18 jobs found in Rochester

Position Objective:Reporting to the Senior Director of Quality and Performance Improvement, this individual is responsible for oversight of the Frisbie Memorial Hospital inpatient, outpatient, and physician practice patient safety program including the coordination of all relevant activities as per the requirements of CMS. This individual also collaborates with the risk management program. The Patient Safety Manager maintains records, reports, dashboards and prepares/delivers written and verbal reports. This position assists in ongoing staff and provider education related to quality and patient safety. The Patient Safety Manager provides departments with the most current performance improvement methods and tools; messaging trends in the data to departments and responding to serious patient safety events by conducting Root Cause or Apparent Cause analyses. Position Qualifications:-Current NH Board of Nursing License for Registered Nurse -Certification in Patient Safety (CPPS) preferred -Bachelor's Degree in Healthcare related field required, Master's Degree preferred -1+ years' experience in Patient Safety in an acute hospital environment preferred-3+ years bedside nursing experience in acute care setting strongly preferred-Strong leadership qualities to include: follow through, motivation, prioritization, balancing multiple projects simultaneously-Attention to detail and accuracy required-Project management skills experience preferred -Ability to work independently-Proficient in MS Office, including Word, Excel, PowerPoint as well as data base and web based program applicationsExcellent written and verbal communication skills

Position Objective Reporting to the Applications Manager, Information Security Officer, the Clinical Applications Analyst is responsible for the management, analysis, testing, and support of all clinical applications including the MEDITECH environment at Frisbie Memorial Hospital. Primary responsibility will be to ensure application up-time by resolving any outstanding issues timely. The Clinical Applications Analyst will be responsible for educating new users/providers on the features and functionality of clinical applications that affect both the acute and ambulatory departments. They will also provide other IS Staff with knowledge as necessary to further develop the understanding of any clinical applications as needed to ensure the continuity of applications within Frisbie Memorial Hospital. Will promote the best use and optimization of the EMR solutions at Frisbie. With minimal oversight, the Clinical Applications Analyst is responsible for providing project management for the installation and support of new applications, upgrades and standards, and providing documentation for all applications. This position's responsibilities span the entire Health System. All duties should be performed in a manner that promotes teamwork and reflects the mission and philosophy of Frisbie Memorial Hospital. Position Qualifications Bachelor's degree in Nursing is required. Advanced degree in Medical/Nursing Informatics , Computer Science, Information Systems, or other related areas are desired. However, previous position experience would be considered for meeting these desired expectations. The ideal candidate will have previous clinical documentation analyst experience with an EMR (Electronic Medical Record) applications The ideal candidate will have previous clinical documentation analyst experience with Meditech applications or other EMR systems that could be considered transferable experience. Also prefer that previous clinical nursing experience for a minimum of 2 years has been accomplished. . Skills: Strong knowledge of project management, analysis skills, computer systems testing and training. Expert knowledge of Meditech or other healthcare application software in a healthcare setting. Excellent organizational skills. Experience with Microsoft Office suite of applications: Excel, Word, Visio, Project, and PowerPoint. Ability to independently identify and resolve major or minor problems or difficulties. Highly motivated and able to take initiative. Ability to communicate in interpersonal and technical levels both verbally and in writing. Ability to interact favorably with people, and work effectively as a team leader and team member. Must have the ability to work positively in a team environment and encourage/train other team members on process and functionality. Experience in training and teaching. Ability to read, write, and communicate in English.

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.

Position Objective:The Endoscopy RN reports to the Director of Surgical Services, and works under the direct supervision of the departments Clinical Coordinator. He/she is responsible for providing direct care to patients undergoing procedures in Endoscopy.The RN assures the provision of high quality patient care, utilizes equipment appropriately, fosters a cooperative and collaborative relationship with physicians, and establishes and maintains good internal and external customer relationships. The RN fosters a team approach to providing care that is safe, effective, patient-centered, timely, efficient, and equitable. The RN 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. Patient Population Served:The Endoscopy Staff Nurse 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 pediatric/adolescent, adult and geriatric patient working within the ASPAN framework as is outlined. Essential Position Functions:The following functions must be able to be carried out by the incumbent with or without reasonable accommodation: Assessment Establishes a pre and post procedure nursing diagnosis.Examines the patient physical status for baseline data information.Reassesses patient status at designated time intervals.Ensures thorough accurate documentation of pertinent data obtained during the assessment process.Communicates patient care needs to the appropriate personnel.Reviews pertinent test results including EKGs, labs and x-rays for ongoing assessment and reporting to physicians. Planning of Care:Develops a nursing care plan by eliciting patient physical and emotional concerns, listening attentively and providing a quiet environment conducive to all.Coordinates interdisciplinary plan of care.Develops teaching plans to meet the learning needs of patients, family, caregiver relevant to interdisciplinary discharge needs. Implementation of Plan:Acknowledges and validates accurate interpretation of physician orders and implements accordingly.Applies the plan of care, monitoring for effectiveness.Administers medication ordered and monitors for desired, side or adverse effects.Assists the anesthesiologists/gastroenterologists and other healthcare providers in administering treatments and procedures.Applies relaxation techniques and encourages patients to utilize this therapy to accomplish goals and facilitate the delivery of care. Evaluating plan of careReviews and updates the treatment plan in collaboration with all members of the healthcare team, patient and family.Communicates ongoing patient care needs to the discharge caregivers regarding discharge home care, prescriptions, follow up appointments, and anesthesia after care. Accepts primary nurse role for assigned patients. Maintains a safe and therapeutic environment for patients, families, staff and corrects hazards promptly. Adheres to hospital safety policy and procedure. Documents all pertinent information on the patients medical record in an accurate, detailed manner adhering to standards for documentation. Supports the 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 resolution for valid customer complaints or refers complex customer service problems to the nurse manager. Assists the physician during diagnostic and therapeutic procedures to promote optimal patient outcomes by team collaboration during endoscopy procedure. Develops and maintains professional relationship with physicians, peers, patients, and their families and medical support services. Follows the principles of infection control as outlined in the policy and procedure manual. 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 ongoing education. Attends required hours of continuing education per year. Demonstrates a commitment to containing costs and efficient use of material resources. Attends staff meetings and mandatory department inservices. Is dependable, punctual and does not abuse sick time. Maintains patient dignity, privacy, safety and confidentiality. Participates as a team member to achieve optimal patient outcomes. Non-Essential Position Functions:Performs other duties as assigned or as judgment or necessity dictates.Participates in hospital/unit committees. Position Qualifications:A Registered Nurse from an accredited school of nursing, current 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,SGNA. Ability to work in a fast paced, high stress work environment. Ability to maintain customer focused interpersonal communications skills and patient confidentiality.

Position Objective:The Endoscopy RN reports to the Director of Surgical Services, and works under the direct supervision of the departments Clinical Coordinator. He/she is responsible for providing direct care to patients undergoing procedures in Endoscopy.The RN assures the provision of high quality patient care, utilizes equipment appropriately, fosters a cooperative and collaborative relationship with physicians, and establishes and maintains good internal and external customer relationships. The RN fosters a team approach to providing care that is safe, effective, patient-centered, timely, efficient, and equitable. The RN 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. Patient Population Served:The Endoscopy Staff Nurse 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 pediatric/adolescent, adult and geriatric patient working within the ASPAN framework as is outlined. Essential Position Functions:The following functions must be able to be carried out by the incumbent with or without reasonable accommodation: Assessment Establishes a pre and post procedure nursing diagnosis.Examines the patient physical status for baseline data information.Reassesses patient status at designated time intervals.Ensures thorough accurate documentation of pertinent data obtained during the assessment process.Communicates patient care needs to the appropriate personnel.Reviews pertinent test results including EKGs, labs and x-rays for ongoing assessment and reporting to physicians. Planning of Care:Develops a nursing care plan by eliciting patient physical and emotional concerns, listening attentively and providing a quiet environment conducive to all.Coordinates interdisciplinary plan of care.Develops teaching plans to meet the learning needs of patients, family, caregiver relevant to interdisciplinary discharge needs. Implementation of Plan:Acknowledges and validates accurate interpretation of physician orders and implements accordingly.Applies the plan of care, monitoring for effectiveness.Administers medication ordered and monitors for desired, side or adverse effects.Assists the anesthesiologists/gastroenterologists and other healthcare providers in administering treatments and procedures.Applies relaxation techniques and encourages patients to utilize this therapy to accomplish goals and facilitate the delivery of care. Evaluating plan of careReviews and updates the treatment plan in collaboration with all members of the healthcare team, patient and family.Communicates ongoing patient care needs to the discharge caregivers regarding discharge home care, prescriptions, follow up appointments, and anesthesia after care. Accepts primary nurse role for assigned patients. Maintains a safe and therapeutic environment for patients, families, staff and corrects hazards promptly. Adheres to hospital safety policy and procedure. Documents all pertinent information on the patients medical record in an accurate, detailed manner adhering to standards for documentation. Supports the 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 resolution for valid customer complaints or refers complex customer service problems to the nurse manager. Assists the physician during diagnostic and therapeutic procedures to promote optimal patient outcomes by team collaboration during endoscopy procedure. Develops and maintains professional relationship with physicians, peers, patients, and their families and medical support services. Follows the principles of infection control as outlined in the policy and procedure manual. 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 ongoing education. Attends required hours of continuing education per year. Demonstrates a commitment to containing costs and efficient use of material resources. Attends staff meetings and mandatory department inservices. Is dependable, punctual and does not abuse sick time. Maintains patient dignity, privacy, safety and confidentiality. Participates as a team member to achieve optimal patient outcomes. Non-Essential Position Functions:Performs other duties as assigned or as judgment or necessity dictates.Participates in hospital/unit committees. Position Qualifications:A Registered Nurse from an accredited school of nursing, current 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,SGNA. 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. Please note this is a mid-shift (11am-11pm).

Position Objective:The Operating Room RN reports to the Director of Surgical Services, and works under the direct supervision of the departments Clinical Coordinator. He/she is responsible for providing direct care to patients undergoing surgical procedures in the Operating Room.The RN assures the provision of high quality patient care, utilizes equipment appropriately, fosters a cooperative and collaborative relationship with physicians, and establishes and maintains good internal and external customer relationships. The RN fosters a team approach to providing care that is safe, effective, patient-centered, timely, efficient, and equitable. The RN 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. Patient Population Served:The Operating Room 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 pediatric, 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: Develops an OR nursing plan of care, identifies problems and any need for improvement.Works collaboratively with surgeons, anesthesia, and PACU in implementing plan of care for patients, acting as a patient advocate and liaison with other disciplines.Implements appropriate nursing action that meet patients' needs and problems in an efficient manner with appropriate utilization of resources.Uses creativity and sound judgment in adapting nursing intervention to fit patients' needs.Identifies factors hindering goal achievement and develops strategies to address those factors.Evaluates patient outcomes in light of assessed needs, planning, and interventions employed.Acts as a resource person for staff and participates as a team member in achieving optimal patient outcomes.Attends staff meetings and mandatory inservices.Maintains licensure and meets specific OR unit requirements.Evaluates and documents nursing care in perioperative record at time of admission to transfer of patient to PACU or SDS.Is proficient and knowledgeable in creating and maintaining a sterile field.Is proficient and knowledgeable in performing surgical nursing interventions.Is proficient and knowledgeable in the circulator role in all surgical procedures.Reorganizes priorities and plan of care on a continual basis.Responds proficiently and effectively in emergency situations.Maintains a safe therapeutic environment for patients, families, staff, and 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.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 resolution for valid customer complaints or refers complex customer service problems to the Director of Surgical Services. 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 control as outlined in the Policy and Procedure manual.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:Participates in hospital/unit committees.Performs other duties as needed or as judgment dictates. Position Qualifications:Ability to work in a fast-paced, high stress work environment. Ability to maintain customer focused interpersonal communication skills and patient confidentiality.

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.

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 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 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