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RN New Graduate Nurse- Neuroscience ICU (NSICU)

apartment UNC Health location_onRaleigh, NC

Description ***Fall/Winter New Graduate Nurses*** Next program start date: September 2025 – March 2026, the New Graduate Nurse Program will offer varied start dates based on graduation and NCLEX dates. General Program Overview: The twelve-month UNC Health Rex Nurse Residency program supports the transition from academia to practice for new graduate nurses. The wrap-around support from all levels of nursing is designed to assist new nurses in developing competence and confidence in the professional role. In addition to clinical orientation on the unit, the Residency program provides structured clinical and professional growth. The first component of the Residency involves engaging classroom sessions highly focused on clinical skills and issues relevant to the unit and service line of the participants. The next component is comprised of continuing education professional development sessions, as well as completion of a group evidence-based practice project. Additionally, within the 12-month program, participants will complete milestones as defined by their unit and attend regular check ins with their unit leadership and educator. Additional purposes and goals of the program are: Increase proficiency – from novice to competent nurse Promote evidence-based practice at the bedside to ensure best patient outcomes Develop clinical leadership skills at the point of care Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Why start your career at UNC Health Rex? Named one of America’s Greatest Workplaces for Diversity by Newsweek and Plant-A Insights Named Best Hospital in WRAL Voters’ Choice Awards Top 100 Hospital for Stroke Care by Healthgrades Named one of America’s Greatest Workplaces for Women by Newsweek and Plant-A Insights Named one of the ‘World’s Best Hospitals 2023’ by Newsweek How do I qualify? New Graduate Nurse: Graduation from school of professional nursing. Licensed to practice as a Registered Nurse in the state of North Carolina by the day of clinical care. Basic Life Support (BLS) for Healthcare Provider certification. What is defined as a new graduate nurse? Nursing student in their final semester of nursing program or; Nursing graduate within 12 months of graduation; and RN who has worked less than 6 months as a registered nurse. *This position qualifies for our UNC Rex Incentive Program, up to $25,000 tuition loan forgiveness or $10,000 Commitment Incentive (for select departments only). In addition, this position is also eligible for up to $5,000 in relocation assistance (based on location) and our employee referral program. Learn more about our UNC Rex Incentive Program here: jobs.unchealthcare.org/pages/rex-new-grad-rn-incentive-program Neuroscience ICU (NSICU) The Neurosciences Intensive Care Unit (NSICU) at UNC REX Hospital is proud to be certified as an Advanced Thrombectomy-Capable Stroke Center by the Joint Commission. But what we are most proud of are our people. By working in close collaboration with specialties including speech-language pathologists, respiratory, occupational, and physical therapists, social and case managers, our highly trained and dedicated nurses provide world-class interdisciplinary care to our patients and our community. Our renowned neuro-critical care team is on-site around-the-clock and utilizes state of the art equipment such as external ventricular drains, Camino intracranial pressure monitors, electroencephalography, and point-of-care ultrasound devices in our recently remodeled 10 bed NSICU. Patients suffering from subarachnoid hemorrhage, acute ischemic stroke, intracerebral hemorrhage, subdural hematomas, coma, brain and spine tumors, seizure disorders, neuro-infections and more can expect nothing but the most compassionate, genuine, and advanced care available. As a CMS 5 star. Leapfrog A, and Magnet designated hospital UNC REX is an award-winning and nationally recognized facility where respect, diversity, trust, teamwork, and collaboration fosters a culture of excellence and clinical development. We are always driving change in our pursuit to put patients and families first as we inspire hope and improve the health of our communities. Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting. Responsibilities: 1. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn. 2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care. 3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning. 4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all 5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs. 6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems. 7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability. Other Information Other information: Education Requirements: ● Graduation from a school of professional nursing. ● If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date. Licensure/Certification Requirements: ● Licensed to practice as a Registered Nurse in the state of North Carolina by the day of clinical care. ● Basic Life Support (BLS) for Healthcare Provider certification Professional Experience Requirements: ● No prior experience required. Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: Rex Neuroscience ICU Work Type: Full Time Standard Hours Per Week: 36.00 Salary Range: $32.23 - $41.35 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Variable Location of Job: US:NC:Raleigh Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Utilization Review

Per Diem

RN Utilization Manager - (Per Diem) Care Management

apartment UNC Health location_onSmithfield, NC

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed billing type, and medical necessity. This may include delivering notifications to patients directly. Interface is completed verbally, via email, data base tasks, or other electronic communication and via telephone. Responsibilities: 1. Clinical Review Process - Uses approved criteria and conducts admission review/status change review within 24 hours of patient admission to the hospital to ensure appropriateness of the setting and timely implementation of the plan of care. Identifies and obtains observation status as appropriate. Partners with physicians, nursing, and other care providers to help ensure timely and accurate documentation of patient data and treatments. Communicates daily with the Case Manager to manage level of care transitions & appropriate utilization of services. Coordinates with the support center to assure third party payor pre-certification and/or re-certifications when required. Utilizes high risk screening criteria to make appropriate referrals to Manager. 2. Discharge Facilitation - Identifies patient/families with the complex psychosocial, on-going medical discharge planning issues, continuing care needs by initiating appropriate case management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization management assessments and interventions, using collaboration with interdisciplinary team approach, on assigned patients as appropriate to ensure optimal patient outcomes. Using approved criteria, conducts continued stay and quality reviews to monitor the patient's progress along the continuum of care and intervenes as necessary to ensure appropriateness of setting and that the services provided are quality-driven, efficient, and effective. Enters all pertinent review data into the correct computer system in a timely manner. Consults with Physician Advisor as necessary to resolve barriers through appropriate administrative and medical channels. 4. Utilization Outcomes Management - Monitors and guides to trend interdisciplinary documentation and guides medical staff in documentation that will assist in coding accuracy, enhance quality of care, reflect accurate severity of illness and appropriate reimbursement. Facilitates patient movement to appropriate (acuity) level of care including observation status issues through collaboration with patient/family, multidisciplinary team, third party payors and resource center. Provides information regarding denials and approvals to designated entities. Assists in coordination of practice parameter development with the assigned departments/sections/specialties of Medical Staff. Oversees collection and analysis of patient care and financial data relevant to the target case types. Directs delivery of notifications to patients (includes traveling to hospital(s) to deliver notifications. Other Information Other information: Education Requirements: ● Graduation from a state-accredited school of professional nursing ● If hired after October 1, 2015, must be enrolled in an accredited program within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date. Licensure/Certification Requirements: ● Licensed to practice as a Registered Nurse in the state of North Carolina. Professional Experience Requirements: ● Two (2) years of clinical experience in a medical facility and/or comparable Utilization Management experience. Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Johnston Health Organization Unit: Care Management - Work Type: Per Diem Standard Hours Per Week: 10.00 Salary Range: $35.52 - $51.05 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: US:NC:Smithfield Exempt From Overtime: Exempt: Yes This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.