Pre-Admission Registered Nurse - Care Management - Full Time - Variable/Flexible Hours at Nebraska Methodist Health System

Why work for Nebraska Methodist Health System?

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary

Location: Methodist Jennie Edmundson

Address: 933 E. Pierce St. - Council Bluffs, IA

Work Schedule: Monday through Friday. Variable/Flexible daytime hours.

Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.

Ask your recruiter/hiring manager about the following incentives that may be available for this position:

• Shift differentials & other financial incentives
• Tuition assistance
• Academic sponsorship with Methodist College
• Free parking
  
  

Responsibilities

Essential Functions

Provides appropriate care specific to the age and population of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.

• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs and culture.
  
  

Performs an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.

• Includes data from the patient/significant other(s) in the assessment as appropriate.
• Prioritizes data collection according to patient's immediate needs.
• Uses assessment findings in discharge planning.
  
  

Develops/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient care outcomes.

• Collaborates with physicians and other clinical disciplines as appropriate.
• Provides teaching specific to the patient's health care problem.
• Care plan reflects continuing care needs and/or referrals for discharge/transfer.
  
  

Implements interventions that are consistent with the established plan of care in a safe and appropriate manner.

• Is familiar with, and follows, nursing protocols and standards of care for their unit.
• Uses current knowledge in nursing practice based on standards and research literature.
• Administers medication without error and utilizes critical thinking regarding medication effects on patient.
  
  

Evaluates patient care to determine response to care/interventions for optimal patient outcome.

• Monitors outcomes and documents patient response to interventions.
• Evaluates the patient's capabilities and/or limitations related to nursing and medical interventions.
• Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
• Gives a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR content, and is familiar with the overall plan of care.
• Recognizes and addresses patient and family capabilities and limitations (physical and mental).
  
  

Performs technical skills competently and independently to assure patient safety (autonomy).

• Able to competently perform technical skills independently.
• Is accountable to learn new skills and equipment within areas' specifications and time frame.
• Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
• Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
• Charges accurately for use of supplies and equipment according to policy.
• Maintains competence in area of experience.
  
  

Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission.

• Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
• Identifies and participates in performance improvement activities.
  
  

Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns).

• Completes appropriate report form for any risk (e.g., incident report, patient concern report, maintenance request).
• Works within the scope of practice as defined by the Nurse Practice Act.
• Observe appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
• Follows infection control guidelines and practices.
  
  

Reviews, delegates and evaluates plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.

• Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
• Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
• Right communication (clear, concise, correct, complete).
• Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
  
  

Promotes positive relations when interacting with physicians, visitors, families, customers and coworkers.

• Greets, smiles and makes eye contact. Introduces self by name.
• Volunteers to help co-workers and other employees.
• Responds quickly to providers and/or health system personnel.
• Remains calm in difficult situations and effectively diffuses crisis and refers to appropriate supervisory levels as needed.
• Serves as a role model to promote collaborative relationships.
• Recognizes and values input from health system personnel.
• Knows and demonstrates customer complaint management process.
  
  

Initiates/completes assessments via phone contact based on the patient's scheduled procedure in accordance with Methodist Jennie Edmondson's procedures.

• Meets productivity of 10-12 completed assessments per 8 hour shift.
• Includes data from the patients, families, and other authorized care takers in the assessment as appropriate.
• Prioritizes data collection according to patient's needs.
• Uses assessment findings to critically analyze if more information or follow up is needed with physician offices or surgery staff to avoid cancellation of procedure.
• Ensures HIPAA regulations are followed to protect patient information.
  
  

Obtains and reviews physicians' orders, clinical testing/lab results and H&Ps.

• Reviews all pertinent patient data to identify priority needs to be addressed prior to or upon admission.
• Uses effective communication to work through potential problems, with patients, physicians, office staff or surgery staff.
• Works with department's staff assistant to ensure all pre-op workup is obtained.
• Identifies potential problems with abnormal lab results, medications, pre-op orders, etc ., and intervenes as appropriate with primary care physicians, surgeons, or anesthesia personnel.
  
  

Collaborates with members of ancillary services in a multidisciplinary approach to prepare for patient admissions.

• Communicates with surgery staff about special needs for patients with latex allergies and any special needs and/or requests from patients.
• Communicates with Case Management/Social work staff any special care needs or issues with discharge planning, such as transportation, or inability to afford medications.
• Communicates with Administrative Coordinators regarding special equipment needs or issues with interpretative services.
  
  

Provides pre-operative education to the patient, family, and/or authorized care taker to meet identified patient needs according to their needs, abilities, preferences, and readiness to learn.

• Provides information on medications to take and/or hold prior to surgery.
• Provides arrival times.
• Provides information relevant to the procedure being done.
• Answers any questions, patients, family, and/or authorized care takers have.
• Reassures patients, family and/or authorized care takers when discussing scheduled procedure.
• Ensures patient, family, and/or authorized care taker understands all education provided.
  
  

Utilizes Cerner to document all pertinent information.

• Uses standardized workflow processes to document patient assessment, medication history, allergies and pharmacy information.
• Documents patient education and understanding in Cerner.
• Creates nurses notes to relay any pertinent information to other departments.
  
  

Identifies and participates in performance improvement activities.

• Participates in meetings and/or committees as needed to assist in decisions affecting area/unit or organization.
• Provides feedback and ideas to create and maintain standardized workflow processes.
  
  

Schedule

Monday through Friday. Variable/Flexible daytime hours.

Job Description

Job Requirements

Education

• Bachelor of Science in Nursing (BSN) from an accredited school of nursing preferred.
• Graduate of an accredited school of nursing required.
  
  

Experience

• 5-7 years current med-surg experience.
• Discharge Planning and Utilization Review experience preferred.
• Maintains clinical competency as required for the position including but not limited to: Age specific competencies relative to patient's growth and development needs, annual skill competency verification.
  
  

License/Certifications

• Current valid Registered Nurse (RN) License, valid compact multistate license to work, or a temporary permit while awaiting licensure required.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Preferred: core certification related to area of specialty from National Certification Corporation (NCC) within 1 year of eligibility.
  
  

Skills/Knowledge/Abilities

• Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
• Ability to multi-task and prioritize work assignments.
• Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
• Skilled in promoting positive relations when interacting with patients or other customers.
• Knowledge of federal and state regulations related to nursing applications and pre-admission and pre-operative care.
• Ability to communicate effectively both verbally and in writing.
• Ability to exercise judgment, courtesy, tact and professionalism.
• Ability to adapt work place according to rapidly changing volumes, patient needs and unpredictable situations.
• Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments including diverse patient populations.
• Ability to maintain confidentiality relevant to sensitive information.
  
  

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.
  
  

Physical Activity

• Occasionally Performed (1%-33%):
• Climbing
• Crawling
• Kneeling
• Sitting
• Frequently Performed (34%-66%):
• Balancing
• Carrying
• Crouching
• Distinguish colors
• Keyboarding/typing
• Lifting
• Pulling/Pushing
• Repetitive Motions
• Stooping/bending
• Twisting
• Constantly Performed (67%-100%):
• Fingering/Touching
• Grasping
• Hearing
• Reaching
• Seeing/Visual
• Speaking/talking
• Standing
• Walking
  

Job Hazards

• Not Related:
• Electrical Shock/Static
• Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Rare (1-33%):
• Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
• Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
• Occasionally (34%-66%):
• Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
• Equipment/Machinery/Tools
• Explosives (pressurized gas)
• Hazardous Drugs (exposure risks, personal protective equipment required)
• Frequent (67%-100%):
• Chemical agents (Toxic, Corrosive, Flammable, Latex)
• Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
• Mechanical moving parts/vibrations
  

About Methodist

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.