Qureos Mentor

Appalachian Regional Healthcare

<div>Overview:
<div>
The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students.</div>
Special Instructions: NIGHT SHIFT Responsibilities:
<ul><li>Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills</li><li>
The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing&rsquo;s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.</li><li>
Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension</li><li>
The administration of medication, intravenous therapy and treatment as prescribed by a LIP</li><li>
Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.</li><li>
Mentors and precepts students and orient new staff as assigned</li><li>
Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information</li><li>
Participates on various teams, committees or performance improvement initiatives</li><li>
Ensures a safe and secure environment for patients, coworkers and self</li><li>
Participates in Discharge Planning and Transition of Care (able to define pt needs)</li><li>
Serves as a patient advocate and escalates patient related concerns timely</li><li>
Timely documents pertinent findings in medical record</li><li>
Assist patients in performing activities of daily living and functions as an active team member</li><li>
Assumes responsibility for personnel professional development</li><li>
Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude</li><li>
Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)</li><li>
Functions as a positive influence, role model and adheres to professional code of conduct</li><li>
Respects dignity and confidentiality of all matters relating to patients</li><li>
Refer to Special Addendum and Staff Nurse Position Description</li><li>
Performs other job duties as assigned.</li></ul>
Qualifications:
<ul><li>Bachelor's Degree Preferred</li><li>
Associate's Degree Required</li><li>
Mastery of problem solving and decision making skills.</li><li>
Mastery of collaboration and teamwork.</li><li>
Mastery of growth mindset (agility and developing yourself and others) skills.</li><li>
Mastery of execution and delivery (planning, delivering, and supporting) skills.</li><li>
Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one.</li><li>
Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.</li><li>
Mastery knowledge of phases of care transitions and resources available for patients.</li><li>
Mastery of digital literacy skills.</li><li>
Registered Nurse. Required</li><li>
BLS upon hire Required</li><li>
De-Escalation Training within 6 months of hire Required</li><li>
Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required</li></ul></div>

Registered Nurse Tier 2

<div>Overview:
<div>
The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students.</div>
Special Instructions: Float position will float to ED as well Responsibilities:
<ul><li>Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills</li><li>
The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing&rsquo;s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.</li><li>
Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension</li><li>
The administration of medication, intravenous therapy and treatment as prescribed by a LIP</li><li>
Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.</li><li>
Mentors and precepts students and orient new staff as assigned</li><li>
Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information</li><li>
Participates on various teams, committees or performance improvement initiatives</li><li>
Ensures a safe and secure environment for patients, coworkers and self</li><li>
Participates in Discharge Planning and Transition of Care (able to define pt needs)</li><li>
Serves as a patient advocate and escalates patient related concerns timely</li><li>
Timely documents pertinent findings in medical record</li><li>
Assist patients in performing activities of daily living and functions as an active team member</li><li>
Assumes responsibility for personnel professional development</li><li>
Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude</li><li>
Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)</li><li>
Functions as a positive influence, role model and adheres to professional code of conduct</li><li>
Respects dignity and confidentiality of all matters relating to patients</li><li>
Refer to Special Addendum and Staff Nurse Position Description</li><li>
Performs other job duties as assigned.</li></ul>
Qualifications:
<ul><li>Bachelor's Degree Preferred</li><li>
Associate's Degree Required</li><li>
Mastery of problem solving and decision making skills.</li><li>
Mastery of collaboration and teamwork.</li><li>
Mastery of growth mindset (agility and developing yourself and others) skills.</li><li>
Mastery of execution and delivery (planning, delivering, and supporting) skills.</li><li>
Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one.</li><li>
Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.</li><li>
Mastery knowledge of phases of care transitions and resources available for patients.</li><li>
Mastery of digital literacy skills.</li><li>
Registered Nurse. Required</li><li>
BLS upon hire Required</li><li>
De-Escalation Training within 6 months of hire Required</li><li>
Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required</li></ul></div><div></div>

Registered Nurse Tier 2 (Union)

<div>Overview:
<div>
Under the general supervision of the Regional Director of Utilization Review the Regional Utilization Review Coordinator is responsible for overseeing and coordinating the utilization review processes across multiple healthcare facilities within the region. This role ensures that patient care is delivered efficiently and effectively, while maintaining compliance with regulatory standards and optimizing resource utilization. Applies review criteria to determine medical necessity for admission and continued stay. Ensures the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care. This role involves working in a fast-paced environment with tight deadlines and changing priorities.</div><div><br>
Works collaboratively with interdisciplinary staff internal and external to the organization.
</div>Responsibilities:
<div>
1. Responsible for implementing the utilization management process for patients admitted to acute level of care.<br>
2. Conducts concurrent clinical reviews for utilization/quality management activities, based on acute care guidelines/standards with focus on appropriateness of admission, monitoring length of stay, and discharge delays.
<br>
3. Provides appropriate reviews to multiple health plans/medical groups via agreed upon methods (telephone, fax, insurance portals).<br>
4. Conduct and oversee utilization reviews to ensure appropriate use of medical services and resources. Evaluate patient care plans and medical records to determine the necessity and efficiency of services provided.<br>
5. Provides retro review of identified cases denied by health plans for financial reimbursement.
<br>
6. Submits notification of admission and obtains timely authorizations for care from health plans, as needed.<br>
7. Analyzes and identifies utilization patterns and trends of ancillary services as part of inpatient and observation visits and participates in the collection and analysis of data for the denial process as well as special studies, projects, audits, routine utilization monitoring activities.
<br>
8. Works under the guidance of and in collaboration with the hospital utilization review committee to maintain appropriate standards of utilization review and support the implementation of the hospital utilization review plan<br>
9. Ensure compliance with all federal, state, and local regulations, as well as organization policies and procedures. Maintains Up to date knowledge of regulatory agency guidelines as they pertain to area of practice.
<br>
10. Functions as key resource provider related to utilization review, delivery of care, and effects of reimbursement on both patients and health care system.
<br>
11. Identifies avoidable delays or days/ assists in the collection of data to trend and analyze outcomes for identification of improvement opportunities.<br>
12. Maintain work standards that are in compliance with ARH&rsquo;s policies and governmental regulations and various regulatory agency requirements.<br>
13. Work closely with healthcare providers, case managers, and other stakeholders to facilitate effective communication and coordination of care. Collaborate with the System Director of Case Management and other regional coordinators to develop and implement best practices.<br>
14. Consistently maintains a professional commitment to institutions and department&rsquo;s goals and objectives. Demonstrate flexibility to the department&rsquo;s needs in relation to floor and work schedule and any other internal and external demands on the department. Continually shows commitment to the department by extending oneself when the need arises.<br>
15. Attends and/or completes all required safety training programs and can describe his or her responsibilities related to general safety, department/service safety, and specific job-related hazards.<br>
16. Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.</div>
Qualifications:<div><br>
<b>
Minimum Education</b><br>
LPN or RN graduated from an accredited school of nursing with a state license to practice professional nursing in state of resident facility. BSN preferred.<br>
Previous experience in the area of utilization review and/or case management preferred.<br>
Working knowledge of federal, state, and regulatory requirements in quality assessment, case management, resource management, hospital systems, accreditation, and licensure strongly preferred</div><div>
Willing to obtain licensure in additional states, as needed</div><div></div><div><b><br>
Minimum Work Experience</b><br>
Minimum of three years of acute care hospital experience required.<br>
Demonstrated skills in the areas of negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking. Knowledge of healthcare financing, community and organizational resources, patient care processes, and data analysis.<br>
Knowledge of utilization management as it relates to third-party payers.<br>
Experience with managed care is preferred. Excellent verbal and written communication skills required.<br>
Demonstrates flexibility via an ability to adapt to changing priorities and regulations.<br>
Basic computer skills required.</div><div></div><div><b><br>
Required Licenses/Certifications</b><br>
<ul><li>CPR certification to be obtained within 30 days of hire.
</li></ul>Certification in Utilization Review (e.g. CPHQ, CCM) preferred.</div><div></div><div><b><br>
Required Skills, Knowledge, and Abilities</b><br>
<ul><li>Chart review and good working clinical knowledge base with excellent communication skills necessary to interact with physicians and medical staff.
</li><li>General idea of governmental and private insurance guidelines.</li></ul></div></div><div></div>

Regional Utilization Review Coordinator

<div>Overview:
<div>
The Nurse Extern Tier II is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance,
<br>
and direction of a Registered Nurse who may delegate subversion to other Team Member such as; Licensed Practical Nurse and/or State Registered Nursing Assistant. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses</div>
Responsibilities:
<div>
Under the continuous direct on-site supervision of a Certified Nursing Assistant:<br>
<ul><li>Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor.</li><li>Completes the nursing assessment form with oversight and approval of RN.</li><li>Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water.</li><li>Answers call lights and bells promptly to determine and meet patient needs.</li><li>Collects specimens, stool, urine, sputum, etc.</li><li>Collects input and output and records appropriately.</li><li>Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy.</li><li>Assist and/or feeds patients. (enteral feedings included), provides between meal nourishments, provides fresh drinking water and encourages fluids when indicated.</li><li>Assists in progressive ambulation of patients by wheelchair, stretcher and bed.</li><li>Administers enemas, douches and inserts rectal tubes and documents appropriately.</li><li>Applies ace bandages and elastic stockings and sequential compression devices.</li><li>Inserts catheters and feeding tubes.</li><li>Applies restraints and side rails to ensure safety of patients.</li><li>Observes isolation technique and give direct care to patients in isolation.</li><li>Assists in ostomy care and education.</li><li>Set up orthopedic appliances.</li><li>Maintains records and reports necessary information in regard to patient care.</li><li>Prepares patients for surgery and other therapeutic and diagnostic procedures.</li><li>Maintains a safe environment for patient care.</li><li>Performs other duties as assigned.</li></ul></div>
Qualifications:<div><br>
<b>
Education</b><br>
<ul><li>High school diploma or GED equivalent.</li><li>Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program</li><li>Completion of basic Nursing Fundamentals and/or Certified Nursing Assistant Course</li><li>Current Transcripts and Copy of Skills Evaluation on basic procedures</li><li>Recommendation Letter from 2 Instructors</li></ul></div><div></div><div><b><br>
Minimum Work Experience</b><br>
<ul><li>N/A</li></ul></div><div></div><div><b><br>
Required Skills, Knowledge, and Abilities</b><br>
<ul><li>Ability to function in and adapt appropriately to a fast-moving, cross-unit team environment.</li><li>Strong problem-solving skills.</li><li>Prior experience handling confidential matters with appropriate discretion.</li><li>To handle multiple, simultaneous tasks in a timely manner.</li><li>Collaborative attitude with the many different departments.</li><li>Must maintain positive, professional communications skills when working with co-workers
</li><li>Detail oriented</li></ul></div></div>

Nurse Extern Tier II

<b>Overview:</b><br>
Application Team Lead provides input to analyze, develop workflows, configure, test, implement and support
<br><br>
their assigned applications. Coordinates and directs an assigned team to participate in system-wide
<br><br>
activities while developing strong working partnerships with operational team members and
<br><br>
across IT. The Team Lead will provide input to the performance and support any coaching
<br><br>
initiatives of their assigned team members
<br><br>
<b>Responsibilities:</b><br>
1. Serve as the day-to-day contact for their team members. Prioritizes, makes assignments, and
<br><br>
conducts follow up to the team members.
<br><br>
2. Keeps immediate supervisor and others informed of all events affecting timeliness or barriers to
<br><br>
complete requests. Escalates issues as needed to obtain resolution.
<br><br>
3. Provides oversight and, when necessary, assists in accomplishing activities and responsibilities of
<br><br>
the team.
<br><br>
4. Collaborates with end users/stakeholders to map and develop workflows that promote positive
<br><br>
patient outcomes.
<br><br>
5. Identifies and assists in resolution of issues arising in the assigned applications and/or projects.
<br><br>
6. Supports and executes the goals and guidelines established by IT and the organization. Strives for
<br><br>
standardization and consistency in all areas.
<br><br>
7. Assures the team documents, tracks, and follows up on all reported problems, enhancement
<br><br>
requests, and system change requests for their assigned application(s).
<br><br>
8. Assist in developing test scenarios and actively participates in testing events for any changes to the
<br><br>
application. Provides follow up and documentation on any defects identified, this may include
<br><br>
escalation to the vendor.
<br><br>
9. Works closely with the training team to provide current content for assigned areas and participates
<br><br>
as needed.
<br><br>
<b>Qualifications:</b><br>
Education
<br><br>
Associate degree required or a minimum of 3 years of equivalent experience in a related field (clinical, information technology, electronic medical record usage).
<br><br>
Minimum Work Experience
<br><br>
Three (3) years of experience in a health care environment required.
<br><br>
Required Skills,Knowledge, and Abilities
<br><br>
Information Technology experience/ability preferred. Must be able to communicate with users of all disciplines and across all levels of the organization. Microsoft Office skills required.

Application Team Lead