Confluence Health

       

Who We Are:
Confluence Health is an integrated healthcare delivery system that includes two hospitals and more than 40 medical specialties, to provide comprehensive medical care in North Central Washington. With over 270 physicians and 150 advanced practice clinicians, Confluence Health is the major medical provider between Seattle and Spokane. Our goal is to deliver high-quality, safe, compassionate, and cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology—to provide better care for our patients and allow our providers to operate at the highest level.

Our Mission:
We are dedicated to improving our patients’ health by providing safe, high-quality care in a compassionate and cost-effective manner.

Our Vision:
To become the highest value rural healthcare system in the nation that improves health, quality of life, and is a source of pride to those who work here.

Part time
Confluence Health Wenatchee, WA 98801, USA
Please Note: This is an internal position. Internal applicants only. Position Summary: To monitor and attend to patient needs before (Pre-op) or during the recovery period (Phase 1 & observation area) after a procedure has been performed in the surgical department; to provide nursing support to the Surgical Department. To also provide nursing support for all procedures in the Recovery, Pain Block Services and Radiology including procedural sedation as needed. Assist their respective departments and physicians in providing service excellence and quality patient care in multiple settings utilizing a variety of nursing skills and functions. Essential Functions: Admits the patient prior to a procedure. Assures that the patient is ready for the procedure and that the chart is in order. Follows and completes admissions pre-op checklist. Does thorough patient assessment. Notifies proper personnel of appropriate changes in patient’s health status. Starts IV and gives pre-operative medications as ordered. Monitors surgical/procedural schedule and keeps patient and their family informed. Receives the patient into the Recovery Room. Performs a thorough patient assessment including, but not limited to: vital signs, operative site, level of consciousness, mobility, airway, pain level (0-10 scale), and presence of nausea, response to treatments rendered and other components of the modified Aldrete system. Attends to patient specific needs while in the Recovery areas. Administers medications and IV fluids per MD orders. Expedites patient at the appropriate time. Orders post-procedure labs and radiology work per MD orders. Keeps family informed of recovery period and any delays. Knowledgeable of crash cart and all of its components. Plans workday (breaks, lunches, etc.) around the flow of the surgical schedule. Discharges patient from the recovery areas. Assists the patient with dressing and gathering belongings. Makes sure that a family member or other escort is with the patient at discharge and that someone will be available to help at home. Covers patient discharge instructions thoroughly. Answers questions to both patient and family members. Escorts patient out to vehicle if sedation was involved or patient is incapacitated. Completes proper documentation for the chart. Makes pre and post operative phone calls to patients and follows appropriate check lists. Contacts manager if problems occur or advice is needed. Maintains the Pre-op, Recovery rooms. Orders supplies. Monitors functionality of monitors and all other equipment. Reports repair/ maintenance needs to Engineering and Biomed PRN. Assists in general housekeeping duties such as: cleaning stretchers and beds, wiping down counters, mopping floors, organizing charts, etc. Requires flexible working hours. Occasional overtime may be involved each pay period. Assists RN circulator in surgery PRN. (Blood transfusions, taking report, room turnover, call assistance, etc.). Takes call if in a full or part time position. Pool RNs may take call if approved by the Ad/Recovery Director. Some surgical departments do not require call and are thus exempt. Becomes ACLS certified within one year of hire. If unable to accomplish certification may continue employment only with authorization by DOHO. Encouraged to become PALS certified and to seek out CAPA/CPAN certifications as pertinent to their specialty when eligible. Accepts specialty coordinator position as assigned by manager/director. Knowledgeable of policies, guidelines and protocols pertinent to the facility. Involves themselves during all Code drills. Must be customer oriented. Responsible to keep all requirements updated in a timely manner (CPR, ACLS, safety review, TB testing, etc.). Reviews guidelines and MSDS for chemicals used in the area of work. Knowledgeable of room prep, tray setup and equipment necessary for CT/Radiology and Pain Block Service procedures including epidural, nerve root and facet injections. Has completed the Procedural sedation competency and is familiar with the sedation boxes and how to fill out appropriate paperwork associated with their use. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: RN graduate of an accredited school of nursing. Must have at least one year or RN experience. Current Washington state RN license. CPR certification annually. ACLS certification within one year of date of hire. Knowledge of professional nursing theory and practice and the nursing process in evaluating and giving patient care. Ability to apply the principals and methods of professional nursing to provide quality patient care. IV skills. Knowledge of medications used pre-op, intra-op and post-op. Knowledge of the function and use of patient monitoring equipment. Patient teaching skills. Ability to interpret basic EKGs. Knowledge of aseptic technique. The ability to relate effectively with co-workers, physicians and staff and function as part of a team. Possesses the ability to relate effectively to the patient, guests and the general public. Ability to work efficiently amid ongoing distractions. Ability to communicate effectively in the written form. Ability to work independently with minimal supervision. Possesses good organizational and phone skills. Pays attention to detail and numerical accuracy. Ability to respond calmly in an emergency situation. Maintains confidentiality of patient information. Able to perform work against deadlines. Has ability to examine documents for accuracy and completeness. Able to lead others. Able to speak clearly and concisely. Has the ability to instruct students or other surgical department staff. Computer skills and ability to type helpful. Position may also involve the ability to deal effectively with others in confrontational situations. Must be flexible and adaptable in assignments and hours. Desired: CAPA/CPAN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - Not specified Working Conditions: Work is performed primarily in the Perioperative setting where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times and some overtime may be involved. Requires working under stressful conditions. General supervision is provided by the Director of Admissions & Recovery with oversight by the Vice President of Surgical Services and other senior leadership. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - Not specified Heat - Not specified Cold - Not specified Mechanical Hazards - Not specified Hazardous Substances - Not specified Blood Borne Pathogens Exposure Potential - Not specified Lighting - Not specified Noise - Not specified Ionizing/Non-Ionizing Radiation - Not specified Infectious Diseases - Not specified
Sep 09, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Clinical Manager Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Sep 09, 2019
Full time
Confluence Health Moses Lake, WA 98837, USA
Please Note: This is a float position. Position Summary: Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Essential Functions: Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Washington state Department of Health -RN license must be active by start date. Desired: Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Sep 09, 2019
Part time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: This job is responsible for abstraction, analysis, investigation, reporting, and follow up for quality indicators/measures from internal and external initiatives. This job may include performing reviews for concurrent and retrospective core measures and other quality, patient safety, customer concern projects and special studies. Essential Functions: Provides accurate chart review, abstraction of specific data, and enter data to computerized abstraction tools for organization-wide quality improvement activities. Coordinates and completes responsibilities for facility quality initiatives within mandated timeframes Responsible for accuracy and submission of core measures, Stroke, SCOAP, Cardiac Surgery and other Special Projects chart abstraction Has knowledge of and ability in communication/interpersonal skills demonstrated by: Personal attentiveness, responsiveness and follow-up to all customers Establishing networks within and outside the organization as applicable Well written, accurate and timely documents and reports Personal attentiveness, responsiveness and follow-up to all customers Establishing networks within and outside the organization as applicable Well-written, accurate and timely documents and reports Has knowledge and ability to apply effective team-building skills demonstrated by: Deals appropriately with sensitive confidential information contained in events, medical records, minutes, letters, reports and other documents Attends educational training sessions to further enhance skills and knowledge Has knowledge and ability to apply effective team-building skills demonstrated by: Behaviors that show consideration, acceptance and concern for the needs and feelings of others Providing support to the Quality Department Acting as a team player in round table discussions, case reviews, etc. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: At least two years recent successful experience in an acute-care setting or one year recent successful experience as a registered nurse in Home Health and /or Hospice. Previous experience in Quality Management and Chart Review/Audits. Current state registration as a professional nurse-RN. CPR Certification. Current valid driver’s license; availability of auto in good working condition with current insurance and willingness to drive in all types of weather. Must possess basic computer skills related to Windows navigation, mouse usage, accurate keyboarding, email communication and password management. Proficient competent clinical skills and the ability to exercise independent judgment as well as seek guidance when indicated. Effective teaching and communication skills. The ability to function autonomously in a non-structured environment. Critical thinking and multi-tasking skills. Emotional stability to function effectively in unpredictable situations. Desired: BSN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - O Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - O Repetitive Movement - C Working Conditions: Not Specified Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - Yes Cold - Yes Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Sep 09, 2019
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Rehab Unit Specific Functions Provides appropriate nursing actions to meet designated goals and the physical, psychological, social and rehabilitative needs of the patient. Becomes credentialed within training period and as required, by means of examination through the Uniform Data System, to score FIM elements on rehab inpatients on the unit. Performs nurse duties in Rehab as assigned - all worksheets will be completed prior to patient conferences (IRF – PAI completed as required). Pharmacy duties as required: Follow policies, procedures and appropriate WAC's in dispensing medications within the scope of a registered nurse. Only one nurse (Charge Nurse) will be authorized to enter the Pharmacy per shift when pharmacy staff is out of the facility. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Upon hire, completion of formal hospital and unit-specific orientation program. ACLS within one year of employment. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Sep 02, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Cardiology Nurse Navigator is accountable for navigation and coordination of care utilizing evidenced-based clinical pathways for cardiology patients along the continuum of care for their cardiac condition from diagnosis through treatment. They will provide longiMantudinal comprehensive nursing care to a designated case of cardiac patients. They will have primary nursing responsibilities for the coordination of care, symptom management and education of patients and families. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To: Practice Manager Essential Functions: Manage, develop, implement and evaluate initial patient plan of care following clinical pathways in collaboration with the Cardiology Physician, and the health care team, to determine the effective utilization of resources and outcome achievement. Facilitate and/or conduct patient, family, and team conferences to develop and monitor a plan of action necessary. This includes patient teaching on the disease, treatment options, procedures and medication regimens and side effects. Ongoing assessment of patients for unmet social needs with appropriate referral and communication to social services, community resources, etc. Determine need for further diagnostic work-up; communicate and coordinate necessary tests or procedures to the patient and the healthcare team. Obtain, review and scan outside patient records for new newly referred cardiology patients. Coordinate simple and complex patient care issues in conjunction with other parts of the healthcare system, working interdepartmentally. Determine timeliness/time appropriateness of appointments. Ensures effective and appropriate utilization of resources and efficient patient throughput along continuum of care. Document interim progress notes reflecting coordination of care/services. Intervene when the clinical pathway is not being followed, either due to patient constraints or ineffective follow-through. Provide triage services and symptom management too patients as needed, in-person, telemedicine or over the phone. Communicate symptomology to appropriate team members. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Current Washington State Nursing License Current BLS Health Provider and ACLS card Competent in basic computer skills 3 years of clinical experience Ability to work independently and perform role with minimal guidance Desired: Cardiology experience Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam/treatment rooms, where space may be limited and confined. Requires combination of working independently and also working closely with others. Hours may be irregular at times, overtime may be required. General supervision is provided by the Practice Manager with additional instructions, guidance, and direction by the physicians or providers with whom the RN is working. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights – Not Specified Heat – Not Specified Cold – Not Specified Mechanical Hazards – Not Specified Hazardous Substances – Not Specified Blood Borne Pathogens Exposure Potential – Not Specified Lighting – Not Specified Noise – Not Specified Ionizing/Non-Ionizing Radiation – Not specified Infectious Diseases – Not Specified
Sep 02, 2019
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Infection Control Nurse will work in a coordinated and integrated infection surveillance, prevention, and process improvement program to advance patient safety and prevent infections. They will work proactively to prevent infection, evaluate process compliance, and improve infection prevention and treatment policies. Analyze and interpret data under the direction of the Infection Prevention and Control Program Manager. Work collaboratively with multidisciplinary teams and provide education as needed. Essential Functions: Performs infection surveillance including review of laboratory and other clinical reports; review of medical records; observation in the clinical area. Establishes and maintains surveillance data for health-care acquired infections per the annual surveillance plan as determined by the Infection Control Committee. Performs walk around infection prevention and control inspections within appropriate time frames with meaningful and accurate reports of areas and processes that are of high quality and those in need of improvement. Identifies opportunities for improvement based on observations, process and outcome indicators, and other findings. Has good knowledge of regulations and standards regarding infection control and participates in regulatory surveys as needed. Inspects, consults with and is a resource to other disciplines, departments and agencies to identify problems. Implements corrective action, and evaluates its effectiveness in the improvement of patient care quality and regulatory compliance. Provides education that relates to infection control, prevention and epidemiology for healthcare providers, staff, patients and families. Reviews current literature and is aware of trends and issues. Attends educational sessions to further enhance skills and knowledge. Participates in committee and program support. Deals appropriately with sensitive confidential information contained in events, medical records, reports and other documents. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Current Washington State Registered Nurse license required Problem solving abilities and organizational skills Skill in written and verbal communication Good knowledge and application of computer technology Desired: Experience in Infection prevention and control Knowledge of principles of epidemiology, infection prevention and control Skill in time management Ability to work independently and take initiative Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - F Reaching: Shoulder Height - O Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - Not Specified Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - Not Specified Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - Not Specified Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - Not Specified Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed in the office, clinic and hospital environment. Involves frequent contact with staff, physicians, and leadership, and patients. Involves periodic day travel and overnight/multiple day travel. Work may be stressful at times. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – Yes Lighting – Yes Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Aug 30, 2019
Confluence Health Tonasket, WA 98855, USA
Please Note: This is a pool, as needed position. No guarantee of hours. Position Summary: Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Position Reports To: Reports to Practice Manager. Essential Functions: Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Active or Interim Washington State Registered Nurse License, required by start date. Desired: Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Aug 20, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Anticipated start date in November 2019 Position Summary: A novice, new graduate or an experienced nurse wishing to enter/reenter acute care. The Nurse Intern will work with a preceptor to deliver care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patient, significant others, and other health team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). The Internship Program includes classroom as well as direct clinical experiences. For RNs from other states, their clinical experiences will not begin until their WA State license is shown as active, or they have a WA State Temporary Practice Permit. They will participate in classroom and educational aspects of the program. Position Reports To: Clinical Manager Essential Functions: Address patients, visitors, families, and co-workers in a pleasant and respectful manner: display courtesy at all times. Respond quickly and appropriately to inquiries and requests. Assist co-workers without prompting. Display an unhurried and caring manner with visitors, families, and co-workers when performing duties. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Demonstrate a pleasing disposition and sensitivity to visitors', families, and co-workers' needs. Below or at the accepted standard for unscheduled absences as outlined in HR8651.370. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Communicate, cooperate and perform related duties with other co-workers in your department and in other departments in a courteous and efficient manner to achieve overall hospital goals and objectives: hospital, departmental and unit-specific mission, vision and values. Greet all visitors, families, and co-workers, patients and physicians in a courteous, respectful and professional manner at all times. Respond to all visitors, clients, families, and co-workers with empathy and positive interpersonal skills at all times. Handle all requests with a positive attitude at the time the request is made. Assume the responsibility for maintaining healthy interpersonal relationships with all those working or being cared for in the hospital, outpatient, or home setting . Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis. Strive for positive change in your work area. Cooperate with team members in a constructive and supportive manner. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s) in your department; be aware of the progressive constructive disciplinary process. Demonstrate ethical conduct and practices. Maintains patients rights. Documents when withholding rights. Exhibits interpersonal skills and professionalism that promotes a positive functioning unit. Refers unresolved conflicts via chain of command. Active participation in problem-solving all identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assumes responsibility for self evaluation/self improvement. Participates in weekly evaluation of self with preceptor. Participates in scheduled reviews with Internship Director. Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Collaboratively with preceptor, coordinates patient care, utilizing the nursing process. Utilizing Central Washington Hospital Standards of Nursing Practice, demonstrates appropriate age-specific assessment, planning, implementation and evaluation of the patient's care. Collects and documents the patient's health history. Completes admission data base and other assessment tools as defined by unit policy. Identifies stressors, coping skills, strengths, and areas of concern for patient improvement with the patient/family. Assesses home environment and identifies discharge needs sending referrals as needed. Gathers information and data from non-licensed assistive personnel to use in developing an individual plan of care for each patient. Makes accurate and ongoing assessment of patient's status and responds appropriately. Sets priorities for nursing action in a logical sequence according to patient's needs and formulates an appropriate plan of nursing care as defined by nursing policy. Involves the patient and family in formulating daily goals. Goals will be written on the white boards, when available depending upon unit, in each patient room. Writes realistic, measurable, and timebound goals that are consistent with the treatment plan and, whenever possible, are set with the patient and/or family. Prescribes appropriate nursing actions to meet those goals and the physical, psychological, social and rehabilitative needs of the patient. Performs ongoing assessment as defined by nursing policy and revises plan of care based on new data and patient's condition. Documents accurate and ongoing assessment of patient's status. Documents review of progress with patient. Documentation reflects nursing interventions and patient's response, patient's needs, problems, capabilities, limitations, and progress towards goals. Documentation includes completion of the patient education sections. Understanding of these instructions is noted in the medical record and discharge documentation. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares printed informational material. Evaluates discharge plan daily for appropriateness, educational needs, and change as needed. Utilizes Care Plans individualizing the tool to meet assessed patient needs. In collaboration with preceptor, provides care for patients including, administration of medications and/or treatments. Demonstrates necessary skills and knowledge to provide care for patients according to nursing policy, procedures, and standards of care and practice. Demonstrates necessary skills and knowledge to provide care for patients according to general and unit-specific competencies. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Demonstrates ability to delegate appropriately to non-licensed assistive personnel. Compassionately gives personal patient care to provide comfort and well-being to the patient, acknowledging physiological and psychosocial needs. Administers medications and IVs in accordance with WA State WAC. If intern is an LPN the Intern may administer the following medications/treatments with direct supervision by the preceptor: administer IV fluids and medications. administer medications, TPN, blood products via a central line. access central lines for blood draws. perform venipuncture to start IVs. flush peripheral and PICC lines. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and nursing policy and procedure. (Done in a timely manner). Notes and enters orders per nursing policy. Assures verbal orders are verified by “read-back” and entered for co-signature. Accurately and concisely processes information. Gives a thorough, concise report at change of shift. Communicates appropriate information to unit charge person in a timely manner, including what work is in progress. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation. Performs order checks at end of shift/24 hours. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to hospital and unit policies. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedures. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Immediately removes and sends broken/malfunctioning equipment to Engineering Department with a tag stating the problem and /or a work order completed on line. Maintains universal precautions at all times. Collaborates with hospital personnel and physicians. Communicates with physicians effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to develop an appropriate plan of care designating who is responsible for each piece of the plan. Adheres to Hospital/Nursing policy. Reports to work 98% of the shifts scheduled prior to starting time. Dresses according to Central Washington Hospital's Dress Code policy, specifically the nursing-specific Dress Code policy. Is conscientious in regard to personal hygiene. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Complies with specific hospital policy and procedure concerning infection control, events, and injury reporting. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current LPN or RN licensure in the state of Washington (RCW 18.88). If LPN licensure, eligible to sit for NCLEX exam. If currently licensed as an RN in another state, WA license in pending status. Completion of general hospital orientation and acceptance into New Graduate Internship Program. Must be currently certified in BLS, and recertified annually. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures: Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Not specified Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Aug 20, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
This position desires previous scubbing experience. Position Summary: Operating room nurse coordinates the care for surgical patients during the intra-operative phase of care. OR nurse job duties include patient education, circulating nurse and/or scrub nurse roles. Essential Functions: Checks the operating room for general cleanliness and readiness prior to any procedures. Arranges the OR for the procedure, including adjusting lights, positioning Mayo stands and stools, etc. Circulator also procures additional equipment as needed. Checks all equipment in the OR (lights, suction, oxygen, monitors, etc.) for proper functioning prior to procedures. Assists in opening sterile supplies for each procedure. Checks the patient's chart in the pre-operative holding area and verifies that it is complete and in order. Makes sure that the consent form matches the scheduled procedure. Interviews the patient after verifying patient identification. Confirms patient NPO status, allergies, procedure to be performed, verifies correct surgical site, and answers any questions that the patient may have. Offers further patient education if needed. Relays significant findings to other staff as well as to the surgeon and anesthesia provider. Transports patient to the operating room. Positions and secures the patient on the operating table. Performs skin prep. Performs "timeout" verification procedures with surgical team and documents such. Assists anesthesia provider with intubation of patient as necessary. Completes the proper sponge, sharps and instrument counts per department policy and procedure. Keeps the OR clean and organized during the procedure. Performs intra-operative documentation throughout the procedure. Maintains all necessary logs. Accepts, handles, labels and documents all specimens according to department policy and procedure. Obtains necessary lab reports, medications, and IV solutions as needed throughout the procedure. Is very familiar with the policy and procedure on blood transfusion. Calls for lab, blood bank or pathology assistance or backup as needed and requested by the physician. Continually observes the movements of the surgical team during the performance of their duties to assure that there is no break in aseptic technique during the procedure. Intervenes and assists when a break in procedure or sterility occurs or is suspected. Is flexible in working hours. Understands that overtime is common in the operating room environment. Willing to assist in the PACU if needed and trained to do so. Takes appointed call rotations as scheduled. Performs essential job functions of scrub nurse when trained to do so. Supervises all persons in the OR environment, to include: LPNs, CSTs, STs, CMAs, MAs, Radiology Techs, surgical product representatives, students, visitors and observers. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: RN graduate of an accredited school of nursing is required. ACLS and/or PALS certification within one year of employment. Desired: CNOR certification preferred. Previous procedural nursing experience desired but not necessary. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands for This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - Not specified Working Conditions: Work is performed primarily in the Perioperative setting where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times and some overtime may be involved. Requires working under stressful conditions. General supervision is provided by the Director of Admissions & Recovery with oversight by the Vice President of Surgical Services and other senior leadership. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures for This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Aug 20, 2019
Confluence Health Moses Lake, WA 98837, USA
Please Note: This is a pool, as needed position. No guarantee of hours. Position Summary: Ensures quality patient care by assisting in the performance of all GI procedures in the Ambulatory Surgery Center. Assesses, plans, implements and evaluates the care of GI-ASC patients. Communicates with the provider(s) as needed about patient’s condition, assists with procedures, and assists with maintaining equipment and inventory. Participates in performance improvement projects, maintains regulatory agency requirements, nursing and medical center policies and standards. Position Reports To: Practice Manager Essential Functions: Prepares each suite prior to each case by following the daily schedule and procedure requirements. Assists with positioning of patients. Assists the MD in the procedure rooms, including but not limited to: biopsies, cystoscopy, charting vitals/patient status and the collection and labeling of specimens. Ensures optimal outcomes by proper handling of instruments and equipment. Maintains manufacturer’s recommendations and WVMC policies by proper processes; cleans, disinfects and reprocesses scope and other instruments, per designated policies. Prioritizes activities based on knowledge and comprehension of the endoscopy schedule. Understands operation, function and handling of special equipment according to manufacturer’s recommendations. Provides assessment by troubleshooting malfunctioning equipment. If further service is required, processes equipment, completes paperwork and calls vendor. Participates in overall ASC functions including, but not limited to, scheduling of procedures, training of new staff, maintaining appropriate statistics, assisting with Quality Assurance projects, education to improve self and others, and attending staff meetings and annual education in-services as required. Responds appropriately to emergency situations, recognizing the need for assistance and obtaining support from other ASC personnel and/or physician(s) as needed. Compliance with universal precautions and the use of personal protective equipment. Understands the safety precautions associated with the use of OPA and other chemicals in the healthcare environment. Is trained and responsible for the operations of the Steris equipment and scope cleaning process. Delegate’s tasks to ASC support staff, recognizing what duties are within their scope of practice. Understands the inventory of sterile, non-sterile and disinfected instruments by demonstrating proper handling, function, availability and location. Assists where needed to insure efficient and safe care in the ASC patient care continuum. Maintains adequate inventory based on department need. Demonstrates economic use of equipment and supplies. Maintain confidentiality of all pertinent patient care information to assure patients rights are protected. Communicate appropriate information to other members of the healthcare team in a timely manner. Required to maintain BLS (Basic Life Support) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Current Washington State RN license. Desired: Previous experience in ambulatory care setting or endoscopy lab. ACLS training. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Working conditions are stressful at times. Requires a combination of working alone and also working closely with others. Overtime may occasionally be required. General supervision is provided by the area manager with additional instructions, guidance, and direction provided by the physicians and nurses in the ASC Department. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Aug 20, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Essential Functions: Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Washington state Department of Health -RN license must be active by start date. Desired: Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Aug 20, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: Ensures quality patient care by assisting in the performance of all procedures in the GI department. Assess, plans, implements and evaluates the care of patients in the GI department. Communicates with the gastroenterologists as needed about patient’s condition, assists with procedures, and assists with maintaining equipment and inventory. Participates in performance improvement projects, maintains regulatory agency requirements, nursing and medical center policies and standards. Essential Functions: Ensures quality patient care by following department policies and guidelines. Maintains IV competency Obtains/maintains conscious sedation competency Prepares each suite prior to each case by following the daily schedule and procedure requirements. Ensures safe patient care by placing blood pressure cuff, sensor for pulse oximeter, nasal cannula, surgical cautery pad and cardiac electrodes appropriately. Assists with positioning of patients. Assists the MD in the procedure rooms, including but not limited to: biopsies, polypectomy, dilation, charting vitals/patient status and the collection and labeling of specimens. Delegate’s tasks to the GI tech, recognizing what duties are within their scope of practice. Ensures optimal outcomes by proper handling of instruments and equipment. Maintains manufacturer’s recommendations and WVMC policies by proper processes-cleans, disinfects and reprocesses scoped and other instruments, per policy #5510. Understands the inventory of sterile, non-sterile and disinfected instruments by demonstrating proper handling, function, availability and location. Prioritizes activities based on knowledge and comprehension of the endoscopy schedule. Understands operation, function and handling of special equipment according to manufacturer’s recommendations. Provide assessment by troubleshooting malfunctioning equipment. If further service is required, process equipment, complete paperwork and calls biomed. Assists where needed to insure efficient and safe care in the GI patient continuum. Maintains adequate inventory based on department need. Demonstrates economic use of equipment and supplies. Maintain confidentiality of all pertinent patient care information to assure patient’s rights are protected. Communicate appropriate information to other members of the healthcare team in a timely manner. Participate in overall GI ASC functions including, but not limited to, scheduling of procedures, training of new staff, maintaining appropriate statistics, assisting with Quality Assurance projects, education to improve self and others, and attending staff meetings and annual education in-services as required. Comply with attendance requirements. Channel suggestions, criticism and questions to appropriate individuals. Accept and act on constructive criticism to improve professional abilities. Respond appropriately to emergency situations, recognizing the need for assistance and obtaining support from GI personnel and/or physician as needed. Recognize legal responsibilities and function within limitations as specified by law. Responsible for complete and thorough performance of assigned tasks. Demonstrates an awareness of safe conditions and safe acts as related to WVMC employment. Exhibits cooperation, self-control, and courtesy in relating to coworkers and job-related contacts. Maintains BLS certification, obtains and maintains ACLS certification within 1 year of employment. Compliance with universal precautions and the use of personal protective equipment. Understands the safety precautions associated with the use of OPA and other chemicals in the healthcare environment. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Current Washington State RN license. ACLS training (within a year). Desired: Previous experiencein ambulatory care setting or endoscopy lab desirable. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - Not specified Bending/Stooping/Crouching - Not specified Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Most of the work of this position is done in the Endoscopy lab area, where spaceis limited and confined. Working conditions may be stressful at times. Requires a combination of working alone and working closely with others. Overtime may occasionally be required. General supervision isprovided by the ASC nursing supervisor and the area manager with additional instructions, guidance, and direction provided by the physicians and nurses in the GI Department. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - Not specified Heat - Not specified Cold - Not specified Mechanical Hazards - Not specified Hazardous Substances - Not specified Blood Borne Pathogens Exposure Potential - Not specified Lighting - Not specified Noise - Not specified Ionizing/Non-Ionizing Radiation - Not specified Infectious Diseases - Not specified
Aug 20, 2019
Confluence Health Wenatchee, WA 98801, USA
Please Note: This is a pool, as needed position. No guarantee of hours. Position Summary: The Infusion Nurse is responsible for the nursing management of patients being infused with chemotherapy and biologic therapy agents, fluids and other medications, and the nursing management of central lines. The nurse provides direct patient care; consults with physicians and nurses; and assists with patient/family education, care coordination and symptom management of patients that treated in the infusion department. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To: Practice Manager Essential Functions: Infuses chemotherapy, biologic therapy and other agents: Performs a nursing assessment prior to each infusion or treatment per policy and procedure of the medical center. Has knowledge of each agent infused including potential drug toxicities and side effects, proper methods of administration, and related interventions. Safely prepares infusion and pump set-up for each drug that is infused. Follows parental administration policy and procedure of the medical center for the medications given. Monitors patient during and if applicable after the infusion, observing for any untoward effects. Provides patient and family teaching about treatment and side effects in collaboration with the other members of the healthcare team. Follows the ONS/ASCO and INS guidelines for these infusions. Assures the safety of patients and other staff. Follows all policy and procedures of the medical center related to verification of orders and products when administering chemotherapy, biotherapy and other infusion agents. Demonstrates an awareness of the potentially hazardous nature of many of the agents administered and follows safe handling and disposal policy and procedures of the medical center. Properly prepares and protects patients and families during infusions when indicated. Follows infection control policy and procedure of the medical center. Follows universal precautions. Provides care to patients as part of the overall care team. Communicates patient symptoms, concerns and/or reactions to Nurse Case Manager and/or physician for that patient. Provides psychosocial support to patients and families. Documents assessment and infusion treatment per guidelines and policy of medical center. Documents patient education per guidelines and policy of medical center. Documents all medications and treatments administered per guidelines and policy of medical center. Maintains and Develops IV/CVAD skills. Maintain knowledge of current ONS and INS standards. Follows policy and procedures for IV and Central Lines of medical center. Takes an active role in their own education to stay current with medications they give, oncology care and treatment and current standards of ONS, ASCO, and INS. Willingness to be involved in PI and LEAN processes. Demonstrates effective and professional communication with patients, colleagues and providers. Demonstrates ability to effectively intervene with a patient in crisis. Informs Area Manager of high-risk patient situations. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Current Washington State Nursing License. Current BLS Health Provider card. Chemotherapy/Biotherapy certification within the first year of employment. Ability to communicate effectively and appropriately with patients, family members and staff. Ability to work under pressure related to work/time deadlines. Competent in assessment and IV skills. Ability to work independently and use critical thinking skills. Competent in basic computer skills. Desired: IV experience and oncology experience. OCN certification. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - O Reaching: Above shoulder height - F Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - F Working Conditions: Normal medical office environment. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Aug 20, 2019
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Infection Control Nurse will work in a coordinated and integrated infection surveillance, prevention, and process improvement program to advance patient safety and prevent infections. They will work proactively to prevent infection, evaluate process compliance, and improve infection prevention and treatment policies. Analyze and interpret data under the direction of the Infection Prevention and Control Program Manager. Work collaboratively with multidisciplinary teams and provide education as needed. Essential Functions: Performs infection surveillance including review of laboratory and other clinical reports; review of medical records; observation in the clinical area. Establishes and maintains surveillance data for health-care acquired infections per the annual surveillance plan as determined by the Infection Control Committee. Performs walk around infection prevention and control inspections within appropriate time frames with meaningful and accurate reports of areas and processes that are of high quality and those in need of improvement. Identifies opportunities for improvement based on observations, process and outcome indicators, and other findings. Has good knowledge of regulations and standards regarding infection control and participates in regulatory surveys as needed. Inspects, consults with and is a resource to other disciplines, departments and agencies to identify problems. Implements corrective action, and evaluates its effectiveness in the improvement of patient care quality and regulatory compliance. Provides education that relates to infection control, prevention and epidemiology for healthcare providers, staff, patients and families. Reviews current literature and is aware of trends and issues. Attends educational sessions to further enhance skills and knowledge. Participates in committee and program support. Deals appropriately with sensitive confidential information contained in events, medical records, reports and other documents. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Current Washington State Registered Nurse license required Problem solving abilities and organizational skills Skill in written and verbal communication Good knowledge and application of computer technology Desired: Experience in Infection prevention and control Knowledge of principles of epidemiology, infection prevention and control Skill in time management Ability to work independently and take initiative Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - F Reaching: Shoulder Height - O Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - Not Specified Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - Not Specified Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - Not Specified Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - Not Specified Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed in the office, clinic and hospital environment. Involves frequent contact with staff, physicians, and leadership, and patients. Involves periodic day travel and overnight/multiple day travel. Work may be stressful at times. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – Yes Lighting – Yes Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Jul 31, 2019
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The purpose of the Nurse Case Manager position is to support the provider and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management and care facilitation. Position Reports To: Quality Care Manager Essential Functions: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement Application of process improvement methodologies in evaluating outcomes of care Coordinating communication with providers. Coordinates/facilitates patient care progression throughout the continuum.•Works collaboratively and maintains active communication with providers, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Address/resolves system problems impending diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles. Seeks consultation from appropriate disciplines/ departments as required to expedite care. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with the provider and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis•Modifications of plan of care, as necessary, to meet the ongoing needs of the patient; Communication to third party payors and other relevant information to the care team; Completion of all required documentation in the EHR and patient records Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients.•Identifies at-risk populations using approved screening tool and follows established reporting procedures. Refers case and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated. Discusses payor criteria and issues on a case-by-case basis and follows up to resolve problems with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department. Ensures that all elements critical to the plan of care have been communicated to the patient/family and member of the healthcare team and are documented as necessary to assure continuity of care.•Collaborates/communicates with internal & external case managers. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities.•Assists in the collection and reporting of resource and financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variance from the plan of care/care path with provider and/or members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and/or outcome indicators as determined by Director or Manager of Case Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility. Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff. Other duties as assigned. Identifies and reaches out to Medicare/Medicare Advantage patient population, schedules, performs, and documents Medicare Annual Wellness visits. Qualifications: Required: Current and valid license to practice as a Registered Nurse RN in the state of Washington. One year clinical experience. Excellent interpersonal communication and negotiation skills Strong analytical, data management and PC skills. Understanding of venues of care and community resources. Desired: Professional certification as a Case Manager encouraged within three years of employment. Current working knowledge of utilization management, case management, performance improvement and managed care reimbursement preferred Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - Not Specified Reaching: Below shoulder height - Not Specified Climbing - Not Specified - Not Specified Pulling/Pushing: 25 pounds or less - Not Specified Pulling/Pushing: 25 pounds to 50 pounds - Not Specified Pulling/Pushing: Over 50 pounds - Not Specified Lifting: 25 pounds or less - Not Specified Lifting: 25 pounds to 50 pounds - Not Specified Lifting: Over 50 pounds - Not Specified Carrying: 25 pounds or less - Not Specified Carrying: 25 pounds to 50 pounds - Not Specified Carrying: Over 50 pounds - Not Specified Crawling/Kneeling - Not Specified Bending/Stooping/Crouching - O Twisting/Turning - Not Specified Repetitive Movement - Not Specified Working Conditions: Work is performed in an office environment. Involves frequent contact with staff, leadership and practitioners. Work may be stressful at times. Frequent day travel between various office, campuses and meeting locations. Job Classification: FLSA: Exempt Hourly/Salary: Salaried Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – No Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – No
Jul 31, 2019
Confluence Health Wenatchee, WA 98801, USA
***Please note: this is a pool/as needed position, no guarantee of hours*** Position Summary: The CDS is responsible for facilitating a thorough, complete and accurate patient health record which will secure the correct reimbursement for resource utilization, the highest quality measures and outcomes, superior communication between providers, and ultimately high patient satisfaction. Travel may be required to outlying clinics. Work is conducted remotely, in the hospital and/or in the clinic. Position Reports To: Director of Quality Analytics Essential Functions: Ability to learn and develop the skills necessary to perform clinical documentation reviews using the tools provided. Perform accurate and timely record review. Recognize opportunities for documentation improvement. Formulate clinically credible documentation clarifications. Effectively communicate opportunities for clarification to providers in a way that secures complete and accurate documentation. Effective and appropriate communication with providers, the clinical documentation and coding teams, and others that fosters collaboration and trust. Timely follow-up on all clarification requests. Participate in Task Force meetings. Manage multiple priorities. Adhere to established clinical documentation rules, processes and workflows. Apply critical thinking, problem solving, and deductive reasoning skills to complex clinical and interpersonal situations. Understand and communicate differences between IPPS and OPPS and how they impact DRGs and ICD-10 code assignment. Able to process multiple sources of information simultaneously while maintaining clarity of thought and purpose. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current WA state RN license. Recent 2 years acute care experience, preferably ICU, PCU or strong Med/Surg. Must successfully pass an on-line clinical knowledge assessment (provided by Confluence Health) with 70% or greater. Extensive knowledge of pathophysiology, disease processes and associated care-pathways. Basic computer skills; familiarity with Microsoft software programs. Desired : BSN. 5 years acute care experience. ACDIS or other national CDI certification. Knowledge of CMS and regulatory environment. Experience in organizational, analytical, and writing skills. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands for This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - O Reaching: Above shoulder height – O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - C Repetitive Movement – C Working Conditions: Work is done throughout a specific clinical/reception area of the building. Some work areas may be small, crowded, and confined. Job requires both working closely with others and working alone. Hours can vary from a normal schedule and overtime may be required. Stressful working conditions do exist. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures for This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - No Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - No
Jul 31, 2019
Full time
Confluence Health Moses Lake, WA 98837, USA
This position will be a combination of simple infusion RN duties as well as other nurse navigation duties. Position Summary: The Oncology Nurse Navigator is accountable for navigation and coordination of care utilizing evidenced-based clinical pathways for oncology patients along the continuum of care for their cancer from diagnosis through treatment to survivorship care. They will provide longitudinal comprehensive nursing care to a designated case of oncology patient. They will have primary nursing responsibilities for the coordination of care, symptom management and education of patients and families. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To: Practice Manager Essential Functions: Manage, develop, implement, and evaluate initial patient plan of care following clinical pathways in collaboration with the Oncology Physician, and the health care team, to determine the effective utilization of resources and outcome achievement. Obtain, review, and scan outside patient records for new newly referred oncology patients. Determine need for further diagnostic work-up; communicate and coordinate necessary tests or procedures to the patient and the healthcare team. This includes coordination of provider orders from both inside and outside the system. Coordinate simple and complex patient care issues in conjunction with other parts of the healthcare system, working inter-departmentally. Determine timeliness/time appropriateness of appointments. Ensures effective and appropriate utilization of resources and efficient patient throughput along continuum of care. Document interim progress notes reflecting coordination of care/services. Intervene when the clinical pathway is not being followed, either due to patient constraints or ineffective follow-through. Collaborates with the healthcare team to make appropriate referrals to other healthcare settings and community resources. Provide triage services and symptom management to patients as needed, in-person and over the phone. Communicate symptomology to appropriate team members. Conduct toxicity checks/assessment on patients. Ongoing assessment of patients for unmet social needs with appropriate referral and communication to social services, community resources, etc. Monitor continuity of care and expedite delivery of services to move patients through the system effectively. Develops, implements and updates clinical care pathways for Specialty Care with Practice Manager, Physician, and healthcare team. Identify and document variances from pathways and collaborate with the health care team in relation to patients' progress. Assist with care coordination between radiation and medical oncology departments. Collaborates with staff in the different departments on clinical and operational issues to ensure timely and appropriate patient throughput in the healthcare system. Collaborates with the health care team as needed to facilitate patient's care across the healthcare continuum. Ensure that patient and family have received appropriate education and instructions in collaboration with health care team. This includes patient teaching on the disease, treatment options, procedures, and chemotherapy regimens and side effects. Assess and coordinate patients receiving radioactive pharmaceuticals and oral chemotherapies. Facilitate and/or conduct patient, family, and team conferences and rounds to develop and monitor a plan of action as necessary. Appropriately assess and refer patients to support services, including social services, palliative care, survivorship, home health, hospice, etc. Conduct Advance Care Planning discussions with patients and family members. Aggregate data to identify patterns/trends of screening patients and delivery of care, report the data to appropriate administrative bodies, and facilitate change when necessary. Document all care appropriately in the patient EMR. Attend weekly tumor board meetings and other coordination meetings as needed to assist with the coordination of patient care and/or community support. If the role includes survivorship navigation the essential functions will include duties which assist coordination of care for patients in the survivorship program. Reaches out to patients who are appropriate for survivorship program to inform them what the components of the program are and encourage them to take part in it. Assists and supports patients who are referred to survivorship to coordinate for the initial survivorship visit or other survivorship services. Prepares individual treatment summaries and care plans for patients. Member of survivorship task force for Oncology Service Line. Involved in data collection for survivorship program. Coordinates and communicates with other departments outside the Oncology Service Line who provide service for oncology patients to encourage knowledge and utilization of survivorship program. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Current Washington State Nursing License. Current BLS Health Provider card. 3 years of clinical experience. Working knowledge of case management with clinical pathways. Knowledge of variance identification/reporting and process improvement. Ability to effectively communicate with patients and health care team. Working knowledge of team building and facilitation skills. Competent in basic computer skills. Ability to work independently and perform role with minimal guidance. Desired: Case Management experience/certification preferred. Oncology experience preferred. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - F Working Conditions: Not Specified. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Cold - No Heat - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 31, 2019
Confluence Health Wenatchee, WA 98801, USA
This position offers a $6,000 sign on bonus* * Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 31, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Labor and Delivery Nurse is a staff nurse responsible for assessing, planning, organizing and directing activities in the labor and delivery setting. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Clinical Manager Essential Functions: Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. LABOR AND DELIVERY REGISTERED NURSE ESSENTIAL FUNCTIONS A formal orientation program shall be required of all professional personnel who provide patient care in Labor & Delivery. All Labor & Delivery Registered Nurses will be trained in techniques of labor and delivery care, and the use of all special equipment in the department. Labor and Delivery RNs will attend an annual skills course to validate competency in selected topics and skills for that year. Labor and Delivery RNs will demonstrate annual competency in: fetal monitoring recovery of regional anesthetic Caesarean Section patients cricoid pressure for general anesthesia circulating c/sections (SCN RNs and pool RNs may be excused from the circulating role) Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Labor & Delivery Registered Nurses must have a current NRP card upon hire or obtain within four months following date of hire. Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Acute care experience. Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures: Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 31, 2019
Confluence Health Wenatchee, WA 98801, USA
***Please note: this is a pool/as needed position, no guarantee of hours*** Position Summary: Operating room nurse coordinates the care for surgical patients during the intra-operative phase of care. OR nurse job duties include patient education, circulating nurse and/or scrub nurse roles. Essential Functions: Checks the operating room for general cleanliness and readiness prior to any procedures. Arranges the OR for the procedure, including adjusting lights, positioning Mayo stands and stools, etc. Circulator also procures additional equipment as needed. Checks all equipment in the OR (lights, suction, oxygen, monitors, etc.) for proper functioning prior to procedures. Assists in opening sterile supplies for each procedure. Checks the patient's chart in the pre-operative holding area and verifies that it is complete and in order. Makes sure that the consent form matches the scheduled procedure. Interviews the patient after verifying patient identification. Confirms patient NPO status, allergies, procedure to be performed, verifies correct surgical site, and answers any questions that the patient may have. Offers further patient education if needed. Relays significant findings to other staff as well as to the surgeon and anesthesia provider. Transports patient to the operating room. Positions and secures the patient on the operating table. Performs skin prep. Performs "timeout" verification procedures with surgical team and documents such. Assists anesthesia provider with intubation of patient as necessary. Completes the proper sponge, sharps and instrument counts per department policy and procedure. Keeps the OR clean and organized during the procedure. Performs intra-operative documentation throughout the procedure. Maintains all necessary logs. Accepts, handles, labels and documents all specimens according to department policy and procedure. Obtains necessary lab reports, medications, and IV solutions as needed throughout the procedure. Is very familiar with the policy and procedure on blood transfusion. Calls for lab, blood bank or pathology assistance or backup as needed and requested by the physician. Continually observes the movements of the surgical team during the performance of their duties to assure that there is no break in aseptic technique during the procedure. Intervenes and assists when a break in procedure or sterility occurs or is suspected. Is flexible in working hours. Understands that overtime is common in the operating room environment. Willing to assist in the PACU if needed and trained to do so. Takes appointed call rotations as scheduled. Performs essential job functions of scrub nurse when trained to do so. Supervises all persons in the OR environment, to include: LPNs, CSTs, STs, CMAs, MAs, Radiology Techs, surgical product representatives, students, visitors and observers. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: RN graduate of an accredited school of nursing is required. ACLS and/or PALS certification within one year of employment. Desired: CNOR certification preferred. Previous procedural nursing experience desired but not necessary. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands for This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - Not specified Working Conditions: Work is performed primarily in the Perioperative setting where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times and some overtime may be involved. Requires working under stressful conditions. General supervision is provided by the Director of Admissions & Recovery with oversight by the Vice President of Surgical Services and other senior leadership. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures for This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Jul 31, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
This position offers a $8,000 sign on bonus* *Must have two years of CVOR experience and make a 2 year commitment to Confluence Health This position highly prefers Surgery and CVOR experience. Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions: Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Jul 31, 2019
Confluence Health Wenatchee, WA 98801, USA
Please note: this is a pool/as needed position Position Summary: The CDS is responsible for facilitating a thorough, complete and accurate patient health record which will secure the correct reimbursement for resource utilization, the highest quality measures and outcomes, superior communication between providers, and ultimately high patient satisfaction. Travel may be required to outlying clinics. Work is conducted remotely, in the hospital and/or in the clinic. Position Reports To: Director of Quality Analytics Essential Functions: Ability to learn and develop the skills necessary to perform clinical documentation reviews using the tools provided. Perform accurate and timely record review. Recognize opportunities for documentation improvement. Formulate clinically credible documentation clarifications. Effectively communicate opportunities for clarification to providers in a way that secures complete and accurate documentation. Effective and appropriate communication with providers, the clinical documentation and coding teams, and others that fosters collaboration and trust. Timely follow-up on all clarification requests. Participate in Task Force meetings. Manage multiple priorities. Adhere to established clinical documentation rules, processes and workflows. Apply critical thinking, problem solving, and deductive reasoning skills to complex clinical and interpersonal situations. Understand and communicate differences between IPPS and OPPS and how they impact DRGs and ICD-10 code assignment. Able to process multiple sources of information simultaneously while maintaining clarity of thought and purpose. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current WA state RN license. Recent 2 years acute care experience, preferably ICU, PCU or strong Med/Surg. Must successfully pass an on-line clinical knowledge assessment (provided by Confluence Health) with 70% or greater. Extensive knowledge of pathophysiology, disease processes and associated care-pathways. Basic computer skills; familiarity with Microsoft software programs. Desired : BSN. 5 years acute care experience. ACDIS or other national CDI certification. Knowledge of CMS and regulatory environment. Experience in organizational, analytical, and writing skills. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands for This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - O Reaching: Above shoulder height – O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - C Repetitive Movement – C Working Conditions: Work is done throughout a specific clinical/reception area of the building. Some work areas may be small, crowded, and confined. Job requires both working closely with others and working alone. Hours can vary from a normal schedule and overtime may be required. Stressful working conditions do exist. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures for This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - No Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - No
Jul 31, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Infusion Clinical Nurse Supervisor coordinates and supervises daily operations and staff for infusion in the oncology service line. They assure efficient delivery of quality patient care and that nursing practice follows national oncology and infusion standards. They work closely with the Oncology Practice Manager to facilitate optimal operations in this department. They provide the clinical support for staffing coordinator to ensure staffing levels are appropriate. This position will be a working supervisor role and will work on infusion RN as needed. Essential Functions: Essential Functions: Supervises the daily activities and staff to Infusion Departments in the Oncology Service Line Coordinates with staffing coordinator to ensure staffing levels in department are appropriate. Responsible for coordinating assignments and adjusting work schedules on an ongoing basis to meet staffing needs. Coordinates coverage to assure staff receive adequate breaks Coordinates PTO requests with Practice Manager and staffing coordinator Performs introductory-period and annual performance evaluations with Practice Manager. Participates in performance feedback of RN staff with Practice Manager Assists the Practice Manager in interviewing and hiring of staff in infusion department. Participates in developing and coordinating employee orientation and training. This includes annual competencies Maintains current knowledge of national oncology and infusion nursing standards and ensures these are followed in collaboration with Practice Manager and Service Line Director Responsible for completion of time cards in API for infusion staff. This includes working with staff to ensure accurate completion of time cards Assists Practice Manager in preparing and implementing the annual capital and staffing budget. This includes monitoring and control of staff hours (low census, overtime, etc.) to follow policy. Communicates variances to Practice Manager Performs duties of infusion RN as necessary Serves as an employee advocate while promoting the mission and values of Confluence Health. Serves as primary resource in solving work-related problems and helping employees to their potential Ensure that staff receives communication that impacts their work. Attends appropriate huddles and stays current regarding medical center information. Attends meetings as required Takes appropriate CHVS courses and utilizes this methodology in implementing process improvements in the department that promote quality efficient care and high patient satisfaction Establishes and maintains rapport with providers who utilize infusion department and maintains awareness of their satisfaction Establishes and maintains rapport with other departments, staff and leadership who utilize infusion department Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current Washington State Nursing License Current BLS Health Care Provider Card 3 years clinical experience Chemotherapy Biotherapy card within one year of hire Associates degree in Healthcare Administration, Business, or related field with two years relevant leadership experience Current Confluence Health employees may substitute an Associate’s degree with 4 years of relevant experience Desired : Oncology, Infusion, Chemotherapy experience preferred Supervisory experience preferred Bachelors’ degree Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - F Physical Exposures: Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – Yes Blood Borne Pathogens Exposure Potential –Yes Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Jul 31, 2019