RN Positions; Varying Specialties, FT, WEO &amp; PRN Available

RN - Senior Care PRN, Nights

Description Job Title: RN - Senior Care: PRN, Nights Reports To: Department Director Job Summary: Provides direct and indirect patient care services that meet the psychosocial, physical and general aspects of care; meets the communication needs of patient and family; provides care that reflects initiative and responsibility indicative of professional expectations. Maintains regulatory agency requirements, nursing and hospital policies, procedures and standards. Communicates with physicians and team members about changes in patient’s clinical condition, including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate supervision. Demonstrates Competency in the Following Areas: Demonstrates ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Demonstrates knowledge of medications and their correct administration based on age of the patient and patient’s clinical condition. Follows the seven (7) medication rights and reduces the potential for medication errors. Demonstrates ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Formulates a teaching plan based on identified patient learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level of licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in-hospital and post discharge needs. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Supports and maintains a culture of safety and quality. Coordinates and supervises patient care. Consults other departments, as appropriate, to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to team leader, co-workers and physicians. Meets current documentation standards and policies. Response to the patient is appropriate in emergency or physically distressful situation. Maintains a good working relationship both within the department and with other departments. Demonstrates an ability to be flexible, organized and function under stressful situations. Manages and operates equipment safely and correctly. RN's - Performs other duties as assigned within the RN scope of practice. LPN's - Performs other duties as assigned within the LPN scope of practice. LPN's - Coordinates and supervises patient care under the direct supervision of a Registered Nurse. Requirements Professional Requirements: Adheres to dress code, appearance is neat and clean. Completes annual education requirements. Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards. Maintains and ensures patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes inservices and returns in a timely fashion. Attends annual review and department inservices, as scheduled. Attends 12 staff meetings annually, or reads and returns monthly staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Regulatory Requirements: Graduate of an accredited school of nursing. RN's - Current state Registered Nurse Licensure, within state of Arkansas. LPN's - Current LPN licensure within the state of Arkansas. Current BLS certification. Language Skills: • Able to communicate effectively in English, both verbally and in writing. • Additional languages preferred. Skills: • Basic computer knowledge. Physical Demands: • Mobility, sight, hearing, verbal communication, changes in temperature, exposure to disagreeable elements, exposure to biological, mechanical, electrical, and chemical hazards. Frequent standing and walking. Lift up to 100 pounds. Carrying up to 40 pounds. Pushing/pulling up to 450 pounds. • This position is a safety sensitive position pursuant to Amendment 98 to the Arkansas Constitution § 2(25). A safety sensitive position means any position in which a person performing the position while under the influence of marijuana may constitute a threat to health or safety. This position is therefore “safety sensitive” due to the fact it requires the following: performing life-threatening procedures; working with hazardous or flammable materials, controlled substances, food, or medicine; and a lapse of attention while working in this position could result in injury, illness, or death. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

Utilization Review

1 week ago

RN - Utilization Review; Senior Care

Description Job Title: RN - Utilization Review Nurse; Senior Care Supervised by: RN Nurse Director, Case Management Job Summary: The Behavioral Health Utilization Review (UR) Nurse ensures appropriate utilization of inpatient psychiatric services for geriatric patients through medical necessity review, level-of-care validation, documentation compliance, and denial prevention activities. This role supports compliance with: 42 CFR §482.30 (Utilization Review); 42 CFS §482.60 (Psychiatric Services Conditions of Participation); Medicare Inpatient Psychiatric Facility (IPF); Prospective Payment System; Arkansas Nurse Practice Act The UR Nurse applies approved behavioral health criteria to ensure medical necessity, appropriate length of stay, and regulatory compliance in the acute geriatric behavioral health setting. Scope of Role by Licensure: Perform independent clinical review and determination using approved criteria. Recommend level-of-care adjustments. Conduct peer discussions with providers. Participate in denial peer-to-peer preparation. Serve as clinical liaison to Physician Advisor. Demonstrates Competency in the Following Areas: Reviews psychiatric admissions for: Acute behavioral instability; risk of harm to self or others; severe mood disturbance; psychosis; medication stabilization needs; and dementia with behavioral disturbance requiring inpatient care. Validates documentation of: psychiatric evaluation within required timeframe; admission certification; individualized treatment plan; and active treatment documentation. Conducts ongoing review to confirm: continued acute psychiatric criteria; active treatment progression; medication adjustments and response; and multidisciplinary plan updates. Monitors length of stay (LOS) against benchmarks. Identifies avoidable days and discharge barriers (placement, guardianship, SNF acceptance). Ensures documentation reflects acuity beyond custodial care in cases involving: major neurocognitive disorder with behavioral disturbance; delirium vs psychiatric decompensation; late-life depression; bipolar disorder; psychosis; polypharmacy complications and behavioral symptoms requiring structured milieu and medication adjustment. Identifies documentation gaps impacting severity-of-illness and intensity-of-service. Collaborates with providers to strengthen documentation. Assists with appeal preparation. Tracks denial trends specific to psychiatric services. Ensures compliance with: Active treatment requirements; 7-day treatment plan reviews; recertification requirements; seclusion and restraint documentation standards; and IPF PPS documentation standards. Participates in UR Committee and Behavioral Health QAPI processes. Tracks and reports: Average Length of Stay (ALOS); denial rate; avoidable patient days; 30-day readmissions; transfer-out rates; and certification compliance rate. Prepare utilization reports for: Behavioral Health Program Director; Executive Administration team; and Governing Board. SUPERVISION & ESCALATION STRUCTURE Reports to RN Nurse Director – Case Management. Clinical oversight provided by RN leadership and Physician Advisor. Final authority for disputed medical necessity determinations resides with Physician Advisor and UR Committee. PERFORMANCE METRICS (KPIs) Psychiatric denial rate Average Length of Stay vs benchmark Avoidable days Certification compliance Appeal overturn rate Documentation improvement trends Professional Requirements Adheres to dress code, appearance is neat and clean. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty. Completes in-services and site audits, returning in timely fashion. Attends annual review and performs in-services. Ensures compliance with policies and procedures regarding department operations, fire safety, emergency management and infection prevention and control. Actively participate in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the organization. Requirements Regulatory Requirements: · Current RN Licensure in the state of Arkansas. · Minimum 3 years' experience in Acute psychiatric nursing and geriatric behavioral health. · Experience in case management or utilization review preferred. Preferred Qualifications: · Experience with InterQual or MCG Behavioral Health criteria. · Knowledge of Medicare IPF PPS reimbursement. · Behavioral Health or Case Management certification. · Experience with denial management. Language Skills: · Ability to effectively communicate in English, both verbally and in writing. · Additional languages preferred. · Strong written and verbal skills. Skills: · Strong understanding of acute psychiatric documentation standards. · Knowledge of geriatric psychiatric presentations. · Ability to analyze medical necessity. · Strong communication skills with physicians and interdisciplinary team. · Ability to escalate appropriately within scope. · Proficiency with electronic health records and reporting systems. Physical Demands: · Normal hospital environment. Close eye work. Hearing within normal range. Oral communication. Operates computer, copier, printer, and typewriter. Frequent sitting. Occasional walking, bending, climbing. May lift and carry up to 15 lbs. · Office-based with frequent chart review. Collaboration with inpatient geriatric behavioral health unit. · Standard business hours with flexibility based on payer timeliness. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. Compliance Statement: This role functions under the hospital’s Utilization Review Plan in compliance with: · 42 CFR §482.30 · 42 CFR §482.60 · Medicare IPF Prospective Payment System · Applicable Arkansas Nurse Practice Act

RN - Emergency Room, FT, WEO - Days

Description Job Title: RN - FT WEO, Days in the Emergency Department Supervised by: Emergency Room - Nurse Director Job Summary: Provides direct and indirect patient care in the emergency care setting. Provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with a minimum of supervision. Is able to triage safely, rapidly and accurately, every patient that enters the emergency care system. Determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. Communicates with Emergency Department physicians about changes in patient's status, symptomatology and results of diagnostic studies. Is able to respond quickly and accurately to changes in condition or response to treatment. Demonstrates Competency in the Following Areas: Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats appropriately. Prepares, hangs, monitors and discontinues IV fluids. Maintains accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the seven (7) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Supports and maintains a culture of safety and quality. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to Nurse Manager, co-workers and physicians. Maintains a good working relationship both within the department and with other departments. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Demonstrates an ability to be flexible, organized and function under stressful situations. Professional Requirements: Adheres to dress code, appearance is neat and clean. Completes annual education requirements. Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards. Maintains and ensures patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department in-services, as scheduled. Attends 12 staff meetings annually or reads and returns monthly staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Additional Skills or Abilities: Current ACLS Certification, prior to completion of department orientation. Current TNCC Certification, within one (1) year of hire. Current PALS Certification, within one (1) year of hire. Requirements Regulatory Requirements: · Graduate of an accredited school of nursing. · Current state Registered Nurse Licensure, within state of practice. · Current BLS certification. Language Skills: · Able to communicate effectively in English, both verbally and in writing. · Additional languages preferred. Skills: · Basic computer knowledge. Physical Demands: · Mobility, sight, hearing, verbal communication, changes in temperature, exposure to disagreeable elements, exposure to biological, mechanical, electrical, and chemical hazards. Frequent standing and walking. Lift up to 100 pounds. Carrying up to 40 pounds. Pushing/pulling up to 450 pounds. · This position is a safety sensitive position pursuant to Amendment 98 to the Arkansas Constitution § 2(25). A safety sensitive position means any position in which a person performing the position while under the influence of marijuana may constitute a threat to health or safety. This position is therefore “safety sensitive” due to the fact it requires the following: performing life-threatening procedures; working with hazardous or flammable materials, controlled substances, food, or medicine; and a lapse of attention while working in this position could result in injury, illness, or death. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

RN Emergency Department, FT

Description Job Title: Emergency Department Registered Nurse Supervised by: ED Nurse Director Job Summary: Provides direct and indirect patient care in the emergency care setting. Provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with a minimum of supervision. Is able to triage safely, rapidly and accurately, every patient that enters the emergency care system. Determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. Communicates with Emergency Department physicians about changes in patient's status, symptomatology and results of diagnostic studies. Is able to respond quickly and accurately to changes in condition or response to treatment. Demonstrates Competency in the Following Areas: Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats appropriately. Prepares, hangs, monitors and discontinues IV fluids. Maintains accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes. Ensures an adequate stock of supplies and proper functioning of equipment. Assists in cost containment through appropriate ordering and conserving of supplies and equipment. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the seven (7) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Supports and maintains a culture of safety and quality. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to Nurse Manager, co-workers and physicians. Maintains a good working relationship both within the department and with other departments. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Coordinates and supervises patient care as necessary. Demonstrates an ability to be flexible, organized and function under stressful situations. Requirements Professional Requirements: Adheres to dress code, appearance is neat and clean. Completes annual education requirements. Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards. Maintains and ensures patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes inservices and returns in a timely fashion. Attends annual review and department inservices, as scheduled. Attends 12 staff meetings annually or reads and returns monthly staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Regulatory Requirements: · Graduate of an accredited school of nursing. · Current state Registered Nurse Licensure, within state of practice. · Current BLS certification. Language Skills: · Able to communicate effectively in English, both verbally and in writing. · Additional languages preferred. Skills: · Basic computer knowledge. Additional Skills or Abilities: Current ACLS Certification, prior to completion of department orientation. Current TNCC Certification, within one (1) year of hire. Current PALS Certification, within one (1) year of hire. Physical Demands: · Mobility, sight, hearing, verbal communication, changes in temperature, exposure to disagreeable elements, exposure to biological, mechanical, electrical, and chemical hazards. Frequent standing and walking. Lift up to 100 pounds. Carrying up to 40 pounds. Pushing/pulling up to 450 pounds. · This position is a safety sensitive position pursuant to Amendment 98 to the Arkansas Constitution § 2(25). A safety sensitive position means any position in which a person performing the position while under the influence of marijuana may constitute a threat to health or safety. This position is therefore “safety sensitive” due to the fact it requires the following: performing life-threatening procedures; working with hazardous or flammable materials, controlled substances, food, or medicine; and a lapse of attention while working in this position could result in injury, illness, or death. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

Labor and Delivery

RN - Labor & Delivery; FT, M, Wed. & Thurs. 7pm-7a