Overview At the direction of the Clinical Manager, coordinates/manages a case load comprised of Hospice patients. Assesses, plans, implements, coordinates, and evaluates care for each patient/family in conjunction with the hospice interdisciplinary team. Case management includes but is not limited to; comprehensive needs assessments, development of appropriate plan of care, referral to internal and external resources, evaluation of outcomes, and provision of nursing educational, clinical and related services. Supervises the Licensed Nursing Assistants/ Home Health Aides. Responsibilities Provides a full range of professional nursing care to patients in their homes under the medical direction of a licensed physician. Regularly reevaluates patient's nursing needs and informs physician and other personnel of any changes in patient's condition or needs. Initiates the plan of treatment and any necessary revisions. Supervises the Home Health Aides. Teaches nursing care to be given in the home and reviews and explains the patient care plans. Performs initial and subsequent assessments of patient/family physical, emotional, psychosocial, spiritual and cultural needs to ensure and coordinate the delivery of comprehensive, comfort-focused services through the development of the Hospice patient plan of care. Represents VNH in a positive, proactive manner while participating in community education/support/ PR events. Maintains continuity of patient care by planning and exchanging information with IDT members, Department personnel and other health and social agencies as is appropriate. This job description is not meant to be exhaustive and may be modified as needed. Employees may be assigned other related duties to meet organizational needs. Key Performance Indicators: Timeliness of clinician documentation (within 24hours) Meets productivity standards Maintains compliance with HOPE visits Qualifications REQUIRED QUALIFICATIONS Must be a licensed Registered Nurse in Vermont and New Hampshire or hold a compact license. Graduate of an accredited school of nursing PREFERRED QUALIFICATIONS Minimum two years’ general experience in a supervised nursing setting recommended. Hospice/Homecare experience preferred. Certified in Hospice/Palliative Care Nursing desirable. Required Licensure/Certifications Unencumbered RN license in VT and NH or compact.
Overview Hematology Clinic 40 hours per week The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required upon hire.
Overview $10,000 Sign-On for Qualified Candidates! Flexible Schedules Available – have the schedule that works best for you! Three 12-hour shifts per week doing admissions Four 8-hour shifts working Friday through Monday (work 32 hours and get paid for 40 hours) Five 8-hour shifts on a rotating schedule Four 10-hour shifts on a rotating schedule Float nurse – willing to work in any program (Home Health, Hospice, and Maternal Child Health) Why work as an RN Case Manager at Visiting Nurse and Hospice for Vermont and New Hampshire? You really get to know your patients and become an integral part of their care team. You are provided broad independence but are also part of a cohesive patient-care team. You get to be an important part of the community where you live. You have a work/life balance that can match the flexibility you need. Benefits include: A Sign-On Bonus of $10,000 (restrictions apply) Relocation stipend of $10,000 (restrictions apply) Employee Referral Bonuses Clinical CEUs Online LinkedIn Learning Extensive health, dental, and lifestyle benefits that come with being part of the renowned Dartmouth Health system Locations : Bradford, VT area Randolph, VT Springfield, VT area White River Junction, VT area Lebanon, NH area Visiting Nurse and Hospice for VT & NH covers more than 70 towns delivering superior nursing, rehabilitation, hospice, and personal care services with proven effectiveness, integrity, and compassion. Our only goal is to help the people in our communities. When you join the Visiting Nurse and Hospice for VT & NH, you’ll become part of a dedicated team delivering outstanding home health and hospice services that enrich the lives of the people we serve. Responsibilities RN Case Managers at VNH screen, evaluate, re-evaluate, and treat patients as well as coordinate and communicate treatment activities with our interdisciplinary team members and the patient. The RN Case Manager: · Develops a care plan in collaboration with the patient's physician, the patient, and their family, or the primary caregivers upon admission. Periodically reviews the patient care plan and recertifies the patient care plan as appropriate. Coordinate the patient's care plan through interdisciplinary communication and case conferences, as appropriate. Advise other disciplines of discharges in a timely manner. Provide ongoing assessment of the patient's clinical, functional, and emotional status to identify problems and/or progress toward desired goals. Communicate significant changes to the patient's physician and VNA colleagues. Document evaluations, treatment goals, and objectives. Teach the patient and caregiver self-care techniques as appropriate. Provide medication, diet, and other instructions as ordered by the physician and utilizes opportunities for health counseling with patients and caregivers. We would love to meet you and tell you more about this engaging and fulfilling part of our healthcare delivery system. Our recruiters can explain the different roles, our service area, the unique aspects of home and hospice care, and the many benefits we can offer your career and personal life. Visiting Nurse and Hospice for Vermont and New Hampshire (VNH) will never require candidates to provide personally identifying information such as social security number, date of birth, street address, or banking information in order to submit an application for employment. Identifying information will only be requested after an offer of employment has been extended and accepted, for the purposes of security screening and onboarding. If you experience a request for your personal information prior to acceptance of an offer of employment, please contact VNH’s Human Resources Department immediately at 888.300.8853 or EmailHR@vnhcare.org. Qualifications Must be a licensed Registered Nurse in Vermont and New Hampshire or hold a compact license. Graduate of an accredited school of nursing.
Overview Interested in working for one of the top medical centers in New England and in a Level I Trauma Center? How about joining a highly specialized team who care for patients needing cardiac surgery? The OR with 26 spacious high-tech suites may be just what you're looking for. Both inpatient and outpatient procedures are done in these ORs, care is provided to patients of all age's neonate, pediatric, adult and geriatrics. We have numerous opportunities for growth within the cardiac team and as well as openings in our other perioperative nursing teams. You'll be joining a team who both circulate and scrub cardiac cases, participate in minimally invasive valve replacement cases in the cath lab as well as initiate ECMO in our critical care units. While DHMC is situated in a lovely rural area in New Hampshire bordering Vermont, our patients come from throughout New England and beyond. You'd be joining a team of highly trained nurses, certified surgical techs, physicians and associate providers who take pride in providing safe, efficient and effective care to this patient population. The Registered Nurse is a key member of the surgical team who may function in a circulator or scrubbing capacity. Services include ENT, general surgery, orthopedics, plastic surgery, urology, gynecology, ophthalmology, oral surgery, neuro, robotics, vascular, cardiac and thoracic surgery. We offer a periop 101 residency program for new and experienced RN's looking to enter the field of OR nursing. D-H's Professional Nursing Organization has also implemented a robust program to support nursing growth at the bedside through our Program for Advancing Clinical Excellence (PACE). If you can see yourself in this environment, DHMC's Heart and Vascular Center is growing and we invite you to apply or reach out to us for additional information. Responsibilities Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Certified Nurse Operating Room CNOR Certification Preferred. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required upon hire.
Overview Hematology/Oncology Infusion Clinic 40 hours per week Performs various patient care activities and related nonprofessional services necessary in caring for the personal needs and comfort of patients. Assists nursing service personnel with a variety of patient care duties. Possesses direct access to drug products and secure medication locations in order to manage the storage, handling and disposal of medications consistent with the Medication Storage and Handling Policy. Responsibilities Assists with routine patient care activities under the supervision of the Registered Nurse, including, but not be limited to, performing ADL’s, obtaining clinical data, including vital signs, heights and weights, utilizing universal precautions, collecting specimens or performing point of care testing and recording results in medical record, etc. Assists in maintaining a clean and safe work environment by keeping the hallways clear of excess equipment, emptying linen bags when full, etc. Assists visitors and answer telephones. Assists new co-workers in learning the work of the department. Performs other duties as required or assigned. Qualifications High school graduate required. Must demonstrate keyboarding skills and be familiar with computer use. Previous hospital experience preferred. Required Licensure/Certifications Licensed Nursing Assistant in the State of NH required. Basic Life Support (BLS) required upon hire.
