Job Description

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 Hospital
Address: 933 E Pierce St, Council Bluffs, IA

Work Schedule: Monday - Friday, variable hours with a weekend commitment

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

Responsibilities:

Essential Job Functions

1. Provides appropriate care specific to the age 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.

2. Performs an initial and ongoing assessment to determine the patient's needs.

• Includes data from the patient/significant other(s) in the assessment as appropriate.
• Prioritizes data collection according to patient's immediate needs.
• Initiate discharge planning upon admission.
• Comprehensively assesses each patient/family the day of admission (or next day if admitted on off-shifts or Monday a.m. if admitted on the weekend) for medical, psychosocial, financial, and discharge needs.
• Screens all admissions to identify patients requiring complex case management and/or referrals to other healthcare team members.
• Monitors caseload daily for variances to patient progression and collaborates with physician and/or care team to address.
• Identify system barriers that contribute to variances in patient progression.

3. Develops/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.)

• Collaborates with providers and other clinical disciplines as appropriate.
• Provides teaching specific to the patient.
• Care plan reflects continuing care needs and/or referrals.

4. Implements interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).

• Is familiar with, and follows, nursing protocols and standards of care.
• Uses current knowledge in nursing practice based on standards and research literature.

5. 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.

6. Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)

• Communicates effectively to solve problems at the personal and unit level.
• Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
• Takes pride in the unit by active participation in restocking and maintaining a clean environment.
• Maintains a professional appearance, behavior, and work environment.
• Maintains competence in area of experience.
• Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.

7. Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or staff/employees. (Quality of Care)

• Completes appropriate report form for a risk (e.g., variance/incident report, patient concern report, maintenance request).
• Communicates to appropriate personnel regarding unresolved issues.
• Works within the scope of practice as defined by Nurse Practice Act.

8. Fiscally accountable.

• Acts professionally responsible for human and other resources.
• Charges accurately for use of supplies and equipment according to policy.
• Knowledgeable of length of stay goals for each DRG and communicates with the provider.
• Partners with post-acute care providers to decrease readmissions.
• Has knowledge of “Severity of Illness/Intensity of Service” criteria and collaborates with UR nurse regarding the appropriateness of admission, continued stay, and level of care.
• Performs concurrent reviews for patients with commercial payers (Acute Rehab only).

9. Coordination of Care

• Collaborates with physician, interdisciplinary team and patient/family to develop comprehensive, proactive discharge plans for all complex patients and oversees and ensures the development of discharge plans for all patients.
• Establishes effective relationships with patient/family to set reasonable goals and expectations for acute care, and to facilitate a safe and satisfactory transition to home or alternative post-acute facilities.
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• Accurately documents in the medical record, and/or electronic system and completes forms in accordance with documentation policies.
• Tracks and communicates pertinent results (i.e., diagnostics and consulting physician recommendations) in timely manner to physician(s) to expedite medical decision making.
• Actively participates in interdisciplinary rounds and targets actionable issues affecting patient care and clinical progression.
• Facilitates timely referrals to care team (i.e.: Social Work, Rehab, Wound Care, Diabetes Clinic, Palliative Care, etc.).
• Coordinates interdisciplinary team actions to support the discharge plan, i.e.; consulting physician address needed medications, facility arrangements, physician approvals and orders for discharge Direct Medical Education (DME) orders.
• Participates and/or facilitates patient/family conferences to address clinical management issues and discharge plan.
• Teaches patient/family regarding complex diseases and/or discharge instructions.

10. Participates in Performance Improvement activities.

• Assists with ongoing update/development of critical path and standing order sets.
• Participates in hospital-wide committees and initiatives as assigned (i.e., pneumonia, COPD, CHF, CABG).

Schedule:

Monday - Friday variable hours, 24hrs/Wk, weekend requirement

Job Description:

Job Requirements

Education

• Bachelors of Science in Nursing (BSN) from an accredited college of nursing required, or obtained within 5 years from date of hire for nurses with an Associate Degree in Nursing (ADN).
• Successful completion of annual mandatory education requirements.

Experience

• Minimum of two years of relevant clinical experience.

License/Certifications

• Current valid Registered Nurse (RN) License, valid compact multi-state license, or a temporary permit while awaiting licensure required for work state.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Certification(s) in area of specialty preferred.
  • From National Certification Corporation (NCC) within 1 year of eligibility.
• Case Management certification preferred.

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.
• Ability to think critically and problem solve.
• Excellent negotiation skills, with the ability to address complex issues with physicians and staff across multiple departments.

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%):
  • 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.