The Registered Nurse (RN) delivers high-quality patient care and ensures positive patient outcomes through the compassionate and efficient application of nursing knowledge. Working under general supervision, this role promotes professional nursing practice by coordinating patient care through the nursing process and multidisciplinary collaboration. Essential Job Function Reviews patient needs and conditions to deliver nursing care in assigned unit to ensure that every patient receives the direct and proper care needed. Analyzes patient information, including medical history, diagnostic results, and current condition, to develop individualized nursing care plans. Prepares nursing processes, such as medication administration and treatments to provide comprehensive and effective patient care. Reconciles medical records to ensure accuracy and compliance with regulatory standards and organizational policies. Evaluates patient response to interventions and identifies any additional interventions needed to meet defined goals of care. Collaborates with interdisciplinary care team to ensure effective care planning. Performs other duties as assigned. Education Required: Associate's Degree in NursingPreferred: Bachelor's Degree in Nursing Experience Required: 1 year as a Registered NursePreferred: 1 year in a clinical specialty as defined by ANCC or national nursing organizations Licensure/Certification/Listing Required:Registered Nurse license in North Carolina or a Compact stateBLS (CPR)-American Red Cross or AHA Healthcare Provider
The Registered Nurse (RN) delivers high-quality patient care and ensures positive patient outcomes through the compassionate and efficient application of nursing knowledge. Working under general supervision, this role promotes professional nursing practice by coordinating patient care through the nursing process and multidisciplinary collaboration. Essential Job Function Reviews patient needs and conditions to deliver nursing care in assigned unit to ensure that every patient receives the direct and proper care needed. Analyzes patient information, including medical history, diagnostic results, and current condition, to develop individualized nursing care plans. Prepares nursing processes, such as medication administration and treatments to provide comprehensive and effective patient care. Reconciles medical records to ensure accuracy and compliance with regulatory standards and organizational policies. Evaluates patient response to interventions and identifies any additional interventions needed to meet defined goals of care. Collaborates with interdisciplinary care team to ensure effective care planning. Performs other duties as assigned. Education Required: Associate's Degree in NursingPreferred: Bachelor's Degree in Nursing Experience Required: 1 year as a Registered NursePreferred: 1 year in a clinical specialty as defined by ANCC or national nursing organizations Licensure/Certification/Listing Required:Registered Nurse license in North Carolina or a Compact stateBLS (CPR)-American Red Cross or AHA Healthcare Provider
The Clinical Practice Specialty Registered Nurse (RN) provides exceptional care and support across various clinical settings. Working under minimal supervision, this role ensures the delivery of high-quality specialty patient care and supports the strategic success of healthcare initiatives for that service line. Specialty Care is office based only and includes the following: Oncology, Allergy, Geriatrics, Pulmonary, Dermatology, Urgent Care, and Endocrinology as well as Cardiology, Neurology, Rheumatology, Occupational Medicine, GYN only, ENT, Vascular, Psychiatry, APPs in Community Care Clinic, Wound Care and Patient Care Clinic settings. Essential Job Function Reviews patient needs and conditions to deliver nursing care in assigned clinical settings to ensure that every patient receives the direct and proper care needed. Analyzes patient information, including medical history, diagnostic results, and current condition, to develop individualized nursing care plans. Prepares nursing processes, such as medication administration, management and access of vascular devices and treatments to provide comprehensive and effective patient care. Administers medications and treatments, follows established protocols and guidelines to ensure safe handling of hazardous/non-hazardous medications, to ensure patient and staff safety. Reconciles medical records to ensure accuracy and compliance with regulatory standards and organizational policies. Evaluates patient response to interventions and identifies any additional interventions needed to meet defined goals of care. Collaborates with interdisciplinary care team to ensure effective care planning. Serves as a knowledgeable resource and mentor, providing guidance, education, and support to colleagues and staff members to promote a culture of continuous learning. Performs other duties as assigned. Education Required: Associate's Degree in Nursing, For Oncology RNs Specialty Competency eligible within 3 months of hirePreferred: Bachelor's Degree in Nursing, For Oncology RNs Specialty Competency eligible within 3 months of hire Experience Required: 1 year as a Registered Nurse with 1 year in a clinical specialty hired as defined by ANCC or national nursing organization Licensure/Certification/Listing Required: Registered Nurse license in North Carolina or a Compact stateBLS (CPR)-American Red Cross or AHA Healthcare ProviderPreferred: Certification in Specialty eligible within 1 year of hire
The Supervisor Clinical Registered Nurse (RN) oversees the processes and lower-level employees who work on patient care tasks. This role manages and coordinates care tasks, supervises the process, and reviews the analysis of patient outcomes and care quality metrics. false
The Utilization Review RN performs admission and continued stay utilization reviews and discharge screening to assure the medical necessity of hospital admission, appropriate level of care, continued stay and supportive services, and to examine delays in the provision of services. Collaborates with attending physicians, advanced practice providers, and/or Department Medical Directors concerning status and/or medical necessity issues. Follows departmental policy to escalate cases to second level review when criteria is in question. The UR RN consistently interacts with physicians, nurses, revenue cycle services, other patient caregivers, and coding professionals to ensure that medical record documentation accurately reflects the level of services rendered to patient and the clinical information utilized in profiling and reporting outcomes is completed. Monitors and evaluates care to ensure care is medically necessary, provided in the appropriate setting, and generated according to governmental and regulatory agency standards. Essential Job Function Conducts initial case reviews within 24 hours of admission and continues reviews as long as the patient is hospitalized, following all relevant regulations. Reviews are documented in EPIC, and clinical information is securely transmitted to carriers, with outcomes communicated to relevant medical and hospital staff. Refers appropriate cases to the Physician Advisor promptly and communicates effectively with peers to ensure patient needs are met. Acts as a liaison between physician and payor regarding non-coverage of benefits or denials. Oversees resource utilization, identifies and addresses issues promptly with the healthcare team, and educates them on payer requirements, denials, and regulatory compliance. Monitors patient status authorizations, documents code 44 processes, and documents avoidable days before discharge. Documents UR processes and supports the healthcare team by providing comprehensive documentation in the EMR/Epic. Maintains clinical/authorization documentation to minimize denials and coordinates with the denials team on appeals. Monitors readmissions, reporting trends and possibilities to the transition of care nurse. Performs other duties as assigned. Education Required: Bachelor’s Degree in Nursing or healthcare-related field Experience Required: 3 years as a Registered Nurse Licensure/Certification/Listing Required:Registered Nurse license in North Carolina or a Compact state