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  RN Case Manager Description RN Case Manager Comfort Care Hospice is looking for nurses that want to make a difference in the lives of their patients and help them live each day to their fullest.  We have a great opportunity for a Registered Nurse to work in collaboration with the Patient Care Coordinator and the Interdisciplinary Team in the planning, implementation and evaluation of patient care.  At Comfort Care, we may not be able to change the outcome, but we can certainly change the journey. Ideal RN Case Manager Candidates should have the following: Be a graduate of an accredited nursing program and possess a valid RN license in the state of Alabama. (1) Year of general nursing experience is required. Current CPR Certification. Licensed driver in Alabama with an automobile that is insured. RN Case Managers perform the following duties: Provide nursing care to hospice patients in their homes Supervise LPNs and Hospice Aides Assess patient and family needs to provide comprehensive plans of care Educate patients and caregivers Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians Work with interdisciplinary team to achieve patient/family goals At Comfort Care we provide: ·         Strong support ·         Excellent benefits ·         Cutting edge equipment ·         Innovative programs ·         Flexible schedule ·         Stability ·         Opportunity for advancement ·         Continuing education ·         Lower nurse to patient ratio     RN Case Manager Comfort Care Hospice is looking for nurses that want to make a difference in the lives of their patients and help them live each day to their fullest.  We have a great opportunity for a Registered Nurse to work in collaboration with the Patient Care Coordinator and the Interdisciplinary Team in the planning, implementation and evaluation of patient care.  At Comfort Care, we may not be able to change the outcome, but we can certainly change the journey. Ideal RN Case Manager Candidates should have the following: Be a graduate of an accredited nursing program and possess a valid RN license in the state of Alabama. (1) Year of general nursing experience is preferred. Current CPR Certification. Licensed driver in Alabama with an automobile that is insured. RN Case Managers perform the following duties: Provide nursing care to hospice patients in their homes Supervise LPNs and Hospice Aides Assess patient and family needs to provide comprehensive plans of care Educate patients and caregivers Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians Work with interdisciplinary team to achieve patient/family goals   At Comfort Care we provide: ·         Strong support ·         Excellent benefits ·         Cutting edge equipment ·         Innovative programs ·         Flexible schedule ·         Stability ·         Opportunity for advancement ·         Continuing education ·         Lower nurse to patient ratio

Position Summary: The Team Registered Nurse is responsible toassess and identify patient/family needs, and to plan, implement, evaluate and document the individualized hospice nursing care provided to a patient in accordance with the interdisciplinary plan of careand the policies and expectations of the Clinical Services Department. The Team Registered Nurse is responsible for care coordination and collaboration among the Interdisciplinary Group and other medical providers, and supervises the hospice care provided by Licensed Practical Nurses and Certified Nursing Assistants.  Assigned patients may be in a home, skilled nursing facility, assistedliving facility, or acute care setting. The Team Registered Nurse demonstrates excellence in nursing practice for assigned case load and is supportive of the organization’s needs in providing nursing care and services to all Hosparus Health  patients.   Position Duties & Responsibilities: Conducts/documents a thorough nursing assessment that identifies variations from baseline in patient status including risk factors. Assesses the need for, and evaluates all care, treatment, and services. Identifies educational needs of the patient and family. Utilizes knowledge of Hosparus Health Patient Care Guidelines and Clinical Protocols in the development of nursing interventions. Communicates and collaborates with the patient’s attending physician if applicable, regarding care and treatment. Develops initial Plan of Care for the Interdisciplinary Team and/or reviews/revises POC as patient status changes and/or per regulatory requirements, driven by needs identified as significant by patient and family. Initiates, reviews, and revises CNA plan of care based on patient status. Supervises the delivery of CNA care. Demonstrates clinical competency in principles of symptom control, pain control, and palliative care. Prepares patients and caregivers adequately for discharge from Hospice care when appropriate. Prepares family and caregiver for the dying process, including signs and symptoms of impending death and notification of Hosparus Health at the time of death. Consistently evaluates medical eligibility criteria of patient as well as goals and related interventions to the plan of care. Communicates clearly, concisely and in a timely manner with team members. Coordinates care of patient/family with support staff as well as other team members as necessary. Collaborates with team members, including Hosparus Health Inpatient Care Center staff, Bereavement staff and others, to assure coordination in delivery of care. Demonstrates collaborative and collegial relationships with Interdisciplinary Teams, support departments such as Customer Support and Scheduling, Preauthorization team, and others to assure coordination and continuity of care and services. Mediates and solves problems effectively.  Communicates with all community partners and referral sources, as well as with families in a positive manner, consistently seeking win-win solutions. Demonstrates commitment to patient care by participating in on call, weekend, evening, and holiday rotations. Works with Interdisciplinary Teams to assure effective, cost efficient care. Participates in the evaluation of department functions, identifying trends and areas for improvement as appropriate. Assumes responsibility for preauthorization of all patient care, treatment and services delivered by external providers. Completes medication reconciliation at all visits comparing EMR profile to pharmacy profile and medications present in the home or facility.  This includes promptly notifying the pharmacy of changes in orders. Collaborates with the Clinical Manager/Clinical Director to assure completion of duties, on-call as applicable, scheduling and arranging coverage for all areas of nursing service. Completes point of service documentation in a timely manner. Consults with manager for questions and concerns regarding urgent needs/issues that arise. Achieves organizational standards for individual measures of success as defined by community leaders (visits per week, length of visit and timeliness of documentation). Demonstrates knowledge of hospice admission criteria and is able to communicate the hospice philosophy in providing information to patients and families, referral sources and the public. When conducting admission visit meets with patient/family to identify needs and offer hospice solutions, assesses the patient to ensure medical eligibility for hospice care, reviews relevant medical records, assessing for the documentation to support medical eligibility. Serves as a professional role model by providing individual expertise, knowledge and skills. Assumes the role of nurse preceptor. Position Qualifications: RN with current RN licensure in the state of Kentucky and/or Indiana as required by designated position, or the ability to obtain required license/s upon offer of position. BSN desired. Certification in hospice/palliative care preferred. Two years of nursing experience required. Knowledge of palliative care helpful. Must have a valid driver’s license in accordance to policy.     

Position Summary: The Team Registered Nurse is responsible toassess and identify patient/family needs, and to plan, implement, evaluate and document the individualized hospice nursing care provided to a patient in accordance with the interdisciplinary plan of careand the policies and expectations of the Clinical Services Department. The Team Registered Nurse is responsible for care coordination and collaboration among the Interdisciplinary Group and other medical providers, and supervises the hospice care provided by Licensed Practical Nurses and Certified Nursing Assistants.  Assigned patients may be in a home, skilled nursing facility, assistedliving facility, or acute care setting. The Team Registered Nurse demonstrates excellence in nursing practice for assigned case load and is supportive of the organization’s needs in providing nursing care and services to all Hosparus Health  patients.   Position Duties & Responsibilities: Conducts/documents a thorough nursing assessment that identifies variations from baseline in patient status including risk factors. Assesses the need for, and evaluates all care, treatment, and services. Identifies educational needs of the patient and family. Utilizes knowledge of Hosparus Health Patient Care Guidelines and Clinical Protocols in the development of nursing interventions. Communicates and collaborates with the patient’s attending physician if applicable, regarding care and treatment. Develops initial Plan of Care for the Interdisciplinary Team and/or reviews/revises POC as patient status changes and/or per regulatory requirements, driven by needs identified as significant by patient and family. Initiates, reviews, and revises CNA plan of care based on patient status. Supervises the delivery of CNA care. Demonstrates clinical competency in principles of symptom control, pain control, and palliative care. Prepares patients and caregivers adequately for discharge from Hospice care when appropriate. Prepares family and caregiver for the dying process, including signs and symptoms of impending death and notification of Hosparus Health at the time of death. Consistently evaluates medical eligibility criteria of patient as well as goals and related interventions to the plan of care. Communicates clearly, concisely and in a timely manner with team members. Coordinates care of patient/family with support staff as well as other team members as necessary. Collaborates with team members, including Hosparus Health Inpatient Care Center staff, Bereavement staff and others, to assure coordination in delivery of care. Demonstrates collaborative and collegial relationships with Interdisciplinary Teams, support departments such as Customer Support and Scheduling, Preauthorization team, and others to assure coordination and continuity of care and services. Mediates and solves problems effectively.  Communicates with all community partners and referral sources, as well as with families in a positive manner, consistently seeking win-win solutions. Demonstrates commitment to patient care by participating in on call, weekend, evening, and holiday rotations. Works with Interdisciplinary Teams to assure effective, cost efficient care. Participates in the evaluation of department functions, identifying trends and areas for improvement as appropriate. Assumes responsibility for preauthorization of all patient care, treatment and services delivered by external providers. Completes medication reconciliation at all visits comparing EMR profile to pharmacy profile and medications present in the home or facility.  This includes promptly notifying the pharmacy of changes in orders. Collaborates with the Clinical Manager/Clinical Director to assure completion of duties, on-call as applicable, scheduling and arranging coverage for all areas of nursing service. Completes point of service documentation in a timely manner. Consults with manager for questions and concerns regarding urgent needs/issues that arise. Achieves organizational standards for individual measures of success as defined by community leaders (visits per week, length of visit and timeliness of documentation). Demonstrates knowledge of hospice admission criteria and is able to communicate the hospice philosophy in providing information to patients and families, referral sources and the public. When conducting admission visit meets with patient/family to identify needs and offer hospice solutions, assesses the patient to ensure medical eligibility for hospice care, reviews relevant medical records, assessing for the documentation to support medical eligibility. Serves as a professional role model by providing individual expertise, knowledge and skills. Assumes the role of nurse preceptor. Position Qualifications: RN with current RN licensure in the state of Kentucky and/or Indiana as required by designated position, or the ability to obtain required license/s upon offer of position. BSN desired. Certification in hospice/palliative care preferred. Two years of nursing experience required. Knowledge of palliative care helpful. Must have a valid driver’s license in accordance to policy.     

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES 1. Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.   2. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care.  3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT SPECIFIC RESPONSIBILITIES ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   HOSPICE:  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST:  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING: Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.    RESOURCE POOL:  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES • Demonstrates effective leadership and professional skills according to Standards of Care. • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes.   MINIMUM HIRING REQUIREMENTS • Associate’s or Bachelor’s Degree from an accredited school of nursing • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted)  • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED: • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.  o TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.    Candidates must meet the following mandatory requirements for specialty units once hired:    o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC  o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS • Bachelor’s degree from an accredited school of nursing • Specialty certifications as preferred per department: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU  

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES 1. Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.   2. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care.  3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT SPECIFIC RESPONSIBILITIES ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   HOSPICE:  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST:  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING: Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.    RESOURCE POOL:  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES • Demonstrates effective leadership and professional skills according to Standards of Care. • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes.   MINIMUM HIRING REQUIREMENTS • Associate’s or Bachelor’s Degree from an accredited school of nursing • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted)  • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED: • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.  o TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.    Candidates must meet the following mandatory requirements for specialty units once hired:    o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC  o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS • Bachelor’s degree from an accredited school of nursing • Specialty certifications as preferred per department: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU  

Roze Room organizations have been recognized among the Best Places to Work in Los Angeles in 2014, 2015, 2016.: : Seeking Per diem and full time RN's: San Fernando Valley locations: Hospice Experience Preferred : ABOUT US: We know hospice nurses are special. Their commitment to assist patients and families in the most vulnerable moments in life is remarkable. As the founder of Roze Room I am honored to celebrate our 20th year in the industry and to be surrounded by dedicated and caring professionals. : Roze Room Hospice was formed to honor the memory of my grandmother Roza, whose favorite flower was the rose. Integrating her name and the flower rose into our name reminds me of our daily purpose and mission. Therefore, all we do at Roze Room is geared towards the patient and family. Our goal is to provide the best care possible to our patients and treat each patient with love, compassion and dignity. Our nurses are an integral part of our organization and we look forward to you joining our family.: POSITION SUMMARY: We are looking for an experienced registered nurse who initiates and coordinates the hospice care plan, supervises CHHAs and LVNs and provides skilled nursing hospice and palliative care services provided to our patients. The RN will work cooperatively with the attending physician, Hospice Medical Director, and other members of the interdisciplinary Hospice team. The RN regularly reviews and updates the plan of care, performs prescribed medical treatments (including pain management and symptom control), conducts assessments and evaluations and provides education and supportive care to patient and caregivers. Must be able to utilize computers and be comfortable with EMR. : QUALIFICATIONS:: * Graduate of an accredited school of nursing.: * Current RN License within the State. BSN preferred. Certification in Hospice and Palliative Nursing desired and encouraged. : * Minimum of one-year experience as a professional nurse within the last 3 years or have a Baccalaureate in Nursing from a program accredited by the National League for Nursing.: * Valid driver's license, and auto insurance, reliable/well maintained transportation.: Hospice Registered Nurse RN Case Manager, BSN, Nursing, Practitioner, Health Care Worker, Caregiver :

  Hospice East Bay provides compassionate end-of-life services to terminally ill patients in our community, while offering emotional, spiritual, logistical and bereavement support for their families and caregivers. Our vision is to build a diverse workplace that is both professionally stimulating and personally satisfying--an environment of collaboration, celebration, opportunity and growth.   POSITION SUMMARY Reporting to the Team Manager, the Registered Nurse (RN) Case Manager is responsible for identifying the patient's and family's physical, psychosocial, environmental, safety and developmental needs and individualizing the patient's plan of care based on the needs identified. The RN Case Manager coordinates patient/family care and ensures continuous assessment of each patient and family's needs and implementation of the plan of care under the direction of the attending physician and Medical Director/Hospice physician in conjunction with the interdisciplinary team. Hospice nursing services are based on the initial and ongoing assessment of the patient's needs and are provided in accordance with the interdisciplinary team's care plan. Each Case Manager triages and coordinates the care of up to 15 patients with the assistance from Revisit Nurses and in collaboration with the Team Manager.   ESSENTIAL FUNCTIONS ·          Identify and address signs of actively dying ·          Communicating and collaborating with patient care, MSW and SCC Hospice nursing services include: ·          Assessing all aspects of the patient's pain and developing an individualized pain management plan. ·          Anticipating, preventing and treating undesirable symptoms or secondary symptoms ·          Identifying and addressing comfort care needs. ·          Supporting, instructing and educating the patient, family and caregiver using teach back. ·          Documenting problems, nursing assessments, appropriate goals, care provided, care interventions and patient and family outcomes achieved from intervention and care provided. ·          Maintaining the dignity, confidentiality and privacy of the dying patient. ·          Supporting the patient's unique spiritual and cultural beliefs. ·          Providing holistic, family-centered care across treatment settings to improve the quality of life. ·          Consulting and collaborating with the interdisciplinary team and others involved in the patient's care. ·          Coordinating and managing patient care with awareness of insurance benefits, necessary authorizations and cost containment. ·          Coordinating patient care plan with After Hours and Crisis Care Staff. ·          Attend, document and present appropriate patient-related information at the Interdisciplinary Team Meetings utilizing the IDT templates. ·          Updating the comprehensive assessment and patient's progress towards desired outcomes at least every 15 days. ·          Supporting the patient's unique spiritual and cultural beliefs. ·          Completing patient-related documentation within 2 hours of the shift worked. ·          Adhering to and complies with state and federal regulations, as well as accreditation standards. ·          Providing patient and primary caregiver education/training, as appropriate, for care and services identified in the plan of care. ·          Adhering to evidence based standards of practice that are endorsed by the agency. ·          Identify and address signs of transitioning ·          Coordinate care for transfers to GIP level of care ·          Coordinate care for transfers to respite level of care ·          Coordinate care with Ahf, RCFE, & SNF ·          Educate and document education of caregivers (home and facility) utilizing appropriate educational tools. Other Case Management responsibilities: ·          Communicating with Team Manager as appropriate regarding patient acuity, scheduling, workload, and difficult situations. ·          Completing necessary records, reports and documentation in a timely manner according to agency requirements. ·          Following the agency's process for effective "hand off" communication. ·          Participating in educating new staff members as assigned by the Team Manager. ·          Supervising performance of LVN and Home Health Aide. ·          Supervising performance of LVN. ·          Attending appropriate in-services held for Hospice of the East Bay staff. ·          Participating, as requested, in QAPI activities. ·          Initiating and ongoing monitoring of medication reconciliation processes according to Medicare and accreditation standards. ·          Respond to email and voice mail communication in a timely manner.   POSITION REQUIREMENTS Must have the ability to perform a complete nursing physical assessment, develop a comprehensive care plan and respond to the needs of patients and families in the home setting, which includes SNF, RCFE/Board & Care. Must be able to cope with patient/family emotional stress and be tolerant of individual lifestyles without judgment. Must have ability to establish professional boundaries and maintain cooperative relationships with professionals. Must demonstrate excellent interpersonal communication skills, customer service skills, initiative, dependability and good judgment. Must be able to work collaboratively as part of an interdisciplinary team, as well as independently, and problem solve in a crisis situation. Must take (and pass with 85% or more) a medication calculation competency exam annually. Demonstrates clinical competency as observed during supervisory visit.   EXPERIENCE & EDUCATION ·          Current California Registered Nurse License required. ·          A minimum of one year of experience working as a professional nurse in an acute clinical setting required. ·          CPR certification required. ·          Must have current California Driver's License and a car in good working condition. ·          Prior experience in hospice and/or home care preferred. ·          Hospice and Palliative Care Nurse Certification highly desirable. ·          IV knowledge and expertise desirable ·          Must possess basic computer skills.  

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES 1. Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.   2. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care.  3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT SPECIFIC RESPONSIBILITIES ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   HOSPICE:  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST:  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING: Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.    RESOURCE POOL:  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES • Demonstrates effective leadership and professional skills according to Standards of Care. • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes.   MINIMUM HIRING REQUIREMENTS • Associate’s or Bachelor’s Degree from an accredited school of nursing • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted)  • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED: • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.  o TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.    Candidates must meet the following mandatory requirements for specialty units once hired:    o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC  o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS • Bachelor’s degree from an accredited school of nursing • Specialty certifications as preferred per department: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU  

  RN Case Manager Description RN Case Manager Comfort Care Hospice is looking for nurses that want to make a difference in the lives of their patients and help them live each day to their fullest.  We have a great opportunity for a Registered Nurse to work in collaboration with the Patient Care Coordinator and the Interdisciplinary Team in the planning, implementation and evaluation of patient care.  At Comfort Care, we may not be able to change the outcome, but we can certainly change the journey. Ideal RN Case Manager Candidates should have the following: Be a graduate of an accredited nursing program and possess a valid RN license in the state of Alabama. (1) Year of general nursing experience is required. Current CPR Certification. Licensed driver in Alabama with an automobile that is insured. RN Case Managers perform the following duties: Provide nursing care to hospice patients in their homes Supervise LPNs and Hospice Aides Assess patient and family needs to provide comprehensive plans of care Educate patients and caregivers Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians Work with interdisciplinary team to achieve patient/family goals At Comfort Care we provide: ·         Strong support ·         Excellent benefits ·         Cutting edge equipment ·         Innovative programs ·         Flexible schedule ·         Stability ·         Opportunity for advancement ·         Continuing education ·         Lower nurse to patient ratio     RN Case Manager Comfort Care Hospice is looking for nurses that want to make a difference in the lives of their patients and help them live each day to their fullest.  We have a great opportunity for a Registered Nurse to work in collaboration with the Patient Care Coordinator and the Interdisciplinary Team in the planning, implementation and evaluation of patient care.  At Comfort Care, we may not be able to change the outcome, but we can certainly change the journey. Ideal RN Case Manager Candidates should have the following: Be a graduate of an accredited nursing program and possess a valid RN license in the state of Alabama. (1) Year of general nursing experience is preferred. Current CPR Certification. Licensed driver in Alabama with an automobile that is insured. RN Case Managers perform the following duties: Provide nursing care to hospice patients in their homes Supervise LPNs and Hospice Aides Assess patient and family needs to provide comprehensive plans of care Educate patients and caregivers Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians Work with interdisciplinary team to achieve patient/family goals   At Comfort Care we provide: ·         Strong support ·         Excellent benefits ·         Cutting edge equipment ·         Innovative programs ·         Flexible schedule ·         Stability ·         Opportunity for advancement ·         Continuing education ·         Lower nurse to patient ratio

  RN Case Manager Description RN Case Manager Comfort Care Hospice is looking for nurses that want to make a difference in the lives of their patients and help them live each day to their fullest.  We have a great opportunity for a Registered Nurse to work in collaboration with the Patient Care Coordinator and the Interdisciplinary Team in the planning, implementation and evaluation of patient care.  At Comfort Care, we may not be able to change the outcome, but we can certainly change the journey. Ideal RN Case Manager Candidates should have the following: Be a graduate of an accredited nursing program and possess a valid RN license in the state of Alabama. (1) Year of general nursing experience is required. Current CPR Certification. Licensed driver in Alabama with an automobile that is insured. RN Case Managers perform the following duties: Provide nursing care to hospice patients in their homes Supervise LPNs and Hospice Aides Assess patient and family needs to provide comprehensive plans of care Educate patients and caregivers Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians Work with interdisciplinary team to achieve patient/family goals At Comfort Care we provide: ·         Strong support ·         Excellent benefits ·         Cutting edge equipment ·         Innovative programs ·         Flexible schedule ·         Stability ·         Opportunity for advancement ·         Continuing education ·         Lower nurse to patient ratio     RN Case Manager Comfort Care Hospice is looking for nurses that want to make a difference in the lives of their patients and help them live each day to their fullest.  We have a great opportunity for a Registered Nurse to work in collaboration with the Patient Care Coordinator and the Interdisciplinary Team in the planning, implementation and evaluation of patient care.  At Comfort Care, we may not be able to change the outcome, but we can certainly change the journey. Ideal RN Case Manager Candidates should have the following: Be a graduate of an accredited nursing program and possess a valid RN license in the state of Alabama. (1) Year of general nursing experience is preferred. Current CPR Certification. Licensed driver in Alabama with an automobile that is insured. RN Case Managers perform the following duties: Provide nursing care to hospice patients in their homes Supervise LPNs and Hospice Aides Assess patient and family needs to provide comprehensive plans of care Educate patients and caregivers Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians Work with interdisciplinary team to achieve patient/family goals   At Comfort Care we provide: ·         Strong support ·         Excellent benefits ·         Cutting edge equipment ·         Innovative programs ·         Flexible schedule ·         Stability ·         Opportunity for advancement ·         Continuing education ·         Lower nurse to patient ratio

  RN Case Manager Description RN Case Manager Comfort Care Hospice is looking for nurses that want to make a difference in the lives of their patients and help them live each day to their fullest.  We have a great opportunity for a Registered Nurse to work in collaboration with the Patient Care Coordinator and the Interdisciplinary Team in the planning, implementation and evaluation of patient care.  At Comfort Care, we may not be able to change the outcome, but we can certainly change the journey. Ideal RN Case Manager Candidates should have the following: Be a graduate of an accredited nursing program and possess a valid RN license in the state of Alabama. (1) Year of general nursing experience is required. Current CPR Certification. Licensed driver in Alabama with an automobile that is insured. RN Case Managers perform the following duties: Provide nursing care to hospice patients in their homes Supervise LPNs and Hospice Aides Assess patient and family needs to provide comprehensive plans of care Educate patients and caregivers Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians Work with interdisciplinary team to achieve patient/family goals At Comfort Care we provide: ·         Strong support ·         Excellent benefits ·         Cutting edge equipment ·         Innovative programs ·         Flexible schedule ·         Stability ·         Opportunity for advancement ·         Continuing education ·         Lower nurse to patient ratio     RN Case Manager Comfort Care Hospice is looking for nurses that want to make a difference in the lives of their patients and help them live each day to their fullest.  We have a great opportunity for a Registered Nurse to work in collaboration with the Patient Care Coordinator and the Interdisciplinary Team in the planning, implementation and evaluation of patient care.  At Comfort Care, we may not be able to change the outcome, but we can certainly change the journey. Ideal RN Case Manager Candidates should have the following: Be a graduate of an accredited nursing program and possess a valid RN license in the state of Alabama. (1) Year of general nursing experience is preferred. Current CPR Certification. Licensed driver in Alabama with an automobile that is insured. RN Case Managers perform the following duties: Provide nursing care to hospice patients in their homes Supervise LPNs and Hospice Aides Assess patient and family needs to provide comprehensive plans of care Educate patients and caregivers Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians Work with interdisciplinary team to achieve patient/family goals   At Comfort Care we provide: ·         Strong support ·         Excellent benefits ·         Cutting edge equipment ·         Innovative programs ·         Flexible schedule ·         Stability ·         Opportunity for advancement ·         Continuing education ·         Lower nurse to patient ratio

At Stonerise at Home, our mission goes beyond compassion and improving care. We strive to enrich the lives of those with whom we work and serve through our principles, passion, and purpose. Stonerise at Home is currently hiring for an RN. This position plans, organizes and directs home care services and is experienced in hospice and/or home health nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Join us and benefit from the Stonerise difference. Our core values make us unlike any other employer. If you want to be part of a family-like team who feels as passionately about serving fellow members of your community as you do, join us! In addition to competitive wages, you’ll benefit from:: * Tuition reimbursement * Advancement opportunities * Paid vacation * Health insurance * 401(k) * And more! Essential Job Functions/Responsibilities: Patient Care: * Completes an initial assessment of patient and family to determine hospice care needs. Provides a complete physical assessment and history of current and previous illness(es). * Regularly re-evaluates patient nursing needs. * Initiates the plan of care and makes necessary revisions as patient status and needs change. * Uses health assessment data to determine nursing diagnosis. * Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process. * Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician. * Counsels the patient and family in meeting nursing and related needs. * Provides health care instructions to the patient as appropriate per assessment and plan of care. * Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. * Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication: * Prepares clinical notes and updates the primary physician when necessary and at least every 60 days. * Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required. * Communicates with community health related persons to coordinate the care plan. Additional Duties: * Participates in on-call duties as defined by the on-call policy. * Ensures that arrangements for equipment and other necessary items and services are available. * Instructs, supervises and evaluates home health aide care provided every two (2) weeks. Position Qualifications: * Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting. * Current licensure in WV and CPR certification. * Bachelor’s degree, with one (1) year of hospice/home health care experience preferred. * Management experience not required. Responsible for supervising home health aides. * Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. * Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required nursing skills. * Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES 1. Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.   2. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care.  3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT SPECIFIC RESPONSIBILITIES ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   HOSPICE:  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST:  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING: Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.    RESOURCE POOL:  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES • Demonstrates effective leadership and professional skills according to Standards of Care. • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes.   MINIMUM HIRING REQUIREMENTS • Associate’s or Bachelor’s Degree from an accredited school of nursing • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted)  • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED: • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.  o TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.    Candidates must meet the following mandatory requirements for specialty units once hired:    o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC  o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS • Bachelor’s degree from an accredited school of nursing • Specialty certifications as preferred per department: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU  

Job Summary Responsible for providing nursing services to patients in the home under the direct supervision of a registered nurse following a plan of treatment as ordered by the physician.   Primary Duties 1.Provides direct patient care in the patient’s home. 2.Coordinates the patient and family/significant other education process. 3.Continuously plans, implements, and evaluates patient care, incorporating patient and family/significant other into the process. 4.Participates with physician partners and other interdisciplinary team members to develop and implement patient and family/significant other plan of care. 5.Communicates effectively all relevant information (e.g., patient information, safety issues, problems with equipment, quality issues, etc.) to immediate supervisor and/or RN case manager, in timely way. 6.Communicates and documents changes in patient condition, on a timely basis, to charge nurse/supervisor, RN case manager and/or physician. 7.Delivers nursing care within established standards of care, hospital and unit guidelines, policies and procedures. 8.Performs other duties as assigned   Minimum Qualifications   License, Certification, Education or Experience:   REQUIRED for the position: •Currently licensed as a LPN in the State of Washington •Current Washington State Driver’s license and proof of insurability •Current Healthcare Provider BLS certification by date of hire •Reliable transportation •Demonstrates ability to communicate clinical / educational knowledge to others (i.e., students, staff, patients and families, caregivers). •Demonstrates skills to complete the nursing competency assessment checklist. •Demonstrates knowledge of new trends and techniques in nursing.

Looking for Full Time and Per Diem RNs in the Ventura office geography : ABOUT US: We know hospice nurses are special. Their commitment to assist patients and families in the most vulnerable moments in life is remarkable. As the founder of Roze Room I am honored to celebrate our 20th year in the industry and to be surrounded by dedicated and caring professionals. : Roze Room Hospice was formed to honor the memory of my grandmother Roza, whose favorite flower was the rose. Integrating her name and the flower rose into our name reminds me of our daily purpose and mission. Therefore, all we do at Roze Room is geared towards the patient and family. Our goal is to provide the best care possible to our patients and treat each patient with love, compassion and dignity. Our nurses are an integral part of our organization and we look forward to you joining our family.: POSITION SUMMARY: We are looking for an experienced registered nurse who initiates and coordinates the hospice care plan, supervises CHHAs and LVNs and provides skilled nursing hospice and palliative care services provided to our patients. The RN will work cooperatively with the attending physician, Hospice Medical Director, and other members of the interdisciplinary Hospice team. The RN regularly reviews and updates the plan of care, performs prescribed medical treatments (including pain management and symptom control), conducts assessments and evaluations and provides education and supportive care to patient and caregivers. Must be able to utilize computers and be comfortable with EMR. : QUALIFICATIONS:: * Graduate of an accredited school of nursing.: * Current RN License within the State. BSN preferred. Certification in Hospice and Palliative Nursing desired and encouraged. : * Minimum of one-year experience as a professional nurse within the last 3 years or have a Baccalaureate in Nursing from a program accredited by the National League for Nursing.: * Valid driver's license, and auto insurance, reliable/well maintained transportation.: Hospice Registered Nurse RN Case Manager, BSN, Nursing, Practitioner, Health Care Worker, Caregiver :

Roze Room organizations have been recognized among the Best Places to Work: in Los Angeles in 2014, 2015, 2016.: Seeking per diem and full time RN's: ABOUT US: We know hospice nurses are special. Their commitment to assist patients and families in the most vulnerable moments in life is remarkable. As the founder of Roze Room I am honored to celebrate our 20th year in the industry and to be surrounded by dedicated and caring professionals. : Roze Room Hospice was formed to honor the memory of my grandmother Roza, whose favorite flower was the rose. Integrating her name and the flower rose into our name reminds me of our daily purpose and mission. Therefore, all we do at Roze Room is geared towards the patient and family. Our goal is to provide the best care possible to our patients and treat each patient with love, compassion and dignity. Our nurses are an integral part of our organization and we look forward to you joining our family.: POSITION SUMMARY: We are looking for an experienced registered nurse who initiates and coordinates the hospice care plan, supervises CHHAs and LVNs and provides skilled nursing hospice and palliative care services provided to our patients. The RN will work cooperatively with the attending physician, Hospice Medical Director, and other members of the interdisciplinary Hospice team. The RN regularly reviews and updates the plan of care, performs prescribed medical treatments (including pain management and symptom control), conducts assessments and evaluations and provides education and supportive care to patient and caregivers. Must be able to utilize computers and be comfortable with EMR. : QUALIFICATIONS:: * Graduate of an accredited school of nursing.: * Current RN License within the State. BSN preferred. Certification in Hospice and Palliative Nursing desired and encouraged. : * Minimum of one-year experience as a professional nurse within the last 3 years or have a Baccalaureate in Nursing from a program accredited by the National League for Nursing.: * Valid driver's license, and auto insurance, reliable/well maintained transportation.: Hospice Registered Nurse RN Case Manager, BSN, Nursing, Practitioner, Health Care Worker, Caregiver :

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES 1. Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.   2. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care.  3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT SPECIFIC RESPONSIBILITIES ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   HOSPICE:  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST:  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING: Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.    RESOURCE POOL:  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES • Demonstrates effective leadership and professional skills according to Standards of Care. • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes.   MINIMUM HIRING REQUIREMENTS • Associate’s or Bachelor’s Degree from an accredited school of nursing • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted)  • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED: • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.  o TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.    Candidates must meet the following mandatory requirements for specialty units once hired:    o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC  o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS • Bachelor’s degree from an accredited school of nursing • Specialty certifications as preferred per department: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU  

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES 1. Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.   2. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care.  3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT SPECIFIC RESPONSIBILITIES ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   HOSPICE:  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST:  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING: Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.    RESOURCE POOL:  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES • Demonstrates effective leadership and professional skills according to Standards of Care. • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes.   MINIMUM HIRING REQUIREMENTS • Associate’s or Bachelor’s Degree from an accredited school of nursing • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted)  • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED: • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.  o TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.    Candidates must meet the following mandatory requirements for specialty units once hired:    o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC  o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS • Bachelor’s degree from an accredited school of nursing • Specialty certifications as preferred per department: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU  

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES 1. Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.   2. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care.  3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT SPECIFIC RESPONSIBILITIES ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   HOSPICE:  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST:  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING: Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.    RESOURCE POOL:  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES • Demonstrates effective leadership and professional skills according to Standards of Care. • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes.   MINIMUM HIRING REQUIREMENTS • Associate’s or Bachelor’s Degree from an accredited school of nursing • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted)  • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED: • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.  o TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.    Candidates must meet the following mandatory requirements for specialty units once hired:    o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC  o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS • Bachelor’s degree from an accredited school of nursing • Specialty certifications as preferred per department: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU  

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES 1. Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.   2. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care.  3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT SPECIFIC RESPONSIBILITIES ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   HOSPICE:  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST:  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING: Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.    RESOURCE POOL:  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES • Demonstrates effective leadership and professional skills according to Standards of Care. • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes.   MINIMUM HIRING REQUIREMENTS • Associate’s or Bachelor’s Degree from an accredited school of nursing • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted)  • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED: • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.  o TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.    Candidates must meet the following mandatory requirements for specialty units once hired:    o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC  o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS • Bachelor’s degree from an accredited school of nursing • Specialty certifications as preferred per department: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU