Nursing Jobs in Cameron, AZ

NP Oncology Part-time
Tuba City Regional Healthcare

Nurse Practitioner (0.50 FTE) - Oncology

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is a midlevel advanced practice professional who practices under the supervision of the physician to provide direct patient care, patient and family education, psychological support, and survivorship planning from the time of diagnosis throughout the continuum of cancer care. The scope of practice includes performing comprehensive assessments and physical examinations, ordering and interpreting diagnostic laboratory tests, performing invasive procedures, prescribing medications and treatments, ordering chemotherapy and biotherapy regimens, and conducting health screening and providing patient and family education. The incumbent will serve as an educator, consultant, and liaison to healthcare providers caring for the patients across the continuum of care, which includes inpatient and outpatient services. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science in Nursing Licensure/Certification: Must possess a valid, current, full, and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico Certification by the American Association of Nurse Practitioners (AANP) Must maintain a current and valid Advanced Cardiac Life Support (ACLS) by the American Heart Association (AHA) Must maintain a current and valid Basic Life Support (BLS) certification by the American Heart Association (AHA) Must earn the credential of Advanced Oncology Certified Nurse Practitioner (AOCNP) from the Oncology Nursing Certification Corporation (ONCC) within one (1) year of hire date Credentialing: Must meet additional requirements for credentialing and privileging for membership to the Medical Staff Experience: Four (4) years of successful Nurse Practitioner evaluating and treating patients in adult primary care Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Strong networking and relationship skills with demonstrated ability to work with staff, physicians, patients, and the community Experience and knowledge in the management of the physiologic and psychological effects of illness and subsequent treatment Basic understanding of Medical Oncology, Radiation Oncology, Oncology Nursing, Oncology Social Work, Cancer Registry data collection, interpretation and reporting Ability to work effectively in a culturally diverse environment and support the specific populations served in Oncology Services High motivated, self-directed individual with a demonstrated understanding of nursing care in ambulatory service delivery Reliable and dependable; reports to work as scheduled without excessive absences Responds effectively to sensitive inquiries or complaints Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Incumbent must be able to frequently (1/2 day) sit, bend, and twist; prolonged (3/4 workday) ability to stand, walk, maintain balance, and reach: and occasionally (less ¼ day) drive, kneel, crouch, and climb. Incumbent will need to be able to to lift, push, and pull up to 10 lbs for prolonged periods is required, frequently up to 24 lbs; and occasionally over 100 lbs. Sensory requirements for the position include prolonged ability for near, color vision, depth perception, hearing normal speech, and telephone use. Other sensory requirements the Incumbent must be able to frequently have far vision, see fine details, and hear overhead pages on loudspeaker. The Incumbent will need to utilize the ability of hand manipulation consisting of prolonged use of keyboards and frequent us of simple, firm, and fine manipulation. Must have both hand manipulation of continuous simple and firm grasping, fine manipulation, and frequent use of keyboards. Mental: This position will need to have the ability to manage the emotions of the patients, families, and caregivers who are dealing with a cancer diagnosis. The Incumbent may need to be able to frequently adapt to shift work; work alone; handle multiple priorities in stressful situations; cope with anger/fear/hostility of others in a calm way; and make decisions while under high pressure. Incumbent must be able to handle the regularly stresses of rural medicine with critically ill patients; must have a high degree of judgment and leadership in coordinating service continuance of patient care needs. Incumbent will need the prolonged ability to cope with a high level of stress; concentrate; handle a high degree of flexibility; and demonstrate a high degree of patience. This position also requires occasionally be ability to work in areas that are close and crowded, and potential managing altercations. Environmental: This position may frequently be exposed to chemicals; and extremes in temperature and humidity. The Incumbent may occasionally be exposed to infectious diseases; dust, fumes, gases; hazardous moving equipment; unprotected heights; and loud noises. Responsibilities ESSENTIAL FUNCTIONS Performs comprehensive history and physical examinations on patients with cancer to assess normal and abnormal findings and identifies differential diagnoses on established and new patients. Interviews, assesses, and evaluates oncology and hematology patients receiving outpatient infusion and other therapies to determine their physical condition and orders initial diagnostic tests, collects specimens for routine laboratory tests, and performs screening and therapeutic procedures appropriate for the patient’s medical condition. Writes orders for administration of blood products and chemotherapy agents under the direction and supervision of attending physician. Orders consults for services such as physical therapy, occupational therapy, respiratory therapy, imaging studies, and nursing services; and writes referrals for consultations to radiation oncology, writes orders for vascular access device placement for chemotherapy, and arranges for procedures and biopsies with the surgery and interventional radiology services. Formulates an evidence-based treatment plan according to the interpretation and evaluation of all patient data. Collaborates with other healthcare team members involved in patient treatment to ensure continuity of care. Initiates arrangements for hospital admissions and discharges patients as indicated by clinical status. Manages the clinical course of patients with cancer with acute or chronic complaints and end-of-life and other health concerns. Performs core clinical practice competencies specific to the patient population, and promotes, directs, evaluates, and manages safe patient care for patients being treated in the chemotherapy infusion area, and provides patient teaching and coordinates counseling. Prescribes medications and administers orders as indicated by patients’ clinical status. Serves as a cancer pain management resource to the medical center in both outpatient and inpatient settings. Recognizes and initiates lifesaving procedures for oncologic emergencies and brings emergencies to the immediate attention of a physician. Participates in the tumor board and clinical research studies as determined by the needs of the program and participates in staff development and in-service education as requested. Promotes and participates in the delivery of patient and family education on the cancer diagnosis, treatment, expected outcomes, and end-of-life issues such as do-not-resuscitate orders, healthcare proxies, and advance directives; and assists in the completion of patients’ disability and insurance forms as needed. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Performs other duties as assigned.
CRNA Full-time
Tuba City Regional Healthcare

CRNA-Nurse Anesthetist

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is located in the Anesthesia Department of Tuba City Regional Health Care Corporation (TCRHCC) and is a full professional member of the Operating Room (OR) team providing anesthesiology services. Qualifications NECESSARY QUALIFICATIONS Education: Associate’s or Bachelor’s degree from an accredited school of nursing. Completion of a Nurse Anesthetist training program sponsored or approved by the American Association of Nurse Anesthetists (AANA) License/Certification: Must possess a valid, current, full and unrestricted license to practice as a nurse in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico Certification by the AANA (American Association of Nurse Anesthetists) Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association for direct hires Pediatric Advanced Life Support (PALS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Must obtain Advanced Trauma Life Support (ATLS) prior to taking trauma call Experience: Knowledge of professional nursing and of the pharmacological properties and physiological effects of anesthetic drugs used in complex surgery Independent ability to administer all anesthetics and to detect unfavorable reactions; to administer and manage new drugs and to recover the patient from any side effects Skill in preparing reports of results in the use of new drugs. Frequently new techniques, information, and criteria are established from these reports. Knowledge of OR methods, equipment, and procedures Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Ability to coordinate anesthesia activities with the total operating room team Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The Anesthetist must endure long periods of sitting, and standing while confined to a small area, frequent walking, occasional driving, bending, climbing, kneeling, crouching, twisting, maintaining balance and reaching. Must remain alert and make rapid and accurate decisions during periods of fatigue and anxiety induced by extended high risk surgery. Must be able to lift, push, and pull 10lbs frequently as well as occasionally equipment weighing over 100lbs. Must have ability of far, near, and color vision, depth perception, seeing fine details, hearing normal speech and overhead pages, and occasional telephone use. Must have hand manipulation of frequent simple grasping and fine manipulation and occasional firm grasping and use of keyboards. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize, use good judgment and be able to coordinate a variety of issues while being frequently interrupted. Must have ability to frequently cope with high levels of stress, make decisions under high pressure, handle high degree of flexibility, handle multiple priorities in stressful situation, occasionally cope with anger/fear/hostility of others in a calm way, manage altercations, concentrate, work alone, demonstrate high degree of patience, adapt to shift work, and work in areas that are close and crowded. Environmental: Works in an area where there is repeatedly long exposure to anesthetic agents which may cause a risk of abortions, birth defects in the children of anesthetist, and possible cancer. There is also the risk of exposure to radiation and infection. May frequently be exposed to chemical agents, dust, fumes, gases, and loud noises with occasional exposure to infectious disease, extremes in temperature or humidity, hazardous or moving equipment, and unprotected heights. Responsibilities ESSENTIAL FUNCTIONS Answers to the Chief of Anesthesia and follows all pertinent policies and procedures. Abide by all Medical Staff Bylaws and Rules & Regulations including meeting attendance, educational and quality assurance and process improvement activities. The purpose of the work is to provide full range of anesthetic management in an operating room and post operative setting. The Nurse Anesthetist is an on-site consultant and expert in anesthesiology. Contact with patients, their families, physicians and surgeons, pharmacist, quality assurance staff, nursing staff, and other hospital personnel must reveal excellent interpersonal skill. Contact with patients establishes rapport and health history. Contact is also made with the patient’s family to elicit information, provide emotional support, and ensure cooperation. Contact with surgeons and other hospital personnel are to exchange information and provide consultation before, during, and after surgery. The Anesthetist at TCRHCC is responsible for administering anesthesia for all types of surgical procedures. Patients range from the neonate (currently not less than 1 year) to the centurian. The acuity of our patients covers a wide range from the healthy to the gravely ill. The Anesthetist must be proficient in diagnosing the degree of illness and anesthesia related risks, in order to properly select techniques and agents. Reviews patient’s charts for pertinent information such as lab, EKG’s, x-ray, allergies, and history and physical examination, and previous anesthetics with related complications. Interviews patients and family members if available. Explains anesthesia procedures, discusses risks involved, and what to expect post anesthesia. Employs the services of interpreters when necessary. The Anesthetist administers anesthetic by inhalation, endotracheal intubation, regional, intravenous or topically. Induces anesthesia to the proper state and manages throughout surgery. Determines need for and administers parenteral fluids, including plasma and blood. Administers medications as required and monitors the patient during surgery by maintaining hemodynamics and preventing overdose. Diagnosis problems such as cardiac failure, respiratory insufficiency, fluid and electrolyte imbalance, and corrects same. Provides acute pain management services to obstetrical and other patients as consulted. Gives immediate post operative care to patients for the extent of time required to ensure clear airway and freedom from the possibility of shock or other adverse reactions. Recommends new drugs to the Pharmacy Committee for anesthesia. Administers and evaluates actions of new drugs. Manages actions of new drugs once they are administered. Implements results of new anesthesia methods and techniques after receiving approval from medical committee. Responsible for all techniques, drugs, and equipment used in the administration of anesthesia to all patients undergoing any and all forms of surgical and/or diagnostic procedures. Assumes responsibility for care, sanitation, and inspection for proper functioning of all equipment used in performance of work, enforcing rules and safety with respect to anesthetics or gases such as grounding of patient and venting of gases during surgery. Attempts to maintain a quiet orderly induction and emergence. Responds to medical emergencies such as codes or intubation in the ICU, ER, or any other location in the hospital as availability permits. Responsible for electronic health records data entry pertinent to patient service role. Ensure Proper PPE is always used while on duty. Face surgical mask is to be worn in all hospital areas. Proper handwashing is required. If water is not available use hand sanitizer. Social distancing will be practiced by department. Proper PPE is used inside assigned Clinics or Unit. NIOSH-approved N95 mask filtering face piece respirator or higher, is available, this included eye or face masks shield, gloves, and isolation gown. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. Complete provided training. Performs other duties as assigned.
RN Utilization Review Full-time
Tuba City Regional Healthcare

Case Review Registered Nurse

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position facilitates the analysis of medical staff quality and performance data for the organization through coordination of information including data collection, analysis and trending of required medical staff quality and peer review activities, and other select clinical outcome measurements. This position serves as assisting the medical staff with practitioner specific quality monitoring and reporting. This position manages issues that are brought up regarding the quality of practice by providers, evaluates and investigates quality issues. Responsible for managing Ongoing Professional Practice Evaluations/Focused Professional Practice Evaluations. Supporting the Peer Review Committee and other Quality related projects. This Registered Nurses will be evaluating the quality and appropriateness of care provided by their peers, aiming to improve patient safety and practice standards through a non-punitive, continuous learning process. The role of the Case Review RN is to establish, promote and monitor seamless care for TCRHCC patients. Qualifications NECESSARY QUALIFICATIONS Education: Bachelor’s degree in nursing and Master’s Degree in Business Administration or other Master’s degree in healthcare. License: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Experience: Five (5) years of supervisory experience in discharge planning, case management, or utilization review in an acute-care health care setting or related healthcare clinical leadership Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Accessing community resources for patient referrals Elimination of potential conflicts of interest including professional, organizational, and/or personal bias inherent to review programs performed or supported with internal review. Providing a systematic and scalable approach ensuring review criteria and results are accurate, reliable which reduces risk by identifying trends and potential issues of clinical staff performance, deficiencies, and errors. Knowledge of diagnosis related groups (DRG) and documentation requirements Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Ability to sense varying skill levels and direct instruction accordingly Detail oriented, well organized, and applies critical thinking, reasoning, deduction, and inference skills Knowledge of report writing, graphical analysis, and working with computer spreadsheets and database programs Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Physical: The work involves prolonged periods of sitting in an office setting operating a personal computer, walking throughout the hospital to obtain and review medical records, and standing while inquiring with providers and clinical staff. The Incumbent may occasionally need to drive, bend, climb, kneel, crouch, twist, maintain balance, and reach. There may be times of distant travel for ongoing and advanced training. Occasional travel to the satellite health centers for on-site reviews. The Incumbent will frequently need to be able to lift, pull, and push up to 10 pounds. This position requires the sensory ability for frequent use of far vision, near vision, color vision, depth perception, seeing fine details, hearing normal speech, telephone use, and hearing overhead pages over a loudspeaker. The incumbent must be able to utilize hand manipulation to do simple grasping and use of keyboard for prolonged time during work day. The position requires frequent firm grasping and fine manipulation. Mental: The work requires the ability to deal relatively independently with the interrelated elements that affect data analyzing and reporting, to resolve complications and controversial matters. This position requires the mental & emotional requirement ability to cope with high levels of stress; make decisions under high pressure; copy with anger/fear/hostility of others in a calm way; manage altercations; concentrate; handle a high degree of flexibility; handle multiple priorities in a stressful situation; work alone; demonstrate a high degree of patience; and work in areas that are close and crowded. May occasionally be required to adapt to shift work. Environmental: The incumbent may be exposed to the following environmental situations: Infectious Diseases, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises. Responsibilities ESSENTIAL FUNCTIONS: Reviews patient records and clinical documentation to assess the appropriateness and necessity of healthcare services, ensuring quality and cost-effectiveness of care Resolves informal/formal complaints and grievances within jurisdiction and refers appropriately to a higher level of management if needed. As appropriate, refers instances of inappropriate patient care, discharge delays, and so on to the Risk Manager and /or Clinical Division. Review patient records, thoroughly examine patient charts, clinical documentation, and billing information to assess the appropriateness and necessity of services provided. Perform chart reviews to identify quality, timeliness, and appropriateness of patient care. Refer cases as appropriate to physician advisors for review and determination. Requires experience in performance improvement methodologies; quality measurement; and data analysis using statistical principles. Prior experience in hospital or clinical management preferred. Requires computer knowledge. Windows application: Skilled in the use of select Microsoft Office Applications, e.g. Word; Excel and PowerPoint or other database management applications. Requires strong written and verbal communication skills and the ability to work effectively with all levels of the organization and with members of the medical staff. Requires strong public speaking skills and the ability to deliver effective presentations and education to large groups of physicians and staff. Requires ability to prioritize multiple projects and the flexibility to accommodate changing priorities. Effectively communicates and coordinates processes to assure the continuity of patient care to outside providers and promote patient advocacy among Navajo Area Indian Health Services/Service Units, and Federal and State entities. Develops and implements policies and procedures regarding case management eligibility, alternate resource programs, referral/notification process, interdepartmental relationship and responsibilities; promote patient access to the appropriate level of care, prevent over or under utilization of resources, maximize the use of alternate resources, and supports continuity of care. Assists with review, research, and decision of first level appeal process with Purchase Referred Care Provides clinical expertise, skills, and behaviors appropriate to the population(s), served, and based on specific criteria and/or age-specific considerations. Supports, educates, and oversees the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation enhancement guidelines for selected patient populations. Collaborates with the Physician Advisor or designee in leading and facilitating the Utilization Review Committee, develops and interprets reports (i.e. statistical, financial, trends), provides data for the PI Committee and submits reports, as required, on outcomes, clinical quality documentation and insurance medical necessity criteria. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer Performs other assigned duties as needed
RN Educator Full-time
Tuba City Regional Healthcare

Clinical Nurse Educator - Staff Development

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The clinical nurse educator is a registered nurse who has demonstrated competent clinical experience in the acute care setting. This position operates independently with limited oversite of the Staff Development Director. The applicant’s practice will align with the roles of the association for Nursing Professional Development’s (NPD) scope and standards of practice: Learning facilitator, change agent, mentor, leader, champion for scientific inquiry, partner for practice transitions, and advocate for NPD specialty. The clinical nurse educator will utilize the nursing process to assess practice gaps, identify learning needs, facilitate positive learning environments, and evaluate outcomes to ensure high quality clinical practice for optimal patient care outcomes. Areas of responsibility will include staff onboarding & orientation, competency management, department specific educational training, AHA life safety compliance management, implementation of evidence-based practice (EBP) & research, staff role development offerings, mentorship, support of health programs student placements, and other educational support duties and requests. The clinical nurse educator will work in partnership and be a member of various committees such as unit practice councils, risk management, quality improvement, ethics, and infection prevention. Qualifications NECESSARY QUALIFICATIONS: Education: Bachelors Degree in Nursing from an accredited school of nursing Certification: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States and maintained throughout current employment. Must maintain current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association ANCC Nursing Professional Development (NPD) specialty certification, if none must complete certification review course within six (6) months and attain the ANCC NPD certification within one (1) year of hire. Experience: Three (3) years of acute care nursing practice such as ICU, PCU, ER, or PACU/post-op recovery At least one (1) year of experience in clinical education and staff professional development within the past two (2) years One (1) year of verifiable experience providing staff orientation, involvement in educational program presentations or on the job training of educating clinical staff. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Provides mastery of critical thinking skills and ability to prioritize demands for clinical education & training. Coordinates and collaborates with departments to implement educational programs that promotes a climate which supports positive learning environments and open communication Instructs/teaches content and/or assignments for staff development with focus on safe clinical practice and document outcomes of educational initiatives and programs Implements clinical orientation of new personnel and evaluates competencies and areas which may require educational support Promotes and role-models the mission, values, visions and strategic goals of TCRHCC in all interactions with customers and patients. Treats people with dignity, professionalism and kindness. Demonstrates excellent internal and external customer service skills such as friendly greeting, making eye contact, listening attentively, responding in a timely manner, showing respect and empathy and acting as a role model for staff and peers. Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC These are not skills and abilities of the role, they are requirements for hiring and should be moved from ‘skills and abilities’ section MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs. frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and, hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Required to work prolong periods of time in an environment of toxic or caustic chemicals. May work and be exposed frequently to Infection Diseases. Will be working occasionally around other environmental conditions including: Chemical Agents; Dust, Fumes, Gases; Extremes in Temperature or Humidity; Hazardous or Moving Equipment; Unprotected Heights; loud noises; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS: Must have the ability to work independently. Ensure a high level of quality and safety in the clinical and educational setting at all times. Assists in developing educational objectives to meet educational needs and regulatory requirements as defined by the units, departments, division and hospital. Schedules and coordinates education sessions to meet staff needs. Prepares reports and maintains records, educational records for orientation, mandatory programs, in-service and continuing education programs, etc. Serves as a resource/educational consultant to assign personnel and unit staff. Identifies, plans and implements cross-training strategies for orientation, training and education. Develops, maintains a written progressive orientation plan that incorporates health care standards, Joint Commission guidelines and corporate requirements for clinical staff. Collaborates with the Unit Directors. Meets with orienteers at regular intervals to evaluate the units’ orientation programs. Develops, implements, maintains a preceptor training program to provide supervision, support and teaching orienteers. Reviews and interprets unit policies and procedures with orienteers and other staff, if needed. Assists in gathering, reviewing, creating action plans and monitoring patient and clinical practice, quality and safety measures data in collaboration with the Unit Directors. Must excel at communication, identify and offer solutions for educational needs, well organized, focused and show empathy. Must exhibit traits that area in accordance with the organization’s Code of Conduct and Standards of Behavior, with special focus in the skill of caring; showing compassion and understanding for the nurses and patients who are at the receiving end of the care and instructions. Collaborates, networks and researches subject matter to refine and enhance clinical practice to meet current accreditation standards and evidence-based practice standards. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering face piece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. All other tasks/duties as assigned.
RN Full-time
Tuba City Regional Healthcare

Public Health Nurse Case Manager - $10K Sign on

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The incumbent will provide quality comprehensive public health nursing services to individuals, families, communities and schools supported by evidence based practice. The Public Health Nurse Case Manager will be responsible to assist with development and coordination of services with a multi-disciplinary care team to positively impact services to high-risk groups to contain communicable disease outbreaks including foodborne illnesses, immunization preventable illnesses, TB, Sexually Transmitted Infections (STIs) and Coronavirus . The role of the Public Health Nurse Case Manager includes home visits in the areas of STI case investigation and field treatment. Under the direction of the Director of Public Health Nursing , the Public Health Nurse Case Manager will provide program support by assessing, planning, implementing and evaluating a comprehensive community health nursing program to meet the care needs of the patients and clients in the assigned area. Qualifications NECESSARY QUALIFICATIONS Education: Bachelor of Science degree from an accredited school of Nursing Certification: A valid, current, full, and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, the Commonwealth of Puerto Rico, or a territory of the United States. Must have and maintain a current Basic Life Support (BLS) certification by the American Heart Association (AHA) Experience: Two (2) years of acute care hospital or public health nursing experience Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Ability to multi-task efficiently and effectively. Excellent customer service skills and telephone etiquette Strong organizational and interpersonal skills. Knowledge and ability to apply Nursing concepts and principles. Proficient in the use of Microsoft Suite applications. Must have a current and valid state driver’s license with no restrictions maintained throughout employment Knowledge and ability to investigate and evaluate case and contacts, identification of source exposure, medical evaluation and management of actual and potentially exposed individuals. Good working knowledge and skills with computers including use and application of Microsoft Word, PowerPoint, Excel, and MS Teams. Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The work requires extensive driving between communities, and ability to drive in all types of roads in adverse weather conditions. Involves sitting, standing, walking within schools, clinics, and homes for ¾ day. It requires the ability to maintain balance and reach ¾ day. The position requires the ability to frequently bend, climb, kneel, crouch, and twist. 1/2 of workday. The incumbent must have the ability to lifting, pushing, and pulling up to 34 pounds ¾ day; up to 50 lbs ½ day and up to 100 lbs occasionally using appropriate body mechanics and proper lifting techniques is required. Sensory requirements are prolonged ability (3/4 day) far vision, near vision, color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages and telephone use. Must have ability of simple grasping, firm grasping and fine manipulation of both hands as well as use of keyboard for prolonged periods of the workday. Mental: The work involves assessing the health of communities, individuals, families, and schools. Must be able to prioritize and use good judgment; coordinate a variety of issues while being frequently interrupted; The incumbent must have the ability to concentrate, handle a high degree of flexibility, work alone, demonstrate a high degree of patient and work in areas that are close and crowed ¾ of workday. Incumbent must be to cope and manage stressful situations, make decisions under high pressure and cope with anger/ fear/ hostility of others in a calm way, handle priorities in stressful situation and adapt to work shift frequently and will be able to manage altercations ¾ of day. Environmental: Incumbent may continually be exposed to infectious diseases, to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous moving equipment as well as frequent exposure to loud noises frequently. This position may occasionally have exposure to unprotected heights. Responsibilities ESSENTIAL FUNCTIONS: Assists with direct patient care and related tasks; provides nursing services and education to patient’s one-to-one, group, or in a community setting. Independently makes home visits, elicits or explains medical information, provides basic care and education to patients with a variety of conditions, illnesses and/or injuries. Responsible for obtaining and recording patient information as assigned by PHN policies (i.e., vital signs, blood sugar, pain assessment, medication information, etc.). Assigns STI cases to staff PHNs and Public Health Technicians for case investigation and field-based treatment. Follows quality assurance protocols to ensure high-quality services with documented outcomes. Trains others in a case management model of infectious disease nursing care. Ensures adherence to case management model in public health response to infectious disease. Assists in the implementation of the Express STI testing, also known as ‘golden ticket’, through promotion to result notification to treatment completion for patients testing positive for a STI. Coordinate s and participate s in the planning and delivery of health care services through collaboration with various resources to include TCRHCC clinicians , case management, various Tribal, State, and County agencies. Communicates utilizing a variety of tools to effectively convey ideas, updates regarding program goals and objectives to appropriate entities. Develops and maintains knowledge of regulatory agencies within the geographic service area. Coordinates and leads multi-disciplinary care team in the planning and implementation of care for high risk group (Food Borne Illnesses, TB, STD, Vaccine Preventable disease , COVID-19 testing and vaccinations for homebound patients ). Collaborates and coordinates care activities with existing County, State and Navajo Nation Tribal programs (TB Technician, Social Hygiene Technician, Community Health Representatives, Community Health Educators , State and County Disease Investigation Specialists ) . Conduct contact investigations for communicable Disease and provide appropriate testing, treatment and referrals in the clinic and/or in the field within the respective Service Area . Serve as a resource person for staff, physicians, local community pr ograms , and tribal, county and state Health Departments to work collaboratively with these entities to manage, control and prevent the spread of communicable diseases. Attends the STI weekly case review meetings comprised of local, state, county and tribal health programs. Performs investigation, prevention, control, and reporting of diseases to local, state, and tribal health programs. Conducts and coordinates epidemiological surveys and investigation with appropriate personnel, surveillance of index case and contacts. Provides and participates in Epi-response/emergency preparedness in the community in collaboration with all local, Tribal, State, County, and National Emergency Preparedness Programs. Provides/coordinates nursing assessment in home setting for newborns, infants and children; prenatal, postpartum, and other gynecological and obstetrical condition s. Identifies and prioritizes care to clients with high-risk conditions and refers to appropriate resources. Coordinates needs assessment survey, identifies community resources in assigned area, gathers/complies community profile data and prioritizes health needs , related to infectious disease. Provides expertise and knowledge of public health principles, including population-based services, evidence-based practice, prevention and community assessment. Patient/Client documentation reflects appropriate Nursing process in the “S.O.A.P” format submitted in timely manner. Responsible for documenting patient care encounters. Adheres to confidentiality TCRHCC policies, and HIPAA regulations. Documents actions and activities by completing required forms, reports, logs, and patient records. The incumbent will assist the Director of Public Health Nursing and the Public Health Director to develop short and long-term program goals and objectives based upon the community needs assessment, and National Healthy People initiatives. Keeps vehicle and equipment operating by following operating instructions; daily observations and documentation, troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction. Performs other related duties as assigned.