Department Overview The Cardiology Clinic is a multidisciplinary practice with primary locations at the Center for Health and Healing and Beaverton Clinics with some programmatic aspects on Marquam Hill. The practice cares for adults. The clinic cares for patients 18 and older with cardiac diseases. The RN is a key member of the multi-disciplinary patient care team, which includes physicians, advance practice providers, medical assistants, schedulers, and other clinical and management support staff. The Cardiovascular Device RN is a registered nurse who is independently accountable for the effective management and coordination of care of patients with Cardiac Implantable Electronic Device (CIED), pacemakers, ICD, and Implantable Loop Recorders. The RN will partner with the Electrophysiology (EP) team and other clinical staff throughout OHSU to coordinate the care of cardiovascular patients with CIEDs. The RN will coordinate care in the outpatient setting for long term in person and remote monitoring. The RN will provide and improve quality patient outcomes for the patient and families for the Cardiology Clinic in collaboration with the multidisciplinary team. Function/Duties of Position CLINICAL SERVICES: Working with the various members of the multi-interdisciplinary team in delivering outpatient care to patients with CIEDs: Conduct interviews with patient, family, and other health care agencies to obtain past medical records and social and medical history to assess their understanding of the plan of care regarding cardiac monitoring devices. Independently perform CIED interrogation in the outpatient setting Problem solve device function, settings, arrhythmia episodes, and interventions. Work closely with EP team and other multidisciplinary teams, ensuring quality CIED and medical follow up care. Analyze clinical data and compose written CIED management summaries, clinic visit notes, and letters. Triage patient clinical concerns, symptoms, or other relevant data in relation to their cardiac device care. Communicate and problem solve with multidisciplinary team to solve complex patient care issues and CIED function. Educate patient and family regarding all aspects of disease management and diagnostic and device management follow up. Proactively review patient schedules to ensure efficiency in clinical workflows and identify and resolve potential conflicts. Ensure appropriate resources are available to support patient care and procedures in the outpatient setting. Educate patient and family on signs and symptoms that require a follow up telephone call or clinic visit. Collaborate with medical faculty, nursing staff, and other health care agencies to facilitate patient and family needs. Assist with accurate data collection and analysis to support Device Clinic charting platform, national registries, process improvement, and quality initiatives. Assist with managing device alerts, advisories, recalls in partnership with multidisciplinary team and vendors. Operational Management/Coordination Of Mcs/Vad Services Developing and maintaining the clinical pathways, standards, policy procedures and order sets for the care of patients with CEIDs. Developing methods to best utilize the Cardiac Device and Electrophysiology resources to service inpatient, outpatient and OHSU staff. Coordinating Cardiac Device patient care with other areas in the OHSU organization. Coordinates Cardiac Device patient care with other Centers for patients who are traveling outside the OHSU service area. Required Qualifications Minimum of 3 years of nursing experience with emphasis on hospital adult cardiovascular patient care, including telemetry. Proficiency in telemetry and rhythm interpretation. Experience in performing CEID interrogation, interpretation, and device/patient monitoring. Associate or Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Unencumbered Oregon and Washington State RN Licensure BLS at time of hire and must be issued by the American Heart Association (AHA) - must not expire during orientation Must be able to perform the essential functions of the position with or without accommodation Preferred Qualifications Master’s degree in nursing or a related field Experience in performing CEID interrogation, programming, interpretation, and device/patient monitoring Experience in electrophysiology. Ambulatory nursing experience. Certification in relevant cardiovascular nursing specialty or cardiac device specialist Competency with EPIC Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered 100% for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu. LinkedIn Job Code
Department Overview The Division of Trauma, Critical Care and Acute Care Surgery is one of the largest divisions within the Department of Surgery, comprised of a team of dedicated faculty in support of OHSU as a Level 1 trauma center. Our trauma surgeons provide expert care to the most seriously injured patients in the state, instruct future generations of trauma surgeons, and conduct research into improving and advancing the treatment of trauma patients. Its surgical critical care fellowship program sponsors four fellows each year. The trauma, critical care and acute care surgery advanced practice provider (APP) is a faculty member in the Division of Trauma, Critical Care & Acute Care Surgery. In this role, the selected candidate will work as part of a high-performing Trauma team in the Level I Trauma program at Oregon Health & Science University. The hospital is a tertiary referral center with a robust group of consultants and specialists. The selected candidate will fulfill a critical role on the Trauma team, providing patient care across the continuum. The appointee works in partnership with faculty physicians, fellows and residents to provide excellent clinical care and customer service to patients; works in conjunction with physician faculty and OHSU leadership to provide services to further the University’s missions and goals of teaching, research, patient care, and public service as well as the department’s and OHSU’s goal of providing effective and efficient care. This position will work cooperatively with nursing staff to provide education, continuity, and quality improvement initiatives. Function/Duties of Position Clinical Responsibilities Provide medical and advanced practice management independently and/or in conjunction with attending physicians. Works in conjunction with attending physicians to provide continued clinical care in the inpatient and outpatient settings. Communicate with attending physicians, patients and families regarding patients’ conditions, treatment plans, and urgent medical needs. Assure appropriate setting of care (inpatient, critical care, acute care) Document subjective and objective findings, assessment and plan clearly and accurately in daily progress notes. Identify discharge needs early and communicate plan to patients, families, nurse case manager, and other healthcare team members. Work with nurses, social workers, nutrition services, pharmacy and others as needed to assure optimum patient care. Make appropriate referrals to specialty care service within OHSU and outside of OHSU. Consult with specialty care providers when appropriate. Maintain communication with external providers and other individuals and agencies (e.g. skilled nursing facilities) as appropriate. Perform clinical procedures as indicated (e.g. central venous access, chest drains, intubation) Adheres to best practice protocols and policies Respond to and manage adverse infusion reactions and other emergencies, and Review patient labs and physical conditions in order to override treatment parameters as appropriate. Ordering as needed (PRN) medications. Review urgent EKG’s, imaging, laboratory studies and other ancillary tests prior to start of treatment. Review investigational study EKG’s, imaging, labs and other ancillary tests prior to start of treatment. Provide consultation to OTU nurses. Consult with pharmacists on treatment changes and PRN medications. Education Support OHSU’s academic missions by participating in the design, development and assessment of program curricula for professional specialty area; including course objectives, instructional methods, learning outcomes, projects and assessment measures. Assist in meeting the educational needs of staff, residents, fellows, students, patients, family members, and others as appropriate. Collaborate with OHSU team members to establish or revise clinical pathways and patient education materials. Attends and participates in Grand Rounds, trauma conferences, fellow lectures, national conferences and other learning opportunities as available. Quality And Research Work with clinic and hospital staff to optimize order sets, patient instructions, and other infrastructure that supports patient care. Identify and engage in opportunities to improve the quality and efficiency of care provided to trauma patients. Promote use of appropriate research findings in practice to exceed the standards of care. Work with the physician leadership, nurse managers, nursing staff and social workers to prevent and/or respond to patient complaints. Effectively manage resources. Participate as coinvestigator in clinical research studies. PA Qualifications Required Qualifications Completion of an accredited Physician Assistant training program. Current registration with the Oregon Board of Medical Examiners as a licensed Physician Assistant. Current ACLS certification. DEA certification. Interest in learning advanced clinical skills required to practice in the ICU environment. NP Qualifications Master Degree in Nursing or Master of Science in Nursing in the speciality of Acute Care Nurse Practitioner (ACNP) from an accredited program. Current RN and NP licensure with the Oregon State Board of Nursing. Current ANCC Board Certification. Current ACLS certification. DEA certification Interest in learning advanced clinical skills required to practice in the ICU environment. Preferred Qualifications 3-5 years of RN or NP experience in critical care; preference for trauma or surgical critical care experience. Additional Details The shift length is set at an average of 13 hours 3 times per week that includes weekends and holidays. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
Department Overview The Adult Ambulatory Oncology Clinic at OHSU Center for Health and Healing, Building 2 (CHH2) serves patients within Medical Oncology, Hematologic Malignancies, Cellular Therapy, Gynecologic Oncology, Palliative Care and Classical Hematology. We collaborate with Radiation Oncology, Surgical Oncology, Infusion services, Dietitians, Pharmacy, Social Work, Case Management and other members of the multidisciplinary health care team to provide exceptional oncology care for our patients and community. This position works with solid tumor patients within Medical Oncology Function/Duties of Position Hybrid work schedule with variable 10-hour days Monday-Friday. Must be able to work in a busy clinic environment and prioritize duties with multiple interruptions throughout the day. Must be able to use medical and non-medical unit equipment required to perform essential functions of this position. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources Required Qualifications BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License Washington RN license within 6 months of hire Three years of Hematology Oncology nursing experience within the past five years The RN must have one of the following: Current OCN (Oncology Certified Nurse) certification or Complete 36 cancer related continuing education nursing contact hours each accreditation cycle, per Commission on Cancer BLS at time of hire and must be issued by the American Heart Association (AHA) BLS must not expire during orientation Must be able to perform the essential functions of the position with or without accommodation Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
Department Overview The Care Management department provides several major services to assure safe and efficient through-put of patients during their acute hospitalization and transition to the next level of care. Our goal is to balance individual clinical and psychosocial patient/family needs with the efficient and cost-effective utilization of resources while promoting quality outcomes. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources Function/Duties of Position RN case managers assess patients on admission for available family support, insurance resources, and potential discharge planning needs. They engage in daily multidisciplinary rounds Monday through Friday to develop and implement patient discharge plans with input from various other disciplines. The RN case manager is responsible for coordinating post-acute and discharge needs in a timely and cost-efficient manner. Using established The RN Case Manager collaborates with the patient and family, members of the multidisciplinary team, community resources and agencies, and payors to ensure the patient’s progress and level of care is appropriately determined. Intensity of service is dependent on individual patient needs as assessed by the case manager. RN case managers practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care conferences involving complex care situations. They contribute to meeting OHSU’s strategic plan of safe length of stay reduction and reduction in readmission rates. Case Management is represented on every adult and pediatric unit and in the Emergency department. Each Case Manager has an office with a workstation near the unit they are assigned to. Communication factors: Case Managers are available by pagers, telephone/voicemail, Microsoft Teams, Epic Secure Chat, and e-mail. Progressive leadership positions within a nursing unit, examples include: Charge nurse, UBNPC Chair/Member, Shared Governance councils. Specialty Case Management Roles: ED RN Case Manager: In addition to the above basic CM functions, also provides the Following: Using approved criteria, conducts a comprehensive patient/family assessment and admission clinical review upon admission to the emergency department to ensure appropriateness of the care setting. Provide early identification of high-risk patients and their needs. Perform care coordination and discharge planning for patients in the Emergency department and Observation units. Assess patients’ potential to discharge from the emergency department with community care coordination. Round with Advance Practice Providers at designated times BID. Assist the transfer center with coordinating appropriate patient transfers out of the emergency department. Educate providers regarding documentation requirements that support medical necessity determinations. Deliver Medicare notifications including but limited to: Condition Code 44 notices, Observation notices, and Medicare Important Messages. Document according to departmental policy. Leads the effort to assure compliance with CMS and other insurance regulations related to Care Management. Other Functions As Assigned. Evening Shift RN Case Manager Provide nurse case management support to patients, families, and staff in both the inpatient and emergency department settings for the evening shift 7 days per week. Receives referrals and hand offs from day shift case managers. Complete hand off of information to day shift case managers. Trouble shoot and resolve any discharge delays or barriers carrying over into evening shift. Other Functions As Assigned. RN Case Managers are responsible to be aware of and comply with regulatory requirements of DNV, Medicaid, Medicare, and Oregon Nurse Practice Act. Required Qualifications At least 2 years of inpatient Case Management experience within the last 5 years. BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS at time of hire and must be issued by the American Heart Association (AHA) BLS must not expire during orientation Must be able to perform the essential functions of the position with or without accommodation Case Management is represented on every adult and pediatric unit and the Emergency department. The Case Management central resource office is in Sam Jackson Hall 1226. Each Case Manager has a workstation near the unit they are assigned to. Communication factors: Case Managers are available 7 days a week between the hours of 0700- 2300. They are available by telephone, e-mail, and approved messaging applications. Preferred Qualifications Case Management Certification (ACMA, RN-BC, CMSA) Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. LinkedIn Job Code
Department Overview Endoscopy nurses provide care to patients across the age continuum who need diagnostic and therapeutic endoscopy procedures. The endoscopy nurse assists the provider team during endoscopic procedures; provide patient care before, during, and after the procedure; performs procedural sedation; and provides education to patients about treatment. The department is open Monday – Friday 0700 — 1730 with mandatory call on service Monday through Friday 1730 — 0700 and all day on Saturday, Sunday, and holidays. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources Function/Duties of Position Requires ability to meet mandatory call response time of arriving to work within 30 min of being called Requires the ability to ride the aerial tram throughout the day Push patient in a stretcher to and from procedure throughout the shift Work in a dimly lit procedure room Work in a fluoroscopy procedure room Stand for long periods of time while wearing lead garments Move, turn, or lift patients using provided safe patient mobilization devices and techniques Requires the ability to Adapt to assignment change throughout the shift to meet the needs of patient care and unit operations Work in a fast-paced environment in multiple units throughout OHSU Hospital, Center of Health and Healing CHH1 and CHH2. Annual hands-on competencies determined by unit need, regulatory requirements, and other evidence based factors (i.e. moderate sedation administration and monitoring, peripheral IV insertion, motility and PH testing, telephone triage, procedural patient care, etc. Required Qualifications Two years experience working in an endoscopy procedural area setting BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS at time of hire and must be issued by the American Heart Association (AHA) BLS must not expire during orientation Must be able to perform the essential functions of the position with or without accommodation Preferred Qualifications Experience performing moderate sedation preferred Experience performing motility and PH testing procedures preferred Experience with gastrointestinal surgery or gastroenterology diseases care associated with them preferred Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu. LinkedIn Job Code