partnerships with SAC Health System in the Inland Empire and Guam Seventh-day Adventist Clinic in Micronesia. Loma Linda University Faculty Medical Group is affiliated with Loma Linda University Medical Center, Children’s Hospital and School of Medicine, with the mission to deliver whole-person care at a world class level of clinical excellence. The Medical Center serves as the largest tertiary referral source in both Riverside and San Bernardino counties with a surrounding population approaching 4 million and is the only Level I Trauma Center serving a four-county area that covers approximately 25 percent of the state. The Medical Center and Children’s Hospital are equipped with over 850 licensed beds.
Join our group of passionate leaders in the field of rheumatology and find joy in the practice of medicine. New graduates are welcome to apply. Loma Linda, recognized as the only Blue Zone in the nation, is a family-friendly community known for its strong sense of community and commitment to health and wellness. Nestled at the foot of the San Bernardino mountains, we have convenient access to beaches, skiing, hiking, and a variety of other outdoor activities. This growing region has a low cost of living and excellent private and public school systems. Generous Retirement Contribution
Comprehensive Medical/Dental Coverage
Relocation Assistance (if applicable)
Paid Life Insurance
permanent
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