The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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**BONUS ELIGIBLE** Earn up to $20k for Experienced Registered Nurses and up to $10k for New Graduates! The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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**BONUS ELIGIBLE** Earn up to $20k for Experienced Registered Nurses and up to $10k for New Graduates! The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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**BONUS ELIGIBLE** Earn up to $20k for Experienced Registered Nurses and up to $10k for New Graduates! The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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**BONUS ELIGIBLE** Earn up to $20k for Experienced Registered Nurses and up to $10k for New Graduates! The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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**BONUS ELIGIBLE** Earn up to $20k for Experienced Registered Nurses and up to $10k for New Graduates! The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care. Clinical - Assessment - Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within timeframe specified by policies, procedures or protocols. - Conducts ongoing assessments as determined by patient’s condition and/or the policies, procedures or protocols and reprioritizes care accordingly. - Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Clinical - Planning - Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice. - Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team. Clinical - Intervention - Performs appropriate treatments as ordered by provider in an accurate and timely manner. - Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family. - Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. - Initiates emergency resuscitative measures as appropriate. - Assumes responsibility and accountability for effectively managing the care of a specialty patient population. - Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights. - Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate. Clinical - Evaluation - Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. - Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes. - Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. Clinical - Patient Education - Identifies learning needs of patients/families and teaches by adapting standard information based on needs. - Ensures that the patient/family demonstrates knowledge, within the abilities of the patient. - Communicates with patients and family to identify their needs and include them in the plan of care. - Acknowledges and supports determinations by the patient and/or family concerning treatment. Self and Peer Learning - Assumes responsibility for assessing and meeting own learning and professional development needs. - Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies. - Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role. Collaboration - Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. - Supervises delegated care based on abilities of personnel and patient acuity. - Reports changes in patient condition to appropriate personnel. Service Recovery - Participates in service recovery and uses appropriate resources during complex situations. - Handles conflict resolution in an appropriate, timely and consistent manner. Resource Utilization and Stewardship - Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). - Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit. - Able to be trained for a charge nurse role or is currently functioning in a charge nurse role. Improvement Activities - Participates in data collection for quality assurance activities if assigned by department leader. - Identifies and communicates recurring practice concerns in specialty areas and their impact on care. - Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics. - Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety). Research/Evidence Based Practice/Quality Improvement Projects - May participate in Research or Evidence Based Practice projects. - Able to communicate research and quality improvement data/findings to peers. - Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers. - Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies. Ethics - Maintains confidentiality in matters as outlined in Centra policies. - Delivers care in a manner that protects patient autonomy, dignity and rights. - Serves as a patient advocate. - Maintains patient-nurse relationships with professional role boundaries. Other duties as assigned. Education Minimum: Diploma or Associate Degree in Nursing Education Preferred: Bachelor of Science – Nursing (BSN) Work Experience Minimum: At least One Year of Nursing (RN) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia Basic Life Support Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support **ACLS requirements may be (are) waived for 100% remote employees** Cath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support Emergency Dept. 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Job Summary Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas. Education Education Type Program of Study Required/Preferred Diploma or G.E.D. High School Required Accredited Program Registered Nurse (RN) Required Associate’s Degree Registered Nurse (RN) Required Bachelor’s Degree Registered Nurse (RN) Preferred Master’s Degree Registered Nurse (RN) Preferred Experience Experience Type Years Required/Preferred Nursing ≥2 Preferred Certification & Licensures Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Certification in a Nursing Specialty Area, by an organization recognized by the Texas Board of Nursing Preferred *Must obtain within ninety (90) days of start date. Read Less

Job Summary Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas noted below. Education Education Type Program of Study Required/Preferred High School Diploma or G.E.D. High School Required Accredited Program Registered Nurse (RN) Required Associate’s degree Registered Nurse (RN) Preferred Bachelor’s degree Registered Nurse (RN) Preferred Experience Number of Years Type of Experience Required/Preferred ≥2 Nursing Preferred Certification & Licensures 4N & 4S & 4W Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** NIH Stroke Scale (NIHSS) Certification Required** *Must obtain within ninety (90) days of start date **Must obtain within one (1) year of start date Read Less

Job Summary Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas noted below. Education Education Type Program of Study Required/Preferred High School Diploma or G.E.D. High School Required Accredited Program Registered Nurse (RN) Required Associate’s degree Registered Nurse (RN) Preferred Bachelor’s degree Registered Nurse (RN) Preferred Experience Number of Years Type of Experience Required/Preferred ≥2 Nursing Preferred Certification & Licensures 4N & 4S & 4W Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** NIH Stroke Scale (NIHSS) Certification Required** *Must obtain within ninety (90) days of start date **Must obtain within one (1) year of start date 5N & 5S Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** *Must obtain within ninety (90) days of start date **Must obtain within one (1) year of start date CDU Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** NIH Stroke Scale (NIHSS) Certification Required** *Must obtain within ninety (90) days of start date **Must obtain within one (1) year of start date 6N Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** *Must obtain within ninety (90) days of start date **Must obtain within one (1) year of start date 6S Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** NIH Stroke Scale (NIHSS) Certification Required** *Must obtain within ninety (90) days of start date **Must obtain within one (1) year of start date Med Surg – South Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** *Must obtain within ninety (90) days of hire **Required for Charge Nurse Only; Preferred for Staff Nurse ED Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** Trauma Nursing Core Course (TNCC) Certification Required** Pediatric Advances Life Support (PALS) Certification or Emergency Nursing Pediatric Course (ENPC) Certification Required** Neonatal Resuscitation Program (NRP) Certification Required** Certified Emergency Nurse (CEN) Certification Preferred *Must obtain within ninety (90) days of start date **Must obtain within one (1) year of start date ICU & Tower ICU Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** Trauma Nursing Core Course (TNCC) Certification Required** Pediatric Advances Life Support (PALS) Certification or Emergency Nursing Pediatric Course (ENPC) Certification Required** NIH Stroke Scale (NIHSS) Certification Required** *Must obtain within ninety (90) days of start date **Must obtain within one (1) year of start date

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Job Summary Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas. Education Education Type Program of Study Required/Preferred Diploma or G.E.D. High School Required Accredited Program Registered Nurse (RN) Required Associate’s Degree Registered Nurse (RN) Required Bachelor’s Degree Registered Nurse (RN) Preferred Master’s Degree Registered Nurse (RN) Preferred Experience Experience Type Years Required/Preferred Nursing ≥2 Preferred Certification & Licensures Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Certification in a Nursing Specialty Area, by an organization recognized by the Texas Board of Nursing Preferred *Must obtain within ninety (90) days of start date. Read Less

Job Summary Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas. Education Education Type Program of Study Required/Preferred Diploma or G.E.D. High School Required Accredited Program Licensed Vocational Nurse (LVN) Required Associate’s Degree Licensed Vocational Nurse (LVN) Preferred Experience Experience Type Years Required/Preferred Nursing ≥2 Preferred Certification & Licensures Certification/Licensure Type Required/Preferred Licensed Vocational Nurse (LVN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Certification in a Nursing Specialty Area, by an organization recognized by the Texas Board of Nursing Preferred Advanced Cardiac Life Support (ACLS) Certification Preferred Pediatric Advanced Life Support (PALS) Certification Preferred *Must obtain within ninety (90) days of start date. Read Less

Job Summary Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas. Education Education Type Program of Study Required/Preferred Diploma or G.E.D. High School Required Accredited Program Licensed Vocational Nurse (LVN) Required Associate’s Degree Licensed Vocational Nurse (LVN) Preferred Experience Experience Type Years Required/Preferred Nursing ≥2 Preferred Certification & Licensures Certification/Licensure Type Required/Preferred Licensed Vocational Nurse (LVN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Certification in a Nursing Specialty Area, by an organization recognized by the Texas Board of Nursing Preferred Advanced Cardiac Life Support (ACLS) Certification Preferred Pediatric Advanced Life Support (PALS) Certification Preferred *Must obtain within ninety (90) days of start date. Read Less

Job Summary Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas. Education Education Type Program of Study Required/Preferred Diploma or G.E.D. High School Required Accredited Program Registered Nurse (RN) Required Associate’s Degree Registered Nurse (RN) Required Bachelor’s Degree Registered Nurse (RN) Preferred Master’s Degree Registered Nurse (RN) Preferred Experience Experience Type Years Required/Preferred Nursing ≥2 Preferred Certification & Licensures Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Certification in a Nursing Specialty Area, by an organization recognized by the Texas Board of Nursing Preferred *Must obtain within ninety (90) days of start date. Read Less

Job Summary Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas noted below. Education Education Type Program of Study Required/Preferred High School Diploma or G.E.D. High School Required Accredited Program Registered Nurse (RN) Required Associate’s degree Registered Nurse (RN) Preferred Bachelor’s degree Registered Nurse (RN) Preferred Experience Number of Years Type of Experience Required/Preferred ≥2 Nursing Preferred Certification & Licensures 4N & 4S Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required* *Must obtain within ninety (90) days of hire 5N & 5S Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required* *Must obtain within ninety (90) days of hire CDU Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required* NIH Stroke Scale (NIHSS) Certification Required* *Must obtain within ninety (90) days of hire 6N Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required* *Must obtain within ninety (90) days of hire 6S Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required* NIH Stroke Scale (NIHSS) Certification Required* *Must obtain within ninety (90) days of hire Med Surg – South Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required** *Must obtain within ninety (90) days of hire **Required for Charge Nurse Only; Preferred for Staff Nurse ED Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required* Trauma Nursing Core Course (TNCC) Certification Required* Pediatric Advances Life Support (PALS) Certification or Emergency Nursing Pediatric Course (ENPC) Certification Required* Neonatal Resuscitation Program (NRP) Certification Required* Certified Emergency Nurse (CEN) Certification Preferred *Must obtain within ninety (90) days of hire ICU Certification/Licensure Type Required/Preferred Registered Nurse (RN), with Authorization to Practice in the State of Texas Required Basic Life Support (BLS) Certification Required* Advanced Cardiac Life Support (ACLS) Certification Required* Trauma Nursing Core Course (TNCC) Certification Required* Pediatric Advances Life Support (PALS) Certification or Emergency Nursing Pediatric Course (ENPC) Certification Required* *Must obtain within ninety (90) days of hire Read Less

On-Site - You will be required to be physically present at the office or workplace during your working hoursPURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to ensure that the highest standard of care is provided. Collaborates with the Business Unit management team to grow the assigned Home Therapies programs.PRINCIPAL DUTIES AND RESPONSIBILITIES:Manages the operations of multiple Home Therapies programs with direct responsibility for results, including growth, patient retention, program costs, operational methods, scheduling, and staffing.    Directs activities related to the area’s strategic plans, goals and objectives ensuring alignment with those of the region, division, and company. Implements quality goals and action plans to achieve quality standards. Collaborates with operations leaders, market development, in-center leadership and patient education and quality teams to promote home therapies growth in assigned programs. Responsible for profit and loss management of the assigned program including optimal performance of program operations to achieve or exceed budgets and key performance indicators. Directs and manages all aspects of patient care for Home Therapies patients in assigned programs from admission through discharge of the patient. Provides direction, guidance, and support to staff members to ensure the safe and effective delivery of home therapy support care to patients with End-Stage Renal Disease (ESRD).  Oversees patient and caregiver readiness and ability to perform dialysis treatments at home and assesses environment for suitability in the ongoing delivery of home dialysis therapy, including training patients and caregivers on the safe and effective operation and preventative maintenance of equipment.Manages patient experience efforts by supporting company patient satisfaction initiatives, embodying the company values and patient experience drivers while encouraging others to do the same.Ensures competency of staff in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone, maintaining appropriate staff licensures and CPR certifications. Responsible for management of program supplies, equipment tracking, ensures that orders are replenished in a consistent and timely manner. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management and patient training success.Directs data entry related activities such as patient admission, regulatory reporting, billing, physician orders, lab results, vital signs, patient status and any other treatment related data into systems.Ensures regulatory, compliance, and audit activities are accomplished on time.Orients and supports all new home therapies staff and provides ongoing education, ensuring compliance with all risk management initiatives, including in-center staff. Responsible for hiring, coaching, and counseling employees, including performance reviews, disciplinary action, and terminations. Provides leadership, coaching, and development plans for all direct reports to maintain an engaged and productive workforce, partnering with Human Resources on employee matters. Performs other related duties as assigned.Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.  Equipment used can vary in complexity. Equipment aids and/or coworkers may provide assistance. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.  There is a two-person assist program and "material assist" devices for the heavier items.This position requires frequent, prolonged periods of standing and/or walking and the employee must be able to bend over.Employees are required to take the Ishihara's Color Blindness test as a condition of employment.  Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.Travel required between assigned facilities and various locations within the region up to 25% of the time. Travel to regional, Business Unit and Corporate meetings may be required.SUPERVISION:Responsible for the direct supervision of various levels of Home Therapies staff.EDUCATION:Graduate of an accredited School of Nursing (R.N.) Advanced education preferred. Current appropriate state licensure.EXPERIENCE AND REQUIRED SKILLS:  Minimum of one year nursing experience plus a minimum of six months dialysis nursing experience.3+ years’ supervisory or project/program management experience preferred.Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients.Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees. Performance management and decision making.Successfully complete CPR Certification with maintenance as required.EOE, disability/veterans

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