Nursing Jobs in Epsom, NH

PRN PACU Registered Nurse RN

apartment Terre Haute Regional Hospital location_onManchester, NH

Description Introduction Do you have the PRN career opportunities as a(an) PRN PACU Registered Nurse RN you want with your current employer? We have an exciting opportunity for you to join Catholic Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare. Benefits Catholic Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Fertility and family building benefits through Progyny Free counseling services and resources for emotional, physical and financial wellbeing Family support, including adoption assistance, child and elder care resources and consumer discounts 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan Retirement readiness and rollover services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring group of colleagues. Do you want to work as a(an) PRN PACU Registered Nurse RN where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications As a PACU Registered Nurse, you will play a critical role in the immediate post-operative care of surgical patients. Your responsibilities will include managing airway support, closely monitoring neurological and cardiac status, and responding promptly to any complications or side effects. You will provide initial wound care to the patients’ surgical site and ensure patient stability during recovery. You will collaborate with the surgical and anesthesia team. This role includes on-call availability during select non-business hours which will be discussed in the interview. To deliver care and create a therapeutic environment for patients and families whose needs range from basic to complex by utilizing the nursing process. To carry out functions in a manner consistent with Performance Improvement and in accordance with hospital policies and procedures. To demonstrate clinical excellence through proficient practice which enhances and enriches the practice environment. Proficiency is evidenced by adeptness, facility, aptitude, ease and skill in managing complexity and uncertainty. Demonstrates quality nursing care and a commitment to the quality care processes as evidenced by: Assesses patients’ physical and psychosocial status based on interview, examination and review of clinical data. Assesses potential for crisis situations and intervenes before crisis situation develops with adeptness, facility, aptitude, ease and skill in managing complexity and uncertainty. Reassesses patient status at established time frames and as indicated by the patient’s condition. Based on assessment, analyzes relevant patient data and identifies nursing diagnoses/patient care problems. Communicates patient status and assessed needs to members of multidisciplinary team. Develops an individualized plan of care, including developmental and cultural needs, in collaboration with the patient, family and interdisciplinary team. Reviews and updates plan of care as needed. Acts as a resource to others in developing and implementing plan of care. Uses the nursing process as a basis for developing, implementing and evaluating nursing interventions. Provides patient-centered care with sensitivity and respect for the wealth of human experience. Performs technical skills as needed by specific clinical unit safely and competently. Coordinates and implements the medical diagnostic and therapeutic orders as directed. Anticipates and manages complications of disease progression and invasive procedures. Documents plan of care, assessments and interventions and patient outcomes in an electronic medical record thoroughly, accurately, and according to CMC Professional Nursing Practice Standards and ANA Scope and Standards of Practice. Reports status, including response to care, and changes in status as appropriate. Ensures calm, supportive and therapeutic environment for patients and their families, serving as an advocate when appropriate. Adheres to all safety, organizational and ethical standards according to ANA Code of Ethics. Implements elements of core measures in conjunction with Performance Improvement. Identifies current trends which could impact patient outcomes. Identifies system resources effectively and allocates them appropriately at the point of care delivery. Manages a specific complex clinical procedure common to patients in area of practice, and encourages colleagues to seek her/his guidance in managing the specific procedure/technique throughout the year. Employs critical thinking skills to solve problems and achieve patient outcomes Identifies & communicates needs for innovative nursing practices. Identifies & communicates need for new or revised policies, procedures, guidelines, etc. Identifies research as a resource in clinical practice. Stays current with new resources/knowledge/evidence Serves as a resource/trainer for colleagues regarding competencies, policies and procedures, and clinical practice related to patient population served. Utilizes the change process to improve patient care, the work environment, and patient and staff satisfaction. Minimum Qualifications: Licensure/Certification: Current registration in the State of NH as a Registered Nurse. Basic Life Support (BLS) certification required. Education: Graduate of an accredited school of nursing BSN strongly preferred. Specialty certification strongly preferred. Experience: Minimum of 9 months of nursing experience. Shape the future of healthcare at Catholic Medical Center . Located in Manchester, NH, Catholic Medical Center is a 330-bed acute care hospital and Level III Trauma Center serving southern New Hampshire and northern Massachusetts. Home to the nationally recognized New England Heart & Vascular Institute and The Mom’s Place—an innovative birthing center that pioneered couplet care—we’re proud to lead in both advanced medicine and compassionate service. As part of HCA Healthcare’s statewide network of Catholic Medical Center in Manchester, Portsmouth Regional Hospital , Frisbie Memorial Hospital in Rochester hospitals , three freestanding ERs, and over 70 care sites, you’ll join nearly 5,000 colleagues across New Hampshire who are committed to excellence, collaboration, and making a difference every day. At Catholic Medical Center, your work has purpose—and your potential has no limits. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our PRN PACU Registered Nurse RN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

NP

Per Diem

Nurse Practitioner Palliative

apartment Amedisys, Inc. location_onSomersworth, NH

Overview Works independently and in collaboration with physicians to deliver palliative care. The NP provides palliative medical services by managing the symptoms of acute and chronic conditions, assisting with communication and coordination of care, and developing treatment plans. Care is provided at home and in other care settings which may include outpatient clinics, hospitals, assisted living, independent living, and skilled nursing facilities. The NP orders treatments, laboratory, and diagnostic services, works closely with health care agencies to coordinate palliative medical care, and approaches all patients and referral sources with a customer service manner. The NP coordinates care with patient's health care team through planning and effective communication. Responsibilities Clinical Patient Care Management Provides palliative care for residents in their home or clinical setting in collaboration with physicians and/or medical directors in conformance with any protocols or guidelines established by or with the collaborating physician, where required by state and/or federal law. Performs medically necessary assessments meeting the requirements of Medicare Part B, Evaluation and Management (E&M) codes with accurately and timely documentation. Schedules all visits based upon medical assessment and/or the established individualized care plan for the patient. Orders and reviews appropriate treatments, lab, x-rays, EKGs, and other diagnostic procedures as indicated by a palliative plan of care and documents the treatment plan accordingly. Reviews results with collaborating physician if recommendations for treatment are required. When clinically appropriate, re-schedules another visit to follow-up on abnormal labs or test results. Reviews, signs, and dates consultation notes, adjusts in the treatment plan accordingly, and notifies collaborating physician. Collaborates with the physician, referring physicians and other healthcare professionals to ensure optimal delivery of patient care. Collaboration and coordination of care with referral sources including hospitals, assisted living facilities, nursing homes, group homes and primary care providers and specialists. Collaboration with business development, hospice and home health business units. Working with business development in the community to promote palliative education to appropriate stakeholders. Home Visit-specific Standards Conducts medical visits, as frequently as dictated by medical condition or by the established individualized care plan for the patient. Contacts collaborating physician or Medical Director if treatment of patient's condition warrants physician intervention or needs significant change in treatment plan. To the extent requested, provides the physician and referral sources with copies of the progress notes, test results and medication changes. Provides communication and education about disease trajectory and treatment plan to patient and family. Leaves business card and appointment card with patient and family and instructs on how to contact the nurse practitioner. Medical Record Documentation Always completes all medical record documentation promptly and in compliance with any applicable state and federal laws and regulations. Communication Educates patient and family about conditions or instances where Nurse Practitioner needs to be called. Informs patient and family of how to contact him or her. Promptly returns all calls. Communicates with collaborating physician and healthcare team. Establishes a frequency of communication standard with collaborating physician and healthcare team pursuant to patient needs and in conformity with state and federal requirements. Notifies collaborating physician of any significant medical issues relating to patient care or patient's condition. Meets with collaborating physician for chart review and quality improvement as required by applicable state law. Communicates and documents any other state or federally required communication and documentation, which may include review of the collaborating agreement and review and/or documentation of prescriptions ordered by the NP. Medical Compliance and HIPAA Guidelines Documents in medical record other individuals with whom the patient consents to the discussion of their medical treatment. Maintains all standards of compliance as outlined in the Company's compliance plan. Notifies the Compliance Officer immediately, if NP identifies or suspects any infringements of Medicare, state and/or federal laws or regulations. Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program. Performs other duties as assigned. Qualifications Required- One (1+) year experience as a Nurse Practitioner, or three (3+) years' experience as a Registered Nurse in geriatric, hospice or palliative care. Master's Degree or higher degree in Nursing. Licensed Nurse Practitioner in the state where services are provided. Certified as a Nurse Practitioner by the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC). Authority to practice and prescribe as a nurse practitioner in the state where services are provided if prescribing is permitted by state and federal law. NP must comply with all state and federal requirements to be authorized to prescribe Schedule II drugs, such as obtaining any required collaboration agreement and DEA registration number, in those states which permit the NP to prescribe Schedule II drugs. Medicare billing privileges as a nurse practitioner. Meet physician-nurse practitioner collaborative requirements specific to the state assigned to work by the Company including, if required by applicable state law, entering into a collaborative agreement and supply a copy of all active collaborating physician agreements and any required guidelines and protocols established with or by the collaborating physician within which the NP must practice. Holds insurance required by state law for nurse practitioners to practice and prescribe in the state where services are provided or be eligible for such insurance requirements to be satisfied by group coverage with Company. Collaboration and coordination of care with referral sources including hospitals, assisted living facilities, nursing homes, group homes and primary care providers and specialists. Collaboration with business development, hospice, and home health business units. Working with business development in the community to promote palliative education to appropriate stakeholders. Current CPR certification. Preferred- Knowledge of disease specific local coverage determinant (LCD) criteria for hospice eligibility along with knowledge of CMS Face to Face regulatory requirements. Knowledge of hospice and home health and their philosophy and service components. Knowledge of Medicare, Medicaid and other payers reimbursement and coding for all levels of service - home, office, nursing home, assisted living, etc., and other applicable regulatory requirements. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

LNA

Part-time

LNA | Skilled and Restorative Care Unit | Per Diem (Franklin)

apartment Concord Hospital location_onFranklin, NH

Summary Under the direction of the Director and/or Nurse Manager, the Licensed Nursing Assistant (LNA) is responsible for providing direct and indirect patient care duties for a group of patients, from simple to complex, for the specialty population on the unit or department, under the guidance and supervision of the registered nurse. Education High school or equivalent (GED) preferred. Required: Proof of LNA Education Certificate and Final Report of Written and Clinical Competency Testing Results (as required by the NH Board of Nursing). Certification, Registration & Licensure Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification, or equivalent course credentialed by American Heart Association. Licensure required: Current New Hampshire State LNA license Experience Evidence of the ability to perform as a member of a team. Responsibilities Performs activities of daily living and personal care needs under the guidance and supervision of the Registered Nurse. Performs technical skills/procedures relating to physical, mental health and social needs of patients under the guidance and supervision of the RN. Documents care provided and reports to the RN observations of patient’s physical, social and mental status and basic patient data collected. Demonstrates adherence to safe patient handling policy. Demonstrates time management skills. Maintains the patient care areas to ensure cleanliness, safety and supplies of material and equipment. Receives delegated work adhering to the five rights of delegation. Performs job specific requirements and other duties as assigned. Serves as a preceptor for new employees. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is MEDIUM. The employee must regularly lift, carry or push/pull up to 10 pounds, frequently lift, carry or push/pull up to 10 - 25 pounds, and occasionally lift, carry or push/pull up to 20 - 50 pounds. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is frequently exposed to airborne pathogens, bloodborne pathogens, bodily fluids. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, toxic or caustic chemicals. The noise level in the work environment is usually moderate.