RN Quality and Accreditation Specialist- Full Time, Day Shift

apartment Summit Healthcare location_onShow Low, AZ

Job Summary The Quality and Accreditation Specialist is responsible for supporting hospital-wide initiatives that ensure compliance with regulatory and accreditation standards, promote continuous survey readiness, and advance performance improvement efforts. This position collaborates with leaders, clinical teams, and frontline staff to develop, implement, and sustain programs that enhance patient safety, quality of care, and operational excellence in alignment with the organization’s Quality Assessment and Performance Improvement (QAPI) Plan. Essential Functions - Monitors and interprets standards from The Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), state, and other regulatory agencies. - Coordinates and supports ongoing accreditation readiness activities, including mock surveys, tracers, and environment of care rounding. - Partners with department leaders to develop and maintain policies, plans of correction, and evidence of standard compliance. - Tracks and communicates regulatory updates, survey findings, and follow-up actions to ensure timely resolution. - Assists departments with analysis of patient-safety events, trends, and improvement opportunities, and supports the development of patient-safety improvement plans. - Facilitates and supports performance improvement teams using Lean, Six Sigma, and Plan-Do-Study-Act (PDSA) methodologies. - Assists in the collection, analysis, and reporting of performance metrics, dashboards, and scorecards. - Coordinates the development of department-specific and organizational QAPI initiatives and assists with data validation and outcome measurement. - Educates staff and leaders on performance improvement tools and methodologies. - Collaborates with clinical departments to identify trends and implement process improvements that enhance quality outcomes. - Leads or participates in multidisciplinary rounding and tracers for continuous survey readiness. - Develops and delivers education related to accreditation standards, QAPI principles, and quality reporting requirements. - Serves as a liaison between hospital leadership and external accrediting bodies during surveys and site visits. Other Duties - Participates in departmental and association wide informational meetings and inservices, including staff meetings, association wide forums, and seminars. - Reviews department and association wide policies and procedures annually. Develops and maintains new policies and procedures as needed. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities - Strong knowledge of TJC standards, CMS Conditions of Participation and Arizona state regulatory requirements. - Excellent analytical and critical thinking skills. - Strong leadership, project management, and organizational abilities. - Proficiency in data analysis, report preparation, and performance dashboards. - Effective communication and facilitation skills with all levels of staff and leadership. - Ability to manage multiple priorities in a fast-paced, deadline-driven environment. - Must read, write, speak, and understand English. Supervisory Responsibilities - None Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Exerts up to 20 lbs. of force occasionally, and/or up to 10 lbs. of force frequently, and/or a negligible amount of force constantly to move objects. Physical demands are in excess of those of Sedentary work. Light work usually requires walking or standing to a significant degree. Worker is exposed to extensive computer work. Required Education and Experience - Current Arizona Registered Nurse (RN) license in good standing. - Certification in Certified Professional in Healthcare Quality (CPHQ), Lean Six Sigma or other accredited healthcare quality improvement certification within 12 months of hire. - Bachelor’s Degree in Nursing (BSN). - Minimum of 5 years of clinical experience in an acute care setting. - Minimum of 3 years of clinical leadership experience or clinical professional required (e.g., charge nurse, team lead or supervisory role). Preferred Education and Experience - Master’s Degree in Nursing, Healthcare Administration, or related field preferred - Minimum of 2 years in quality, regulatory compliance, or performance improvement role preferred. OSHA Exposure Category: Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues and are not a condition of employment. This is a safety sensitive position.

RN

Pediatric

Full-time

RN Nursery - Full Time, Night Shift

apartment Summit Healthcare location_onShow Low, AZ

Come work where others vacation! We are seeking experienced Registered Nurses for our Nursery unit! Now offering a $10k sign on bonus & relocation assistance plus night shift differential! Our People. Join us for a fulfilling career where we prioritize your growth. We offer diverse career paths, including cross-training in Labor and Delivery, Postpartum care, and our Level 2 nursery. Our team values collaboration and camaraderie. With team outings to strengthen connections, our staff enjoys a supportive and fun work environment. Our Department. In our department, we operate in a family-centered care environment, focusing primarily on ensuring the best possible birthing experience for our community's families. Our unit offers a diverse range of services, including care during triage visits, the labor process, and postpartum care. We're equipped to manage both well newborns and premature infants, even those born as early as 32 weeks gestation. Join our team and be part of a supportive environment where your skills can flourish, and you can contribute to the well-being of our patients and their families. About our Labor & Delivery Unit: 24/7/365 NNP services 800 + deliveries annually We deliver down to 32 weeks but will deliver to any gestational age in an emergency or case where the patient cannot be transported safely. 10 couplet care/GYN beds, 7 LDRP rooms, 2 triage beds & 2 Obstetrical operating rooms. Cesarean sections are performed in the OB OR. Summit Healthcare’s Level II Nursery is certified by the Arizona Perinatal Trust as a Level II Perinatal Care Center. A special team of skilled physicians, neonatal nurse practitioners, and nurses provide 24- hour care for your baby in a nurturing compassionate, and family friendly setting. The staff in the nursery cares for infants who need special care, including those with respiratory and feeding difficulties or those requiring antibiotic and IV therapy. The Level II Nursery is fully equipped with monitors, bed warmers and isolettes. Essential Functions / Major Responsibilities: Standard 1: Assessment Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. Integrates knowledge from environmental factors into the assessment process. Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. Corroborates the diagnoses with the patient, family, group or community. Prioritize diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. Documents expected outcomes as measurable goals. Evaluate the actual outcomes against the expected outcomes. Standard 4: Planning Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. Prioritizes nursing interventions to achieve patient outcomes and goals. Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation Establishes and maintains a therapeutic relationship with patient or families. Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). Ensures the implementation, coordination and ongoing evaluation of the patient care plan. Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. Provides information and instruction to assist patients and family members to understand health care practices and processes. Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Maintains patient confidence and protects operations by keeping information confidential. Care is coordinated and delivered within the confines of available human, material and fiscal resources of the Association (Summit Healthcare Association). Standard 6: Evaluation Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. Supervises and evaluates care provided by direct care assistive and support staff. Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition the six standards above, the Association also integrates the following into the professional nursing of the association. Advocacy: Provides a supportive environment for communications and decision making by patients and their families. Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. Demonstrates professionalism in attitude, dress and behavior. Contributes to positive team functioning and supporting one another. Develops cultural competence in order to provide culturally competent care. Actively participates in developing and evaluating professional goals and performance at regular intervals. Role models the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. Accountable for reporting professional practice issues to the appropriate person, agency or professional body. Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: Supports the philosophy, vision and mission of the Association. Participates in the development and revision of standards of care, policies and procedures. Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. Promotes a safe work environment by identifying and resolving potential risk issues. Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. Additional Responsibilities: Completes all tasks as expressed in the Skills Delineation List. Job Scope: Recurring work situations with occasional variations from the norm. Will assist other nursing units within scope of training. A moderate to high level of complexity. Operation from established and well-known procedures. Performance of duties under moderate supervision. Assigned to be “On-Call” for emergency backup as needed. Must be available to share in weekend and holiday rotation for scheduling shifts. Specific Job Skills & Mental Activities: This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). This position requires excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. This position also requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. This position requires self-direction and self-motivation.

RN

Full-time

RN NCL,OB- Full Time, Night Shifts

apartment Summit Healthcare location_onShow Low, AZ

Job Summary The RN Clinical Leader is a leadership position accountable for the quality of nursing services delivered to the assigned unit. Oversees staff to ensure assessment, planning, implementation, evaluation and documentation of patient nursing care is in accordance with facility and departmental policies and in accordance with standards of professional nursing practice. The Nursing Clinical Leader (NCL) utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of patients on his or her assigned unit. Summit Healthcare core values, Service Standards, promotion of Patient Safety Standards and support of healing environment are exhibited in all aspects of the NCL’s performance. Job function and shift assignments may vary based on organizational need and NCL education, licensure, and/or experience. Essential Functions - Supervises staffing and scheduling needs of the unit: - Makes patient care assignments based on the acuity of the patient and number and experience of staff scheduled for the shift. - Coordinates changes in staffing throughout shift. - Collaborates with House Supervisor to make patient bed assignments when applicable. - Assures adequate staffing for next shift including finding coverage for sick calls, etc. - Completes all assigned departmental specific paperwork: Oversees Unit operations, patient safety. Enters incident occurrence reports, medication issues, shift activity, patient and family satisfaction issues, physician issues, acuity reports, outpatient observation charge sheets (if applicable), pharmacy supply requisitions (as indicated), and LPN oversight documentation and data collection tools. Participates in performance improvement data collection and chart review. - Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs for assigned patients and oversees activities for all other patients on unit: Reviews patient initial interview and initial assessment with patient/family, assures completion within appropriate time frame. Reviews available information obtained by other healthcare team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessment according to patient need and as outlined in policy and Standards of Care. - Formulates a plan of care, including the discharge plan, utilizing assessment data, patient, family and health team input for assigned patients and oversees activities for all other patients on unit: Initiates a plan of care based on patient-specific needs, assessment, data and the medical plan of care. Goals for patient are realistic, measurable, and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age-specific, and educational needs of the patient and family in the plan of care, advocating for and supporting the patient’s rights. Responsible for optimal patient flow through the department. Collaborates with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. - Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the unit staff. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. Assures all team members practice within their scope of care. - Evaluates the patient’s and family’s response to care and teaching and revise the plan of care as needed for assigned patients and oversees activities for all other patients on unit. Evaluates patient progress toward goals and expected outcomes in collaboration with other healthcare team members. Evaluates patient’s response and the effectiveness of patient teaching. - Documents assessment, planning, implementation, and evaluation in the patient record for assigned patients and oversees activities for all other patients on unit: Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing intervention and patient’s response to treatment Reviews and notes physician’s orders accurately and in a timely manner. - Promotes professional development within delivery of care: Maintains clinical performance competencies appropriate to the area worked as demonstrated through annual validations. Participates in and attends internal and external educational in-services for continuing/ongoing education, including, but not limited to leadership training. Incorporates, supports, and participates in concepts of shared leadership at both departmental and organizational level. Utilizes evidence-based practice or research within clinical practice. Actively participates in performance/quality improvement processes including national nursing quality indicators. Interacts with and participates in the education/orientation of hospital personnel, patients, students, families and visitors. Promotes/supports growth of others. Seeks opportunities for growth in the profession of nursing such as participation in professional nursing organizations and/or attaining specialty certification pertinent to the area in which they work. - Ensures code carts and emergency equipment is checked and functional. - Promotes the Patient Safety Standards as a core value of the organization. Other Duties - Participates in greater than or equal to 75% of all department staff meetings, unit leadership meetings, and NCL/ASC meetings. - Participates in hospital wide informational meetings and in-services, hospital wide forums, and seminars. - Reviews department and hospital-wide policies and procedures annually. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs) as well as excellent computer communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and the ability to exercise independent judgment skills when necessary. This position also requires knowledge of hospital equipment and programs, including all hospital information systems and department specific equipment. This position requires self-direction and self-motivation. Must be able to read, write, speak, and understand English. Supervisory Responsibilities - Supervises staff performance and initiates critical conversations as needed. - Communicates issues and concerns to department director. - Intervenes and provides resources in critical and crisis situations. - Mediates issues between staff members, physicians, and patient/family members. - Oversees compliance with staff hourly rounding and bedside shift report. - Monitors appropriate hand-off of care. - Researches and communicates to department director issues related to incident occurrence reports, medication issues, patient and physician complaints, and concerns identified by ancillary departments. - Mentors, coaches and develops staff. - Oversees the efficient functioning of the nursing care in the department. - Participates in employee evaluation processes. - Participates in leadership development activities. - Leads hospital/department initiatives as directed by department director, such as: Monitors bedside shift report. Participates in staff rounding for outcomes. Delegates appropriately and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. All decisions are made within prescribed operating guidelines. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Heavy Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Graduate from an accredited school of nursing - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: NIOSH Breath Alcohol Testing (BAT) certification DOT drug screening certification Certified Occupational Hearing Conservationist (CAOHC) Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.

RN

Psych

Full-time

RN- Senior Behavioral Health-Full Time, Night Shift

apartment Summit Healthcare location_onShow Low, AZ

Job Summary Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare. The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span. Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position. Essential Functions Nursing standards of practice* as outlined below: Standard 1: Assessment - Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. - Integrates knowledge from environmental factors into the assessment process. - Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. - Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. - Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. - Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. - Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. - Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis - Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. - Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. - Corroborates the diagnoses with the patient, family, group or community. - Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. - Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification - Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, - Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. - Documents expected outcomes as measurable goals. - Evaluates the actual outcomes against the expected outcomes. Standard 4: Planning - Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. - Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. - Prioritizes nursing interventions to achieve patient outcomes and goals. - Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. - Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation - Establishes and maintains a therapeutic relationship with patient or families. - Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. - Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). - Ensures the implementation, coordination and ongoing evaluation of the patient care plan. - Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. - Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. - Provides information and instruction to assist patients and family members to understand health care practices and processes. - Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. - Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. - Maintains patient confidence and protects operations by keeping information confidential. - Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association. Standard 6: Evaluation - Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. - Supervises and evaluates care provided by direct care assistive and support staff. - Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. - Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition to the six standards above, Summit Healthcare also integrates the following standards: Advocacy: - Provides a supportive environment for communications and decision making by patients and their families. - Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. - Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. - Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. - Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. - Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. - Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: - Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. - Demonstrates professionalism in attitude, dress and behavior. - Contributes to positive team functioning and supporting one another. - Develops cultural competence in order to provide culturally competent care. - Actively participates in developing and evaluating professional goals and performance at regular intervals. - Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. - Accountable for reporting professional practice issues to the appropriate person, agency or professional body. - Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. - Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. - Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: - Supports Summit’s philosophy, vision and mission. - Participates in the development and revision of standards of care, policies and procedures. - Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. - Promotes a safe work environment by identifying and resolving potential risk issues. - Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. - Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. - Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. - Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. - Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. *Nursing Scope and Standards of Practice, 3rd Edition, American Nurses Association. Published by Nursesbooks.org, 2015. Secondary Functions: - Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars. - Reads department and association wide policies and procedures pertinent to the department. Other Duties Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities: - This position requires: General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. Self-direction and self-motivation. Must be able to read, write, speak, and understand English Supervisory Responsibilities None. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Heavy Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Graduate from an accredited school of nursing - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: NIOSH Breath Alcohol Testing (BAT) certification DOT drug screening certification Certified Occupational Hearing Conservationist (CAOHC) Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.

RN

Outpatient

Per Diem

RN-Outpatient Surgery Center- PRN

apartment Summit Healthcare location_onShow Low, AZ

Job Summary Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare. The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span. Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position. Essential Functions Nursing standards of practice* as outlined below: Standard 1: Assessment - Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. - Integrates knowledge from environmental factors into the assessment process. - Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. - Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. - Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. - Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. - Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. - Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis - Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. - Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. - Corroborates the diagnoses with the patient, family, group or community. - Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. - Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification - Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, - Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. - Documents expected outcomes as measurable goals. - Evaluates the actual outcomes against the expected outcomes. Standard 4: Planning - Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. - Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. - Prioritizes nursing interventions to achieve patient outcomes and goals. - Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. - Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation - Establishes and maintains a therapeutic relationship with patient or families. - Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. - Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). - Ensures the implementation, coordination and ongoing evaluation of the patient care plan. - Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. - Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. - Provides information and instruction to assist patients and family members to understand health care practices and processes. - Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. - Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. - Maintains patient confidence and protects operations by keeping information confidential. - Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association. Standard 6: Evaluation - Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. - Supervises and evaluates care provided by direct care assistive and support staff. - Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. - Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition to the six standards above, Summit Healthcare also integrates the following standards: Advocacy: - Provides a supportive environment for communications and decision making by patients and their families. - Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. - Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. - Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. - Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. - Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. - Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: - Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. - Demonstrates professionalism in attitude, dress and behavior. - Contributes to positive team functioning and supporting one another. - Develops cultural competence in order to provide culturally competent care. - Actively participates in developing and evaluating professional goals and performance at regular intervals. - Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. - Accountable for reporting professional practice issues to the appropriate person, agency or professional body. - Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. - Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. - Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: - Supports Summit’s philosophy, vision and mission. - Participates in the development and revision of standards of care, policies and procedures. - Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. - Promotes a safe work environment by identifying and resolving potential risk issues. - Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. - Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. - Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. - Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. - Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. *Nursing Scope and Standards of Practice, 3rd Edition, American Nurses Association. Published by Nursesbooks.org, 2015. Secondary Functions: - Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars. - Reads department and association wide policies and procedures pertinent to the department. Other Duties Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities: - This position requires: General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. Self-direction and self-motivation. Must be able to read, write, speak, and understand English Supervisory Responsibilities None. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Heavy Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Graduate from an accredited school of nursing - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: NIOSH Breath Alcohol Testing (BAT) certification DOT drug screening certification Certified Occupational Hearing Conservationist (CAOHC) Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.

RN Case Manager - Full Time- Day Shift

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