CNA Full-time
Bryan Health

Certified Nursing Assistant

apartment Bryan Health location_onKearney, NE
Summary Provides direct and indirect patient care under the direction of a RN or physician. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of a RN. Provide secretarial functions as needed for unit to function. Performs patient care responsibilities considering needs specific to the standard of care for patient's age. Provides care appropriate to condition and age of patient, including pediatric, geriatric and the general patient population. Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. Assists with patient admissions, discharge and transfers. Provides morning care which may include bed bath, shower, whirlpool, oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning overbed table and bedside stand, straightening room and other general care as necessary throughout the shift. Provides evening care which includes hands/face washing as needed, oral hygiene, back rubs, peri-care, freshening linen, cleaning overbed tables, straightening room and other general care as needed. Provides general nursing care such as positioning patients, lifting and turning patients, applying/utilizing special equipment, assisting in use of bedpan, commode and ambulating patients. Prepares patients for meals; serves and removes food trays and assists with meals or feeds patients if necessary. Distributes drinking water and snacks to patients as applicable. Answers patients' call lights, anticipates patients' needs and makes rounds of assigned patients. Transports patients to various departments for ordered tests/procedures. Demonstrates the ability to perform procedures within the CNA II's scope of practice per state law. Takes and records temperature, pulse, respiration, weight, blood pressure and intake-output. Reports patient complaint of pain to supervising RN. Observes patient's mental and physical conditions, reports any changes to supervising RN. Able to answer, transfer and triage phone calls when Unit secretary Able to effectively fax, scan and file patient information appropriately Skilled on computer and updating status board and discharge information as patient changes occur Knowledgeable of sterile techniques and infection control procedures. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Participates in patient care conferences. Communicates in a clear and concise manner to RNs and medical staff. Maintains a good working relationship within the department and with other departments. Documentation meets current standards and policies. Attends in-service education programs, as assigned, to learn new treatments, procedures, developmental skills etc. Treat patient and families with respect and dignity. Demonstrates the ability to be flexible, organized and function under stressful situations. Manages and operates equipment safely and correctly. Performs bedside report on patients at shift change; this includes any handoff of patient care. Regulatory Requirements: High School graduate or equivalent. Current CNA certification in the state of Nebraska. Current BLS certificate. One year of experience as a CNA in an acute care hospital preferred.
RN ER Full-time
Bryan Health

Staff RN - Emergency (East)

apartment Bryan Health location_on
Summary SUMMARY The Emergency RN performs therapeutic nursing interventions consistent with the Emergency Department including: ACLS/PALS protocols; Arrhythmia detection and treatment; Airway management; Wound care; Pain management; Crisis intervention; Discharge planning/instructions; Stroke scale. Initiates appropriate Emergency Protocols. Manages the care of pediatric/adult patients with conditions common to the Emergency Department, including: Cardiac, respiratory distress, ENT, GYN, wound, orthopedic, and neurological emergencies; Trauma emergencies. Serves as preceptor, charge nurse, or triage nurse based on skill development and at the discretion of the manager. Serves as resource for student and orientees. Assists in the collection of data for medical screenings. Anticipates and intervenes to meet patient and family needs. Makes appropriate referrals to Care Management, ED Connections, Voices of Hope, etc. Assists the Sexual Assault Nurse Examiner in the care of the sexual assault patient. The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. ACLS, PALS, TNCC and ENPC required within first year of employment. Two (2) years' experience as a Registered Nurse recommended.
RN NICU Pediatric Full-time
Bryan Health

Staff RN-Womens and Children-NICU

apartment Bryan Health location_on
Summary GENERAL SUMMARY: The Staff Registered Nurse (RN) is responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients’ responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient’s response to and effectiveness of interventions. *Evaluates patient’s progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient’s transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Prior NICU, newborn or Critical Care experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR), NRP and STABLE certification required.
RN Psych Full-time
Bryan Health

Staff RN-Adult Psychiatry

apartment Bryan Health location_on
Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.
RN Per Diem
Bryan Health

Staff RN-Sane

apartment Bryan Health location_on
Summary SUMMARY The Staff RN - SANE (Sexual Assault Nurse Examiner) is responsible for completing sexual assault interviews and physical assessments. Communicates and collaborates with hospital personnel, advocacy and law enforcement representatives. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Collaborates with the assigned Emergency Department (ED) Staff RN to provide care to the sexual assault patient. *Completes sexual assault interviews and physical assessments according to procedure and as warranted by patient condition. *Conveys respect to and assures privacy, confidentiality and security for victims of assault. *Performs physical examinations including pelvic exams with colposcopic pictures; explains all aspects of the examination and care provided. *Collects forensic evidence while maintaining integrity and security of the assault evidence kit and collected specimens/samples in accordance with the State of Nebraska protocol and law. *Consults with the Emergency Department physician regarding findings; seeks direction for treatment of additional injuries (e.g. sutures). *Collaborates with members of Sexual Assault Response team member i.e., Advocacy and Law Enforcement; accesses crisis counselor/advocate. *Performs therapeutic nursing interventions including: Providing patient/family education and emotional support; Referring to supportive community agencies; and, Involving the patient in the treatment plan and decision-making. *Meticulously documents the findings and care provided including: physical and psychosocial assessment; identified patient needs and associated nursing interventions; patient’s response to interventions; and, discharge status. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Minimum of one (1) year clinical nursing experience required.Basic Life Support (CPR) certification required. Completion of SANE didactic and practicum education required.
RN Med-Surg Full-time
Bryan Health

GIRMC Staff RN-Med/Surg

apartment Bryan Health location_on
Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN ICU Full-time
Bryan Health

Clinical Resource Nurse - Neuro/Trauma ICU

apartment Bryan Health location_on
Summary Serves as a clinical resource for the patient care units, collaborate with nurse leaders, medical staff and nursing staff and provides expert clinical support to improve patient care and patient outcomes. Plans, directs, and coordinates new employee orientation, initial and ongoing competency skills assessment, development, and clinical knowledge growth for staff involved in clinical practice. Facilitates learning and development of critical thinking skills utilizing a variety of teaching methods. Ensures adherence to established clinical policies, protocols, regulations, and standards. PRINCIPAL JOB FUNCTIONS: Commits to the mission, vision, beliefs and consistently demonstrates our core values. Exemplifies a leadership role by role modeling the mission, beliefs, and behaviors of the Medical Center; promotes and role models highly effective interpersonal relationships. Assists in concurrent and retrospective resolution of patient, family, and/or physician concerns and complaints; collaborates with the Nurse Manager to ensure daily leader/patient rounding is completed for each patient. Provides regular presence on night shift in support of new staff and ongoing staff competence assessment and development. Assures that existing policies and procedures are adhered to during daily interactions with staff. Assists and supports the Nurse Manager with communicating and implementing unit/area changes. Collaborates with manager to ensure continued maintenance of changes. Timely, objectively, and constructively coaches staff as appropriate when practice and/or safety issues are observed or reported; communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care; documents corrective actions and reviews with staff as appropriate. Maintains a high level of competency in direct patient care and demonstrates clinical proficiency in assigned area of nursing care by applying evidence-based practice in the clinical setting. Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. Facilitates learning, development of critical thinking skills and all facets of practice by assessing learning and developmental needs of nursing staff, preceptors and departmental personnel and developing effective learning strategies. Participates in performance and improvement projects in collaboration with other clinical staff and interdisciplinary teams including performance audits related to work responsibilities; evaluating safety practices; supporting the evaluation of new products and equipment; monitoring new research for best practice and promoting new practices and technology with staff and physicians. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing required within three (3) years of hire, if not yet obtained. Must begin to pursue BSN immediately upon hire if not a current BSN. Minimum of three (3) years of clinical experience managing patient populations consistent with the area of assignment. Charge/supervisory experience preferred. Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) required for Critical Care Areas. Certification in specialty based on department requirements required within twelve (12) months of hire.
Student Nurse Temporary
Bryan Health

Summer Nurse Externship

apartment Bryan Health location_on
Summary Will perform delegated tasks, under the direct supervision of the RN Preceptor. Promotes continuity of care by communicating with interdisciplinary team and family as appropriate. Able to work with the age specific populations according to the setting. The intern is not permitted to function independently for the primary duties listed below and is considered a technician under the supervision of the Registered Nurse preceptor. Opportunities available in multiple areas including: GCU, MSU, PCU, ER, OB, Surgical, Clinic, and Float Pool. EDUCATION AND EXPERIENCE: Senior level student in good standing of a nationally accredited nursing program. Must be within 12-18 months of graduation. OTHER CREDENTIALS / CERTIFICATIONS: Current BLS certification.
LPN Outpatient Full-time
Bryan Health

Clinic LPN

apartment Bryan Health location_onLincoln, NE
Summary GENERAL SUMMARY: The Clinic LPN assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 3. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 4. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, RN, PA, NP) 5. *Assists the physician or provider with all examinations and procedures. 6. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 7. *Schedules outpatient tests and procedures at hospitals by telephone in a timely manner; adheres to the referral process of the practice. 8. *Explains tests and preparation as needed for adequate patient education. 9. *Reads and follows policies and procedure manuals for the practice. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. *Distributes required vaccination materials and obtains required authorized signature from patient, parent, or guardian as needed. 13. *Completes patient chart in a thorough and timely fashion. 14. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 15. *Responsible for compliance with OSHA and safety plans of the practice. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. OTHER CREDENTIALS / CERTIFICATIONS: Current Basic Life Support (BLS) certification required.
RN Pediatric Full-time
Bryan Health

Staff RN-Womens and Children

apartment Bryan Health location_onLincoln, NE
Summary GENERAL SUMMARY: The Staff Registered Nurse (RN) is responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients’ responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient’s response to and effectiveness of interventions. *Evaluates patient’s progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient’s transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Prior Postpartum experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. STABLE certification obtained within one year of employment.
RN Outpatient Full-time
Bryan Health

KRMC Clinic Wellness RN

apartment Bryan Health location_onKearney, NE
Summary Under physician supervision, performs duties in a nursing capacity with a focus on preventive care and patient wellness. Responsible for encouraging and completing Annual Wellness Visits (AWV) for eligible patients to include comprehensive health screenings, care plan development, and accurate coding to support proactive health maintenance and chronic condition management. 1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values. 2. *Conducts patient assessments to support preventive care planning and mitigate risk of future complications. 3. *Completes Annual Wellness Visits (AWVs) for eligible patients. 4. *Maintains accurate, timely, and objective documentation of all care team communications and patient interactions within the Electronic Health Record (EHR). 5. *Collects subjective and objective data and contributes to the assessment of the patient. 6. *Collaborates with the interdisciplinary care team to ensure seamless care delivery and documents updates in the patient's record. 7. *Collects and documents comprehensive patient health history, including medical, family, surgical, and social history, in the electronic health record (EHR) in accordance with facility policies. 8. *Obtains and documents a thorough and accurate medication and allergy history. 9. *Monitors and accurately records patient vital signs, including blood pressure, pulse, temperature, and respiration. 10. *Conducts comprehensive patient assessments that include screening for Social Determinants of Health (SDOH) to identify social, economic, and environmental factors affecting health outcomes. 11. *Conducts comprehensive nursing assessments, including evaluations of depression, safety risks, activities of daily living (ADLs), and cognitive function. 12. *Initiates and facilitates timely, sensitive, and culturally appropriate conversations with patients and families regarding Advance Care Planning (ACP), including goals of care, values, and preferences for future medical treatments. 13. *Conducts comprehensive health maintenance reviews and leverages electronic health record (EHR) data to drive proactive patient care. 14. *Captures and documents appropriate HCC (Hierarchical Condition Category) diagnoses. 15. *Educates patients on the purpose and benefits of the Annual Wellness Visit and promotes understanding of preventive care measures. 16. *Ensures accurate and timely documentation in the medical record in accordance with Medicare and organizational requirements. 17. Interacts professionally with patients/families and includes them in relevant aspects of the wellness planning process. 18. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in preventive care and wellness initiatives. 19. Participates in meetings, committees, and department projects as assigned. 20. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. OTHER CREDENTIALS / CERTIFICATIONS Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network
RN Oncology Full-time
Bryan Health

Oncology Nurse Navigator II

apartment Bryan Health location_onKearney, NE
Summary Cares for oncology patients through the continuum of care. Provides individualized assistance to patients, families and caregivers to help overcome healthcare system barriers and facilitate timely access to quality health and psychosocial care from prediagnosis through all phases of the cancer continuum to promote optimal outcomes. Maintains regular contact with medical staff, physician providers and their office staff and documents key components of patient interactions. Collects pertinent data and information related to identifying outcome measures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the KRMC mission, vision, beliefs and consistently demonstrates our core values. 2. *Conducts initial and periodic patient assessments to identify physical, social, emotional, cultural and spiritual needs and barriers to care. 3. *Collaborates with other healthcare professionals to develop a plan and facilitate referrals to address needs and barriers. 4. *Facilitates the coordination of patient care services to ensure excellence in patient care and timeliness of patient care including coordination of services, treatment and communication among the medical team. 5. *Facilitates development, implementation and adherence to clinical and evidence-based guidelines, as appropriate, to ensure optimal clinical outcomes. 6. *Builds therapeutic and trusting relationships with patients, families and caregivers through effective communication and listening skills. 7. *Provides anticipatory guidance, education and psychosocial support throughout the cancer continuum. 8. *Makes rounds on inpatient units and outpatient settings. Contacts oncology patients as appropriate. 9. *Participates in cancer conferences to further care planning and communication with healthcare providers. 10. Assists in achieving and maintaining American College of Surgeons (ACOS) certification/accreditation through meeting or exceeding Center of Excellence standards of care. 11. *Documents patient encounters and provided services and maintains patient records accurately, completely, timely and confidentially according to procedures. 12. Serves as a resource person for the oncology program and assists the care team with management of oncologic issues. 13. *Collaborates with staff to provide education for the patient and family according to their needs, abilities, preferences and readiness to learn; assists patients, family and/or staff with problem-solving as indicated. 14. Supports the inpatient and outpatient discharge process for continuity of care and optimal patient outcomes; reviews and revises patient education materials; performs telephone follow-up calls on patients post discharge, at regular intervals. 15. Assists in the identification and reporting of quality issues and contributes to the performance improvement plan for the Oncology Program. 16. May provide staff education at the bedside, in an outpatient setting, in formal settings and to outside agencies as appropriate. 17. Exhibits behaviors and actions which create a high level of patient/ customer satisfaction, which contributes to positive patient/customer relations and reflects respect for the patient's/customer's rights, needs and confidentiality. 18. *Ensures all patient care is provided in accordance with medical center and other regulatory and safety requirements including the Joint Commission, OSHA, state and federal regulations. 19. Participates in a minimum of four (4) cancer program outreach events per year. 20. Champions Multidisciplinary Clinic (MDC) workflows and processes as applicable. 21. Participates in organizational and programmatic strategic planning, regularly updates staff on progress. 22. Regularly seeks educational opportunities and shares with the cancer program team. May provide direct education to staff on occasion. 23. Active member of the cancer program quality team; attending monthly meetings and contributes to agenda items. Works collaboratively with cancer program leadership and the Quality Department and other quality databases to identify areas of opportunity and improve data reporting. 24. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 25. Participates in meetings, committees and department projects as assigned. 26. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor’s degree with Oncology Nurse Navigator – Certified Generalist (ONN-CG), Certified Breast Care Nurse (CBCN®) or equivalent certification OR Master’s degree required. Previous experience as Oncology Nurse Navigator required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Oncology Certification required or obtained with 24 months of hire.
RN PACU Full-time
Bryan Health

Staff RN-PACU

apartment Bryan Health location_onLincoln, NE
Summary SUMMARY: The PACU RN manages the care of patients with conditions common to the PACU including: immediate post-op care, patients with specialized monitoring/equipment, impaired tissue perfusion, impaired thermoregulation and patients emerging from anesthesia. The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR), ALCS and PALS certifications required. PACU or critical care experience preferred.
RN Outpatient Full-time
Bryan Health

Clinic RN-Prairie Center Internal Medicine

apartment Bryan Health location_onGrand Island, NE
Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN Utilization Review Full-time
Bryan Health

Utilization Management RN

apartment Bryan Health location_on
Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patient’s hospital stay meets medical necessity and insurance authorizations are obtained in order to facilitate the patient’s and hospitals financial well-being. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. 4. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the continuing medical necessity of continued stays. 5. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 6. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 7. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3rd party and managed care contracts; discharge planning; and length of stay. 8. Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 9. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 12. Participates in meetings, committees and department projects as assigned. 13. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of governmental and third party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities, i.e., CMS, CARF, FIM (TM). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in conflict diffusion and resolution. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to perform crucial conversations with desired outcomes. 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
RN PCU Full-time
Bryan Health

Staff RN-Surgical Vascular/PCU

apartment Bryan Health location_on
Summary The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with BryanLGH Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to BryanLGH Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) is required.
CNA PCU Full-time
Bryan Health

PCU CNA

apartment Bryan Health location_onKearney, NE
Summary Provides direct and indirect patient care under the direction of a RN or physician. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of a RN. Provide secretarial functions as needed for unit to function. Performs patient care responsibilities considering needs specific to the standard of care for patient's age. Provides care appropriate to condition and age of patient, including pediatric, geriatric and the general patient population. Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. Assists with patient admissions, discharge and transfers. Provides morning care which may include bed bath, shower, whirlpool, oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning overbed table and bedside stand, straightening room and other general care as necessary throughout the shift. Provides evening care which includes hands/face washing as needed, oral hygiene, back rubs, peri-care, freshening linen, cleaning overbed tables, straightening room and other general care as needed. Provides general nursing care such as positioning patients, lifting and turning patients, applying/utilizing special equipment, assisting in use of bedpan, commode and ambulating patients. Prepares patients for meals; serves and removes food trays and assists with meals or feeds patients if necessary. Distributes drinking water and snacks to patients as applicable. Answers patients' call lights, anticipates patients' needs and makes rounds of assigned patients. Transports patients to various departments for ordered tests/procedures. Demonstrates the ability to perform procedures within the CNA II's scope of practice per state law. Takes and records temperature, pulse, respiration, weight, blood pressure and intake-output. Reports patient complaint of pain to supervising RN. Observes patient's mental and physical conditions, reports any changes to supervising RN. Able to answer, transfer and triage phone calls when Unit secretary Able to effectively fax, scan and file patient information appropriately Skilled on computer and updating status board and discharge information as patient changes occur Knowledgeable of sterile techniques and infection control procedures. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Participates in patient care conferences. Communicates in a clear and concise manner to RNs and medical staff. Maintains a good working relationship within the department and with other departments. Documentation meets current standards and policies. Attends in-service education programs, as assigned, to learn new treatments, procedures, developmental skills etc. Treat patient and families with respect and dignity. Demonstrates the ability to be flexible, organized and function under stressful situations. Manages and operates equipment safely and correctly. Performs bedside report on patients at shift change; this includes any handoff of patient care. Regulatory Requirements: High School graduate or equivalent. Current CNA certification in the state of Nebraska. Current BLS certificate. One year of experience as a CNA in an acute care hospital preferred.
RN Per Diem
Bryan Health

RN-ED

apartment Bryan Health location_onKearney, NE
Summary Provides direct and indirect patient care in the emergency department setting. Communicates with physicians about the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Participates in performance improvement and CQI activities. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Ability to monitor hemodynamic status of patient and correctly interpret the results. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Determines staffing requirements and patterns, based on scope of services, complexity of patient acuity and fiscal resources. Ability to quickly and accurately formulate an individualized plan of care, revise plan as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats appropriately based upon ACLS protocol. Ability to perform at maximum efficiency without compromising quality care. Provides education to staff on performance improvement. Ability to plan and organize orientation for unit staff members. Participates in guidance and educationsl programs. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Demonstrates an ability to assist physicians with procedures both in the Emergency Department. Demonstrates an ability to be flexible, organized and function well under stressful situations. Act in a composed and professional manner, especially under pressure. Monitor coworkers and voice concerns in a constructive manner to minimize errors. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as a liaison between administration, patients, physicians and other healthcare providers. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Maintains a good working relationship both within the department and with other departments. Documentation meets current standards and policies. Ability to quickly assess and triage a patient for care in the Emergency Department. Participates in performance improvement activities. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollment in BSN program preferred. Current Nebraska Registered Nurse Licensure. Two (2) or more years of recent nursing experience in a critical care setting, ED experience preferred. Current BLS certification. ACLS certification within 6 months. PALS certification within 6 months of hire. NIHSS Stroke Scale within 6 months of hire. TNCC within 1 year of hire.
LPN Outpatient Full-time
Bryan Health

Medical Office LPN-Bryan Womens Care Physicians

apartment Bryan Health location_onLincoln, NE
Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit, allergies and list of medications from the patient and prepares patient for the visit. 5. *Assists the medical provider with all examinations and procedures. 6. *Schedules outpatient follow-up procedures/ appointments and specialty appointments. 7. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 8. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 9. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, RN, PA, NP). 10. *Explains tests and preparation as needed for adequate patient education. 11. Monitors inventory of supplies and communicates information to Office Manager. 12. *Administers injections, vital signs, vision and auditory testing as delegated. 13. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN Outpatient Full-time
Bryan Health

Clinic RN-Bryan Womens Care Physicians

apartment Bryan Health location_onLincoln, NE
Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN PCU Part-time
Bryan Health

Staff RN-Medical/PCU (Renal/Urology)

apartment Bryan Health location_onLincoln, NE
Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required
RN PCU Full-time
Bryan Health

PCU RN

apartment Bryan Health location_onKearney, NE
Summary Provides direct and indirect patient care in the progressive care setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in the PCU department with adequate supervision. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs bedside report on patients at shift change; this includes any handoff of patient care. Provides morning/evening cares which may include brushing teeth, showering/bathing patients, pericares, and denture care. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollment in a BSN program preferred. Current Registered Nurse licensure in the state of Nebraska. 1 year of experience on a Progressive Care Unit preferred. Current BLS certification. ACLS certification within 6 months of hire. NIH Stroke Scale certified within 6 months of hire.
CNA Full-time
Bryan Health

CNA- Mixed Acuity Unit

apartment Bryan Health location_on
Summary Provides direct and indirect patient care under the direction of a RN or physician. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of a RN. Provide secretarial functions as needed for unit to function. Performs patient care responsibilities considering needs specific to the standard of care for patient's age. Provides care appropriate to condition and age of patient, including pediatric, geriatric and the general patient population. Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. Assists with patient admissions, discharge and transfers. Provides morning/evening care which may include bed bath, shower, whirlpool, oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning overbed table and bedside stand, straightening room and other general care as necessary throughout the shift. Provides general nursing care such as positioning patients, lifting and turning patients, applying/utilizing special equipment, assisting in use of bedpan, commode and ambulating patients. Prepares patients for meals; serves and removes food trays and assists with meals or feeds patients if necessary. Assists patient up to chair for meals if able. Distributes drinking water and snacks to patients as applicable. Answers patients' call lights, anticipates patients' needs and makes rounds of assigned patients. Transports patients to various departments for ordered tests/procedures. Demonstrates the ability to perform procedures within the CNA II's scope of practice per state law. Takes and records temperature, pulse, respiration, weight, blood pressure and intake-output. Reports patient complaint of pain to supervising RN. Observes patient's mental and physical conditions, reports any changes to supervising RN. Able to answer, transfer and triage phone calls when unit secretary Able to effectively fax, scan and file patient information appropriately Skilled on computer and updating status board and discharge information as patient changes occur Knowledgeable of sterile techniques and infection control procedures. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Regulatory Requirements: Currently enrolled in High School at a grade level of Junior or higher. Current CNA certification in the state of Nebraska or proof of passing CNA Exam until verification is provided by the state of Nebraska. Current BLS certificate. One year of experience as a CNA preferred.
CMA Urgent Care Full-time
Bryan Health

Certified Medical Assistant-Bryan Urgent Care- Seward

apartment Bryan Health location_on
Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional care within the educational background of the Medical Assistant and in compliance with any applicable licensure/certification requirement and organization policy and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit and list of medications from patients and prepares patient for visit. 5. *Assists the medical provider with all examinations and procedures. 6. Schedules outpatient tests and procedures at hospitals by telephone in a timely manner; adheres to the referral process of the practice. 7. Schedules follow-up procedure/appointments and specialty appointments. 8. Updates patient demographics and immunization forms as needed. 9. Administers immunizations and medications as directed by medical provider. 10. Performs patient call processing as needed. 11. Performs audiometry, eye exams, EKG’s, and spirometry as assigned. 12. Assists with front desk duties as needed. 13. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 14. Participates in meetings, committees and department projects as assigned. 15. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA) or Registered Medical Assistant (RMA) required. Current listing on the Nebraska Medication Aide registry required. Graduation from a Medical Assistant (MA) program preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN Full-time
Bryan Health

RN-General Care Unit

apartment Bryan Health location_on
Summary Provides direct and indirect patient care in the Medical/Surgical setting. Communicates with physicians, leadership, and co-workers, as appropriate, about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Responds quickly and accurately to changes in condition or response to treatment. Performs general nursing duties in all departments with adequate supervision. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Graduate of an accredited school of nursing required. BSN or current enrollment in BSN program preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. National Institutes of Health (NIH) Stroke Scale certification required within 6 months of hire. For those working in a charge role: Pediatric Advanced Life Support (PALS) certification required within 90 days of hire. For those working in a charge role: Advanced Cardiac Life Support (ACLS) certification required within 90 days of hire.