$2,000.00 Sign-On Bonus Job Summary The Technical Partner provides direct and indirect patient care under the direction of the RN or LPN. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital policies, procedures, protocols and standards of care. Perform and/or assist with patient care needs as directed and assists patient with activities of daily living. Respond to call lights, inquiries and requests from patients and families in a timely manner. Collect, document and report ongoing patient care data as directed. Measure and/or document intake and output, including drainage and obtains daily weights when indicated. Obtain individual patient care equipment as directed. Transport patients as directed. May perform the following skills: obtain vital signs, apply heating pads, set up suction equipment, utilize E cylinders, apply antiembolic hose, aseptic techniques, distribute and maintain sufficient supply of linens, apply Sequential Compression Devices, perform blood glucose testing, perform ostomy care, simple dressing changes, apply telemetry leads, bladder scanning, preventative skin care. Apply pulse oximetry, urinary catheter care, transport blood and blood products from blood bank, perform EKGs, oral pharyngeal suctioning, place patient in CPM machine, prepare and maintain isolation boxes and supplies, declutter patient rooms and storage areas, deliver specimens to lab, crutch measurement and teaching, maintenance of specialty carts, supply inventory and special order supplies, stock warmers with blankets, saline, and water. Make regular rounds to address patient needs and physical environment - purposeful hourly rounding, Assist in the educational process to promote and maintain health, foster self-care, and improve outcomes. Obtain resources as needed. Report to the RN/LPN information regarding the patient's readiness to learn. Maintain a collaborative relationship with other health care providers to achieve desired outcomes and assure continuous flow of patient care. Communicate pertinent information of actual/potential problems to the professional/practical nurse. Communicate pertinent information at shift reports and during internal and external transfers. Participate in the unit performance improvement activities designed to enhance the quality of patient care and customer services. Assist in data collection process as requested. Recommend modifications for performance improvement. Demonstrate leadership by utilizing the behaviors inherent to the role of the technical partner. Demonstrate an ability to solve problems utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Effectively function as a resource person. Act as a patient advocate. Perform effectively in the role of preceptor/mentor to new hires and/or students. Assist in maintaining/decreasing organizational/departmental costs. Assist in the department's compliance with state, Joint Commission, OSHA and other regulatory agencies. Assist in continuous survey readiness for inspections and surveys. Adhere to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist with maintaining sufficient and proper supplies on an assigned unit. Assist with monitoring sterile supplies for expiration date and replaces as needed. Provide for patient safety in compliance with hospital and nursing department policies. Utilize two forms of patient identification before implementing any form of patient care. Assume appropriate code team role during code situations or mock codes. Respond effectively during emergency situations, including internal and external disasters. Assist in maintaining a safe and clean environment for patients, visitors and staff. Complete proper collection, identification, labeling and delivery of specimens (including diagnostic studies) to the appropriate department. Support limited use of restraints in accordance with established standards and documents according to policies. Other duties as assigned. Required Qualifications High School Diploma, GED or higher level of education. Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Completion of a Nurse Aide or comparable program (such as EMT, Medical Assistant, nursing student with at least one semester of clinical or prior experience in related field. Computer skills, Phlebotomy, EKG experience. License, Certification & Clearances Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required or obtain within orientation period (five (5) days from hire). Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle X Operates Heavy Equipment X Use of Lifting/Transfer Devices X X Rotates All Shifts X X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hrs/wk) X X Travel Between Sites X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X Hand Protection X X Feet, Toe Protection X Body Protection X X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X 10# 20# 50# 50# Carry X 10# 10# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 10# Lifting Seat Pan to Knuckle X 50# 50# Lifting Knuckle to Shoulder X 10# 20# Lifting Shoulder to Overhead X 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Job Summary The Technical Partner provides direct and indirect patient care under the direction of the RN or LPN. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital policies, procedures, protocols and standards of care. Perform and/or assist with patient care needs as directed and assists patient with activities of daily living. Respond to call lights, inquiries and requests from patients and families in a timely manner. Collect, document and report ongoing patient care data as directed. Measure and/or document intake and output, including drainage and obtains daily weights when indicated. Obtain individual patient care equipment as directed. Transport patients as directed. May perform the following skills: obtain vital signs, apply heating pads, set up suction equipment, utilize E cylinders, apply antiembolic hose, aseptic techniques, distribute and maintain sufficient supply of linens, apply Sequential Compression Devices, perform blood glucose testing, perform ostomy care, simple dressing changes, apply telemetry leads, bladder scanning, preventative skin care. Apply pulse oximetry, urinary catheter care, transport blood and blood products from blood bank, perform EKGs, oral pharyngeal suctioning, place patient in CPM machine, prepare and maintain isolation boxes and supplies, declutter patient rooms and storage areas, deliver specimens to lab, crutch measurement and teaching, maintenance of specialty carts, supply inventory and special order supplies, stock warmers with blankets, saline, and water. Make regular rounds to address patient needs and physical environment - purposeful hourly rounding, Assist in the educational process to promote and maintain health, foster self-care, and improve outcomes. Obtain resources as needed. Report to the RN/LPN information regarding the patient's readiness to learn. Maintain a collaborative relationship with other health care providers to achieve desired outcomes and assure continuous flow of patient care. Communicate pertinent information of actual/potential problems to the professional/practical nurse. Communicate pertinent information at shift reports and during internal and external transfers. Participate in the unit performance improvement activities designed to enhance the quality of patient care and customer services. Assist in data collection process as requested. Recommend modifications for performance improvement. Demonstrate leadership by utilizing the behaviors inherent to the role of the technical partner. Demonstrate an ability to solve problems utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Effectively function as a resource person. Act as a patient advocate. Perform effectively in the role of preceptor/mentor to new hires and/or students. Assist in maintaining/decreasing organizational/departmental costs. Assist in the department's compliance with state, Joint Commission, OSHA and other regulatory agencies. Assist in continuous survey readiness for inspections and surveys. Adhere to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist with maintaining sufficient and proper supplies on an assigned unit. Assist with monitoring sterile supplies for expiration date and replaces as needed. Provide for patient safety in compliance with hospital and nursing department policies. Utilize two forms of patient identification before implementing any form of patient care. Assume appropriate code team role during code situations or mock codes. Respond effectively during emergency situations, including internal and external disasters. Assist in maintaining a safe and clean environment for patients, visitors and staff. Complete proper collection, identification, labeling and delivery of specimens (including diagnostic studies) to the appropriate department. Support limited use of restraints in accordance with established standards and documents according to policies. Other duties as assigned. Required Qualifications High School Diploma, GED or higher level of education. Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Completion of a Nurse Aide or comparable program (such as EMT, Medical Assistant, nursing student with at least one semester of clinical or prior experience in related field. Computer skills, Phlebotomy, EKG experience. License, Certification & Clearances Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required or obtain within orientation period (five (5) days from hire). Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle X Operates Heavy Equipment X Use of Lifting/Transfer Devices X X Rotates All Shifts X X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hrs/wk) X X Travel Between Sites X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X Hand Protection X X Feet, Toe Protection X Body Protection X X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X 10# 20# 50# 50# Carry X 10# 10# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 10# Lifting Seat Pan to Knuckle X 50# 50# Lifting Knuckle to Shoulder X 10# 20# Lifting Shoulder to Overhead X 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
NIGHT SHIFT 7 On - 7 Off Provides patient care services, including assessing and managing patients in the inpatient environment, by following established standards and practices within the practice specific specialty. Education Minimum: Master Degree in Nursing Preferred: Doctor of Nursing Practice Registration/Certification/Licensure : Current PA RN and CRNP licenses, ACLS, and Act 33/73 clearances. Individual must meet the credentialing requirements of the Medical Staff Office. Experience Minimum: 1 yr inpatient hospital experience as a CRNP Preferred: Five years experience working as a CRNP in a hospital. Other Requirements : N/A Status : Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling Standing - Remaining on one's feet in an upright position remaining stationary - FREQUENT Walking - Remaining upright on one's feet, and moving about - FREQUENT Sitting - Body remains in a seated position - OCCASIONAL Stooping - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL Bending - To flex the upper body forward - OCCASIONAL Twisting - To rotate the upper body forward - OCCASIONAL Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL Ladders - To ascend and descend ladders - N/A Stairs - To ascend and descend stairs - OCCASIONAL Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting - To move the body downwards by bending both knees - OCCASIONAL Crouching - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL Crawling - To move the body forward or backwards on hands and knees - N/A Reaching Horizontal - To extend the arms and hands outward, remaining under shoulder height - FREQUENT Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASIONAL Grasping - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation - To manipulate objects with the use of fingers - FREQUENT Seeing - Using visual feedback to accomplish a task or activity - CONSTANT Hearing - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time - N/A Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling Pushing - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person OCCASIONAL 50# - > 100# Pulling - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person OCCASIONAL 50# - > 100# Lift - Floor to Waist OCCASIONAL 20# - 50# Lift - Waist to shoulder OCCASIONAL Up to 20# Lift - Shoulder to overhead OCCASIONAL Up to 20# Carrying - To transport an object or article using the arms or hands (> 10 feet) OCCASIONAL Up to 20# Environmental Factors Working alone - OCCASIONAL Working in cramped quarters - N/A Constant interruptions - FREQUENT Working with hands in water - OCCASIONAL Use of power tools - OCCASIONAL Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - OCCASIONAL Exposure to noise (constant) - N/A Exposure to electrical energy (outlets, etc) - OCCASIONAL Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - OCCASIONAL Exposure to solvents, grease, oils - OCCASIONAL Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - OCCASIONAL Working with bloodborne pathogens - CONSTANT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light - CONSTANT Medium - FREQUENT Heavy to Very Heavy - OCCASIONAL I. Specific Job Responsibilities (Essential Functions): Manages day-to-day in and out patient care in conjunction with supervising physicians. Provides patient and or family with information regarding treatment or procedures, condition and expectation during illness or recovery. Provides patient education/counseling and instruction regarding common patient problems. Formulates differential diagnoses by priority considering multiple potential mechanisms causing complex acute, critical, and chronic illness states. Demonstrates effective verbal, nonverbal, and written communication skills, including documentation according to established standards while maintaining patient confidentiality. Displays commitment to expanding his/her knowledge base and views this as a continuous process to maintain professional and personal growth. II. Organizational Responsibilities: Completed mandatory education, annual competencies and department specific education within established timeframes. Completed annual employee health requirements within established timeframes. Maintained license/certification, registration in good standing throughout fiscal year. Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. Identifies and works to reduce potentially unsafe patient care or other safety practices. Adheres to regulatory agency requirements, survey process and compliance.
Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values. Essential Job Responsibilities The position is responsible for leading the department and accountable for hospice/palliative care. This position has direct supervisory responsibilities such as hiring, coaching/mentoring, skills development, recognition and rewards, staff productivity, performance management and succession planning. Equitably and consistently apply and practice policies and procedures for all staff. Develop and manage department budget at or below budget expectations and consistent with adjusted volume variations. Identify and implement revenue enhancement opportunities. Articulate compelling program direction and translate direction into goals. Model and exemplify the Leadership Pledge in a consistent and proactive manner. Lead change in a complex healthcare environment. Align department with strategy map and continually work to implement drivers in support of Excela Health’s mission and vision. Act promptly to resolve problems and initiate better ways of doing things by acting as a catalyst for change. Implement at least one process improvement initiative for department on an annual basis. Investigate root case analysis of recurring problems and take appropriate action. Tie contributions to bigger goals while influencing and persuading others by building commitment among diverse groups. Demonstrate ability to eliminate silos by modeling actions and setting example and influence others to think and act as a unified health system. Challenge oneself to a higher level of performance by taking responsibility for professional growth and development. Promote Excela Health through participation in one community outreach or educational event per year. Hold self and others accountable and take responsibility for outcomes. Establish and maintain a safe working environment and assure staff complies with safety, environmental, and infection control guidelines. Equitably apply policies and procedures by issuing corrective action in a fair and consistent manner. Demonstrate expectation of confidentiality by continually encouraging staff to keep private information confidential and share information on a need to know basis. Assess customer’s needs, exceed customer expectations, and consider customers in decision making to improve customer satisfaction. Perform in accordance with Excela Health’s behavioral standards in support of the mission, vision, and values. Actively and positively promote the Respect and Recognition initiatives by supporting staff participation in committee membership, activities, and projects. Analyze issues before acting, generate creative ideas, detect patterns and connections, and break down complex problems. Practice participatory leadership by involving staff in decision-making and problem solving. Act on most urgent tasks, leverage available resources, review own workload, implement workable systems, and provide clear direction. Provide constructive feedback to help others improve performance and articulate areas of deficiency. Provide opportunities for staff to actively provide input into decision-making process. Update stakeholders on project progress. Facilitate open communication, diffuse sources of conflict, demonstrate respect for others, and diplomatically negotiate solutions. Facilitate teamwork through coaching and mentoring staff. Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level. Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job. Ability to think and concentrate for an entire shift. Accept appropriate patient referrals to the Home Health/Hospice team. Assign qualified professional personnel to meet the needs of the adult, geriatric, and pediatric patients. With clinical staff, prepares on-call schedules, plan and organize daily assignments including the review and assignment of new patient referrals. Supervise all assigned hospice nursing personnel and home health aides in the delivery of nursing and home health aide services to clients and families. Assign work to staff, provide direction and review work. Participate in and provide coordination and management of all professional services rendered to clients and families by Home Health/Hospice staff. Review all hospice DME and Pharmacy bills to identify ways to improve costs while providing quality products to patients. Responsible for monitoring the ordering of all narcotics including comfort kits for all hospice patients under the direction of medical director/complete documentation on all patients. Responsible for monitoring all documentation on all hospice patients’ narcotic refills is complete. Supervise maintenance of a balanced caseload and organize the follow of work, utilizing clinical staff and make field assessments as needed. Perform periodic home visits with staff for the purpose of role modeling, problem solving, supervising and evaluating of performance/quality of care. Assume an active role in the professional development of assigned staff including participation in orientation, ongoing skill development and other mentoring activities. Include participation in orientation, ongoing skill development and other mentoring activities. Responsible for maintaining an office environment that fosters the professional growth and development of assigned staff. Participate in staff recruitment and selection. Discipline and termination of employment not performing according to policies procedures and Hospice/Home Health standards. Conduct clinical record review to assess the appropriateness of care plan, the utilization of services and ensure complete documentation of needed services. Participate in program planning and evaluation activities related to the clinical services of the Home Health/Hospice department. Demonstrate timely and accurate computer entry of patient/job information to facilitate the devolvement of the OASIS data set, HIS Tool Oversight, orders for services, creation of time sheets and other required patient/employment documents and reports. Participate in Administrative call on a rotating basis with other members of the management team. Participate in program planning and evaluation activities related to the clinical services of the Home Health/Hospice department. Communicate effectively and tactfully with clients, recognizing their age, cultural diversity needs and abilities. Report to work on time, use time off appropriately and complete annual education and medical requirements. Active participants in IDG meetings. Active Managing role in Palliative home health and community programs. Responsible for making data driven decisions regarding capacity and productivity based on electronic reporting. Responsible for creating and executing annual agency goals supported by actionable 90 day plans. Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Bachelor’s Degree or higher in Nursing or related field and five (5) years of Home Health/Hospice experience. Two (2) to Four (4) years supervisory/management experience in functional area. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of functional area. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience Master’s Degree in Nursing or related field preferred. Certified Hospice and Palliative Nurse (CHPN) preferred. Experience in Healthcare setting. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Valid Driver’s License (if out of state hire, the record report from applicable state driver’s license department is required) Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle (company) x Operates Heavy Equipment X Use of Lifting/Transfer Devices X Rotates All Shifts X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hr/wk) X Travel Between Sites X X Direct Patient Care X Respirator Protective Equipment X Eye Protection X Head Protection (hard hat) X Hearing Protection X Hand Protection X Feet, Toe Protection X Body Protection X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X Chemicals (direct use) Exposure X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X Squatting (Crouching) X X Twisting/Turning X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X
Job Summary/Overall Objectives The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs, and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping confidential information. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations, calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. The Registered Nurse may provide direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes support of the delegation of duties that are within the scope and capability of the care team. Prepares forms, copies records, and responds to requests per policies and procedures Assists in maintaining the patient's medical record to facilitate filing and retrieval of information. Participate in staff education. Other related duties as assigned. Specialty Job Functions Coordinates communications between patients/families and physician practice, pharmacies, specialists, and insurance carriers. Provides advice based on protocols and physician instructions and directs patients to the appropriate level of care. Facilitates patient's access to prescription refills based on physician order. Obtains prior authorizations and/or assists with indigent programs per physician order based on the patient's financial status or insurance coverage. Completes medication reconciliation according to policy Obtains authorizations for diagnostic testing and ancillary services as required. Patient Procedure Preparation Obtains medication hold order from primary care physician as required for scheduling procedure. Provides education tool and teaching specific to procedure ordered. Ensures appropriate order, consent form and patient specific information is completed for scanning/communication to SurgiCenter. Fast Track Orders Reviews fast track orders for completeness - notifies referring office if additional documentation needed Interviews patient via telephone regarding procedure, current medications, medical conditions and provides education specific to procedure ordered. Ensures appropriate medication hold orders have been addressed by referring physician Clinical Knowledge Demonstrates competence in patient/family education including, but not limited to, the types of bariatric procedures available, pre-operative preparation for surgery, post-operative signs, symptoms and treatment of, dietary limitations. Assists in the facilitation of the bariatric support group Assist in the scheduling of monthly support group. This includes the scheduling of rooms, seeking speakers, and providing communication to patient and family. Provides yearly needs assessment to ensure programming meets the needs of the patients. Monitors patient satisfaction on a monthly basis. Participate in routine community educational seminars. Attend and helps facilitate routine community educational seminars when needed. Participates in task force on a quarterly basis. Provide satisfaction numbers for both the program and support group. Takes responsibility for addressing areas of concern, which may include an action plan depending upon the issues. Address any clinical issues that arise deviating a patient from following the standard patient pathway. This includes, but is not limited to, extended lengths of stay, inpatient and outpatient complications, and delays in service. Works collaboratively with inpatient and outpatient departments to assist in addressing issues and developing a plan of action for improvement. Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. The Registered Nurse may provide direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes support of the delegation of duties that are within the scope and capability of the care team. Other related duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. One (1) year experience in Med/Surg nursing area. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Ability to multi-task and prioritize assignments A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications/Experience Bachelor’s Degree in Nursing preferred. Previous experience in an outpatient office setting. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Work Environment When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle X Operates Heavy Equipment X Use of Lifting/Transfer Devices X X Rotates All Shifts X X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hr/wk) X X Travel Between Sites X X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X Hand Protection X X Feet, Toe Protection X Body Protection X X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X X Twisting/Turning X Keyboard/Computer Operation X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X 20# Carry X Transfer/Push/Pull Patients X Seeing Near w/Acuity X Feeling (Sensation) X Color Vision X X Hearing Clearly X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X X Lifting Floor to Knuckle 10-19 X Lifting Seat Pan to Knuckle X 10# Lifting Knuckle to Shoulder X 10# Lifting Shoulder to Overhead X When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
