Job Listings

**Eligible for $5,000 Sign-On Bonus and $10,000 Education Assistance!**   We take our sleep seriously, and with our Polysom Techs to help, we can find effective ways to help others. You will be providing direct care to patients while safely operating sophisticated medical equipment to record sleep/wake stages, respiratory events, cardiac events and other clinical events.   What you will do: - Provides for the assessment and evaluation of the appropriateness and effectiveness of diagnostic testing based on patients’ age, cognitive and physical abilities, and/or developmental needs.  Is responsible for communication to the physician of pertinent patient data. - Initiates and monitors overnight testing procedures in accordance with American Academy of Sleep Medicine. - Communicates a professional attitude with patients, visitors and other hospital personnel. Practices strict ethical enforcement of protected medical and employee confidentiality.  - Assists coordinator with quality assurance programs for the department and makes recommendations as needed. - Operates in full compliance with organization’s safety program. Responds to all emergency preparedness situations as appropriate.  Utilizes standard precaution and assures unit’s equipment is ready for safe operation. - Performs duties in documented accordance with requirement of all regulating/governing bodies. - Assumes responsibility for personal and professional growth through participation in department meetings, in-service programs and continuing education programs. Fulfills yearly education requirements as stated by policy. - May participate in on call rotation for staffing. mclabnebraska

NEW GRADS WELCOMED!   In this role, you will provide comprehensive evaluation and treatment of sleep disorders under the general supervision of the Clinical Director (M.D., D.O., or Ph.D.) or designee. Duties may include polysomnography, diagnostic and therapeutic services, patient care and education, and supervision and education for other staff.  

Job Summary: Performs diagnostic sleep procedures for patients as ordered by a physician, and in accordance with established protocols, standards and practices. Essential Duties: Ensures patients are set up for sleep studies by directly applying or overseeing the application of recording devices to the patient in accordance with department standards and procedures. Records/monitors polysomnogram and/or electroencephalograms. Responds with appropriate interventions to ensure patient safety. Identifies normal and abnormal cardio-respiratory, neurological, and sleep physiology; recognizes and reports pathology that requires treatment. Administers oxygen and nasal continuous positive airway pressure and employs ventilator assist devices in accordance with established protocols. Performs special procedures such as multiple sleep latency testing and patient education, EEG recording to include wake and sleep, nasopharyngeal, bedside, isolation, and electro-cerebral inactivity evaluations. Scores data and generates reports that accurately and concisely summarize the patient’s sleep / wake stages, respiratory events, cardiac events, limb movement, arousal analysis, and other clinical events; sends to the physician for interpretation. Performs maintenance and minor repair of laboratory equipment and reports needs for major repairs. Cleans/sanitizes equipment.

Perform standard polysomnography testing as directed according to established practice in accordance with professional standards and accrediting bodies. Provide patient care/services based on identified needs/development level for all patient populations checked below; care/services may include assessment of individual patient needs; incorporation of age specific characteristics in patient education, communication, and planning; provision of individualized care relevant to patient needs; and recognition, monitoring and provision of interventions as appropriate. Assure the effective use of unit resources to meet patient’s needs, promote interdepartmental cooperation and problem solving, facilitate the cooperative efforts of the staff group and ensure a safe environment.   ESSENTIAL KEY JOB RESPONSIBILITIES 1. Complies with safety and emergency procedures. 2. Complies with Hospital/Department/ Unit policies. 3. Documents activities consistent with Hospital/Department/Unit guidelines. 4. Performs critical/frequent procedures/services as they relate to sleep medicine. 5. Provides care/services based on identified patient needs and/or physician order. 6. Uses required equipment and is competent using this equipment to provide patient care/services. 7. Sets up, monitors and maintains noninvasive ventilatory and oxygenation devices; recognizes and corrects malfunctions or inappropriate settings. 8. Participates in resuscitation efforts and other emergency medical treatments (based upon level of training and scope of practice). Demonstrates professional responsibility as per job classification. 9. Demonstrates core values and guest relations service/standards by behavior. 10. Other duties as assigned by management.

Perform standard polysomnography testing as directed according to established practice in accordance with professional standards and accrediting bodies. Provide patient care/services based on identified needs/development level for all patient populations checked below; care/services may include assessment of individual patient needs; incorporation of age specific characteristics in patient education, communication, and planning; provision of individualized care relevant to patient needs; and recognition, monitoring and provision of interventions as appropriate. Assure the effective use of unit resources to meet patient’s needs, promote interdepartmental cooperation and problem solving, facilitate the cooperative efforts of the staff group and ensure a safe environment.   ESSENTIAL KEY JOB RESPONSIBILITIES 1. Complies with safety and emergency procedures. 2. Complies with Hospital/Department/ Unit policies. 3. Documents activities consistent with Hospital/Department/Unit guidelines. 4. Performs critical/frequent procedures/services as they relate to sleep medicine. 5. Provides care/services based on identified patient needs and/or physician order. 6. Uses required equipment and is competent using this equipment to provide patient care/services. 7. Sets up, monitors and maintains noninvasive ventilatory and oxygenation devices; recognizes and corrects malfunctions or inappropriate settings. 8. Participates in resuscitation efforts and other emergency medical treatments (based upon level of training and scope of practice). Demonstrates professional responsibility as per job classification. 9. Demonstrates core values and guest relations service/standards by behavior. 10. Other duties as assigned by management.

$10,000 Sign On Bonus and Weekend Package Available!   MercyOne Des Moines Sleep Center is looking for a qualified Polysomnographic Technologist to join their team. This would be a night position with shift differential working 3 shifts from 7p to 7am.   Work is performed under the supervision of the Sleep Lab Director and requires thorough knowledge of the function and safe operation of equipment used to monitor and record breathing (airflow/effort), electroencephalograms (brain waves), electrocardiograms (heart rate and rhythm), electromyograms (muscle activity), and pulse oximetry (blood oxygenation / saturation).     ESSENTIAL FUNCTIONS: -  Laboratory set-up -  Patient preparation -  Performing, observing and evaluating daytime and overnight polysomnograms, -  Staging / scoring sleep study -  Assisting in the tabulation of data from scored records, and -  Monitoring and checking equipment for possible changes/adjustments as necessary during the study - Gather and analyze patient information. Verify documentation and physician orders. - Prepare and calibrate equipment required for testing to determine proper functioning and make adjustments, if necessary. - Apply electrodes and sensors according to accepted published standards. - Performs diagnostic and therapeutic (CPAP, BIPAP) polysomnography, MSLT and MWT. - Performs polysomnographic data acquisition while monitoring study-tracing quality to ensure signals are artifact-free and make adjustments, if necessary. - Performs routine PAP mask fitting. - Documents routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results. MercyOne Des Moines provides you with the same level of care you provide for others. We care about our employees' well-being and offer benefits that complement work/life balance.   We offer the following benefits to support you and your family: - Health/Dental/Vision Insurance - Flexible spending accounts - Voluntary Protection: Group Accident, Critical Illness, and Identity Theft  - Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults - Employee Assistance Program (EAP) for you and your family - Paid Time Off (PTO)  - Tuition Assistance for career growth and development - Matching 401(k) and 457(b) Retirement Programs - Wellness Program   Whether you are an experienced Technologies 'who's seen it all' or a nurse working toward that, we invite you to join MercyOne Des Moines today and experience MercyOne with us!    #missioncritical  

NEW GRADS WELCOMED!   In this role, you will provide comprehensive evaluation and treatment of sleep disorders under the general supervision of the Clinical Director (M.D., D.O., or Ph.D.) or designee. Duties may include polysomnography, diagnostic and therapeutic services, patient care and education, and supervision and education for other staff.  

    Perform standard polysomnography testing as directed according to established practice in accordance with professional standards and accrediting bodies. Provide patient care/services based on identified needs/development level for all patient populations checked below; care/services may include assessment of individual patient needs; incorporation of age specific characteristics in patient education, communication, and planning; provision of individualized care relevant to patient needs; and recognition, monitoring and provision of interventions as appropriate. Assure the effective use of unit resources to meet patient’s needs, promote interdepartmental cooperation and problem solving, facilitate the cooperative efforts of the staff group and ensure a safe environment. ESSENTIAL KEY JOB RESPONSIBILITIES 1. Complies with safety and emergency procedures. 2. Complies with Hospital/Department/ Unit policies. 3. Documents activities consistent with Hospital/Department/Unit guidelines. 4. Performs critical/frequent procedures/services as they relate to sleep medicine. 5. Provides care/services based on identified patient needs and/or physician order. 6. Uses required equipment and is competent using this equipment to provide patient care/services. 7. Sets up, monitors and maintains noninvasive ventilatory and oxygenation devices; recognizes and corrects malfunctions or inappropriate settings. 8. Participates in resuscitation efforts and other emergency medical treatments (based upon level of training and scope of practice). Demonstrates professional responsibility as per job classification. 9. Demonstrates core values and guest relations service/standards by behavior. 10. Other duties as assigned by management.      

- Achieves operational duties in administrative Functions, patient education, diagnostic assessment, therapeutic intervention, polysomnography study scoring, and polysomnography study reporting - Knowledge and skill in the use of digital sleep study equipment utilizing various sensors and monitors designed for sleep disordered breathing detection - Proficiency in use of digital sleep study equipment designed to detect stages of sleep and sleep arousals, and periodic limb movement - Fit and apply CPAP and Bi-Level positive pressure patient interface devices for the treatment of sleep disordered breathing.  Devices include nasal masks, headgear, full-face masks and nasal prongs - Progression to Bi-Level positive pressure therapy as indicated by continued respiratory events, including intolerance of high level CPAP pressures, central events, not responsive to CPAP, hypopnea events not responsive to CPAP - Apply supplemental oxygen therapy with oxygen delivery devices in treatment of hypoxemia without apparent respiratory events for baseline oxygen saturation correction during stage wake, sleep or in conjunction with positive pressure therapy in the treatment of sleep disordered breathing

The Polysomnographic Technologist performs polysomnography studies, MSLT, MWT, CPAP retitration studies and pre-test instruction and scoring of Home Sleep Apnea Testing for the Memorial Regional Sleep Center.   1. Must be BRPT boarded and have a TN state license in Polysomnography or be a RRT with a sleep endorsement 2. Maintains confidentiality of information related to patients, employees and/or hospital operations at all times 3. Maintains CEUs per AASM and licensing board standards. 4. Maintains AASM ISR standards per policy 5. Clear and concise patient documentation regarding testing and treatment 6. Reports issues, concerns, problems to manager. 7. Other duties as assigned by management

Job Summary: The Population Health Annual Wellness Visit Specialist works as an integral part of an interdisciplinary team to conduct, coordinate and complete the non-provider portions of preventive wellness services such as Medicare’s Annual Wellness Visits.   Essential Position Expectations: - Utilizes standardized tools and scripting to conduct the non-provider components of AWVs with identified patients. - Conducts patient assessments, such as depression screenings, in support of AWVs. - Conducts the non-provider portion of Advance Care Planning services either as a part of an AWV or independently. - Assists in coordination of appropriate follow-up health care services and follows through to ensure completion. - Practices motivational interviewing to support health behavior change and in completing recommended health care services - Answers patient questions regarding appointments and/or testing. Addresses potential barriers to care and collaborates with Provider to answer patient questions and concerns that fall outside of scope. - Identifies and refers high risk patients to the PHSO ambulatory care management team for care coordination services. - Accepts referrals from care management team members to coordinate AWVs. - Documents all patient interactions in the patient’s health record and care management documentation system immediately after the call or meeting is completed. The maximum allowable time from interaction to documentation is one business day. - Supports and participates in PHSO quality improvement activities at the direction of the quality manager. Knowledge & Skills: - Ability to deal with confidential and sensitive information, requiring ongoing discretion and management of secure information. - Strong communication (verbal/written) and organizational skills and ability to interact effectively with providers, clinic staff, and care management team members across the care continuum. - Demonstrated capacity to problem solve and prioritize in complex situations. - Adaptability to performing a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. - Ability to function effectively in a team based environment. - Basic Excel and Word skills. - Ability to understand and apply guidelines, policies and procedures. - Obtain Certificate of Competency in Population Health Care Management within 12 months of hire. - Proof of completion of Mandatory Reporter within three months of hire.

With guidance from CHI Health Partners’ President, Medical Directors, and Division Manager of Ambulatory Care Management, works collaboratively with physicians, staff and other health care professionals within his/her clinically integrated network (CIN), CHI Health Partners, to maintain and improve quality and sustainability within the CIN. Includes: - Chronic Disease Management—Educator - Practice Pattern Management—Referral Management, based on Quality of Care, CHI Health Partners (clinically integrated network), and patient experience. - Performance Data Interpretation—Develops and audits workflows - Evidence-Based Metric (EBM) guidelines—Implements and hardwires different EBM guidelines in the clinic setting as well as facilitating seamless transitions of care between clinic and post-acute settings and between clinic and other health professionals.  Essential Key Job Responsibilities - Care Coordination: identify and coordinate referrals to team members via EMR, i.e. MSW, dietician, Prescription Assistance team, and Certified Diabetic Educators. - Clinic Referrals: receive referrals from providers/staff via EMR or face-to-face clinic settings. - Prescription Assistance and Financial Assistance Program Referrals: identify patients in need due to no insurance or low income, and place referral to Prescription Assistance program (RxAP) and/or Social Work. - Care Management and Outreach to high risk patients and those with chronic disease: lists will be sent out of patients in our value-based contracts needing care gaps closed, i.e. annual wellness visits, colonoscopies, mammograms, etc. and the PHC will need to reach out to try to close these gaps. Identify participating patients in need of disease management and opportunities for preventative health interventions - New Diabetic Medication Starts: education on new injectable medication and referral to Clinical Diabetes Education (CDE) for formal DM education and continued follow up - ED and Inpatient Discharge Alerts: PHC will receive alerts via Innovaccer platform notifying him/her that a patient attributed to his/her clinic was discharged from the ED or Inpatient Unit. PHC will use clinical judgment as to whether outreach is warranted - Communication/Care Coordination with hospital, SNF and other healthcare professionals: maintain open communication with inpatient care management staff and SNF population health coaches to ensure a smooth transition from acute and post-acute settings to home and timely and appropriate follow up care. Ensure care handoff between levels of care is seamless. Collaborate with other members of healthcare team to include, but not limited to staff from ED, IP, SNF, HHC, palliative care, area office on aging, community health workers, etc. - Other duties as assigned by management

With guidance from CHI Health Partners’ President, Medical Directors, and Division Manager of Ambulatory Care Management, works collaboratively with physicians, staff and other health care professionals within his/her clinically integrated network (CIN), CHI Health Partners, to maintain and improve quality and sustainability within the CIN. Includes: - Chronic Disease Management—Educator - Practice Pattern Management—Referral Management, based on Quality of Care, CHI Health Partners (clinically integrated network), and patient experience. - Performance Data Interpretation—Develops and audits workflows - Evidence-Based Metric (EBM) guidelines—Implements and hardwires different EBM guidelines in the clinic setting as well as facilitating seamless transitions of care between clinic and post-acute settings and between clinic and other health professionals. - Care Coordination: identify and coordinate referrals to team members via EMR, i.e. MSW, dietician, Prescription Assistance team, and Certified Diabetic Educators. - Clinic Referrals: receive referrals from providers/staff via EMR or face-to-face clinic settings. - Prescription Assistance and Financial Assistance Program Referrals: identify patients in need due to no insurance or low income, and place referral to Prescription Assistance program (RxAP) and/or Social Work. - Care Management and Outreach to high risk patients and those with chronic disease: lists will be sent out of patients in our value-based contracts needing care gaps closed, i.e. annual wellness visits, colonoscopies, mammograms, etc. and the PHC will need to reach out to try to close these gaps. Identify participating patients in need of disease management and opportunities for preventative health interventions - New Diabetic Medication Starts: education on new injectable medication and referral to Clinical Diabetes Education (CDE) for formal DM education and continued follow up - ED and Inpatient Discharge Alerts: PHC will receive alerts via Innovaccer platform notifying him/her that a patient attributed to his/her clinic was discharged from the ED or Inpatient Unit. PHC will use clinical judgment as to whether outreach is warranted - Communication/Care Coordination with hospital, SNF and other healthcare professionals: maintain open communication with inpatient care management staff and SNF population health coaches to ensure a smooth transition from acute and post-acute settings to home and timely and appropriate follow up care. Ensure care handoff between levels of care is seamless. Collaborate with other members of healthcare team to include, but not limited to staff from ED, IP, SNF, HHC, palliative care, area office on aging, community health workers, etc. - Other duties as assigned by management

With guidance from CHI Health Partners’ President, Medical Directors, and Division Manager of Ambulatory Care Management, works collaboratively with physicians, staff and other health care professionals within his/her clinically integrated network (CIN), CHI Health Partners, to maintain and improve quality and sustainability within the CIN. Includes: - Chronic Disease Management—Educator - Practice Pattern Management—Referral Management, based on Quality of Care, CHI Health Partners (clinically integrated network), and patient experience. - Performance Data Interpretation—Develops and audits workflows - Evidence-Based Metric (EBM) guidelines—Implements and hardwires different EBM guidelines in the clinic setting as well as facilitating seamless transitions of care between clinic and post-acute settings and between clinic and other health professionals.   - Care Coordination: identify and coordinate referrals to team members via EMR, i.e. MSW, dietician, Prescription Assistance team, and Certified Diabetic Educators. - Clinic Referrals: receive referrals from providers/staff via EMR or face-to-face clinic settings. - Prescription Assistance and Financial Assistance Program Referrals: identify patients in need due to no insurance or low income, and place referral to Prescription Assistance program (RxAP) and/or Social Work. - Care Management and Outreach to high risk patients and those with chronic disease: lists will be sent out of patients in our value-based contracts needing care gaps closed, i.e. annual wellness visits, colonoscopies, mammograms, etc. and the PHC will need to reach out to try to close these gaps. Identify participating patients in need of disease management and opportunities for preventative health interventions - New Diabetic Medication Starts: education on new injectable medication and referral to Clinical Diabetes Education (CDE) for formal DM education and continued follow up - ED and Inpatient Discharge Alerts: PHC will receive alerts via Innovaccer platform notifying him/her that a patient attributed to his/her clinic was discharged from the ED or Inpatient Unit. PHC will use clinical judgment as to whether outreach is warranted - Communication/Care Coordination with hospital, SNF and other healthcare professionals: maintain open communication with inpatient care management staff and SNF population health coaches to ensure a smooth transition from acute and post-acute settings to home and timely and appropriate follow up care. Ensure care handoff between levels of care is seamless. Collaborate with other members of healthcare team to include, but not limited to staff from ED, IP, SNF, HHC, palliative care, area office on aging, community health workers, etc. - Other duties as assigned by management

With guidance from CHI Health Partners’ President, Medical Directors, and Division Manager of Ambulatory Care Management, works collaboratively with physicians, staff and other health care professionals within his/her clinically integrated network (CIN), CHI Health Partners, to maintain and improve quality and sustainability within the CIN. Includes: - Chronic Disease Management—Educator - Practice Pattern Management—Referral Management, based on Quality of Care, CHI Health Partners (clinically integrated network), and patient experience. - Performance Data Interpretation—Develops and audits workflows - Evidence-Based Metric (EBM) guidelines—Implements and hardwires different EBM guidelines in the clinic setting as well as facilitating seamless transitions of care between clinic and post-acute settings and between clinic and other health professionals.  Essential Key Job Responsibilities - Care Coordination: identify and coordinate referrals to team members via EMR, i.e. MSW, dietician, Prescription Assistance team, and Certified Diabetic Educators. - Clinic Referrals: receive referrals from providers/staff via EMR or face-to-face clinic settings. - Prescription Assistance and Financial Assistance Program Referrals: identify patients in need due to no insurance or low income, and place referral to Prescription Assistance program (RxAP) and/or Social Work. - Care Management and Outreach to high risk patients and those with chronic disease: lists will be sent out of patients in our value-based contracts needing care gaps closed, i.e. annual wellness visits, colonoscopies, mammograms, etc. and the PHC will need to reach out to try to close these gaps. Identify participating patients in need of disease management and opportunities for preventative health interventions - New Diabetic Medication Starts: education on new injectable medication and referral to Clinical Diabetes Education (CDE) for formal DM education and continued follow up - ED and Inpatient Discharge Alerts: PHC will receive alerts via Innovaccer platform notifying him/her that a patient attributed to his/her clinic was discharged from the ED or Inpatient Unit. PHC will use clinical judgment as to whether outreach is warranted - Communication/Care Coordination with hospital, SNF and other healthcare professionals: maintain open communication with inpatient care management staff and SNF population health coaches to ensure a smooth transition from acute and post-acute settings to home and timely and appropriate follow up care. Ensure care handoff between levels of care is seamless. Collaborate with other members of healthcare team to include, but not limited to staff from ED, IP, SNF, HHC, palliative care, area office on aging, community health workers, etc. - Other duties as assigned by management

Job Summary: The Population Health Outreach Specialist works as an integral part of an interdisciplinary team to proactively identify patients due or over-due for specific health services. The Outreach Specialist contacts patients, motivates patients to complete recommended health care services and assists in scheduling appointments. The Outreach Specialist supports Population Health patients by closing gaps in recommended clinical care, performing chart reviews, and managing the disease registry.   Essential Position Expectations: - Utilizes standardized tools and scripting to conduct patient outreach to patients to schedule and coordinate preventative health care services such as Annual Wellness Visits, cancer screenings, immunizations, and chronic disease interventions. - Conducts pre-visit chart review focusing on closing gaps in care and complete, accurate risk coding. - Manages CMS web interface quality reporting annually. Supports additional quality reporting requirements of PHSO contracts as needed. - Conducts outreach to patients with medication adherence deficits utilizing the PHSO’s standard medication adherence patient assessment. - Identifies and refers high risk patients to the PHSO ambulatory care management team for care coordination services. - Practices motivational interviewing to support health behavior change. - Requests documents from outside facilities needed to support care gap closures. - Oversees the PHSO’s disease registry assuring the database is up to date, accurate and conducting manual data entry when required. - Accepts referrals from care management team members to assist with the above position expectations. - Answers patient questions regarding appointments and/or testing. Addresses potential barriers to care and collaborates with Provider to answer patient questions and concerns that fall outside of scope. - Documents all patient interactions in the patient’s health record or care management documentation system immediately after the call or meeting is completed. The maximum allowable time from interaction to documentation is one business day. - Supports and participates in PHSO quality improvement activities at the direction of the quality manager. #LI-CHI #missioncritical

Job Summary / Purpose Functions as a post-acute throughput coordinator, providing oversight and coordination for post-acute facility referrals with a primary focus to prevent authorization and transfer delays.   Functions as a performance improvement coordinator related to post-acute facility transitions, identifying system barriers and utilizes data to drive continuous improvement leading to improved efficiency and quality outcome metrics. Provides proactive clinical review, coordination and escalation for problematic payers and/or levels of care related to post-acute authorizations. Essential Key Job Responsibilities   -  Maintains knowledge of all open post-acute facility referrals, to include clinical readiness, target discharge date, authorization status and pending items prior to transfer.   Submits post-acute authorizations for designated payers.   Provides follow-up until authorization is secured. - Maintains current knowledge of local post-acute transition options (SNF, IRF, LTAC, etc.) and utilization criteria for each.  Maintains current liaison, administrative and authorization contacts and develops working relationships with each to facilitate efficient and effective facility transitions. - Gathers, tracks, and distributes data appropriate to referral processes.  Utilizes data to determine best alternatives and recommendations to prevent or eliminate barriers to discharge. - Develops and maintains escalation pathways for all authorization delays.   - Provides proactive clinical review, coordination and escalation for problematic payers and/or levels of care related to post-acute authorizations. - Collaborates with physicians, case management staff and other interdisciplinary team members to ensure timely transition to post-acute facilities. - Communicates with and updates with all stakeholders regarding authorization and/or transport status for post-acute facility transfers. - Proactively works to identify operational bottlenecks that impede transition to post-acute facilities, and collaborates with stakeholders to define, document, and educate on new processes to eliminate barriers. - Works closely with nursing leaders regarding bed management and throughput initiatives. - Other duties as assigned by management.

Job Summary: Virtual Position   The RN Post-Acute Health Coach provides care management and care coordination services to Population Health patients receiving services at a post-acute care facility delivering standardized oversight of progress, length of stay, and continuity of the plan of care for patients in post-acute facilities. RN Post-Acute Health Coaches bridge the communicate gap between the care team and the patient/family, the hospital and facility, and the facility and the PCP/Health Coach. Advocate for a diagnosis specific goal length of stay without sacrificing quality and measure expected versus actual length of stay. This position promotes and monitors utilization of MercyOne wrap around services; and works to prevent avoidable ED visits and hospitalizations.   Essential Position Expectations: - Provides care management and care coordination services for Population Health patients receiving services in a swing bed, Skilled Nursing Facility, Inpatient Rehab Facility, or Long-Term Acute Care Hospital. - Determines the goal Length of Stay based on primary diagnosis for skilled need and communicates the goal to the post-acute care facility contact. - Communicates with care team and/or patient twice per week. - Attends facility’s weekly multi-disciplinary meeting in person/via phone/virtually or request an update if unable to due to conflicts. - Attends or initiates Patient Care Conferences as needed. - Routinely conducts PHSO’s standard Functional Assessment Survey to document functional status and progress towards goals. - Actively coordinates discharge planning with care team, providers and patients encouraging utilization of MercyOne wrap-around services. Monitors progress towards discharge and works proactively to overcome identified. barriers/concerns for discharge. - Applies motivational interviewing to strengthen the patient’s own motivation for change and movement towards health behavior goals. - Round on patients and provide coaching and education to support self-management. - Facilitates warm hand-off transition to Primary Care Provider and PHSO RN Transition Health Coach by providing medication list, discharge summary, and any appropriate additional items. - Participates in quality improvement, measurement and data collection to include populations with clinical and financial risk. - Delegates to support team such as community health workers, as appropriate. - Informs primary care provider of ongoing care management activities, patient progress and changes in the patient’s health status. - Documents all patient interactions in the patient’s health record or care management documentation system immediately after the call or meeting is completed. The maximum allowable time from interaction to documentation is one business day. - Understands accountability for results and self-manages to support PHSO level success goals in the areas of quality, cost of care and patient experience. - Upholds and supports PHSO standard workflows and procedures at accreditation level quality.   Knowledge & Skills: - Ability to deal with confidential and sensitive information, requiring ongoing discretion and management of secure information. - Strong communication (verbal/written) and organizational skills and ability to interact effectively with providers, clinic staff, and care management team members across the care continuum. - Demonstrated capacity to problem solve and prioritize in complex situations. - Demonstrates a wide theory base and sound clinical skills to function as a nurse generalist. - Strong self-motivation and ability to work independently without direct supervision or support. - Adaptability to performing a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. - Ability to function effectively in a team based environment. - Basic Excel and Word skills. - Ability to understand and apply guidelines, policies and procedures. - Obtain Certificate of Competency in Population Health Care Management within 12 months of hire. - Proof of completion of Mandatory Reporter within three months of hire.

As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this Post Surgical Unit RN role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families

As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this Post Surgical Unit RN role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families