19 jobs found in Rochester

Our Labor and delivery unit is seeking an experienced L&D RN who will be expected to demonstrate the knowledge and skills necessary to provide care to our OB patients based on the physical ability, intellectual development, psychosocial, education and safety needs of the neonatal, pediatric, adolescent and adult patient. Qualifications include: Current license as Registered Nurse in the State of New Hampshire and one year L&D experience preferred.

The office nurse provides clinical support to the provider delivering patient care in an office setting. Obtains patient histories and vital signs, preparing patient for examination. Performs simple laboratory tests, administers medications, provides assistance with procedures, and maintains clinical areas, equipment, and supplies. Answers telephones, schedules appointments, maintains files and data entry. Must be a graduate of an accredited school of nursing,licensed in the state of New Hampshire as an RN; minimum of 2 years experience in a primary care setting preferred. LPNs will also be considered.

Position Objective:The PeriAnesthesia Nurse reports to the Director of Surgical Services, and works under the direct supervision of the department's Clinical Coordinator. He/she is responsible for providing direct care to patients undergoing diagnostic, therapeutic, and interventional surgical procedures. This individual assures the provision of high quality patient care, utilizes equipment appropriately, fosters a cooperative and collaborative relationship with physicians, establishes and maintains good internal and external customer relationships. S/he fosters a team approach to providing patient care that is safe, effective, patient-centered, timely, efficient and equitable. S/he performs all functions according to hospital policies, nursing standards of care, practice guidelines, and applicable regulatory and professional entities within the scope of RN practice. Establishes a pre and post operation or procedure nursing diagnosis. Assesses in Phase I of Post Anesthesia recovery and patients on arrival to PACU utilizing ABC format and priorities care accordingly. Obtains pertinent data on arrival to PACU from Anesthesiologist/Nurse Anesthetist and OR nurse. Develops a nursing care plan with patient and family members by eliciting patient physical and emotional concerns, listening attentively and providing a quiet environment conducive to all. Coordinates and documents interdisciplinary plan of care. Directs the patient's and caregiver/family's participation in planning and delivery of care. Develops teaching plans to meet the learning needs of patients, family, caregiver relevant to interdisciplinary discharge needs. Position Qualifications:A Registered Nurse from an accredited school of nursing, current compact state license to practice professional nursing in the State of New Hampshire. Working knowledge of underlying principles and standards that satisfy regulatory requirements for the following entities: ASPAN, CDC, OSHA, CMS. Ability to work in a fast paced, high stress work environment. Ability to maintain customer focused interpersonal communications skills and patient confidentiality.

2 years OR experience - both circulating and scrubbing, strong critical thinking skills, able to work independently and provide optimal care in a call situation. Experience on the following services necessary: General, Orthopedics, Vascular, GYN, Thoracic, ENT This is a call team position. Hours are as follows: (3) 12 hr call shifts (36 hours) Sun thru Thursday nights and (1) 8 hr day shift every other week (4) 12 hr call shifts (48 hours) every other week Sun thru Thursday nights Required coverage of 3 open 8 hr shifts per quarter RN licensed in the state of NH, BCLS, ACLS certified CNOR preferred.

Position Objective:Functions within the nursing care guidelines established by the Director of each unit/department, and Frisbie Memorial Hospital, and is directly accountable to the Director for the actions and results achieved. In collaboration with the Director, assists in the management of daily operations of the department. Develops, plans, and implements quality assurance and educational programs to address identified needs. Performs within the scope of RN practice as outlined in the standards manual and by applicable regulatory and professional entitles/guidelines, standards, protocols and procedures. Collaborates with leadership teams to deliver quality care and excellent customer services for the service line. Collaborates with the Director to address the special needs of the departments staff and patients and problems/incidents of a management or administrative nature. Position Qualifications: Registered Nurse from an accredited school of nursing with a current, valid license in the State of New Hampshire or Compact StateBachelor's Degree in Nursing preferred.5 or more years' clinical experience.Prior supervisory or leadership experience strongly preferred.Advanced preparation in clinical specialty or management is desirable.Must possess a broad understanding of both theory and clinical practice.Ability to prioritize work and work independently with minimal supervision.Ability to set priorities, exercise initiative and judgement and make decisions within scope of assigned authority.Ability to communicate effectively both verbally and in writing to a diverse audience. Demonstrated teaching ability requiredAbility to handle stressful situations and to manage multiple priorities.

Our Labor and delivery unit is seeking an experienced L&D RN who will be expected to demonstrate the knowledge and skills necessary to provide care to our OB patients based on the physical ability, intellectual development, psychosocial, education and safety needs of the neonatal, pediatric, adolescent and adult patient. Qualifications include: Current license as Registered Nurse in the State of New Hampshire and one year L&D experience preferred.

As a RN on our Intensive Care Unit, you will collaborate with a multidisciplinary team (Physicians, Respiratory, Rehabilitation, Pharmacy, Dietary, Social Services) in the provision of specialized care management of the critically ill patients. Providing excellent customer service to patients, families, physicians and peers. Review all test results for ongoing patient assessment. Accepts primary nurse role for assigned patients. Ensures thorough, accurate documentation of relevant data. Minimum requirements include: A licensed Registered Nurse from an accredited school of nursing. BCLS, Basic Arrhythmia, and ACLS Certification preferred.

Our Labor and delivery unit is seeking an experienced L&D RN who will be expected to demonstrate the knowledge and skills necessary to provide care to our OB patients based on the physical ability, intellectual development, psychosocial, education and safety needs of the neonatal, pediatric, adolescent and adult patient. Qualifications include: Current license as Registered Nurse in the State of New Hampshire and one year L&D experience preferred.

As a RN in our Emergency Department you will work closely with Physicians, PA's, Paramedics and EMT's to provide immediate treatment of any medical or surgical emergency and the initiation of life saving procedures. Review all test results for ongoing patient assessment. Accepts primary nurse role for assigned patients. Ensures thorough, accurate documentation of relevant data. Minimum requirements include: A licensed Registered Nurse from an accredited school of nursing. BCLS, Basic Arrhythmia, and ACLS Certification preferred.

Position Objective:The PeriAnesthesia Nurse reports to the Director of Surgical Services, and works under the direct supervision of the department's Clinical Coordinator. He/she is responsible for providing direct care to patients undergoing diagnostic, therapeutic, and interventional surgical procedures. This individual assures the provision of high quality patient care, utilizes equipment appropriately, fosters a cooperative and collaborative relationship with physicians, establishes and maintains good internal and external customer relationships. S/he fosters a team approach to providing patient care that is safe, effective, patient-centered, timely, efficient and equitable. S/he performs all functions according to hospital policies, nursing standards of care, practice guidelines, and applicable regulatory and professional entities within the scope of RN practice. Establishes a pre and post operation or procedure nursing diagnosis. Assesses in Phase I of Post Anesthesia recovery and patients on arrival to PACU utilizing ABC format and priorities care accordingly. Obtains pertinent data on arrival to PACU from Anesthesiologist/Nurse Anesthetist and OR nurse. Develops a nursing care plan with patient and family members by eliciting patient physical and emotional concerns, listening attentively and providing a quiet environment conducive to all. Coordinates and documents interdisciplinary plan of care. Directs the patient's and caregiver/family's participation in planning and delivery of care. Develops teaching plans to meet the learning needs of patients, family, caregiver relevant to interdisciplinary discharge needs. Position Qualifications:A Registered Nurse from an accredited school of nursing, current compact state license to practice professional nursing in the State of New Hampshire. Working knowledge of underlying principles and standards that satisfy regulatory requirements for the following entities: ASPAN, CDC, OSHA, CMS. Ability to work in a fast paced, high stress work environment. Ability to maintain customer focused interpersonal communications skills and patient confidentiality.

As a RN in our Emergency Department you will work closely with Physicians, PA's, Paramedics and EMT's to provide immediate treatment of any medical or surgical emergency and the initiation of life saving procedures. Review all test results for ongoing patient assessment. Accepts primary nurse role for assigned patients. Ensures thorough, accurate documentation of relevant data. Minimum requirements include: A licensed Registered Nurse from an accredited school of nursing. BCLS, Basic Arrhythmia, and ACLS Certification preferred.

Frisbie's Physician Practice Services has full time and part time opportunities available for RNs and LPNs in multiple locations. Locations/positions are listed below: Barrington Family Practice Rochester Hill Family Practice Skyhaven Internal Medicine Rochester OBGYN The Care Coordinator – Triage (RN or LPN) supports the improvement of patient care by increasing engagement between the primary care team and the patient while helping to empower patients and their families with the information they need to better manage their health. Within the nursing scope of practice, the Triage Nurse is expected to consistently demonstrate competent, focused, clinical nursing assessments and history taking on all new, established and acute care patients in both triage and clinical care settings. The Office Nurse (RN or LPN) provides clinical support to the provider delivering patient care in an office setting. Obtains patient histories and vital signs, preparing patient for examination. Performs simple laboratory tests, administers medications, provides assistance with procedures, and maintains clinical areas, equipment, and supplies. Answers telephones, schedules appointments, maintains files and data entry. Qualifications: Current Licensure as a Registered Nurse in the State of New Hampshire or other Compact State or NH Licensed Practical Nurse. Previous experience in a physician practice setting highly preferred. Up to $4000 sign on bonus available for experienced nurses! Please indicate which position/location you might be interested in when applying.

As a RN on our Geropsychiatry unit you will collaborate with a multidisciplinary team (Physicians, Psychology, Social Services, Respiratory, Rehabilitation, Pharmacy and Dietary) in the provision of specialized care management of the geropsychiatric patients. You will provide excellent customer service to patients, families, physicians and peers. Develops nursing care plan individualized to patient needs, strengths, and weaknesses. Applies behavior and supportive therapy approaches with individuals and groups. Accepts primary nurse role for assigned patients. Minimum requirements include: A licensed Registered Nurse from an accredited school of nursing. Knowledge of mental health principles, policies and standards preferred.

Position Objective:The Resource RN is primarily responsible for adhering to the hospital's Standards of Patient Care to deliver safe and quality patient care. The RN performs all treatments and procedures as outlined in the Standards Manual and applicable regulatory and professional entities/guidelines, standards, protocols, and procedures within the scope of RN practice. Furthermore, the RN delegates, coordinates and directly supervises patient care provided by LPNs, CNAs, Unit Aides and Unit Coordinators. Patient Population Served:The Resource RN is expected to demonstrate the knowledge and skills necessary to provide care based on the physical ability, intellectual development, psychosocial, education and safety needs of the adolescent, adult and geriatric patient. Essential Position Functions:The following functions must be able to be carried out by the incumbent with or without reasonable accommodation: Assessment of In-patients Interviews patients and caregiver/family on admission to obtain a bio-psycho-social history relevant to reason for admission.Examines the patient's physical status.Reviews all test results including EKG, lab, x-ray for ongoing assessment and reporting to physicians.Assesses patient and family/caregiver for discharge needs.Re-assesses patient status at established time frames. Communicates patient needs/assessment to physicians and interdepartmental services involved in the patient's care.Ensures thorough, accurate documentation of relevant data obtained during the assessment process.Ensures sensitivity towards patients and caregiver/family by eliciting patient's physical and emotional concerns, being a receptive listener, and providing an environment conducive to interviewing and the delivery of care.Assesses information received from computerized cardiac and pulmonary monitoring equipment. Planning of CareDevelops a written nursing care plan with patient and family input that is individualized to patient needs, strengths and weaknesses.Coordinates the interdisciplinary plan of care.Directs the patient's and caregiver/family's participation in the planning and delivery of care.Develops teaching plans to meet the learning needs of patients, family, and caregiver relevant to interdisciplinary discharge needs. Implementation of PlanAcknowledges, validates accurate transcription, coordinates and implements physician orders.Applies the plan of care, monitoring for effectiveness.Administers medications and monitors for desired, side or adverse effects.Assists the physician and other healthcare providers in administering treatments and procedures.Provides instruction to patient and family.Applies behavior and supportive therapy approaches with individuals and groups to accomplish goals and facilitate the delivery of care. Evaluating Plan of CareReviews and updates the treatment plan in collaboration with the interdisciplinary team, the patient and the family.Communicates ongoing care needs to the Discharge Planning Team regarding discharge (home health, nursing homes, group homes, families, etc.). Accepts primary nurse role for assigned patients. Accepts the role of the Admissions Nurse and admits patients in collaboration with the unit to which it is assigned. Maintains a safe and therapeutic environment for patients, families, staff; corrects hazards promptly. Adheres to hospital safety policy and procedure. Documents all pertinent information on the patient's medical record in an accurate, detailed manner adhering to procedures for charting. Assumes Charge Nurse role upon demonstrated knowledge of responsibilities when assigned. Participates actively in department meetings. Supports Department's customer service efforts. Provides service excellence to patients and their families, medical staff, peers, support services and other hospital personnel. Provides immediate and satisfactory problem solving response for valid customer complaints or refers complex customer service problems to the Nurse Manager. Demonstrates knowledge of, and support for, hospital Mission and Values Statement, department goals and objectives. Assists in the formation and accomplishment of unit goals and objectives. Develops and maintains professional relationship with physicians, peers, patients and their families, and medical support services. Follows the principles of Infection Prevention and Control as outlined in the Policy. Participates in the department's Performance Improvement program by collaborating with the department's PI representative in developing and implementing effective PI programs. Assumes responsibility for own professional development and on-going education. Attends required hours of continuing nursing education per year. Demonstrates a commitment to containing costs and efficient use of material resources. Non-Essential Position Functions:Performs other duties as assigned or as judgment of necessity dictates.Participates in hospital/unit committees. Position Qualifications:Graduate of an accredited school of nursing.Current licensure as a Registered Nurse in the State of New Hampshire or a compact state. Working knowledge of underlying principles and standards for the following entities: CDC, CMS (HCFA).Ability to work in a fast-paced, high stress work environment. Ability to maintain customer focused interpersonal communication skills and patient confidentiality. Complies with HIPAA guidelines.

As a RN in our Emergency Department you will work closely with Physicians, PA's, Paramedics and EMT's to provide immediate treatment of any medical or surgical emergency and the initiation of life saving procedures. Review all test results for ongoing patient assessment. Accepts primary nurse role for assigned patients. Ensures thorough, accurate documentation of relevant data. Minimum requirements include: A licensed Registered Nurse from an accredited school of nursing. BCLS, Basic Arrhythmia, and ACLS Certification preferred.

As a RN on our Intensive Care Unit, you will collaborate with a multidisciplinary team (Physicians, Respiratory, Rehabilitation, Pharmacy, Dietary, Social Services) in the provision of specialized care management of the critically ill patients. Providing excellent customer service to patients, families, physicians and peers. Review all test results for ongoing patient assessment. Accepts primary nurse role for assigned patients. Ensures thorough, accurate documentation of relevant data. Minimum requirements include: A licensed Registered Nurse from an accredited school of nursing. BCLS, Basic Arrhythmia, and ACLS Certification preferred.

Position Objective:The PeriAnesthesia Nurse reports to the Director of Surgical Services, and works under the direct supervision of the department's Clinical Coordinator. He/she is responsible for providing direct care to patients undergoing diagnostic, therapeutic, and interventional surgical procedures. This individual assures the provision of high quality patient care, utilizes equipment appropriately, fosters a cooperative and collaborative relationship with physicians, establishes and maintains good internal and external customer relationships. S/he fosters a team approach to providing patient care that is safe, effective, patient-centered, timely, efficient and equitable. S/he performs all functions according to hospital policies, nursing standards of care, practice guidelines, and applicable regulatory and professional entities within the scope of RN practice. Establishes a pre and post operation or procedure nursing diagnosis. Assesses in Phase I of Post Anesthesia recovery and patients on arrival to PACU utilizing ABC format and priorities care accordingly. Obtains pertinent data on arrival to PACU from Anesthesiologist/Nurse Anesthetist and OR nurse. Develops a nursing care plan with patient and family members by eliciting patient physical and emotional concerns, listening attentively and providing a quiet environment conducive to all. Coordinates and documents interdisciplinary plan of care. Directs the patient's and caregiver/family's participation in planning and delivery of care. Develops teaching plans to meet the learning needs of patients, family, caregiver relevant to interdisciplinary discharge needs. Position Qualifications:A Registered Nurse from an accredited school of nursing, current compact state license to practice professional nursing in the State of New Hampshire. Working knowledge of underlying principles and standards that satisfy regulatory requirements for the following entities: ASPAN, CDC, OSHA, CMS. Ability to work in a fast paced, high stress work environment. Ability to maintain customer focused interpersonal communications skills and patient confidentiality.

Patient Population Served:The RN Case Manager may work or works with the child, adolescent, adult and/or geriatric patient. Essential Position Functions:1. Facilitates and Coordinates Care and Services.Communicates/collaborates with all members of the health care team, including the interdisciplinary team (e.g., physicians, nursing, SW, PT. OT, ST, nutrition, etc.), patients, physician practices, community agencies, and payors regarding patient needs, plan, and transition. Considers patient needs to include medical, physical, psychosocial, spiritual, financial , cultural and emotional aspects.Facilitates or participates in ad hoc patient/family conferences and with interdisciplinary team designed to gather information, identify barriers or problems, and to resolve issues around in-hospital and post-hospital care.Educates health team colleagues about care management, including the role of the care manager. Participates in other educational programs as requested/appropriate.Assists with explanation and obtaining Advance Directives.May collect, analyze, enter and report care management data related to patient care and participates in continuing quality improvement.Maintains appropriate documentation. 2. Performs Discharge Planning.Identifies discharge planning needs through chart review, patient interview, discussion with other caregivers and/or exchange of information at multi disciplinary patient care rounds.Considers impact of disease process and other barriers.Develops discharge plan A and B and communicates with patients and other caregivers as appropriate. Communicates with external case managers and other post discharge providers as appropriate.Facilitates referral/transfer/discharge of patient to another level of care, health professional or setting.Coordinates home IV/enteral and home health referrals, etc. Ensures that oxygen and DME ordered by other departments will be / is delivered timely to meet the patient's needs.Refers to and collaborates with community at large to develop and implement plans for complex cases which require multi-agency involvement.Maintains appropriate documentation. 3. Performs Utilization ReviewReviews patient medical records for appropriateness of admission and/or continued stay using established criteria. Communicates utilization issues to physician, nursing staff, social workers, business office or patient registration staff, and other appropriate persons.Refers cases for physician review (internal or external review) as appropriate. Coordinates and performs all follow up activities related to Medicare other third party payors, and hospital-negotiated contracts.Assists medical staff in responding to appeals.Provides requested information regarding patient care and services to external review and regulatory agencies.Communicates with patients, physicians and nurses changes in review findings resulting in level of care changes and/or findings consistent with termination/denial of benefits. Delivers HINN letters when appropriate. Provides instruction/education to patients/families regarding appeals process upon receipt of Medicare HINN / termination of benefits letter.Collaborates with managers and staff in the Patient Registration, Patient Accounts and HIM Departments on issues of continued stay, denials and related activities. Serves as a resource for same.Monitors for utilization, quality of care, risk and infection control issues. Reports as needed. Keeps Program Director, Care Coordination, Clinical and Fiscal Integration informed on matters which require notification or administrative action.Discusses cases with attending physician. Explores and implements strategies to reduce LOS when appropriate and to optimize resource consumption.Maintains appropriate documentation. Ensures the security/confidentiality of patient information. 4. Assists with Patient Rights/GrievancesResponds as needed to patient grievances regarding medical necessity, appropriateness or quality of care.Reviews with patient his/her right to file a grievance, when applicable, directly with the Medicare Quality Improvement Organization (QIO). If requested, Care Manager will assist the patient (or representatives) in complying with Medicare Grievance process. Non-Essential Position Functions:Participates as appropriate and is knowledgeable in fire safety, disaster, infection control and all appropriate hospital programs. Performs other duties as needed or as judgment dictates. Position Qualifications:Education Required: Current and unrestricted NH RN license required. Bachelors Degree preferred.Experience: 3-5 years recent acute hospital experience as RN, prior discharge planning experience helpfulCertification: Case Management Certification desired

Position Objective:Leads and implements Infection Prevention program in the hospital and physician practices. Requires performance of a variety of activities with varying degrees of complexity, high degree of accuracy, factual dependability and independent thinking, and specialization and concentration in clinical areas. The Infection Prevention Coordinator will conduct rounds across the FMH system, discussing and monitoring infection control with staff; collects infection data from departments, maintaining records for each case; trains staff on implementation of infection control practices; investigates adverse events and incidents of infection and reports such incidents to the Sr. Director of Quality and PI. Patient Population Served:All Patients in the Frisbie Memorial Hospital System (including ambulatory services). Essential Position Functions:Maintains current knowledge of infection control practices. Uses CDC and APIC guidelines and CMS standards to recommend changes in infection control practices and procedures. Reviews infection prevention and control literature and keeps up to date with current research and practices. Serves as a resource and provides guidance to hospital and physician practice staff regarding infection risks, prevention, and control. Conducts systematic surveillance in order to identify healthcare acquired infections. Reviews information received relative to possible HAIs. Regularly reviews microbiology culture reports. Tracks patients with multidrug-resistant organisms (MDROs) and epidemiologically important infections. Works with Information Services and Laboratory to ensure accurate and timely tracking of infection related information. Completes investigations of all significant clusters of infections above the expected level and participates in developing corrective action plans. Reports pertinent information to NH-DHHS as appropriate. Acts as liaison with state health departments in reporting and managing reportable and infectious diseases, and during times of community outbreaks. Responsible for all aspects of hospital infection reporting to National Healthcare Safety Network. Maintains reports and analyzes data regarding medical device-use, surgical procedures, hospital infections, and infection prevention interventions. Participates in developing and conducting education programs for employees relating to infection control for new staff during orientation and for current staff. Coordination and planning of Infection Prevention Committee meetings. Prepares agenda, conducts meetings, and maintains minutes. Acts on recommendations of committee. Analyses HAIs and HAI risks and prepares reports for the Infection Prevention Committee. Works with Employee Health Services to monitor and reduce employee risks, exposures, and illness. Works with Facilities department to ensure proper precautions used to maintain dust control in construction/remodeling. Gives input regarding infection control during planning phases of construction/remodeling. Conducts regular audits of hospital and outpatient facilities' infection prevention measures. Actively promotes and monitors hand hygiene compliance. Inspects environment of care and reviews procedures. Communicates monitoring data to staff and Infection Prevention Committee. Participates in and works with Antibiotic Stewardship Committee to review antibiotic use and practices, and curb unnecessary use of antibiotics to reduce microbial resistance in FMH facilities and community. Generate and distribute facility antibiogram. Position Qualifications:A Registered Nurse, with at least 5 years Hospital experience preferred. 1-2 years of management experience preferred.Masters of Science degree preferred.Certification within first 3 years of employment: Infection Prevention and Control (CIC) or Certification Board of Infection Control and Epidemiology (CBIC).