Providence Jobs in Usa

JOB DESCRIPTION Job Summary

Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric.

• Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments.

• Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency.

• Establishes and documents reasonable medical diagnoses.

• Seeks specialty consultation as appropriate.

• Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.

• Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed.

• Creates and implements a medical plan of care.

• Schedules appointments for visits when appropriate.

• Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization.

• Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations.

• Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations.

• Orders bulk laboratory orders to target specific member populations.

• Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care.

• Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care.

• Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay.

• Obtains and maintains cross-state license in other states besides home state based on business need.

• Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively.

• Actively participates in regional meetings.

• May prescribe medications and perform procedures as appropriate.

• Performs timely medical records documentation in electronic medical record (EMR) computer system.

• On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment.

• Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws.

• Local travel required (based upon state/contractual requirements).

 

Required Qualifications

• At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience.

• Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).

• Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice.

• Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice.

• Current Basic Life Support (BLS) certification.

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to work independently with minimal supervision and demonstrate self-motivation.

• Responsive in all forms of communication.

• Ability to remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

• Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change.

• Excellent problem-solving and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience.

 

Preferred Qualifications

• Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting.

• Experience in home health as a licensed clinician, especially in management of chronic conditions.

• Experience with underserved populations facing socioeconomic barriers to health care.

• Immunization and point of care testing skills.

• Bilingual.

#PJNurse

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $88,453 - $198,356 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric.

• Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments.

• Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency.

• Establishes and documents reasonable medical diagnoses.

• Seeks specialty consultation as appropriate.

• Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.

• Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed.

• Creates and implements a medical plan of care.

• Schedules appointments for visits when appropriate.

• Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization.

• Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations.

• Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations.

• Orders bulk laboratory orders to target specific member populations.

• Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care.

• Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care.

• Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay.

• Obtains and maintains cross-state license in other states besides home state based on business need.

• Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively.

• Actively participates in regional meetings.

• May prescribe medications and perform procedures as appropriate.

• Performs timely medical records documentation in electronic medical record (EMR) computer system.

• On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment.

• Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws.

• Local travel required (based upon state/contractual requirements).

 

Required Qualifications

• At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience.

• Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).

• Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice.

• Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice.

• Current Basic Life Support (BLS) certification.

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to work independently with minimal supervision and demonstrate self-motivation.

• Responsive in all forms of communication.

• Ability to remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

• Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change.

• Excellent problem-solving and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience.

 

Preferred Qualifications

• Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting.

• Experience in home health as a licensed clinician, especially in management of chronic conditions.

• Experience with underserved populations facing socioeconomic barriers to health care.

• Immunization and point of care testing skills.

• Bilingual.

#PJNurse

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $88,453 - $198,356 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric.

• Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments.

• Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency.

• Establishes and documents reasonable medical diagnoses.

• Seeks specialty consultation as appropriate.

• Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.

• Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed.

• Creates and implements a medical plan of care.

• Schedules appointments for visits when appropriate.

• Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization.

• Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations.

• Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations.

• Orders bulk laboratory orders to target specific member populations.

• Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care.

• Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care.

• Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay.

• Obtains and maintains cross-state license in other states besides home state based on business need.

• Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively.

• Actively participates in regional meetings.

• May prescribe medications and perform procedures as appropriate.

• Performs timely medical records documentation in electronic medical record (EMR) computer system.

• On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment.

• Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws.

• Local travel required (based upon state/contractual requirements).

 

Required Qualifications

• At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience.

• Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).

• Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice.

• Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice.

• Current Basic Life Support (BLS) certification.

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to work independently with minimal supervision and demonstrate self-motivation.

• Responsive in all forms of communication.

• Ability to remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

• Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change.

• Excellent problem-solving and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience.

 

Preferred Qualifications

• Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting.

• Experience in home health as a licensed clinician, especially in management of chronic conditions.

• Experience with underserved populations facing socioeconomic barriers to health care.

• Immunization and point of care testing skills.

• Bilingual.

#PJNurse

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $88,453 - $198,356 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or 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.
• 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.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

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

Position Requirements:

Education/Skills

• All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
• New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a MedSurg specific competency validation.
• All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software.
• Completion of all annual competency verification requirements.

Experience

• One year of experience in a related nursing specialty preferred.

Licenses, Registrations, or Certifications

• Current ACLS certification required

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

Credential Grace Periods:

If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.

• Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
• Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.

Work Schedule:

7PM - 7AM

Work Type:

Full Time

CHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full range of diagnostic and surgical specialty services in cardiac, cancer, and stroke care. It is the leading emergency facility in the area with a Level II Trauma Center in the Coastal Bend, staffed with physicians and nurses specially trained in emergency services.

• The Pavilion and North Tower house a state-of-the-art emergency department, ICU, Cardiac Cath Lab and surgical suites
• A teaching facility in affiliation with the Texas A&M University System Health and Science Center College of Medicine
• Accredited Chest Pain Center
• Accredited Joint Commission Stroke Team

8NT is a 36-bed unit with a focus on Neuro Telemetry and Neuro Surgical Services. The primary patient population is composed of stroke, brain, and spinal conditions that range from; seizures, brain aneurysm, laminectomy, cervical fusion, stable craniotomy mechanical thrombectomy after 24 hours of ICU recovery. We have a strong working relationship with our neurosurgeons and neurologists who provide education and guidance to help enhance our nursing care. We pride ourselves on our TJC Comprehensive Level 1 Stroke Certification. We strive to maintain a culture of teamwork and quality. Every associate from our physicians, stroke coordinators, nurses, certified nursing assistants, therapists, and case managers plays a crucial role in the success of our unit.

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or 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.
• 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.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

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

Position Requirements:

x

Credential Grace Periods:

If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.

• Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
• Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.

Work Schedule:

3 Days - 12 Hours

Work Type:

Full Time

Summary:

Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period. Provides direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical/clerical associates. By assignment, may function as a charge nurse for the unit. Involves provision of patient care/service to older adolescents, young adults, adults, geriatric and pediatric patients.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Patient Care Planning
• Develops a comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment.
• Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference.
• Reviews and updates nursing care plan and collaborates with team members as changes occur.
• Patient Care Provision
• Implements patient care as planned in nursing care plan and interdisciplinary care plan.
• Sets priorities based on knowledge of patient acuity and patient needs.
• Provides safe and therapeutic care and seeks resources when appropriate.
• Safely performs and accurately documents procedures, consistent with established nursing policy and procedure.
• Patient Care Evaluation
• Evaluates patient response to interventions and attainment of goals in collaboration with interdisciplinary team.
• Evaluates progress toward nursing goals and revises goals as needed on a weekly basis.
• Completes nursing progress note for assigned patients on a daily basis.
• Completes nursing flow sheets for assigned patients on a daily basis.
• Teaching
• Evaluates education needs of patient and significant others and documents their response to teaching.
• Utilizes, adapts, and revises teaching resources to meet patient education needs.
• Explains procedures, tests, and disease process to patients and families as needed.
• Acts as role model for health care students and other team members.
• Acts as preceptor to assigned orientees.
• Assists in the orientation of new staff by sharing knowledge and experience.
• Patient Care Communication
• Reports and documents accurately and concisely to appropriate persons the patient's condition.
• Maintains patient confidentiality.
• Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others.
• Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed.
• Gives and accepts constructive feedback appropriately.
• Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• Six months to a year of experience as a licensed RN or holder of an active GN permit

Licenses, Registrations, or Certifications

• BLS required
• RN License in state of employment or compact
• Graduate Nurse Permit
  • Associates with an unsuccessful licensure application or on the 75th day following the effective date of the temporary permit; will be transferred to another position within CHRISTUS Health

Position Requirements:

Education/Skills

• All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
• New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a MedSurg specific competency validation.
• All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software.
• Completion of all annual competency verification requirements.

Experience

• One year of experience in a related nursing specialty preferred.

Licenses, Registrations, or Certifications

• Current ACLS certification required

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

Credential Grace Periods:

If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.

• Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
• Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.

Work Schedule:

7AM - 7PM

Work Type:

Full Time

Summary:

Under the supervision and/or direction of the Registered Nurse, the Nurse Extern II performs various direct patient care activities in accordance with the Nursing Department policies and procedures. The Nurse Extern II can assist with the care of hospitalized patients. The Nurse Extern II may be assigned other functions in accordance with hospital/department policies, procedures, and protocols.

Responsibilities:

• Life-threatening situations are readily identified and reported to the R.N. Initiates and assists with basic life support when needed.
• Observes/reports unusual symptoms to the nurse, i.e., abnormal V/S; IV site redness, edema; suspicious areas of skin breakdown accurately and promptly.
• Reports patient/family-related problems, i.e., patient's dissatisfaction/refusal of nursing care routines; departure from activity advancements or restrictions.
• Demonstrates a working knowledge of the aseptic/sterile technique. Follows universal precautions.
• Records information accurately and promptly. Reports change in patient's condition and/or vital signs.
• Assists with laboratory specimens, i.e., collection or delivery.
• Complies with timekeeping system. Accrues no unexcused absences, and no more than three unscheduled absences.
• Uses supplies and equipment appropriately documents use in the medical record and records charges appropriately.
• Participates in 80% of prescribed in-service programs and departmental meetings.
• When unable to attend (20% max) follow up to obtain information discussed.
• Follows hospital and/or unit policy for dress and personal hygiene.
• Follows necessary safety precautions, hospital policies, and departmental policies.
• Attends infection control and safety programs.
• Follows hospital policies and/or departmental rules.
• Follows the CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Associate timely completes all required educational requirements.

Requirements:

Education/Skills

• Nurse Extern II - students in RN school in clinicals
• Currently enrolled in a nursing program to obtain either an associate degree or bachelor's degree to become a registered nurse
• Must have completed their first hospital clinical rotation and be in good standing in the nursing program
• Proficient in basic nursing tasks

Experience

• Six (6) months of experience in patient care preferred

Licenses, Registrations, or Certifications

• AHA BLS required within 2 weeks of employment
• Provides updated transcript at beginning of semester

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Per Diem As Needed

CHRISTUS Santa Rosa Hospital – San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families. For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual "Best of Hays" publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital – San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center. We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women's services and more.

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or 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.
• 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.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

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

Position Requirements:

Education/Skills

• All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
• New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Critical Care Department-specific competency validation.
• Completion of all annual competency verification requirements.

Experience

• One year of experience in Critical Care setting preferred but will accept new graduates.

Licenses, Registrations, or Certifications

• Current ACLS certification required

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

Credential Grace Periods:

If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.

• Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
• Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.

Work Schedule:

7PM - 7AM

Work Type:

Full Time

Summary:

The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence.

Responsibilities:

• Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act.
• Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints.
• Champions change by identifying obstacles and requesting resources for effective improvement.
• Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion.
• Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs.
• Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department.
• Monitors, coaches and reinforces associate's compliance with policy and procedures.
• Applies and holds associates accountable for infection control policies and processes.
• Monitors and coaches staff in hourly rounding and use of patient communication boards.
• Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population.
• Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies.
• Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals.
• Facilitates associate participation in unit based multi-disciplinary rounds.
• Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG.
• Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard.
• Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations.
• Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance.
• Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices.
• Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process.
• Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures.
• Accurately interprets monitored rhythms and intervenes according to hospital policies and standards.
• Assists with special procedures as applicable to patient population.
• Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population.
• Communicates appropriate data to the physician and other patient care team members.
• Ensures timely and accurate implementation of physician orders.
• Performs emergency equipment checks at start of shift.
• Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization).
• Code Blue Alert Management – Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life.
• Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end.
• Provides appropriate hand-off communication with patient transitions of care.
• Assists manager/director in development of unit associate time schedule.
• Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates.
• Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process.
• Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated.
• Performs patient care duties when appropriate.

Requirements:

Education:

• Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred.

Experience:

• 3 years relevant experience preferred but not required.
• Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.

Certifications, Registrations, or Licenses:

• Current RN license in the State of New Mexico.
• Current BLS Certification.
• Current ACLS Certification or obtain within 6 months.
• Current PALS/NRP if applicable to area.
• Current TNCC if applicable to area or obtain within 6 months.
• Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department.
• BLS, ACLS and PALS must be issued through American Heart Association.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

Summary:

Responsible for managing, coordinating and integrating all Care Coordination services within CHRISTUS St. Vincent Health System. Provides Care Coordination services to patients based on person-centered acuity and coordinates patient in hospital or clinic setting. Contributes to a cooperative and accountable working relationship with other members of the Care Coordination system staff toward the goal of providing continuous high quality services to patients. Promotes optimal person-centered care that supports and empowers individuals, respects individual choices and meets health care needs of patients. Works side-by-side with clinical leaders in the development and implementation of protocols. May work in traditional clinic setting and/or in a training environment (residency program) or other areas as assigned.

Responsibilities:

• Provides Care Coordination services in the ambulatory setting that supports quality patient care across the continuum.
• Ability to work in a variety of electronic medical records, ability to compile record information into a single patient file. Inputs patient orders from standing protocols and displays above average critical thinking skills.
• Maintains coordination of health care for patients within CSVCG; routinely interacts with physicians, administrators, managers, care coordinators and patients to ensure an integrated continuum of person-centered services and programs.
• Communicates in such a way to promote harmonious interpersonal relationships within and among all settings of care.
• Develops relationships with a variety of community resources to include Skilled Nursing Facility (SNF), rehab, Long Term Acute Care (LTAC), home health, hospice, palliative care, and other essential community support agencies. Maintains good working knowledge of services provided by these entities.
• Works closely with the interdisciplinary team and providers to ensure appropriate referrals, follow-up and optimal patient outcomes over time. Is able to close the loop on referrals and any pending patient care needs efficiently.
• Exhibits behaviors and actions which create a high level of patient satisfaction, contributes to positive patient relations and reflects respect for a patient's rights, needs and confidentiality.
• Participates and can lead pertinent groups (such as interdisciplinary teams).
• Tracks, analyzes and interprets patient satisfaction, outcome measure and individual patient treatment plans.

Requirements:

Education:

• Registered Nurse, BSN in Nursing, preferred.

Experience:

• Minimum of two years of experience in a health care setting and related experience with quality, care coordination and population health preferred.
• Considerable knowledge of health care facilities, policies and issues, and of the full spectrum of community patient care services
• Considerable knowledge of health care and social management principles
• Ability to coordinate various functions and activities for maximum cooperation and integration of services providers and persons receiving care within a clinic for continuum of care services
• Ability to direct, instruct and advise staff, and to receive and effectively react to day-to-day problems
• Ability to utilize strong communication skills, both written and oral, and effectively demonstrate an interactive style of care coordination
• Ability to understand and implement sensitivity and culture of care measures appropriate to a diverse population
• Ability to work with various levels of the CHRISTUS organization including clinical, financial, administrative and medical staff.

Certifications, Registrations, or Licenses:

• Current New Mexico Nursing License

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time