RN Full-time

Pay Range:

Pay Range:$44.57 - $62.80

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

Coordinates a variety of nursing care procedures for residents of various ages which requires professional knowledge and consideration of specific resident conditions and treatment. Participates in patient and family teaching and provides leadership by working cooperatively with ancillary nursing and other members of the healthcare team to maintain standards for professional nursing practice in the long-term care setting. Guidelines include physician’s orders, standards of care, nursing policies and procedures, manuals, hospital, and long-term care policies.

Clinical decisions are made initially independently during the scheduled shift; maintains complete accountability for all actions taken. Consults with the appropriate manager/supervisor in difficult situations requiring additional input. Able to react in a calm manner and make sound nursing judgments in an emergency environment. Accountable for proper delegation and supervision of CNA/Tech, LPN, and/or Ward Clerk on unit during shift.

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$25K Sign On and $10K Relocation for qualified hire!

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Key Essential Functions and Accountabilities of the Job

  • Promotes the SEARHC Seven Standards of Excellence; Implements safe, therapeutic, and efficient care for patients and residents with needs due to multisystem disease and/or complications of treatment using appropriate infection control measures; sets priorities for care of patients and residents based on acuity and/or patients’ preference; anticipates potential problems; adapts to change on the area by setting priorities for emergencies, changes in status and unusual occurrences; initiates, manages, and documents the nursing procedures consistent with scientific principle and departmental policy; demonstrates knowledge of equipment use; accurately administers age-specific medications and therapeutics;  carries out the medical and nursing care plan and coordinates resident care activities with physicians and other healthcare team members; initiates action to reduce, correct, or prevent immediate, ongoing, or potential risks to the resident; facilitates healing by providing nursing care that is individualized, goal oriented, based on scientific principles and the nursing process; seeks out resources when beyond the scope of skill, knowledge or experience; explains test, procedures, and disease process to resident/significant others; follows through on nursing care plans by teaching and demonstrating skills essential for understanding and coping with illness and promoting optimal health; communicates and interacts with resident/significant others in a positive and supportive way; provides counseling using emotional, intellectual and psychological supports and utilizes other healthcare professionals in dealing with psychosocial problems if needed; takes steps to decrease stress and/or increase effectiveness of coping mechanisms of resident/significant others; evaluates resident’s progress or lack of progress towards goals, directing new goal setting and implementing revised care plans as directed by reassessment; documents the resident’s response to care; closes out resident care plan by discharge or has in place an after care plan to meet the resident’s needs; Assures confidentiality of resident information.

  • Accomplishes nursing assessment through interviewing, observation and nursing process; obtains, interprets and applies age-related patient information in terms of cognitive, physical, emotional and normal growth/development needs of the resident; completes thorough Nursing Admission Databases/initial resident assessment; documents assessment findings that are consistent with other providers and include review of body systems, laboratory results, diagnostic findings, chart reviews, and interdisciplinary input; identifies problems & nursing diagnosis by recognizing the impact of health problems on residents and families; distinguishes between normal and abnormal assessments in order to identify resident capabilities and limitations including psychosocial risks; utilizes resources to assess residents with conditions that are new, unfamiliar, or not commonly seen.

  • Shall perform duties as assigned and ensure quality resident care despite the situation encountered, be it routine or emergent.

  • Imparts educational knowledge to develop skills to enhance decision making and promote understanding by interacting with residents, family, staff, and community; engages in ongoing evaluation of the effectiveness of teaching in terms of resident understanding and behavioral outcomes; organizes and participates in care conferences as applicable; identifies staff, resident, and family needs and develops a plan for education and/or makes appropriate referrals; develops/implements educational programs and learning aids in the department (i.e., In services, special projects, learning aides, resident care standards); documents education accurately and completely; provides discharge information; participate in in-services and educational programs in the department, hospital and/or community as assigned; completes all mandatory training and competency checks; utilizes opportunities for incidental teaching with staff members.

  • Communicates with staff, residents, significant others and other members of the healthcare team in a way that is supportive, constructive, and positive; gives feedback to other staff and healthcare team members in regard to behavior that does not support achievement; assists in the orientation of new staff, travelers, and students by sharing knowledge, experience and verbal encouragement; guides others in choosing nursing intervention, developing skills and applying knowledge; follows and directs others to follow corporate, hospital, and departmental policies, procedures and resident care standards; supports the area and overall Nursing services mission by assigning staff to productive tasks and floating to other units as needed; provides input regarding the need for change in policies, procedures, and resident care standards; able to perform as Contact RN leading assigned RNs, LPNs, and CNAs and accomplishes all assigned resident care and area support activities during the shift.

  • Develops and contributes to a plan of nursing action based on existing and potential resident problems and obtainable resident responses which are mutually acceptable to the healthcare team; transcribes and notes physician orders accurately; utilizes past experience to provide a range of options for nursing care; initiates care plans using resident care standards; addresses identified nursing diagnosis and coordinates the plan with the healthcare team by using methods that include interventions, goals, and timeframes; utilizes resources to formulate a written plan of care; documents reassessments which include laboratory results, diagnostic findings, interdisciplinary notes and documented resident observations; writes progress notes in EHR; gives shift report according to area guidelines.

  • Attends and participates in at least 50% of departmental staff meetings; applies information presented in staff meetings; participates in unit goal setting; complies with area and departmental scheduling guidelines;  initiates discussion with nurse manager regarding area or department issues; completes annual competencies, evaluation material, maintains certifications and licensure; complies with dress code; refers unresolved problems with patients/visitors/co-workers to Nurse Manager or Administrative Manager for resolution; addresses employee concerns consistent with Human Resources Policy

  • Familiar and competent in mandatory state reporting guidelines and the time requirements.

  • Other duties as assigned. When DON not physically present, will be willing to take the role of charge nurse for the long-term care unit.

Education, Certifications, and Licenses Required

  • Graduate of an accredited school of Nursing (Bachelor’s degree in nursing, Associate's degree in nursing or Diploma in nursing).

  • Current full, unrestricted Registered Nursing license in Alaska or other U.S. state required. Direct Hire must have applied for an Alaska nursing license before start date. Agency staff must have an active Alaska license.

  • Current Basic Life Support certification.

  • High school diploma or equivalent required.

  • Clinical Competency required within 3 months of hire and every three years

  • High Risk Competency required within 3 months of hire and every year

Experience Required

  • Minimum 1-2 years of nursing experience preferred.

Knowledge of

  • Knowledge of nursing care principles, practices, diagnosis, and processes (including assessment, planning, implementation, and evaluation) to provide professional nursing care to residents.

  • Competency to recognize adverse signs and symptoms and to act promptly in emergency situations.

  • Knowledge of pharmaceuticals, their desired effects, side effects, and complications in their use.


Skills in

  • Skills to apply scientific principles in operating and monitoring of basic and specialized medical equipment such as AED.

  • Proficient in nursing procedures and basic nursing care.

  • Oral and written communication skills, can enter and retrieve resident data accurately, can verbally communicate findings with healthcare team.

Ability to

  • Ability to provide guidance, leadership, and work cooperatively with others by establishing and maintaining interpersonal relationships with residents, patients, visitors, and other healthcare team members.

  • Ability to implement appropriate nursing therapeutic interventions based on the knowledge of a wide variety of nursing diagnosis, medical and psychosocial disorders and the normal course of disease and anticipated complications.

  • Uses aggressive resident management techniques to defuse any resident/patient/visitor/peer volatile situations.

Physical Demands:

  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms.

  • The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl. The employee must lift and/or move 50 lbs.

Required Certifications:

Basic Life Support (BLS) - American Heart Association, Clinical Competency Assessment - SEARHC, High Risk Competency - SEARHC, Registered Nurse License - State of Alaska - Alaska State Board of Nursing

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! 

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Transcribe physician’s orders to the electronic documentations system, lab slips, MAR, dietary requisitions, etc. Complete work requisitions for unsafe conditions or equipment repairs. Observe, record, and report to physician patient’s condition and reaction to drugs, treatments, and significant incidents. Other duties as deemed necessary and appropriate or as may be directed. Physical Working Conditions Must be able to move intermittently throughout the workday. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that enable these senses to function adequately so that the position requirements can be fully met. Must function independently, have flexibility, personal integrity, and work effectively with patients/residents, personnel, and support agencies. Must be in good general health. Must demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and (at times) hostile people within the facility. May be required to life patients/residents, medical equipment, supplies, etc. Education, Certifications, and Licenses Required Graduate of an accredited school of nursing (Bachelor’s degree in nursing, Associate’s degree in nursing, or Diploma in nursing) Current full, unrestricted Registered Nursing license in Alaska or other U.S. state required. Direct Hire must have applied for an Alaska nursing license before start date. Agency staff must have an active Alaska license. BLS, ACLS, and PALS or must be obtained within 6 months of hire and maintained biannually thereafter. Trauma Nursing Core Course (TNCC) certification preferred (Required for ED nurses). High school diploma or equivalent required. Clinical Competency required within 3 months of hire and every three years High Risk Competency required within 3 months of hire and every year Experience Required None required. Acute care, emergency department, and/or long-term care experience preferred. Knowledge of Nursing/medical practices and procedures Laws, regulations, and guidelines pertaining to hospital and/or long-term care. Skills in Working harmoniously with and supervising professional and non-professional personnel. Seeking out new methods and principles; incorporating them into existing nursing practices. Ability to Read, write, and speak English fluently. Make independent decisions when circumstances warrant such action. Deal tactfully with personnel, patients/residents, family members, visitors, government agencies/personnel, and the public. Plan, organize, develop, implement, and interpret programs, goals, objective, policies, procedures, etc., of the Nursing Service Department. Maintain the care and use of supplies, equipment, etc. Maintain the appearance of nursing areas. Perform regular inspections of nursing unit for sanitation, order, safety, and proper performance of assigned duties. Utilize patience, tactfulness, cheerful disposition, and enthusiasm. Handle patients/residents based on whatever level at which they are currently functioning. Physical Demands: While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl. The employee must lift and/or move 50 lbs. Required Certifications : Advanced Cardiovascular Life Support (ACLS) - American Heart Association, Basic Life Support (BLS) - American Heart Association, Clinical Competency Assessment - SEARHC, High Risk Competency - SEARHC, Pediatric Advanced Life Support (PALS) - American Heart Association, Registered Nurse License - State of Alaska - Alaska State Board of Nursing If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
RN Full-time
SouthEast Alaska Regional Health Consortium

Registered Nurse Case Manager HOT JOB

$38.93 - $54.76 / HOUR
Pay Range: Pay Range:$38.93 - $54.76 *********************************************************** $25K Sign On and $10K Relocation for qualified hire! *********************************************************** This position functions within the nursing department and is responsible for coordinating the delivery of appropriate and timely care for patients, promoting quality and cost-effective health care outcomes. SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more. Shift Details M-F 8-5 Key Essential Functions and Accountabilities of the Job Responsible for the active management of SEARHC patients. Collaborates with the medical provider and all interdisciplinary team members to establish individualized medical goals that maximize patient healthcare outcomes. Coordinates multi-disciplinary care conferences for high risk or complex patients who are referred into the case management process. Manages panel acute and chronic care needs as well as health maintenance, by continuously reviewing EHR reminders and triggers and providing outreach and education to patients. Participates in case management reviews where all high need patients are reviewed with a multi-disciplinary team of providers. Works with multi-disciplinary team as an advocate for the patient/client family at the service –delivery level, fostering patient/family decision making, independence, self-care and growth and development. Uses problem-solving and anticipatory skills in meeting the needs of the patient and the provider. Patient needs should be addressed in a prompt, efficient manner. Facilitates the coordination of patient referrals within SEARHC other outside facilities. Tracks the progress of referrals and outcomes of care, providing periodic status report to providers on outstanding referrals. Serves as the primary link for other case managers and discharge coordinators in care coordination for the patients. Ensures referral records have been received and are available for provider’s review. Proactively identifies delays and obstacles to care and works to remedy individual cases and to improve the process. Performs staff nursing duties in the various nursing roles in the clinic. Duties include assessment, documentation, education and administering appropriate medications and/or therapies. Maintains annual competencies including safety and infection control requirements. Performs duties as assigned in a responsible, respectful, and caring manner to promote effective nursing staff relationships. Maintains a clean and safe working environment including adequate supplies and upkeep of unit and equipment, reporting any defective or missing equipment and safety hazards. Adheres to infection control policy and procedures. Communications and Teamwork Works collaboratively by building bridges and creating rapport with team members within departments and across the organization. Participates in department and clinic team and improvement efforts. Active member of the clinical team and is a leader amongst the pod, nursing staff and unit coordinators. Participates in continued development of the case management role in primary care. As an RN is responsible for participating in the triage role and responding to emergency situations. Performs other duties as assigned, including special projects deemed necessary to provide comprehensive health services. Additional Focus Areas Specialty Clinic - Facilitates the coordination of specialty clinic referrals. Manages referrals and waitlists. Reviews referrals for appropriateness and completion of work-up labs and/or diagnostics. Consults with referring providers for questions or concerns. Schedules patients in requested clinic based on priority system. Ensures pre-appointment diagnostics are ordered, scheduled, and completed. In consult with other facilities, coordinates various clinics including dates and times for clinic availability. Tracks the progress of referrals and outcomes of care, providing periodic status report to providers on outstanding referrals. Ensures referral records have been received and are available for provider’s review. Primary nurse for all specialty clinics, providing clinical support. Including assessment, documentation, education and administering appropriate medications and therapies. Prepares clinical space for selected clinic (i.e., appropriate medical equipment). Sets up and assists the provider during various medical procedures (i.e., colposcopy, cystoscopy). Assists the medical staff with educational in-services provide by the specialty clinic providers. OB Case Management - Primary case manager OB patients. Is responsible for the intake and tracking processes. Is responsible for education and outreach for OB patients. Works closely with the primary care providers and case managers to ensure comprehensive care for patients. Tracks postpartum care and newborn immunizations. VTC – Communicates and coordinates all video teleconferencing visits with Specialty providers from AK Native Medical Center. Acts as nursing staff for those visits. ETT – Manages referrals and coordinates appointment times with Bartlett, SEARHC provider, and patient for Exercise Treadmill tests (Juneau). Education, Certifications, and Licenses Required Graduate of an accredited school of nursing Bachelor’s degree preferred. Current full, unrestricted Registered Nursing license in Alaska or other U.S. state required. Direct Hire must have applied for an Alaska nursing license before start date. Agency staff must have an active Alaska license. Basic Life Support certification. National Case Management certification preferred. High school diploma or equivalent required. Clinical Competency required within 3 months of hire and every three years Experience Required At least 1 year of general nursing experience with at least 6 months’ employment as a clinical nurse at a SEARHC outpatient clinic OR at least 2 years of general nursing experience with a minimum of 1 year in an ambulatory setting or 1 year case management experience. Knowledge of SEARHC services and those of other tribal health organizations in Alaska The nursing process and the ability to apply this knowledge in the working environment. Customer service principles. Safety and infection control principles. Skills in Assessment, anticipation of needs, and data collection. The use of equipment such as computers and medical equipment. Oral and written communications. Ability to Multi-task and work independently in fast paced environment. Maintain compliance with annual competencies. Problem-solve and use conflict resolution skills to develop and maintain good working relations with other staff and departments. Anticipate needs of others and to seek help when appropriate. Ability to work within a very fast paced clinical setting. Move at a quick pace, stand for long periods of time, bend, stoop, climb and move to the floor. Follow simple and complex directions and perform multiple tasks at once. Perform job using theory-based nursing practice model, evidence-based practices, and shared governance in a multi-disciplinary setting. Physical Demands: While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl. The employee must lift and/or move 50 lbs. Required Certifications : Basic Life Support (BLS) - American Heart Association, Clinical Competency Assessment - SEARHC, Registered Nurse License - State of Alaska - Alaska State Board of Nursing If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!