RN Full-time
Summary

  • Competitive Wages *
  • Benefit package for eligible employees *

The Registered Nurse (RN) provides direct care to patients using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patients responses. The RN functions as a team leader/member and resource to others. The RN delegates, oversees and provides direction to support staff. Collaborates with interdisciplinary team to establish goals and outcomes for each patient. The RN is responsible for meeting the needs of all types of patients.

Responsibilities

(40%)* Regularly assesses patients needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of evidence based nursing practice.

(30%)* Provides direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as appropriate.

(20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care.

(10%)* The RN is knowledgeable and compliant with all local, state and federal regulations and guidelines as well as hospital specific policies and procedures relating to care provided in the medical center.

OTHER DUTIES AND RESPONSIBILITIES

Demonstrates the MyMichigan Health mission, vision and values.

Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers.

Demonstrates the ability to interpret information and reports pertinent data to the physician.

Educate patient/family according to assessed learning needs considering readiness, ability, preferences, and cultural / spiritual variables Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient.

Demonstrates a general ability to manage assignments and perform routine duties on the unit.

Instructs other team members when appropriate, explaining goals and rationale for individualized care.

Demonstrates understanding of clinical pathways and utilizes appropriately.

Maintains a professional demeanor in all situations.

Documents in an accurate, clear, and concise way and includes pertinent clinical data.

Shares information and reports significant changes and/or abnormal findings to appropriate team members in a timely manner.

Participates in regulatory surveys.

Participates in the performance improvement activities.

Assists with orientation and ongoing competencies.

Provides a safe and secure environment for patient care.

Maintains knowledge with current trends and professional standards within a specialty.

Demonstrates understanding of role in emergency preparedness procedures.

Follows hospital policy and procedures.

Administers medications as ordered.

Obtains and transcribes physician orders.

Has working knowledge of computers, phones, and the equipment on the unit.

Unit Specific Responsibilities

Provides For The Age Specific Needs, Ages Of 18 And Older, Of The Mental Health Population Served According To Department Standards And Policies/procedures As Evidenced By Observation, Documentation And Peer Feedback For The Following:

Communicates information accurately and effectively (verbal and written) to treatment team, to patient, to family, to other appropriate agencies.

Demonstrates interest and pursues advancement of clinical skills (asks questions, seeks feedback, shares articles, attends continuing education opportunities, enrolls in classes).

Monitors and manages the milieu in order to maintain a safe environment.

Identifies and intervenes appropriately in any potential crisis. Possesses crisis intervention skills. Keeps updated on the use of nonphysical as well as physical management techniques and implements using sound judgment and according to established current policy.

Conducts groups as appropriate. Takes initiative to provide appropriate activities for patients when needed (such as during weekends or evenings.

Maintains patient dignity and rights. Maintains confidentiality.

Collaborates effectively with other departments and agencies on behalf of the patient.

Monitors and documents changes in patient mental and physical status.

Completes admission assessments in an accurate, complete, and timely manner.

Correctly completes basic nursing tasks such as obtaining vital signs, weight, I&O, specimen collection and assistance with personal care.

Correctly assesses and utilizes seclusion and restraints and documents according to policy.

Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers.

Conveys a positive attitude and works with others to constructively solve identified problems.

Knowledgeable about mental health code and is a patient advocate.

Knowledge and ability to work with probate courts and attorneys to resolve patient legal issues.

Responds to all disasters and codes promptly and correctly.

Completes nursing assessments, performs ongoing assessments and communicates patient status and changes to physician and other team members as appropriate

Attends treatment team meetings.

Provides nursing treatments, such as dressing changes, to all patients.

Provides medication teaching and ensures that the appropriate consents are signed.

Is a team leader when needed for decision-making regarding patient, family, or milieu issues.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Certifications and Licensures

Credential: BLS: Basic Life Support

Equivalent Experience: Required within 1 month of hire or transfer.

Qualification Source: AHA

Credential: FINGERPRIN: Fingerprinting

Equivalent Experience:

Credential: ICHAT: iChat(annually on Hire Date)

Equivalent Experience:

Credential: RECIPIENT: Recipient Rights

Equivalent Experience: Required within 1 month of hire or transfer.

Credential: RN: Registered Nurse

Equivalent Experience:

Required Education

Education: Associated Degree

Equivalent Experience: BSN/MSN is preferred.

Education Specialization:

Other Information

EXPERIENCE, TRAINING AND SKILLS

Good interpersonal skills, ability to take initiative, to work as a team, and to work with a variety of patients' needs.

Mandatory Recipient Rights training within 30 days of hire and annually.

Knowledge of psychiatric-mental health nursing as normally acquired through one or more years of experience in mental health nursing preferred. Psychiatric experience preferred.

National Certification as a Psychiatric Nurse preferred.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0?33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

Other Comments

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Develops, monitors, and updates a person-centered care plan. Actively secures the necessary authorizations for the services that are the responsibility of the organization to ensure the member's timely access to the services identified in the person-centered care plan. Able to adhere to communicated care management productivity metrics, including caseload, engagement volume, and time to closure. Also adheres to quality standards for care management per policy, including appropriate cases opened, comprehensive documentation, actionable care plans, and appropriate cases closed in a timely fashion. Ensures the member receives the full scope of care coordination services, including comprehensive assessment completion as required. Coordinates across the interdisciplinary care team, including transitions of care to ensure safety and quality of clinical care. Demonstrates participation in multidisciplinary team rounds, as appropriate, to address utilization/resources and progression of care issues. Assists in developing and implementing an improvement plan to address issues. Implements goals and objectives that support overall strategic plans of the organization. Conducts incident reporting as required. Identifies gaps in care and takes action as necessary to close gaps in care. Outreaches to patients to engage in care management, coordination, and education. Offers and links patients, as appropriate, to health education, disease management, and wellness/prevention coaching. Educates members about available resources and services (e.g., value-added benefits) and assists the member in accessing those resources and services, if not already involved. Educates the client, family or caregivers, and members of the health care delivery team about treatment options, community resources, insurance benefits, and/or psychosocial concerns so that timely decisions can be made. Maintains objectivity in decision-making and utilizes facts to support decisions. Communicates and exchanges information with providers (e.g., PCP, specialists, labs, imaging facilities), and other care coordination entities as appropriate. Assists with bi-directional communication between state-driven coordination entities (if applicable), specialists, pharmacies, labs, and imaging facilities as needed in order to facilitate timely exchange of information. Facilitates clinical handoffs and participates in discharge planning activities with the inpatient facility to support a safe discharge placement and to prevent unplanned or unnecessary readmissions, ED visits, and adverse outcomes. Ensures member access to post discharge services as specified in the discharge and transition plan. Demonstrates an understanding of funding resources, services, clinical standards, and outcomes. Has an understanding of managed care trends, payer regulations, reimbursement, and the effect of utilization on the different methods of reimbursement. Demonstrates the ability to evaluate utilization/resource/clinical care management data to identify trends, develop action plans, and program modification for improved outcomes. Certifications and Licensures RN: Registered Nurse MI Required Education Education: Associates: BSN is preferred. Other Information Education, Experience, Training And Skills 2 years of case management experience is preferred. Three years of experience with adult medicine/pediatric patients in primary care/ambulatory care, home health agency, skilled nursing facility, or hospital medical-surgical setting, within the past five years. Knowledge of chronic conditions, evidence based guidelines, prevention, wellness, health risk assessment, and patient education. Health Plan/Payer Experience Is Preferred. Critical thinking and problem solving skills and ability to analyze complex data sets. Ability to manage complex clinical issues utilizing assessment skills and protocols Excellent assessment and triage skills. Ability to implement evidence base interventions and protocols for chronic conditions Demonstrates excellent communication--both verbal and written; dependable, self directed. Experience with managed care data systems and reporting. Must be able to type documentation concurrently during conversations. It is required of the care manager to document concurrently in the care manager platform as coordinating care with patients, providers, or other members of the care team. Proficiency in various word processing, spreadsheet, graphic and database programs, including Microsoft Word, Excel, Access, PowerPoint, Outlook, etc. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls.