Registered Nurse (RN)

apartment Villa at Great Lakes Crossing location_onDetroit, MI

Villa At Great Lakes Crossing is seeking a Registered Nurse (RN) to join their team! As a Registered Nurse (RN) you will be assuming responsibility and accountability for a group of residents for or a shift of duty. Nursing care is provided through assessment, implementation, and evaluation of the plan of care. Registered Nurse (RN) Duties and Responsibilities: Provides licensed care to assigned residents as ordered by physician and in accordance with facility, federal, state and local standards, guidelines and regulations Ensures assigned work area (i.e. nurse station, medication cart, medication room, etc.), resident care rooms and treatment areas are maintained in a clean and sanitary manner. Takes and records residents blood pressure and vital signs, administers catheter care, administers IV therapy to residents as ordered within license limitations, and provides respiratory care, e.g. oxygen, nebulizer treatments. Charts nurses notes in an informative and descriptive manner that reflects the care provided as well as the resident’s response to the care. Ensures the resident’s environment is as free from accidents and hazards. Immediately corrects/addresses potential safety risks as prudent and warranted. Monitors and directs non-licensed ancillary services as deemed necessary to meet professional standards and maintain the highest practicable level of resident care Communicate/report information to residents, resident families, physicians, guardians, governmental agencies, and facility personnel as required by facility policy and State/Federal guidelines. Ensures that all aspects of resident care plans are implemented and maintained. Make recommendations for care plan changes to the IDT per professional standards. Ensures compliance with infection control standards. Immediately corrects/addresses identified instances of non-compliance. Follows and adheres to company policies and procedures regarding HIPAA (Health Insurance Portability and Accountability) compliance. All other duties, as assigned. Registered Nurse (RN) Qualifications and Skills: Must be CPR trained and possess a current BLS certification. Recognized organizations include the American Heart Association and the American Red Cross. Excellent written and verbal communication skills in English. Gracious and welcoming personality for customer service interaction. Ability to multi-task and remain calm under stress. Analytical and problem-solving skills. Ability to organize and prioritize work. Understands and follows infection control standards, policies and procedures. Must be able to adapt to a flexible work schedule and occasional overnight travel. Ability to relate positively, effectively, and appropriately with residents, families, community members, volunteers and other facility staff. Possess special interest in, and a positive attitude about, working with short and long-term care residents and the elderly. Meets all health requirements, as required by law. Demonstrate basic computer knowledge and ability with an aptitude to learn company applications. Microsoft Office version 1997, 2000 or XP, MS Word, MS Access, MS Excel, E-mail, Outlook, Internet Explorer. Registered Nurse (RN) Education and Experience: Nursing Degree or diploma from an accredited College or University. Possess a current license to practice in the State as a Registered Nurse. 1 year of experience preferred. Long-Term care experience preferred. Physical Requirements: Walking, reaching, bending, lifting, extended sitting, grasping, fine hand coordination, pushing and pulling, ability to distinguish smells and temperatures, all with or without the aid of mechanical devices is required. Limited potential for exposure to environmental hazards. Understanding and adherence to company safety standards and protocols required. Meet all health requirements as needed. Dialogue concerning ADA reasonable accommodations are always available upon request – i.e. the interactive process. Villa Healthcare Benefits: Daily Pay & Competitive Compensation 401(k) with company match Blue Cross Blue Shield Medical insurance. Dental, Vision, and Disability insurance Innovative Training Programs Access to Villa Perks, an Employee Discount Program! Up to $225/month incentive for food, gas, childcare, and medical bills. Opportunity for Growth and Advancement Paid Time Off Apply to join a growing team today! SHARED CODE OF CONDUCT: B.E.T.T.E.R. is Villa’s Service Excellence Code of Conduct. Becoming a member of the Villa Team includes upholding Villa’s B.E.T.T.E.R. standards every day. B e Welcoming to All, E stablish a Relationship, T rust & respect, T eamwork, E ngage & Communicate & R ecognize. Villa Healthcare Facilities are Equal Opportunity Employers and do not discriminate based on any protected right such as race, color, nationality, gender, age, disability or any protected applicable right under the National Labor Relations Act. VILLA4

RN

Full-time

Registered Nurse Case Manager-Greydale

apartment PACE Southeast Michigan location_onDetroit, MI

RN CASE MANAGER The Registered Nurse Case Manager (RNCM) of the PACE Southeast Michigan (PACE SEMI) utilizes a systematic approach to nursing practice which incorporates all aspects of the nursing process including, assessment, planning, implementation and evaluation of frail elders with complex needs. The RN demonstrates a direct relationship between nursing interventions and participant outcomes, demonstrates clinical competence and engages in effective patient teaching in areas of prevention as well as treatment. The RN effectively leads or directs licensed and non-professional nursing staff in the coordinated delivery of care to participants of the PACE Southeast Michigan program. The focus of care is one that enhances functional capacity, encouraging autonomy in all aspects of care, and assures coordination of all nursing care. SPECIFIC DUTIES AND FUNCTIONS: The RNCM assesses participants’ needs and plans for appropriate nursing care upon the Initial Intake Assessment as well as upon routine Re-Evaluation Assessments. The RNCM works and collaborates with the participant and the family, as well as all members of the multidisciplinary Team in developing the participant’s plan of care. The RNCM maximizes the participant’s functional capacity by encouraging autonomy in all aspects of care. The RNCM teaches, supervises and counsels the participant, or caregiver regarding nursing care needs and other related problems. The RN utilizes adult learning principles when planning for and implementing educational information to the participants, caregivers or family members. The RNCM initiates preventative and rehabilitative procedures or programs as appropriate for the participants’ care and safety. The RNCM administers medications and treatments, as ordered by the physician/NP, and monitors the participant’s response. The RN notifies the appropriate medical personnel of changes in the participant’s status. The RNCM demonstrates knowledge of the medications he/she administers and instructs the participant/family in safe administration of medication in the home. Assesses for and encourages compliance with medication regimen. The RNCM recognizes and understands the significance of abnormal test results and utilizes critical thinking skills when gathering participant data, planning for, and implementing care. The RNCM provides safe total patient care to participants with complex health problems with a focus on the individual participant and the family. The RNCM maintains all standards of nursing practice and follows hospital policies/procedures for care delivery and medication administration. The RNCM leads and monitors licensed and other professional and non-professional staff in the delivery of nursing care to the participant in the home. The RN is responsible for monthly supervision and subsequent documentation of home health aide services provided in the participant’s home. The RNCM evaluates participant outcomes and or progress toward achieving the objectives/goals of the care plan and communicates this information among other members of the Multidisciplinary Team. The RNCM collaborates with the Interdisciplinary Team to revise the plan of care based on changes in the participants’ physical or psychosocial status, and initiates actions that are consistent with the changes in status. The RNCM participates with patients, families and members of the Interdisciplinary Team to evaluate/measure the individual and group response to nursing care and teaching interventions and documents the outcomes of the problems identified at every scheduled review. The RNCM maintains accurate and timely records of participant’s functional /health status, progress toward care plan outcomes, revisions to care plans, care given, etc. All charting and documentation is performed in accordance with CSI policies/procedures. The RNCM participates in the collection and documentation of Data PACE information. The RNCM advocates to others on behalf of the participant, and demonstrates accountability in resolving participant concerns or issues. The RNCM understands, complies with and promotes the Participant Bill of Rights and assesses and works toward achieving high levels of participant satisfaction. The RNCM may provide after hours on-call medical assistance on a rotating basis, via phone triage or after hours home visits to participants as needed. Schedule requires a rotating on call shift. KNOWLEDGE, SKILLS AND ABILITIES: Must be a Registered Nurse with current Michigan licensure, BSN preferred. The RNCM participates in annual, mandatory in-service training and screening, including but not limited to: infection control, TB testing, safety training, and BLS training. The RNCM assumes responsibility for self-development through continuing education, utilizing resources within the health care system or elsewhere; the RN promotes professional behavior and growth by serving as a role model within the health team. The RNCM must possess a current State of Michigan driver’s license and maintain an acceptable driving record. The RNCM has the ability to establish and maintain interpersonal and interdepartmental relationships. The RNCM has the ability to apply principles of adult learning in planning and implementing educational activities. The RNCM has the ability to lead and direct other licensed and non-professional nursing staff in the delivery of care. The RNCM participates in and/or facilitates Quality Assurance projects resulting from data results. The RNCM assists with the implementation of nursing research studies. The RNCM reviews current periodical literature relevant to the general practice of nursing as well as information pertaining to the PACE model of care. The RNCM ensures adherence to departmental and external standards in the provision of quality focused care by attendance at professional meetings/committees and review of national standards of practice. Must meet a standardized set of competencies (approved by CMS) before working independently. Must have one (1) year of experience with a frail or elderly population. WORKING CONDITIONS: Works in the participant’s home which is an uncontrolled environment. May be exposed to potentially infectious materials, blood-borne disease pathogens, and hazardous waste. Must be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact Driving is required within PACE SEMI catchment area, with possible exposure to extreme temperatures, including heat and cold. Must have reliable transportation available on a daily basis. Frequent walking, bending, lifting of forty (40) pounds or more may be needed in the performance of duties.

RN

Full-time

Registered Nurse Case Manager - Eastpointe

apartment PACE Southeast Michigan location_onRoseville, MI

RN CASE MANAGER The Registered Nurse Case Manager (RNCM) of the PACE Southeast Michigan (PACE SEMI) utilizes a systematic approach to nursing practice which incorporates all aspects of the nursing process including, assessment, planning, implementation and evaluation of frail elders with complex needs. The RN demonstrates a direct relationship between nursing interventions and participant outcomes, demonstrates clinical competence and engages in effective patient teaching in areas of prevention as well as treatment. The RN effectively leads or directs licensed and non-professional nursing staff in the coordinated delivery of care to participants of the PACE Southeast Michigan program. The focus of care is one that enhances functional capacity, encouraging autonomy in all aspects of care, and assures coordination of all nursing care. SPECIFIC DUTIES AND FUNCTIONS: The RNCM assesses participants’ needs and plans for appropriate nursing care upon the Initial Intake Assessment as well as upon routine Re-Evaluation Assessments. The RNCM works and collaborates with the participant and the family, as well as all members of the multidisciplinary Team in developing the participant’s plan of care. The RNCM maximizes the participant’s functional capacity by encouraging autonomy in all aspects of care. The RNCM teaches, supervises and counsels the participant, or caregiver regarding nursing care needs and other related problems. The RN utilizes adult learning principles when planning for and implementing educational information to the participants, caregivers or family members. The RNCM initiates preventative and rehabilitative procedures or programs as appropriate for the participants’ care and safety. The RNCM administers medications and treatments, as ordered by the physician/NP, and monitors the participant’s response. The RN notifies the appropriate medical personnel of changes in the participant’s status. The RNCM demonstrates knowledge of the medications he/she administers and instructs the participant/family in safe administration of medication in the home. Assesses for and encourages compliance with medication regimen. The RNCM recognizes and understands the significance of abnormal test results and utilizes critical thinking skills when gathering participant data, planning for, and implementing care. The RNCM provides safe total patient care to participants with complex health problems with a focus on the individual participant and the family. The RNCM maintains all standards of nursing practice and follows hospital policies/procedures for care delivery and medication administration. The RNCM leads and monitors licensed and other professional and non-professional staff in the delivery of nursing care to the participant in the home. The RN is responsible for monthly supervision and subsequent documentation of home health aide services provided in the participant’s home. The RNCM evaluates participant outcomes and or progress toward achieving the objectives/goals of the care plan and communicates this information among other members of the Multidisciplinary Team. The RNCM collaborates with the Interdisciplinary Team to revise the plan of care based on changes in the participants’ physical or psychosocial status, and initiates actions that are consistent with the changes in status. The RNCM participates with patients, families and members of the Interdisciplinary Team to evaluate/measure the individual and group response to nursing care and teaching interventions and documents the outcomes of the problems identified at every scheduled review. The RNCM maintains accurate and timely records of participant’s functional /health status, progress toward care plan outcomes, revisions to care plans, care given, etc. All charting and documentation is performed in accordance with CSI policies/procedures. The RNCM participates in the collection and documentation of Data PACE information. The RNCM advocates to others on behalf of the participant, and demonstrates accountability in resolving participant concerns or issues. The RNCM understands, complies with and promotes the Participant Bill of Rights and assesses and works toward achieving high levels of participant satisfaction. The RNCM may provide after hours on-call medical assistance on a rotating basis, via phone triage or after hours home visits to participants as needed. Schedule requires a rotating on call shift. KNOWLEDGE, SKILLS AND ABILITIES: Must be a Registered Nurse with current Michigan licensure, BSN preferred. The RNCM participates in annual, mandatory in-service training and screening, including but not limited to: infection control, TB testing, safety training, and BLS training. The RNCM assumes responsibility for self-development through continuing education, utilizing resources within the health care system or elsewhere; the RN promotes professional behavior and growth by serving as a role model within the health team. The RNCM must possess a current State of Michigan driver’s license and maintain an acceptable driving record. The RNCM has the ability to establish and maintain interpersonal and interdepartmental relationships. The RNCM has the ability to apply principles of adult learning in planning and implementing educational activities. The RNCM has the ability to lead and direct other licensed and non-professional nursing staff in the delivery of care. The RNCM participates in and/or facilitates Quality Assurance projects resulting from data results. The RNCM assists with the implementation of nursing research studies. The RNCM reviews current periodical literature relevant to the general practice of nursing as well as information pertaining to the PACE model of care. The RNCM ensures adherence to departmental and external standards in the provision of quality focused care by attendance at professional meetings/committees and review of national standards of practice. Must meet a standardized set of competencies (approved by CMS) before working independently. Must have one (1) year of experience with a frail or elderly population. WORKING CONDITIONS: Works in the participant’s home which is an uncontrolled environment. May be exposed to potentially infectious materials, blood-borne disease pathogens, and hazardous waste. Must be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact Driving is required within PACE SEMI catchment area, with possible exposure to extreme temperatures, including heat and cold. Must have reliable transportation available on a daily basis. Frequent walking, bending, lifting of forty (40) pounds or more may be needed in the performance of duties.

RN

PACU

Full-time

RN PreOp PACU II - Michigan Endoscopy Center at Providence

apartment SCA Health location_onNovi, MI

Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it . Each decision we make is rooted in seven core values : Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here to learn more about our benefits. Your ideas should inspire change. If you join our team, they will . Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. Promote the mission, vision, and values of SCA . Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient’s cardiovascular system, respiratory system and airway management needs, neurological system, hemodynamic stability, pain and comfort needs, and mental status. Interpret information accurately from various noninvasive and invasive monitors. Describe the underlying pathophysiology of commonly encountered disease processes. Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. Apply the relevant scoring system/discharge criteria for patient transfer ( e.g. , Aldrete Score, Modified Aldrete Score [ i.e. , PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. Develop an individualized perianesthesia plan of care. Implement the plan of care including the following interventions: Preparing for and managing patient recovery from anesthesia – general. Preparing for and managing patient recovery from anesthesia – monitored anesthesia care. Preparing for and managing patient recovery from anesthesia – regional. Preparing for and managing patient recovery from anesthesia – local. Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. C ommunicating the patient’s current status throughout the perianesthesia continuum of care. P roviding acute pain and comfort management as needed. A dministering medications safely and correctly by using the 8 -rights of safe medication administration. P erforming interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels . P erforming interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. P erforming interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. P erforming interventions to protect patient from infection. M anaging patient’s other co-morbid conditions as applicable. M anaging patient’s fluid as prescribed. A ssessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; I nvolving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. P rotecting patient’s rights, dignity, and privacy. P roviding age-specific, culturally competent, ethical care within legal standards of practice; and P roviding consistent and comparable care regardless of the setting. Evaluate the patient’s progress toward attaining outcomes. Transfer care as needed. Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care. Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions. Document nursing care completely, accurately, and legibly. Collaborate effectively with other disciplines as needed. Participate in quality review and performance improvement projects. Participate in the performance appraisal process. Use p roblem-solving and conflict resolution skills to foster effective work relationships with team members. Maintain required competencies. Pursue professional growth. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. Comply with all facility policies and procedures when providing patient care . Actively participate in team meetings, trainings, and daily safety huddles . Demonstrate fiscal responsibility. Perform all other duties as assigned . Qualifications Graduate of an Accredited School of Nursing. One year of Pre Operative or PACU experience required Medical / surgical nursing experience Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification. USD $36.00/Hr. USD $39.00/Hr.

RN

Full-time

Pre/Post Op RN

apartment United Surgical Partners International, Inc location_onNovi, MI

Michigan Outpatient Surgical Solutions has a current need for a full time Pre/Post Op RN to join the team! We are committed to excellence in our work and the highest level of personal care for each one of our patients. We focus our attention on making your experience as pleasant as possible, your personal comfort and rapid recovery are our highest priorities. Michigan Outpatient Surgical Solutions is licensed by the state of Michigan and JCAHO accredited. Job Summary: The Pre/Post Op RN provides quality patient care using the nursing process, the medical plan of care, and organizational policies. The Pre/Post Op RN provides safe, effective, and quality patient-family centered care in the perioperative services for all patient populations. Pre-operative - Manage patients’ admission processes to preoperative department Assess the status of patients’ health in pre-op and ensure accuracy of identification wristband Ensure that operative and informed consents are in order Determine the surgeon and procedure being carried out Take and record vital statistics of patients to ensure readiness for surgical procedure Initiate IVs and ensure that patients are informed about the procedure and attending medical staff Post-operative - Assess patients’ condition after a surgery has been performed Ensure that all vitals are within normal range Log all findings in patients’ files Answer patients’ questions and ensure that they are kept comfortable Make sure that all relevant IVs are in check Develop individualized care plans based on each individual patient’s condition Ensure that the all nursing activities are carried out in accordance to individual patient care plan Monitor patients for condition changes and report any changes to the doctor Initiate patient education programs to ensure that both patients and families are educated on procedures and medications Determine when patients are ready to be moved to their rooms Perform intervention duties in cases of post-operative emergencies Record sedation levels and body temperature Manage blood and fluid transfusions and draw specimens Ensure that the post-operative space is clean and sanitized Change bandages and dress surgical wounds Who We Are At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. For more information about USPI, check out our website Required Skills: Must be a Registered Nurse with an unrestricted license in the state of Michigan. Must be a graduate of an accredited school of nursing Must have at least 2-5 years of experience in PreOp/PACU, Med Surg or Critical Care. Previous experience in an ambulatory surgical center strongly preferred Must have current BLS, ALS and PALS Must possess a strong knowledge of surgical procedures and management of the surgical patient Understanding of aseptic techniques and their implementation Ability to quickly adapt to changing condition of the patient when needed Must be an excellent team player and have the ability to communicate with staff, patients and physicians #LI-CT1

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