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Summary SUMMARY The Float Pool RN performs therapeutic nursing interventions and manages the care of patients with conditions common to the various units assigned including, but not limited to: general surgical patients including outpatient surgicals; medical patients including infant to geriatric populations; critically ill patients; neurological patients; renal patients; oncology patients; cardiovascular patients; pediatric patients; subacute and rehab patients; altered mental status patients; orthopedic patients; and OB/gyn patients with the exception of labor and delivery or newborn nursery. Orientation specific to general medical/surgical floors, intensive care units, emergency department, mother/baby, and/or mental health areas will be provided based on areas the employee will be working. Additionally float personnel working in the ICU and PCU areas will be required to complete modified ECCO curriculum, PCU hemodynamic monitoring, EKG monitoring and ACLS. 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. Two years of experience as a Registered Nurse is recommended.

Pediatric

Staff RN-Float-Womens & Children

apartment Bryan Health location_onSeward, NE

Summary SUMMARY The Float Pool RN performs therapeutic nursing interventions and manages the care of patients with conditions common to the various units assigned including, but not limited to: general surgical patients including outpatient surgicals; medical patients including infant to geriatric populations; critically ill patients; neurological patients; renal patients; oncology patients; cardiovascular patients; pediatric patients; subacute and rehab patients; altered mental status patients; orthopedic patients; and OB/gyn patients with the exception of labor and delivery or newborn nursery. Orientation specific to general medical/surgical floors, intensive care units, emergency department, mother/baby, and/or mental health areas will be provided based on areas the employee will be working. Additionally float personnel working in the ICU and PCU areas will be required to complete modified ECCO curriculum, PCU hemodynamic monitoring, EKG monitoring and ACLS. 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. Two years of experience as a Registered Nurse is recommended.

Clinic RN- Bryan Urgent Care-Seward

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.

CMA

apartment Bryan Health location_onGrand Island, NE

Certified Medical Assistant-Prairie Center Internal Medicine

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.

BPN Medical Office LPN-Urgent Care-Seward

apartment Bryan Health location_onSeward, 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.

Clinic RN-Bryan Urgent Care-LifePointe

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.

Medical Office LPN-Bryan Urgent Care-LifePointe

apartment Bryan Health location_onColumbus, 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.

CMA

Per Diem

BH Certified Medical Assistant

Summary GENERAL SUMMARY: Responsible for assisting the Licensed Healthcare Provider (Physician, APRN, PA) and nurses with patient care, clerical, environmental and organizational tasks. Supports remote clinic sites with order entry and chart completion in the Electronic Health Record (EHR). Collaborates with other staff to achieve quality patient care and customer service goals. Works under the direction of a Registered Nurse. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs nursing care and assists provider(s) with examinations and procedures to serve the medical needs of patients, as assigned. 3. *Facilitates flow of patients in accordance with appointment time to avoid delays for the provider and undue waiting for patients. 4. *Greets and rooms patients; taking vital signs, updating patient history, preparing patient for examination/procedures, as assigned. 5. *Rooms patients via EHR status indicator for outstate clinics and enters clinical documentation, orders, and results received from clinic, as assigned. 6. *Instructs patient and family about tests/procedures, normal results, medications, nutrition and other health related issues utilizing approved protocol or written instruction, as assigned. 7. *Assists patients in pursuing preauthorization for Repatha and PCSK9 based on protocol, as assigned. 8. *Documents patient interactions, results, patient questions/concerns and medication changes, in a timely manner. 9. *Responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner, as assigned. 10. *Coordinates with assigned RN to provide care that is beyond practice scope; including triage of patient follow up, patient teaching, and abnormal test result communication. 11. *Organizes medications sample storage and checks for outdates; pulls sample medications refills for provider per protocol. 12. *Keeps rooms stocked, clean and ready for use; assists with ordering supplies as needed. 13. *Complies with HIPAA and maintains confidentiality in matters related to patient, family, staff, and providers. 14. * Provides care in a non-judgmental, compassionate, non-discriminatory manner remaining sensitive to the patient’s diversity, autonomy, dignity and rights. 15. *Responds appropriately to urgent /emergent situations and maintains compliance with OSHA and safety plan. 16. Notifies RN or Team Leader of problems/incidents related to staff or patients in a timely manner. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. 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 healthcare field, as well as, procedures and processes related to the assigned medical specialty. 3. Knowledge of OSHA and HIPPAA requirements. 4. Knowledge of computer hardware equipment and software applications relevant to job functions. 5. Ability to plan, prioritize and complete tasks in a timely manner. 6. Ability to communicate effectively both verbally and in writing. 7. Ability to understand and comply with policies, protocol and regulations. 8. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to integrate new work processes and adapt to change. 11. Ability to exercise courtesy, tact and professionalism. 12. Ability to work in a fast-paced environment relevant to changing patient needs. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: High School diploma or equivalency is required. Current certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA), or a Registered Medical Assistant (RMA) required. Minimum of one (1) year work experience as a medical assistant in a relevant clinical setting is preferred, clinic and cardiovascular experience is preferred. Nebraska Medication Aide registry is preferred. Graduation from a Medical Assistant program accredited by the Accrediting Bureau of Health Education Schools preferred

Part-time

Staff RN - Neuroscience

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. 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. 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. NOTE: See Staff RN – Addendum A for any additional credentials and certifications required for practice area.

Staff RN-Float

Summary SUMMARY The Float Pool RN performs therapeutic nursing interventions and manages the care of patients with conditions common to the various units assigned including, but not limited to: general surgical patients including outpatient surgicals; medical patients including infant to geriatric populations; critically ill patients; neurological patients; renal patients; oncology patients; cardiovascular patients; pediatric patients; subacute and rehab patients; altered mental status patients; orthopedic patients; and OB/gyn patients with the exception of labor and delivery or newborn nursery. Orientation specific to general medical/surgical floors, intensive care units, emergency department, mother/baby, and/or mental health areas will be provided based on areas the employee will be working. Additionally float personnel working in the ICU and PCU areas will be required to complete modified ECCO curriculum, PCU hemodynamic monitoring, EKG monitoring and ACLS. 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. Two years of experience as a Registered Nurse is recommended.

Pediatric

Staff RN-Float-Womens & Children

Summary SUMMARY The Float Pool RN performs therapeutic nursing interventions and manages the care of patients with conditions common to the various units assigned including, but not limited to: general surgical patients including outpatient surgicals; medical patients including infant to geriatric populations; critically ill patients; neurological patients; renal patients; oncology patients; cardiovascular patients; pediatric patients; subacute and rehab patients; altered mental status patients; orthopedic patients; and OB/gyn patients with the exception of labor and delivery or newborn nursery. Orientation specific to general medical/surgical floors, intensive care units, emergency department, mother/baby, and/or mental health areas will be provided based on areas the employee will be working. Additionally float personnel working in the ICU and PCU areas will be required to complete modified ECCO curriculum, PCU hemodynamic monitoring, EKG monitoring and ACLS. 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. Two years of experience as a Registered Nurse is recommended.

Outpatient

Part-time

Clinic RN-Center for Maternal & Fetal Care

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.

Part-time

Care Transitions RN

Summary GENERAL SUMMARY: The Care Transitions RN conducts day-to-day activities for the clinical, psychosocial 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 and community resources to assure a smooth transition for the patient through appropriate levels of care in order to facilitate quality outcomes. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Utilizes clinical skills to create and update personalized transitional care plans for patients. *Performs transition planning activities at onset and throughout the patient’s hospitalization. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the appropriate level of care for transition planning. *Assists in identifying need for supportive counseling or post discharge extended psychosocial therapy and consults with attending Physician for referral to appropriate provider. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 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. Basic Life Support (CPR) certification required. ACUTE REHABILITATION ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Responsible for the early identification of potential patients through interdisciplinary team members and medical record review. Provides education to patients, family and support members, internal and external referral sources on Rehab program benefits and services; coordinates tours of facility when requested. Performs utilization review activities, including preadmission screening, insurance verification for benefits, medical necessity reviews, denial and appeals and coordinates admissions with admitting physicians and staff. Serves as an internal and external resource regarding Medicare/Medicaid rules, regulations and policies; 3 rd party and managed care contracts, and authorization for post-acute services. EMERGENCY DEPARTMENT ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Collaborates with the ED physicians, admitting physicians, and Bed Management to assist in determining appropriate bed status/classification for all patients. Completes medical necessity reviews utilizing approved evidence based guidelines/criteria for patients being admitted to the hospital from all portals of entry, including but not limited to: ED admissions, direct admissions, hospital to hospital transfers, post procedure admissions, and surgical admissions. Completes high risk screening for discharge planning and coordinates with social work and healthcare partners for potential post-acute needs. Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3 rd party and managed care contracts; discharge planning; and length of stay. UTILIZATION MANAGEMENT ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Performs utilization review activities, including concurrent and retrospective reviews as required. Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 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. Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3 rd party and managed care contracts; discharge planning; and length of stay.

Staff RN-Med/Surg -Orthopedic Trauma Charge Nurse

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. 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. 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.

Staff RN-Med/Surg-Critical Care

Summary Cardiac/Medical Registered Nurse (RN) Your work matters here. Working in the cardiac medical unit, you will care for patients with acute and chronic cardiovascular disease, acute and chronic respiratory failure, multi-system failure (may be related to sepsis), neurological impairment (stroke specifically), cardiac diagnostic and invasive procedures, renal impairment or failure and diabetic ketoacidosis. In our 25-bed, stroke certified unit RNs and CNAs work together in a 1:1 care model, where the RN is solely responsible for patient care. The unit treats cardiac, neuro, and stroke patients and we perform: Heart catheterization Pacemaker insertion Ablations Pulmonary vein isolation Bedside procedures Thoracentesis Gastroenterological procedures Here you will find a Nurse Manager, Assistant Nurse Manager, and Clinical Resource Nurse who round on patients daily and are able to provide feedback regarding their care and are always available to support you and help with patients when needed. In addition to the desire to work in a diverse setting where every day is different – you may have an intense day with critical care patients, but also have general care patients that help balance the day – we require: Current State of Nebraska RN licensure or approved compact RN licensure BLS Certification Join an exemplary team like no other – great employees, great caregivers and great co-workers. Apply today. EOE

Utilization Review

Utilization Management RN- Weekender

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.

Psych

Staff RN-BPPC-Senior Mental Health

Summary UMMARY 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. BPPC As per specialty area or job As per specialty area or j

Psych

Staff RN-Senior Mental Health

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.

PCU

Staff RN-Surgical Vascular/PCU

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.

BH Clinical Registered Nurse

Summary GENERAL SUMMARY: Responsible for the provision and oversight of professional nursing care and medical care prescribed by the Licensed Healthcare Provider (Physician, APRN, or PA). Supports a provider in a primary role, coordinating and facilitating patient care and follow up. Assists provider with examinations and procedures to serve the medical needs of patients with various cardiac and vascular related health conditions in a professional, confidential, and caring manner. Provides care that is beyond the practice scope of LPN II and CMA II assigned to support a provider in a primary role; including triage of patient follow up, patient teaching, and abnormal test result communication. Accountable for having knowledge of and complying with the Nebraska Nurse Practice Act and other relevant State Nurse Practice Acts, any applicable licensure/certification requirements, as well as, organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values in interactions with providers, staff, patients, and families. 2. *Supports provider(s) in a primary role, coordinating and facilitating patient care and follow up to achieve quality patient care and customer service goals. 3. *Performs nursing care that requires professional knowledge and judgement for assigned providers, including triage of patient follow up, patient teaching and abnormal test result communication. 4. * Retrieves test results, as soon as available, communicates with the provider and contacts the patient regarding abnormal results; may delegate communication of normal results. 5. *Monitors patient caseload for high-risk patients, compliance with physician orders and follow up appointments and referrals. 6. *Triages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer, in a timely manner. Responds appropriately to urgent/emergent situations, documents as necessary and manages transfer of care. 7. *Prepares Electronic Health Record (EHR) for patient visit, ensuring all necessary information is in the chart prior to appointment, as well as, documenting patient interactions, orders, results, patient questions/concerns and medication changes, in a timely manner. 8. *Facilitates flow of patients in accordance with appointment time to avoid delays for the provider and undue waiting for patients. 9. *Conducts new patient history and assessment, reviews established patient history updates; including pain assessment, domestic abuse review, medication reconciliation and allergy review. 10. *Educates patient and family about tests/procedures, results, medications, nutrition and other health related issues. 11. *Assists with rooming; including vital signs, patient history, preparing patient for examination/procedures, performing EKG, as well as, keeping rooms stocked, clean and ready for use. 12. *Rooms patients via EHR status indicator for outstate clinics and enters clinical documentation, orders, and results received from clinic, as assigned. 13. *Complies with HIPAA and maintains confidentiality in matters related to patient, family, staff, and providers. 14. * Provides care in a non-judgmental, compassionate, non-discriminatory manner remaining sensitive to the patient’s diversity, autonomy, dignity, and rights. 15. *Assists patients with pre-authorizations, release of information requests, FMLA certification, etc., as needed. 16. *Responds appropriately to urgent /emergent situations, documents as necessary and manages transfer of care. 17. *Maintains compliance with OSHA and safety plan. 18. Notifies Team Leader of problems/incidents related to staff or patients in a timely manner. 19. Participates in meetings related to performance improvement, electronic health record enhancements, and day-to-day operations, as assigned. 20. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. 21. Assists provider(s) in both Lincoln and Outreach Clinic sites, as assigned. 22. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 23. Participates in meetings, committees and department projects as assigned. 24. 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. EDUCATION AND EXPERIENCE : Graduation from an accredited Registered Nursing Program is required. BSN is preferred. Current licensure as an RN in the State of Nebraska is required. Minimum of one (1) year relevant nursing experience is required. Clinic and cardiovascular nursing experience is preferred. Licensure as an RN in the State of Kansas is required for nurses traveling to Kansas clinics and in other states where the nurse practices in the clinic, and/or patients, who receive care or instruction by phone, reside.

Staff RN-Medical/PCU (Oncology)

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 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.

Utilization Review

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.

CNA

Certified Nursing Assistant

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 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.

CNA

GCU Certified Nursing Assistant

apartment Bryan Health location_on

Summary Provides direct and indirect patient care under the direction of a Registered Nurse (RN) or physician. Assists patients with activities of daily living (ADLs), provides for personal care and emotional support and performs more complex clinical skills under the direction of an RN. Provides secretarial functions as needed for unit to function. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Active Nebraska Certified Nursing Assistant (CNA) credential 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.

Outpatient