RN Per Diem
Summit Healthcare

RN- Occ Health- PRN

Job Summary Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare. The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span. Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position. Essential Functions Nursing standards of practice* as outlined below: Standard 1: Assessment - Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. - Integrates knowledge from environmental factors into the assessment process. - Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. - Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. - Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. - Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. - Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. - Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis - Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. - Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. - Corroborates the diagnoses with the patient, family, group or community. - Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. - Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification - Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, - Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. - Documents expected outcomes as measurable goals. - Evaluates the actual outcomes against the expected outcomes. Standard 4: Planning - Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. - Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. - Prioritizes nursing interventions to achieve patient outcomes and goals. - Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. - Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation - Establishes and maintains a therapeutic relationship with patient or families. - Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. - Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). - Ensures the implementation, coordination and ongoing evaluation of the patient care plan. - Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. - Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. - Provides information and instruction to assist patients and family members to understand health care practices and processes. - Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. - Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. - Maintains patient confidence and protects operations by keeping information confidential. - Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association. Standard 6: Evaluation - Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. - Supervises and evaluates care provided by direct care assistive and support staff. - Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. - Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition to the six standards above, Summit Healthcare also integrates the following standards: Advocacy: - Provides a supportive environment for communications and decision making by patients and their families. - Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. - Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. - Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. - Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. - Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. - Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: - Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. - Demonstrates professionalism in attitude, dress and behavior. - Contributes to positive team functioning and supporting one another. - Develops cultural competence in order to provide culturally competent care. - Actively participates in developing and evaluating professional goals and performance at regular intervals. - Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. - Accountable for reporting professional practice issues to the appropriate person, agency or professional body. - Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. - Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. - Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: - Supports Summit’s philosophy, vision and mission. - Participates in the development and revision of standards of care, policies and procedures. - Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. - Promotes a safe work environment by identifying and resolving potential risk issues. - Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. - Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. - Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. - Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. - Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. *Nursing Scope and Standards of Practice, 3rd Edition, American Nurses Association. Published by Nursesbooks.org, 2015. Secondary Functions: - Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars. - Reads department and association wide policies and procedures pertinent to the department. Other Duties Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities: - This position requires: General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. Self-direction and self-motivation. Must be able to read, write, speak, and understand English Supervisory Responsibilities None. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Heavy Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Graduate from an accredited school of nursing - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: NIOSH Breath Alcohol Testing (BAT) certification DOT drug screening certification Certified Occupational Hearing Conservationist (CAOHC) Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
CMA Full-time
Summit Healthcare

Certified Medical Assistant or Medical Assistant Resident, Neurology - Full Time

General Position Summary: Assists in providing quality care for the patient population seen in the physician office. Performs all essential and secondary functions. Essential Functions / Major Responsibilities: • Records patient vitals and chief complaints. • Responsible for accurate charting of each patient chart. • Completes Electronic Health Record duties to include chart completion, buckets, and reporting. • Triage patients and assist provider with patient care. • Obtains, labels and documents specimens. • Perform EKGs, urine drug screens, SVN, and cerumen removal. • Administers vaccines, injections, and medications according to physician order and direction. • Performs venipuncture and point of care testing • Performs point of care quality testing • Set ups and maintains sterile field. • Assists providers with procedures. • Relays instructions to patients based on provider specifications • Maintains infections control and standard precautions. • Conducts and documents quality control measures. • Creates new patient charts. • Documents in real time, under the direction of the provider, in patient’s charts (scribe). • Provides phone coverage, reviews messages and returns calls when needed. • Cleans rooms, work stations, and equipment as directed in policy and procedures • Order, stock and maintain medical supplies. • Educates and trains patients to include training on home monitors or equipment. • Submit requests for authorizations, referrals, and Rx refills as directed by the provider. • Relays information via phone to patients related to (but not limited to) follow up testing and procedure results, and instructions. • Displays proper etiquette and mannerisms that reflect the SHINE Behavior standards. • Promotes the Patient Safety Standards as a core value of the organization. Secondary Functions: • Covers the front office duties; schedules appointments; orders supplies. • Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars. • Reviews department and hospitalwide policies and procedures annually. • All other duties as assigned. Additional / Seasonal Responsibilities: None Job Scope: This job involves: Recurring work situations with occasional variations from the norm. A moderate level of complexity. Typical operation from established and well-known procedures. Performance of duties under moderate direction. Supervisory Responsibility: None. Interpersonal Contacts: Contacts: Are normally made with others both inside and outside the clinic. Are made with own department as well as other departments or locations. Frequently contain confidential/sensitive information necessitating discretion at all times. Are made via telephone, e-mail, and face-to-face interaction. Are usually with patients and staff. Specific Job Skills & Mental Activities: This position requires operational knowledge of all equipment in most physician practice offices, including: computer, printer, scanner, fax, copy machine, phone systems, credit card terminal, and EKG machine, point of care equipment, spirometry, autoclave, centrifuge, venipuncture equipment, and EHR programs specific to physician practices. This employee must be service oriented and have excellent customer service skills, computer skills, telephone etiquette, organizational skills, multitasking skills, professional interpersonal skills, time management skills and the ability to prioritize work, and. Must be able to read, write, speak, and understand English. Education and/or Experience: Level I: • Medical Assistant formal education or training (preferred) • Certification (NCCT) as a Certified OR Registered Medical Assistant or higher (LPN, RN) (required) • Basic computer skills (required). • IV or phlebotomy experience (preferred). • CPR/BLS (required within 30 days of hire) • Maintenance of CPR and MA Certification (required throughout employment) Note: RNs or LPNs hired as a certified MA must maintain their license in good standing and will work within the scope of an MA job description • Able to schedule patient appointments • Able to accurately take and document all vitals • Able to take and document a patient personal and family history Medical Assistant Resident Basic computer skills (required). Two years experience in a health-care field (preferred). IV or phlebotomy experience (preferred). CPR/BLS (required within 30 days of hire) NCCT Medical Assistant Certification (required within 90 days of hire) Level II: • All Skills above • One year experience in a health-care field. • Assist providers with procedures • Refill medications per provider guidelines • Understand medication classifications • Arrange for hospital/SNF/ surgical admissions, procedures • Obtain authorizations for procedures and medications • Prepare patient communication (Letters, phones notes, etc.) • Reconcile medications/alert to possible interactions • Understand lab results-know when to report STAT/Urgent results to provider • Medical Assistant is able to conduct the following tests: a. EKG b. POCT testing (INR, HcG, H&H, Rapid Strep, Rapid Flu, etc.) c. Administer all types of injections Level III: • All Skills above • Two years’ experience in a health-care field. • Manage COASIIS accounts • Phlebotomy is part of daily duties • Scribe/document for providers as needed • Cross train to other departments • Independently perform testing on patients (SIBO, etc.) PROVIDER MUST BE ON SITE Physical Demands & Job Conditions: Heavy Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. Worker is exposed to contact with chemicals and contact with infectious fluids. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety sensitive position. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues.
CMA Full-time
Summit Healthcare

Certified Medical Assistant or Medical Assistant Resident, Cardiology - Full Time

General Position Summary: Assists in providing quality care for the patient population seen in the physician office. Performs all essential and secondary functions. Essential Functions / Major Responsibilities: • Records patient vitals and chief complaints. • Responsible for accurate charting of each patient chart. • Completes Electronic Health Record duties to include chart completion, buckets, and reporting. • Triage patients and assist provider with patient care. • Obtains, labels and documents specimens. • Perform EKGs, urine drug screens, SVN, and cerumen removal. • Administers vaccines, injections, and medications according to physician order and direction. • Performs venipuncture and point of care testing • Performs point of care quality testing • Set ups and maintains sterile field. • Assists providers with procedures. • Relays instructions to patients based on provider specifications • Maintains infections control and standard precautions. • Conducts and documents quality control measures. • Creates new patient charts. • Documents in real time, under the direction of the provider, in patient’s charts (scribe). • Provides phone coverage, reviews messages and returns calls when needed. • Cleans rooms, work stations, and equipment as directed in policy and procedures • Order, stock and maintain medical supplies. • Educates and trains patients to include training on home monitors or equipment. • Submit requests for authorizations, referrals, and Rx refills as directed by the provider. • Relays information via phone to patients related to (but not limited to) follow up testing and procedure results, and instructions. • Displays proper etiquette and mannerisms that reflect the SHINE Behavior standards. • Promotes the Patient Safety Standards as a core value of the organization. Secondary Functions: • Covers the front office duties; schedules appointments; orders supplies. • Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars. • Reviews department and hospitalwide policies and procedures annually. • All other duties as assigned. Additional / Seasonal Responsibilities: None Job Scope: This job involves: Recurring work situations with occasional variations from the norm. A moderate level of complexity. Typical operation from established and well-known procedures. Performance of duties under moderate direction. Supervisory Responsibility: None. Interpersonal Contacts: Contacts: Are normally made with others both inside and outside the clinic. Are made with own department as well as other departments or locations. Frequently contain confidential/sensitive information necessitating discretion at all times. Are made via telephone, e-mail, and face-to-face interaction. Are usually with patients and staff. Specific Job Skills & Mental Activities: This position requires operational knowledge of all equipment in most physician practice offices, including: computer, printer, scanner, fax, copy machine, phone systems, credit card terminal, and EKG machine, point of care equipment, spirometry, autoclave, centrifuge, venipuncture equipment, and EHR programs specific to physician practices. This employee must be service oriented and have excellent customer service skills, computer skills, telephone etiquette, organizational skills, multitasking skills, professional interpersonal skills, time management skills and the ability to prioritize work, and. Must be able to read, write, speak, and understand English. Education and/or Experience: Level I: • Medical Assistant formal education or training (preferred) • Certification (NCCT) as a Certified OR Registered Medical Assistant or higher (LPN, RN) (required) • Basic computer skills (required). • IV or phlebotomy experience (preferred). • CPR/BLS (required within 30 days of hire) • Maintenance of CPR and MA Certification (required throughout employment) Note: RNs or LPNs hired as a certified MA must maintain their license in good standing and will work within the scope of an MA job description • Able to schedule patient appointments • Able to accurately take and document all vitals • Able to take and document a patient personal and family history Medical Assistant Resident Basic computer skills (required). Two years experience in a health-care field (preferred). IV or phlebotomy experience (preferred). CPR/BLS (required within 30 days of hire) NCCT Medical Assistant Certification (required within 90 days of hire) Level II: • All Skills above • One year experience in a health-care field. • Assist providers with procedures • Refill medications per provider guidelines • Understand medication classifications • Arrange for hospital/SNF/ surgical admissions, procedures • Obtain authorizations for procedures and medications • Prepare patient communication (Letters, phones notes, etc.) • Reconcile medications/alert to possible interactions • Understand lab results-know when to report STAT/Urgent results to provider • Medical Assistant is able to conduct the following tests: a. EKG b. POCT testing (INR, HcG, H&H, Rapid Strep, Rapid Flu, etc.) c. Administer all types of injections Level III: • All Skills above • Two years’ experience in a health-care field. • Manage COASIIS accounts • Phlebotomy is part of daily duties • Scribe/document for providers as needed • Cross train to other departments • Independently perform testing on patients (SIBO, etc.) PROVIDER MUST BE ON SITE Physical Demands & Job Conditions: Heavy Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. Worker is exposed to contact with chemicals and contact with infectious fluids. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety sensitive position. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues.
Surgical Tech OB/GYN Full-time
Summit Healthcare

OB Surgical Tech -Full Time, Nights

The following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. Essential functions may change based on organizational need. General Position Summary: Responsible for handling of instruments and functions as a scrub tech. Responsible for meeting the established standards of nursing practice in the operating room under direction of the circulation RN in conjunction with the OB Director. This position is also responsible for advanced non-license patient care duties. Essential Functions / Major Responsibilities: · Completes daily assignment in accordance with infection control policies and procedures. · Works effectively as an operating room staff member and communicates all pertinent information regarding patient status to Circulating Nurse. · Utilizes opportunities for patient education. · Participates in in-service programs, nursing committees and staff meetings. · Uses and maintains supplies/equipment efficiently and in a cost effective manner. · Collaboratively reviews charges to be submitted. · Promotes harmonious relationships and favorable attitudes among the healthcare team. · Supports and adheres to administrative and nursing service policies and procedures. · Assist with orientation of new employees. · Responsible for in-service training programs regarding new procedures and equipment as needed. · Conforms to hospital dress code and operating room dress code. · Assists with transferring patients from operating room table to cart or bed. · Prepares surgical suite for surgical case in regards to preference cards, surgeon’s requests and patients’ special needs. · Functions appropriately according to Surgical Technician skills list in OB services. · Remains knowledgeable of the location, quantity of supplies and equipment in the operating room. Reports any unusual occurrences/incidents to Director or charge nurse and completes reports as appropriate in the incident reporting system. · Knows location, purpose and use of all equipment and supplies. · Certifies with Circulating Nurse correctness of sponge, needle and instrument counts according to operating room policies and procedures. Reports any unusual occurrences/incidents to Director or charge nurse and completes as appropriate reports in the incident reporting system. · Assists with cleanup of operating room and preparation for the next case (scheduled or emergency) according to OR policies and procedures. Ensures a clean safe environment conducive to patients’ well-being and privacy. · Assists with reprocessing of supplies, instruments, and equipment according to OR policies and procedures. Knowledgeable in and maintains aseptic technique. · Assists in care, handling, maintenance and disinfection of supplies, equipment and instruments. · Acts rapidly and effectively, follows hospital policies and procedures in any emergency situation. · Conserves use of supplies to ensure cost efficient quality of care. · Maintains and stocks the operating rooms and supply carts. Stocks supplies per departmental needs. · Checks for adequate supplies and orders supplies following ordering policies. · Assists in the cleaning, inspection, and disinfection of equipment used according to manufacturer’s recommendations and the organization’s infection control standards. · Assists in the troubleshooting of equipment problems and calling appropriate resources if necessary for loaner equipment while ours is being repaired. · Sets up the supplies of the mayo stand and prepares cautery and other necessary equipment prior to the procedure. Troubleshoots any potential problems and communicates with the registered nurse. · Transports specimens to the lab. · Discards disposables and suction contents in appropriate containers for blood-borne contamination at the end of the procedure. · Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. · Promotes the Patient Safety Standards as a core value of the organization. · Participates in departmental and association wide informational meetings and in services, including staff meetings, association wide forums, and seminars. · Ensures compliance with HIPAA policies and procedures. · All other duties as assigned. Secondary Functions: · Provides basic patient care, including vital signs, blood glucose on adults, hygiene (bathing and oral care), positioning, toileting, linen changes, ambulation, range of motion, nutritional and hydration support, collecting lab specimens. · Assists with post-mortem care · Functions as a Health Unit Coordinator: Responsible for operations of the nurses’ station involving multiple simultaneous tasks to ensure the smooth and safe flow of information. Serves as the unit receptionist, switchboard operator, and general “go-to person” for nurses, patient care technicians, physicians, ancillary staff, outside agencies, and visitors. · Functions as a Patient Care Technician: Responsible for basic patient care, patient safety, emotional support to patients and families, maintenance of a safe environment, stocking of unit supplies, communication with staff and patients, and accurate documentation. · Assists with the setup for medical procedures · Responsible to perform Direct Observer and Sitter duties as needed · Assists the nurse in admitting, transferring, and discharging patients. · Orient patients and families to patient rooms, patient activities, and hospital policies. · Documents patient care provided and I&O · Communicates information to Nursing and medical staff. · Completes efficient and purposeful patient rounding to promote patient safety and the patient experience · Promotes safe sleep practices · Competent to perform neonatal heal sticks · Competent to perform neonatal baths · Competent to perform neonatal metabolic screening · Competent to perform neonatal vital signs · Competent to perform neonatal weights · Competent to perform transcutaneous bilirubin monitoring · Competent to remove cord clamps · Competent to remove staples · Competent to perform Foley catheter care · Competent to remove peripheral IVs (adults) Additional Responsibilities: · Completes all tasks as expressed in the Skills Delineation List. Job Scope: This job involves: · Recurring work situations with occasional variations from the norm. · A moderate to high level of complexity. · Operation from established and well-known procedures. · Performance of duties under moderate supervision. Supervisory Responsibility: · None. Interpersonal Contacts: Contacts: · Are normally made with others both inside and outside the hospital. · Are usually made with own department staff and supervisor as well as with other departments or locations. · Frequently contain confidential/sensitive information necessitating discretion at all times. · Are usually face-to-face, with some contact by telephone and e-mail. · Are usually with patients, physicians, and staff. Specific Job Skills & Mental Activities: This position requires knowledge of general surgical instruments needed for surgical procedures within the scope of the Obstetrics department. Must have excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. This position requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. This position requires self-direction and self-motivation. Must be able to read, write, speak, and understand English. Education, Licensures, and/or Experience: · High School diploma or equivalent (required). · Current CPR/BLS certificate (required within 30 days of hire date). · One year prior hands on patient care experience (required) · OB Tech experience (preferred). · Surgical Tech diploma or scrub tech certificate (preferred). Physical Demands & Job Conditions: Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is subject to contact with chemicals, contact with infectious fluids, heavy lifting, constant standing, and encounters with upset/disturbed individuals. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety-sensitive position. OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues.
RN Pediatric Full-time
Summit Healthcare

RN Nursery - Full Time, Night Shift

Come work where others vacation! We are seeking experienced Registered Nurses for our Nursery unit! Now offering a $10k sign on bonus & relocation assistance plus night shift differential! Our People. Join us for a fulfilling career where we prioritize your growth. We offer diverse career paths, including cross-training in Labor and Delivery, Postpartum care, and our Level 2 nursery. Our team values collaboration and camaraderie. With team outings to strengthen connections, our staff enjoys a supportive and fun work environment. Our Department. In our department, we operate in a family-centered care environment, focusing primarily on ensuring the best possible birthing experience for our community's families. Our unit offers a diverse range of services, including care during triage visits, the labor process, and postpartum care. We're equipped to manage both well newborns and premature infants, even those born as early as 32 weeks gestation. Join our team and be part of a supportive environment where your skills can flourish, and you can contribute to the well-being of our patients and their families. About our Labor & Delivery Unit: 24/7/365 NNP services 800 + deliveries annually We deliver down to 32 weeks but will deliver to any gestational age in an emergency or case where the patient cannot be transported safely. 10 couplet care/GYN beds, 7 LDRP rooms, 2 triage beds & 2 Obstetrical operating rooms. Cesarean sections are performed in the OB OR. Summit Healthcare’s Level II Nursery is certified by the Arizona Perinatal Trust as a Level II Perinatal Care Center. A special team of skilled physicians, neonatal nurse practitioners, and nurses provide 24- hour care for your baby in a nurturing compassionate, and family friendly setting. The staff in the nursery cares for infants who need special care, including those with respiratory and feeding difficulties or those requiring antibiotic and IV therapy. The Level II Nursery is fully equipped with monitors, bed warmers and isolettes. Essential Functions / Major Responsibilities: Standard 1: Assessment Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. Integrates knowledge from environmental factors into the assessment process. Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. Corroborates the diagnoses with the patient, family, group or community. Prioritize diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. Documents expected outcomes as measurable goals. Evaluate the actual outcomes against the expected outcomes. Standard 4: Planning Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. Prioritizes nursing interventions to achieve patient outcomes and goals. Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation Establishes and maintains a therapeutic relationship with patient or families. Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). Ensures the implementation, coordination and ongoing evaluation of the patient care plan. Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. Provides information and instruction to assist patients and family members to understand health care practices and processes. Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Maintains patient confidence and protects operations by keeping information confidential. Care is coordinated and delivered within the confines of available human, material and fiscal resources of the Association (Summit Healthcare Association). Standard 6: Evaluation Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. Supervises and evaluates care provided by direct care assistive and support staff. Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition the six standards above, the Association also integrates the following into the professional nursing of the association. Advocacy: Provides a supportive environment for communications and decision making by patients and their families. Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. Demonstrates professionalism in attitude, dress and behavior. Contributes to positive team functioning and supporting one another. Develops cultural competence in order to provide culturally competent care. Actively participates in developing and evaluating professional goals and performance at regular intervals. Role models the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. Accountable for reporting professional practice issues to the appropriate person, agency or professional body. Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: Supports the philosophy, vision and mission of the Association. Participates in the development and revision of standards of care, policies and procedures. Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. Promotes a safe work environment by identifying and resolving potential risk issues. Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. Additional Responsibilities: Completes all tasks as expressed in the Skills Delineation List. Job Scope: Recurring work situations with occasional variations from the norm. Will assist other nursing units within scope of training. A moderate to high level of complexity. Operation from established and well-known procedures. Performance of duties under moderate supervision. Assigned to be “On-Call” for emergency backup as needed. Must be available to share in weekend and holiday rotation for scheduling shifts. Specific Job Skills & Mental Activities: This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). This position requires excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. This position also requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. This position requires self-direction and self-motivation.
RN Full-time
Summit Healthcare

RN Float- ASC, Full Time, Day Shift

The Registered Nurse Float I assesses, plans, implements, evaluates and documents nursing care of patients in accordance with facility and departmental policies and in accordance with standards of professional nursing practice. This position is accountable for the quality of nursing services delivered by self or others who are under his/her direction. The RN Float I utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of patients on his or her assigned unit. Summit Healthcare core values, service standards, promotion of Patient Safety Standards and support of healing environment are exhibited in all aspects of the RN Float I’s performance. Float RN Level I Demonstrates competencies in the following departments: Med/Surg 1, Med/Surg 2, Med/Surg 3 and Senior Behavioral Health. Essential Functions - Demonstrates an understanding of nursing unit operations and serves as a liaison between units. - Demonstrates initiative and motivation to seek out units that need assistance; is self-directed. - Demonstrates flexibility with changing work priorities; exhibits a teamwork attitude. - Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient History & Physical with patient/family, assures completion within appropriate time frame. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessment according to patient need and as outlined in policy and Standards of Care. - Formulates a plan of care, including the discharge plan, utilizing assessment data, patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient and family in the plan of care, advocating for and supporting patient’s rights. Collaborates with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. - Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. - Evaluates the patient’s and family’s response to care and teaching and revise the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient’s response and the effectiveness of patient teaching. - Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing intervention and patient’s response to treatment Reviews and notes physician’s orders accurately and in a timely manner. - Promotes professional development within delivery of care. Maintains clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations Participates in and attends internal and external education in services for continuing/ongoing education. Incorporates, supports, and participates in concepts of shared leadership at both departmental and facility level. Utilizes evidence based practice or research within clinical practice. Actively participates in quality improvement process. Actively participates in performance measures of national nursing quality indicators. Accountable for patient flow to enhance throughput within department. Interacts and participates in the education/orientation of hospital personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring. Seeks opportunities for growth in the profession of nursing: such as participation in professional nursing organizations; attaining advanced certification in the area in which they work. Other Duties - Participates in departmental and association wide informational meetings and in services, including staff meetings, association wide forums, and seminars. - Reviews department and association wide policies and procedures annually. - All other duties as assigned. Abilities - This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs) as well as excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and the ability to exercise independent judgment skills. - This position also requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. - Must read, write, speak, and understand English. Supervisory Responsibilities - Delegates appropriately and provides nursing and ancillary supervision in the provision of care to patients. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: · Always SHINE – show respect and be kind. · Always work together – we are on the same team. · Always serve others – no job is beneath you. · Always maintain high standards of quality and safety – best practice every time. · Always communicate clearly – be compassionate. · Always practice integrity – maintain confidentiality. · Always be accountable – take responsibility. · Always empower – create an environment of success. · Always excel – don’t settle for mediocrity. · Always promote wellness – make choices for a healthy lifestyle. Physical Demands Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, on-call status, and encounters with upset/disturbed individuals. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. Required Education and Experience - Current Arizona RN license. - CPR/BLS certification (within 30 days of hire date). - ACLS certification (within 6 months of hire date). - NIHSS certification (within 6 months of hire date). Preferred Education and Experience 1 year nursing experience. OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
RN Full-time
Summit Healthcare

RN NCL,OB- Full Time, Night Shifts

Job Summary The RN Clinical Leader is a leadership position accountable for the quality of nursing services delivered to the assigned unit. Oversees staff to ensure assessment, planning, implementation, evaluation and documentation of patient nursing care is in accordance with facility and departmental policies and in accordance with standards of professional nursing practice. The Nursing Clinical Leader (NCL) utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of patients on his or her assigned unit. Summit Healthcare core values, Service Standards, promotion of Patient Safety Standards and support of healing environment are exhibited in all aspects of the NCL’s performance. Job function and shift assignments may vary based on organizational need and NCL education, licensure, and/or experience. Essential Functions - Supervises staffing and scheduling needs of the unit: - Makes patient care assignments based on the acuity of the patient and number and experience of staff scheduled for the shift. - Coordinates changes in staffing throughout shift. - Collaborates with House Supervisor to make patient bed assignments when applicable. - Assures adequate staffing for next shift including finding coverage for sick calls, etc. - Completes all assigned departmental specific paperwork: Oversees Unit operations, patient safety. Enters incident occurrence reports, medication issues, shift activity, patient and family satisfaction issues, physician issues, acuity reports, outpatient observation charge sheets (if applicable), pharmacy supply requisitions (as indicated), and LPN oversight documentation and data collection tools. Participates in performance improvement data collection and chart review. - Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs for assigned patients and oversees activities for all other patients on unit: Reviews patient initial interview and initial assessment with patient/family, assures completion within appropriate time frame. Reviews available information obtained by other healthcare team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessment according to patient need and as outlined in policy and Standards of Care. - Formulates a plan of care, including the discharge plan, utilizing assessment data, patient, family and health team input for assigned patients and oversees activities for all other patients on unit: Initiates a plan of care based on patient-specific needs, assessment, data and the medical plan of care. Goals for patient are realistic, measurable, and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age-specific, and educational needs of the patient and family in the plan of care, advocating for and supporting the patient’s rights. Responsible for optimal patient flow through the department. Collaborates with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. - Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the unit staff. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. Assures all team members practice within their scope of care. - Evaluates the patient’s and family’s response to care and teaching and revise the plan of care as needed for assigned patients and oversees activities for all other patients on unit. Evaluates patient progress toward goals and expected outcomes in collaboration with other healthcare team members. Evaluates patient’s response and the effectiveness of patient teaching. - Documents assessment, planning, implementation, and evaluation in the patient record for assigned patients and oversees activities for all other patients on unit: Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing intervention and patient’s response to treatment Reviews and notes physician’s orders accurately and in a timely manner. - Promotes professional development within delivery of care: Maintains clinical performance competencies appropriate to the area worked as demonstrated through annual validations. Participates in and attends internal and external educational in-services for continuing/ongoing education, including, but not limited to leadership training. Incorporates, supports, and participates in concepts of shared leadership at both departmental and organizational level. Utilizes evidence-based practice or research within clinical practice. Actively participates in performance/quality improvement processes including national nursing quality indicators. Interacts with and participates in the education/orientation of hospital personnel, patients, students, families and visitors. Promotes/supports growth of others. Seeks opportunities for growth in the profession of nursing such as participation in professional nursing organizations and/or attaining specialty certification pertinent to the area in which they work. - Ensures code carts and emergency equipment is checked and functional. - Promotes the Patient Safety Standards as a core value of the organization. Other Duties - Participates in greater than or equal to 75% of all department staff meetings, unit leadership meetings, and NCL/ASC meetings. - Participates in hospital wide informational meetings and in-services, hospital wide forums, and seminars. - Reviews department and hospital-wide policies and procedures annually. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs) as well as excellent computer communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and the ability to exercise independent judgment skills when necessary. This position also requires knowledge of hospital equipment and programs, including all hospital information systems and department specific equipment. This position requires self-direction and self-motivation. Must be able to read, write, speak, and understand English. Supervisory Responsibilities - Supervises staff performance and initiates critical conversations as needed. - Communicates issues and concerns to department director. - Intervenes and provides resources in critical and crisis situations. - Mediates issues between staff members, physicians, and patient/family members. - Oversees compliance with staff hourly rounding and bedside shift report. - Monitors appropriate hand-off of care. - Researches and communicates to department director issues related to incident occurrence reports, medication issues, patient and physician complaints, and concerns identified by ancillary departments. - Mentors, coaches and develops staff. - Oversees the efficient functioning of the nursing care in the department. - Participates in employee evaluation processes. - Participates in leadership development activities. - Leads hospital/department initiatives as directed by department director, such as: Monitors bedside shift report. Participates in staff rounding for outcomes. Delegates appropriately and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. All decisions are made within prescribed operating guidelines. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Heavy Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Graduate from an accredited school of nursing - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: NIOSH Breath Alcohol Testing (BAT) certification DOT drug screening certification Certified Occupational Hearing Conservationist (CAOHC) Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
Student Nurse Internship
Summit Healthcare

Nurse Extern- Various Departments- Position Closes on 11.30.2025

Join our Nurse Extern Program at Summit Healthcare! We are accepting applications for the following departments: Telemetry/PCU, Acute Care Adults/Pediatrics, Acute Observation Unit, ICU, OB, and Emergency Department. Positions can be part time or full time with a starting base rate of $19.58/hr with benefits. Day shift & night shift available The following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. General Position Summary: The Nurse Extern program provides students currently enrolled in an Arizona State Board of Nursing approved Registered Nurse curriculum, and up to 120 days following graduation, an opportunity to work under the direct supervision of a Registered Nurse preceptor. Eligible candidates must have completed the first three semesters of the RN curriculum. Under the direct supervision of the Registered Nurse, the Nurse Extern may perform nursing skills for which they have received didactic and clinical instruction. The goal of the extern program is to enhance education and facilitate transition into the RN role while supporting safe nursing care. Current Summit Healthcare employees are given priority acceptance into the extern program. Essential Functions / Major Responsibilities: · Maintains an attitude of continuous learning in the work environment, asking questions, seeking learning opportunities and understanding of different perspectives, ideas and beliefs. · Works collaboratively with RN preceptor to gather and analyze data for the purpose of assessment, planning, implementing, evaluating and modifying individualized nursing care needs of assigned patients. · Analyzes, compares, and contrasts assessment findings through discussion, information sharing and resources with RN preceptor to build and develop critical thinking skills related to various patient presentations. · Accurately documents data collected, care provided, and assures documentation is validated. Participates in discussion with other disciplines in the planning, implementation, evaluation and modification of nursing care. Performs nursing procedures as outlined on the extern’s student nurse curriculum skills checklist for which competency has been established and signed off. Each skill performed must have been observed and validated by the extern’s faulty Clinical Instructor. Only performs skills within the scope of practice of a Nurse Extern as defined by the Arizona State Board of Nursing advisory opinion: Supervision of Unlicensed Nurse Externs by RN’s and the Summit Healthcare Nurse Extern policy NU2009. Listens attentively to patients, visitors and colleagues to ensure understanding of their needs, and asks questions if something is not clear. Develops the ability to identify and prioritize tasks and patient needs with the RN preceptor. Maintains a safe and clean environment. Demonstrates patient-centered and customer focus by treating patient, visitors and colleges as top priority to meet or exceed expectations. Understands the necessity for maintaining confidentiality of all sensitive oral, paper-based, and electronic information and restricts the flow of such information to those who have a need to know; respecting the privacy and confidentiality of the people we serve, our physicians/healthcare providers, and our fellow employees. Practices listening skills when dealing with concerns, complaints, questions, demonstrating objectivity in emotional situations. Secondary Functions: Demonstrates ability to evaluate suggestions and criticisms objectively and when necessary undertakes to change behavior or seeks further guidance. Demonstrates a commitment to quality by contributing ideas and suggestions for improvement and by participation in activities that improve systems, processes, and service to patients, visitors and colleagues. Demonstrates ability to adapt to change which directly or indirectly impacts on job responsibilities. Consistently conforms to department dress code and maintains appearance suited to position. Maintains punctual attendance for all assigned duties. Demonstrates flexibility in scheduling and accepting assignments. Demonstrates initiative and motivation in managing and utilizing time. Maintains own time card accurately. Identifies and pursues own educational needs; attending and participating in continuing education to maintain and enhance professional knowledge and skills Attends staff meetings or reviews meeting minutes when absent. Satisfactorily completes all mandatory education annually. Displays proper etiquette and mannerisms that adhere to the SHINE Behavior standards. Promotes patient safety standards as a core value of the organization. Positively represents Summit Healthcare (Association) in the workplace and in the community. Participates in departmental and association wide informational meetings and in-services. Reviews department and association wide policies and procedures annually. All other duties as assigned. Supervisory Responsibility: None Specific Job Skills & Mental Activities: This position requires basic entry level professional nursing exposure and skills expected of a first year nursing student. Basic knowledge of general office equipment (including telephone system, fax machine, and copy machine) as well as excellent communication, critical thinking, problem solving, and interpersonal skills are needed. Basic math skills and the ability to exercise sound judgment is necessary. This position also requires knowledge of commonly used hospital equipment, including all hospital information systems, the nurse call system, and department specific equipment. This position requires time management and self-motivation. Must be able to read, write, speak, and understand English. Education and/or Experience: · High School diploma or equivalent (required). · Current CPR Certification (required within 30 days of hire date). · Current enrollment in an approved Arizona State Board of Nursing Registered Nurse curriculum and successful completion of the first three semesters of the nursing program. Physical Demands & Job Conditions: Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is subject to on-call status, contact with chemicals, contact with infectious fluids, heavy lifting, constant standing, and encounters with upset/disturbed individuals. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety sensitive position. Requirements for this program are as follows: · No prescheduled paid time off will be allowed during nurse externship. · Must maintain employment in good standing. OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues.
RN PACU Per Diem
Summit Healthcare

RN-PACU, PRN

Job Summary Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare. The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span. Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position. Essential Functions Nursing standards of practice* as outlined below: Standard 1: Assessment - Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. - Integrates knowledge from environmental factors into the assessment process. - Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. - Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. - Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. - Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. - Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. - Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis - Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. - Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. - Corroborates the diagnoses with the patient, family, group or community. - Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. - Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification - Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, - Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. - Documents expected outcomes as measurable goals. - Evaluates the actual outcomes against the expected outcomes. Standard 4: Planning - Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. - Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. - Prioritizes nursing interventions to achieve patient outcomes and goals. - Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. - Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation - Establishes and maintains a therapeutic relationship with patient or families. - Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. - Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). - Ensures the implementation, coordination and ongoing evaluation of the patient care plan. - Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. - Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. - Provides information and instruction to assist patients and family members to understand health care practices and processes. - Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. - Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. - Maintains patient confidence and protects operations by keeping information confidential. - Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association. Standard 6: Evaluation - Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. - Supervises and evaluates care provided by direct care assistive and support staff. - Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. - Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition to the six standards above, Summit Healthcare also integrates the following standards: Advocacy: - Provides a supportive environment for communications and decision making by patients and their families. - Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. - Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. - Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. - Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. - Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. - Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: - Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. - Demonstrates professionalism in attitude, dress and behavior. - Contributes to positive team functioning and supporting one another. - Develops cultural competence in order to provide culturally competent care. - Actively participates in developing and evaluating professional goals and performance at regular intervals. - Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. - Accountable for reporting professional practice issues to the appropriate person, agency or professional body. - Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. - Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. - Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: - Supports Summit’s philosophy, vision and mission. - Participates in the development and revision of standards of care, policies and procedures. - Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. - Promotes a safe work environment by identifying and resolving potential risk issues. - Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. - Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. - Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. - Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. - Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. *Nursing Scope and Standards of Practice, 3rd Edition, American Nurses Association. Published by Nursesbooks.org, 2015. Secondary Functions: - Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars. - Reads department and association wide policies and procedures pertinent to the department. Other Duties Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities: - This position requires: General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. Self-direction and self-motivation. Must be able to read, write, speak, and understand English Supervisory Responsibilities None. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Heavy Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Graduate from an accredited school of nursing - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: NIOSH Breath Alcohol Testing (BAT) certification DOT drug screening certification Certified Occupational Hearing Conservationist (CAOHC) Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
NP Wound Care Per Diem
Summit Healthcare

Nurse Practitioner - Wound Care, PRN

General Position Summary: Works in collaboration with Medical Director, and independently, to assess, plan and provide patient care, specifically in outpatient wound care, within the scope of the provider license. Orders, interprets and records results of clinical tests and takes appropriate action. Prescribes medication and orders relevant testing or forms of treatment and coordinated referrals as needed. Maintains an accurate, complete patient medical record. Essential Functions / Major Responsibilities: Obtain, compile, and record patient medical data within the scope of practice identified by the Board of Nurse Practitioners. A moderate degree of complexity to include mild to comprehensive medical decision making. Accurately perform physical examinations on patients with acute and chronic wounds. Assess, diagnose, and manage chronic conditions for patient population. Prescribes antibiotic therapy in accordance with applicable federal, state, and local requirements. Communicates with Primary Care Physician (PCP), referral sources, home health agencies or office staff regarding changes in patient’s condition. Assess patient needs and qualifying criteria for Hyperbaric treatment. Maintains an accurate accounting of visits in the patients’ medical record. Completes patient medical record documentation within 24 hours. Contribute to the development of new services, programs, or processes. Administer medications, order diagnostic labs /tests, and perform basic procedures according to the training and needs of the patient and department. Promotes the Patient Safety Standards as a core value of the organization. Displays proper etiquette and mannerisms that reflect the Keys to Excellence. Secondary Functions: Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars. Reviews department and applicable hospital wide policies and procedures annually. Functions as emergency hyperbaric chamber operator, as needed. All other duties as assigned. Additional / Seasonal Responsibilities: Participates in the development of programs and/or processes to enhance patient care. Job Scope: This job involves: Recurring work situations with occasional variation from the norm. Performance of duties independently as well as under the direct supervision of provider. Supervisory Responsibility: Works under the direction of the Supervising Physician (SP). Meets with SP on a weekly, if not daily, basis to review report and implement forms of patient care/treatment. Participates in educational training initiated or provided by the cardiologists. Interpersonal Contacts: Contacts: Are normally made with others both inside and outside the hospital. Specific Job Skills & Mental Activities: Able to relate to and work with ill and disabled patients, culturally diverse patients and emotionally distressed patients Able to read, write and speak English in an understandable manner. Possess visual and hearing acuity, and/or the ability to assess, document and implement action required to meet patient/family needs. Provides medical care to all age groups delineated by the practicing specialty. Able to cope with varying and unpredictable situations tactfully with staff, patients, family members, visitors, and the general public. Able to respond to emergency and crisis situations in a timely and professional manner. Education and/or Experience: 2 years of college to include Nurse Practitioner Program (required) Basic computer skills (required). CPR/BLS (required within 30 days of hire) Introductory 40-hour hyperbaric course (required within 180 days of hire) Maintenance of RN license (required throughout employment) Physical Demands & Job Conditions: Heavy Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. Worker is exposed to contact with chemicals and contact with infectious fluids. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is a safety sensitive position. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues.
NP Per Diem
Summit Healthcare

Neonatal Nurse Practitioner - PRN

General Position Summary: The Neonatal Nurse Practitioner (NNP) is a Registered Nurse prepared at the master’s degree level as a nurse practitioner whose focus is the care and management of critically ill and convalescent premature and full-term infants. The NNP works collaboratively members of the health care team to provide comprehensive care to ill premature and full-term infants and their families. NNPs work in a variety of settings delivering care and management of infants in areas such as fluid and nutritional requirements, drug addiction, respiratory distress, cardiac defects, metabolic conditions and renal problems. The NNP w orks in collaboration with the pediatric provider to assess, plan and provide care, within the scope of the provider license. Orders, interprets and records results of clinical tests. Prescribes medication and makes recommendations for other therapeutic forms of treatment. Essential Functions / Major Responsibilities: · Serving as the neonatal provider to newborn infants in the special care nursery · Neonatal provider to well newborns as requested · Assessing, diagnosing, and carrying out procedures in the care of at-risk newborns · Obtain health histories and perform comprehensive physical and gestational age assessments · Designing treatment plans for newborns with complex health issues · Prescribing medications · Educating and supporting parents and guardians in the care of their newborns · Ordering and performing medical tests and procedures, such as intubation, umbilical line placement, and neonatal resuscitation · Attendance at high risk deliveries and c-sections as requested · Stabilize and transport ill infants to Level III nurseries via both ground and air transport · Incorporate developmental care in the care of neonatal patients · Promote family centered care and healthy infant-parent attachment · Collaborate with physicians from other disciplines · Obtain, compile and record patient medical data within the scope of practice identified by the Board of Nurse Practitioners. · Responds to requests from the Emergency Department Providers for consultation within the NNP scope of practice · Contribute to the development of new services, programs, or processes. · Promotes the Patient Safety Standards as a core value of the organization. · Displays proper etiquette and mannerisms Secondary Functions: · Education to nursing staff and physicians as requested such as neonatal education for nurses, and NRP and STABLE classes · Participation in mock neonatal codes · All other duties as assigned. Additional / Seasonal Responsibilities: · Participates in the development of neonatal programs and/or processes to enhance patient care. Job Scope: This job involves: · Recurring work situations with occasional variation from the norm. · Performance of duties independently as well as under the direct supervision of the pediatric provider Supervisory Responsibility: · Works under the direction of the Supervising Physician (SP). Interpersonal Contacts: Contacts: · Are normally made with others both inside and outside the hospital. Specific Job Skills & Mental Activities: Able to read, write and speak English in an understandable manner. Possess visual and hearing acuity, and/or the ability to assess, document and implement action required to meet patient/family needs. Able to cope with varying and unpredictable situations tactfully with staff, patients, family members, visitors, and the general public. Able to respond to emergency and crisis situations in a timely and professional manner Education and/or Experience: Maintenance of RN license (required throughout employment) APRN License (required) DEA License (required) Completed Accredited Neonatal Nurse Practitioner Program (required) Masters Science in Nursing, Doctorate of Nursing Practice, or grandfathered by the AZ State Board of Nursing (required) Board Certified Neonatal Nurse Practitioner (required) 5 years experience in a tertiary care center in the NICU (required) CPR/BLS (required within 30 days of hire) NRP (required within 30 days of hire) The ability to remain calm under pressure and exercise good judgment (required) The authority to work as a supervisor in a highly stressful environment (required) The flexibility to work long shifts, often 24 hour shifts, and to remain on call (required) Basic computer skills (required). Physical Demands & Job Conditions: Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. Worker is exposed to contact with chemicals and contact with infectious fluids. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is a safety sensitive position. OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues.
RN Psych Full-time
Summit Healthcare

RN- Senior Behavioral Health-Full Time, Night Shift

Job Summary Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare. The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span. Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position. Essential Functions Nursing standards of practice* as outlined below: Standard 1: Assessment - Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. - Integrates knowledge from environmental factors into the assessment process. - Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. - Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. - Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. - Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. - Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. - Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis - Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. - Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. - Corroborates the diagnoses with the patient, family, group or community. - Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. - Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification - Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, - Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. - Documents expected outcomes as measurable goals. - Evaluates the actual outcomes against the expected outcomes. Standard 4: Planning - Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. - Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. - Prioritizes nursing interventions to achieve patient outcomes and goals. - Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. - Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation - Establishes and maintains a therapeutic relationship with patient or families. - Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. - Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). - Ensures the implementation, coordination and ongoing evaluation of the patient care plan. - Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. - Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. - Provides information and instruction to assist patients and family members to understand health care practices and processes. - Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. - Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. - Maintains patient confidence and protects operations by keeping information confidential. - Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association. Standard 6: Evaluation - Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. - Supervises and evaluates care provided by direct care assistive and support staff. - Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. - Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition to the six standards above, Summit Healthcare also integrates the following standards: Advocacy: - Provides a supportive environment for communications and decision making by patients and their families. - Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. - Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. - Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. - Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. - Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. - Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: - Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. - Demonstrates professionalism in attitude, dress and behavior. - Contributes to positive team functioning and supporting one another. - Develops cultural competence in order to provide culturally competent care. - Actively participates in developing and evaluating professional goals and performance at regular intervals. - Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. - Accountable for reporting professional practice issues to the appropriate person, agency or professional body. - Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. - Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. - Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: - Supports Summit’s philosophy, vision and mission. - Participates in the development and revision of standards of care, policies and procedures. - Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. - Promotes a safe work environment by identifying and resolving potential risk issues. - Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. - Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. - Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. - Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. - Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. *Nursing Scope and Standards of Practice, 3rd Edition, American Nurses Association. Published by Nursesbooks.org, 2015. Secondary Functions: - Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars. - Reads department and association wide policies and procedures pertinent to the department. Other Duties Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities: - This position requires: General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. Self-direction and self-motivation. Must be able to read, write, speak, and understand English Supervisory Responsibilities None. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Heavy Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Graduate from an accredited school of nursing - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: NIOSH Breath Alcohol Testing (BAT) certification DOT drug screening certification Certified Occupational Hearing Conservationist (CAOHC) Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
CMA Full-time
Summit Healthcare

Certified Medical Assistant or Medical Assistant Resident, SHMA Bison Ranch - Full Time, Day Shift

Job Summary The Certified Medical Assistant (CMA) assists in providing quality care for the patient population seen in the physician office. Performs all essential and secondary functions. Essential Functions - Records patient vitals and chief complaints. - Responsible for accurate charting of each patient chart. - Completes Electronic Health Record (HER) duties to include chart completion, buckets, and reporting. - Triages patients and assist provider with patient care. - Obtains, labels and documents specimens. - Performs EKGs, urine drug screens, SVN, and cerumen removal. - Administers vaccines, injections, and medications according to physician order and direction. - Performs venipuncture and point of care quality testing. - Set ups and maintains sterile field. - Assists providers with procedures. - Relays instructions to patients based on provider specifications. - Maintains infection control and standard precautions. - Conducts and documents quality control measures. - Creates new patient charts. - Documents in real time, under the direction of the provider, in patient’s charts (scribe). - Provides phone coverage, reviews messages and returns calls when needed. - Cleans rooms, work stations, and equipment as directed in policy and procedures. - Orders, stocks and maintains medical supplies. - Educates and trains patients to include training on home monitors or equipment. - Submits requests for authorizations, referrals, and Rx refills as directed by the provider. - Communicates with patients related to (but not limited to) follow up testing and procedure results, and instructions. - Refills medications per provider guidelines. - Arranges for hospital/Skilled Nursing Facility/ surgical admissions, procedures. - Obtains insurance authorizations for procedures and medications. - Prepares patient communication (letters, phones notes, etc.). - Reconciles medications and alerts to possible interactions. - Conducts the following tests: EKG, POCT (INR, HcG, H&H, Rapid Strep, Rapid Flu, etc.). - Manage COASIIS accounts. - Cross trains to other departments. - Independently performs testing on patients (SIBO, etc.) PROVIDER MUST BE ON SITE. Other Duties - Covers the front office duties; schedules appointments; orders supplies. - Participates in departmental and association wide informational meetings and inservices, including staff meetings, association wide forums, and seminars. - Reviews department and association wide policies and procedures annually. Develops and maintains new policies and procedures as needed. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities - Must be able to read, write, understand, and speak English. - Operational knowledge of all equipment in most physician practice offices, including computer, printer, scanner, fax, copy machine, phone systems, credit card terminal, EKG machine, point of care equipment, spirometry, autoclave, centrifuge, venipuncture equipment, and EHR programs specific to physician practices. - Strong service orientation with excellent customer service skills. - Advanced computer skills for effective task management. - Proficient telephone etiquette for professional communication. - Organizational skills to handle tasks and resources efficiently. - Ability to multitask in a fast-paced environment. - Professional interpersonal skills for effective communication. - Time management skills to prioritize and meet deadlines. - Ability to prioritize work effectively. - Understanding of medication classifications. - Understanding of lab results and when to report STAT/urgent results to provider. Supervisory Responsibilities None. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience - National Centers for Competency Testing (NCCT) certification or Registered Medical Assistant or higher. - BLS CPR AED certification within 30 days of hire. - Experience scheduling appointments, taking and documenting vitals. - Phlebotomy certification. Preferred Education for Occupational Health ONLY: - Department of Transportation (DOT) urine drug collector certification. - DOT Breath Alcohol Technician certification. - National Institute for Occupational Safety and Health (NIOSH) Spirometry Pulmonary Function Test certification. - Certified Occupational Hearing Conservationist (CAOHC). OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
CMA Full-time
Summit Healthcare

Certified Medical Assistant or Medical Assistant Resident, General Surgery - Full Time

General Position Summary: Assists in providing quality care for the patient population seen in the physician office. Performs all essential and secondary functions. Essential Functions / Major Responsibilities: • Records patient vitals and chief complaints. • Responsible for accurate charting of each patient chart. • Completes Electronic Health Record duties to include chart completion, buckets, and reporting. • Triage patients and assist provider with patient care. • Obtains, labels and documents specimens. • Perform EKGs, urine drug screens, SVN, and cerumen removal. • Administers vaccines, injections, and medications according to physician order and direction. • Performs venipuncture and point of care testing • Performs point of care quality testing • Set ups and maintains sterile field. • Assists providers with procedures. • Relays instructions to patients based on provider specifications • Maintains infections control and standard precautions. • Conducts and documents quality control measures. • Creates new patient charts. • Documents in real time, under the direction of the provider, in patient’s charts (scribe). • Provides phone coverage, reviews messages and returns calls when needed. • Cleans rooms, work stations, and equipment as directed in policy and procedures • Order, stock and maintain medical supplies. • Educates and trains patients to include training on home monitors or equipment. • Submit requests for authorizations, referrals, and Rx refills as directed by the provider. • Relays information via phone to patients related to (but not limited to) follow up testing and procedure results, and instructions. • Displays proper etiquette and mannerisms that reflect the SHINE Behavior standards. • Promotes the Patient Safety Standards as a core value of the organization. Secondary Functions: • Covers the front office duties; schedules appointments; orders supplies. • Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars. • Reviews department and hospitalwide policies and procedures annually. • All other duties as assigned. Additional / Seasonal Responsibilities: None Job Scope: This job involves: Recurring work situations with occasional variations from the norm. A moderate level of complexity. Typical operation from established and well-known procedures. Performance of duties under moderate direction. Supervisory Responsibility: None. Interpersonal Contacts: Contacts: Are normally made with others both inside and outside the clinic. Are made with own department as well as other departments or locations. Frequently contain confidential/sensitive information necessitating discretion at all times. Are made via telephone, e-mail, and face-to-face interaction. Are usually with patients and staff. Specific Job Skills & Mental Activities: This position requires operational knowledge of all equipment in most physician practice offices, including: computer, printer, scanner, fax, copy machine, phone systems, credit card terminal, and EKG machine, point of care equipment, spirometry, autoclave, centrifuge, venipuncture equipment, and EHR programs specific to physician practices. This employee must be service oriented and have excellent customer service skills, computer skills, telephone etiquette, organizational skills, multitasking skills, professional interpersonal skills, time management skills and the ability to prioritize work, and. Must be able to read, write, speak, and understand English. Education and/or Experience: Level I: • Medical Assistant formal education or training (preferred) • Certification (NCCT) as a Certified OR Registered Medical Assistant or higher (LPN, RN) (required) • Basic computer skills (required). • IV or phlebotomy experience (preferred). • CPR/BLS (required within 30 days of hire) • Maintenance of CPR and MA Certification (required throughout employment) Note: RNs or LPNs hired as a certified MA must maintain their license in good standing and will work within the scope of an MA job description • Able to schedule patient appointments • Able to accurately take and document all vitals • Able to take and document a patient personal and family history Medical Assistant Resident Basic computer skills (required). Two years experience in a health-care field (preferred). IV or phlebotomy experience (preferred). CPR/BLS (required within 30 days of hire) NCCT Medical Assistant Certification (required within 90 days of hire) Level II: • All Skills above • One year experience in a health-care field. • Assist providers with procedures • Refill medications per provider guidelines • Understand medication classifications • Arrange for hospital/SNF/ surgical admissions, procedures • Obtain authorizations for procedures and medications • Prepare patient communication (Letters, phones notes, etc.) • Reconcile medications/alert to possible interactions • Understand lab results-know when to report STAT/Urgent results to provider • Medical Assistant is able to conduct the following tests: a. EKG b. POCT testing (INR, HcG, H&H, Rapid Strep, Rapid Flu, etc.) c. Administer all types of injections Level III: • All Skills above • Two years’ experience in a health-care field. • Manage COASIIS accounts • Phlebotomy is part of daily duties • Scribe/document for providers as needed • Cross train to other departments • Independently perform testing on patients (SIBO, etc.) PROVIDER MUST BE ON SITE Physical Demands & Job Conditions: Heavy Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. Worker is exposed to contact with chemicals and contact with infectious fluids. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety sensitive position. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues.
RN Full-time
Summit Healthcare

RN Case Manager - Full Time- Day Shift

General Position Summary: Responsible for the provision of case management services which primarily involves care transition, discharge planning, utilization management, and coordination of healthcare services across the continuum. Optimizes clinical and financial outcomes in the delivery of patient care. Essential Functions / Major Responsibilities: · Manages individual patients and at-risk patients across the health care continuum to achieve optimal clinical, financial, operational, and satisfaction outcomes. · Assesses, coordinates, negotiates, procures and facilitates the utilization of resources for patients to achieve high quality and cost effective outcomes. · Acts in a leadership function with the Interdisciplinary Team to collaboratively develop and manage the care transition patient discharge plan, and, effectively communicates the plan across the continuum of care. · Coordinates healthcare services across the continuum. Identifies issues that may delay patient discharge and facilitates resolution of these issues. · Serves as a patient and family advocate; engages patients, family and caregiver to be active participants in their care and assists them in navigating the healthcare system. · Assesses, plans, implements, coordinates, monitors and evaluates for appropriate disposition, collaborating with the healthcare team to formulate and achieve a cohesive, comprehensive discharge plan. · Assists, and facilitates, in the identification, research, isolation and resolution of potential utilization/resource management problems. · Evaluates the medical necessity and appropriateness of care utilizing standard criteria. Collects and communicates pertinent information to payors and others to meet utilization goals. Assists with recovering denials of payment. · Conducts medical record reviews evaluating the utilization of facilities and services for appropriate levels of patient care. o Performs and communicates the reviews to meet organizational and third party payor requirements. o Aggregates, displays and conducts first level analysis of data. o Assists in assurance of optimal reimbursement from third party payors by providing concurrent and retrospective reviews of admissions, readmissions, observations and transfers. o Advocates for the patients and family with third party payors and service providers. · Facilitates and participates in process improvement activities for populations of patients to achieve optimal clinical, financial, operational, and satisfaction outcomes. · Utilizes current evidence-based knowledge, protocols and criteria for data based decision-making skills and facilitates utilization of regulatory guidelines that promote appropriately controlled resource utilization. · Actively participates in the appeal process and issuance of denial letters with physician assistance. · Establishes and promotes collaborative relationships with physicians, payers, and other members of the health care team. · Educates internal members of the health care team on case management and managed care concepts; facilitates integration of concepts into daily practice. · Provides education, information, direction and support to patient/client family, caregivers, and multidisciplinary healthcare team members as it relates to the care goals for the patient. · Maintains current knowledge of all regulatory guidelines and case management standards. Participates in internal/external continuing education and quality improvement activities. · Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. · Promotes the Patient Safety Standards as a core value of the organization. Secondary Functions: · Participates in departmental and association-wide informational meetings and inservices, including staff meetings, association-wide forums, and seminars. · Reviews department and association-wide policies and procedures annually. · All other duties as assigned. Additional / Seasonal Responsibilities: · None. Job Scope: This job involves: · Wide diversity of work situations. · A high degree of complexity. · Typical operation from established and well-known procedures. Contributes to the development of new services, programs, or processes. · Performance under independently-minimal supervision. Supervisory Responsibility: · Job is supervisory to the extent that daily work direction is provided to personnel in subordinate classifications. · Decisions are made within prescribed operating guidelines. Interpersonal Contacts: Contacts: · Are normally made with others both inside and outside the association. · Are made with own department as well as other departments or locations. · Frequently contain confidential/sensitive information necessitating discretion at all times. · Are made via telephone, e-mail, and face-to-face interaction. · Are made with staff, patients, and physicians. Specific Job Skills & Mental Activities: This position requires a working knowledge of clinical and financial operations at the point of care, including utilization and clinical resource management. This position requires operational knowledge of all equipment in the Care Resource Management department, including: fax, printers, copy machine, phone systems, and commonly used association-wide computer programs (including Hospital Information Systems, MS Office, e-mail, and internet). This employee must be service oriented and have excellent customer service skills, computer skills, critical thinking skills, problem-solving skills, organizational skills, multitasking skills, professional interpersonal skills, time management skills, the ability to prioritize work, the ability to work in a team, and telephone etiquette. Broad-based knowledge and clinical expertise in assessing, analyzing, intervening, and evaluating patient care. Must read, write, speak, and understand English. Education and/or Experience: o Current AZ RN license (required). o BSN Degree (preferred). o Basic computer skills (required). o BLS/CPR certification (preferred upon hire; required within 30 days of hire) o Two years nursing experience (required), acute care experience (preferred). Physical Demands & Job Conditions: Exert up to 20 lbs. of force occasionally, and/or up to 10 lbs. of force frequently, and/or a negligible amount of force constantly to move objects. Physical demands are in excess of those of sedentary work. Light work usually requires walking or standing to a significant degree. The worker is exposed to extensive computer work and encounters with upset individuals. Physical motions include finger dexterity, standing, walking, stooping, talking, reaching, feeling, sitting, bending, kneeling, grasping, listening/hearing, handling, lifting up to 10 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety sensitive position. OSHA Exposure Category: Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues and are not a condition of employment.
CMA Outpatient Full-time
Summit Healthcare

Certified Medical Assistant or Medical Assistant Resident, SHMA Primary Care Pod- Full Time

Job Summary The Certified Medical Assistant (CMA) assists in providing quality care for the patient population seen in the physician office. Performs all essential and secondary functions. Essential Functions - Records patient vitals and chief complaints. - Responsible for accurate charting of each patient chart. - Completes Electronic Health Record (HER) duties to include chart completion, buckets, and reporting. - Triages patients and assist provider with patient care. - Obtains, labels and documents specimens. - Performs EKGs, urine drug screens, SVN, and cerumen removal. - Administers vaccines, injections, and medications according to physician order and direction. - Performs venipuncture and point of care quality testing. - Set ups and maintains sterile field. - Assists providers with procedures. - Relays instructions to patients based on provider specifications. - Maintains infection control and standard precautions. - Conducts and documents quality control measures. - Creates new patient charts. - Documents in real time, under the direction of the provider, in patient’s charts (scribe). - Provides phone coverage, reviews messages and returns calls when needed. - Cleans rooms, work stations, and equipment as directed in policy and procedures. - Orders, stocks and maintains medical supplies. - Educates and trains patients to include training on home monitors or equipment. - Submits requests for authorizations, referrals, and Rx refills as directed by the provider. - Communicates with patients related to (but not limited to) follow up testing and procedure results, and instructions. - Refills medications per provider guidelines. - Arranges for hospital/Skilled Nursing Facility/ surgical admissions, procedures. - Obtains insurance authorizations for procedures and medications. - Prepares patient communication (letters, phones notes, etc.). - Reconciles medications and alerts to possible interactions. - Conducts the following tests: EKG, POCT (INR, HcG, H&H, Rapid Strep, Rapid Flu, etc.). - Manage COASIIS accounts. - Cross trains to other departments. - Independently performs testing on patients (SIBO, etc.) PROVIDER MUST BE ON SITE. Other Duties - Covers the front office duties; schedules appointments; orders supplies. - Participates in departmental and association wide informational meetings and inservices, including staff meetings, association wide forums, and seminars. - Reviews department and association wide policies and procedures annually. Develops and maintains new policies and procedures as needed. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities - Must be able to read, write, understand, and speak English. - Operational knowledge of all equipment in most physician practice offices, including computer, printer, scanner, fax, copy machine, phone systems, credit card terminal, EKG machine, point of care equipment, spirometry, autoclave, centrifuge, venipuncture equipment, and EHR programs specific to physician practices. - Strong service orientation with excellent customer service skills. - Advanced computer skills for effective task management. - Proficient telephone etiquette for professional communication. - Organizational skills to handle tasks and resources efficiently. - Ability to multitask in a fast-paced environment. - Professional interpersonal skills for effective communication. - Time management skills to prioritize and meet deadlines. - Ability to prioritize work effectively. - Understanding of medication classifications. - Understanding of lab results and when to report STAT/urgent results to provider. Supervisory Responsibilities None. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience - National Centers for Competency Testing (NCCT) certification or Registered Medical Assistant or higher. - BLS CPR AED certification within 30 days of hire. - Experience scheduling appointments, taking and documenting vitals. - Phlebotomy certification. Preferred Education for Occupational Health ONLY: - Department of Transportation (DOT) urine drug collector certification. - DOT Breath Alcohol Technician certification. - National Institute for Occupational Safety and Health (NIOSH) Spirometry Pulmonary Function Test certification. - Certified Occupational Hearing Conservationist (CAOHC). OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
RN Wound Care Per Diem
Summit Healthcare

RN Wound Care - PRN

This is a PRN non benefited position in Wound Care. Hours may vary depending on the need. General Position Summary: This position is responsible for the coordination of wound care, ostomy care, and preservation of skin integrity. These include, but are not limited to, utilization of skills in organization, planning, implementing, evaluation, and providing care through the use of hospital and nursing standards. Essential Functions / Major Responsibilities: · Provides specific assessments according to protocols and procedures, clinical competence in procedural skills, treatments, and patient/caregiver education related to wound care management, and acts as patient advocate in delivery and coordination of patient care. · Participates in policy development as it pertains to wound, skin care, and ostomies. · Participates in IDT and/or Physician rounding. · Collaborates with other health care providers, wound care center Physicians, Program Director and Medical Director, regarding patient needs. · Manage patient wound VAC therapy and maintenance to include care of equipment. · Displays proper etiquette and mannerisms that reflect the SHINE Behavior Guidelines. · Promotes the Patient Safety Standards as a core value of the organization. Inpatient: · Collaborates with outpatient wound care services to provide continuity of current or post wound care therapy needs. · Provides a complete skin assessment on admission and for patients who are deemed high risk or have Braden scale of less than or equal to 17. · Provides pre-and postoperative education to patients (and families) undergoing ostomy surgery. To include consideration of both physical and psychological adaptation needs Secondary Functions: · Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars. · Reviews department and hospitalwide policies and procedures annually. · All other duties as assigned. Additional Responsibilities: Completes all tasks as expressed in the Skills Delineation List. Inpatient: · Accountable for the oversight of the clinical practice, outcomes and success of the Inpatient Wound Care Service line. Job Scope: · May be required to assist other nursing units within scope of training. · Recurring work situations with occasional variations from the norm. · A moderate to high level of complexity. · Operation from established and well-known procedures. · Ability to work independently under the direction of Physicians with limited supervision. Supervisory Responsibility: Inpatient: · Delegates appropriately and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Outpatient: · None Interpersonal Contacts: Contacts: · Are normally made with others both inside and outside the hospital. · Are usually made with own department staff and supervisor as well as with other departments or locations. · Frequently contain confidential/sensitive information necessitating discretion at all times. · Are usually face-to-face, with some contact by telephone and e-mail. · Are usually with patients, family, nursing and physician contact. Specific Job Skills & Mental Activities: This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, email, copy machine, computer, and commonly used hospital programs) as well as excellent computer, communication, critical thinking, problem solving, leadership, supervisory and interpersonal skills. The ability to exercise independent judgment skills when necessary. This position also requires knowledge of hospital equipment and programs, including all Hospital Information Systems.This position requires self-direction and self-motivation. Must be able to read, write, speak, and understand English. Education, Licensures, and/or Experience: · Current AZ RN license required · Wound Care certification preferred · Medical Surgical, home health, or wound care experience preferred (inpatient) · CPR certification required. · ACLS certification preferred (inpatient). · Bachelor’s degree from a four year college or university; or 2 – 3 years’ experience in an acute care setting; or equivalent combination of education and experience required. Physical Demands & Job Conditions: Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is subject to, contact with chemicals, and contact with infectious fluids, heavy lifting, constant standing, and encounters with upset/disturbed individuals. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues.