Nurse Coordinator Salary in Billings, MT

Under general supervision of the, Manager, Clinical Coordinator, Director and/or as delegated by the Registered Nurse, assists in the delivery of patient care throughout the Cancer Center or at any of our owned sites (for example, Bozeman, Miles City). Works within the scope of licensure as a licensed practical nurse. Applies identified evidence-based nursing practices consistent with national standards and which support quality outcomes. Works collaboratively with the interdisciplinary team to meet the physical, psychosocial, educational, spiritual needs of the patient and family, and contributes to the plan of care while maintaining professionalism.Essential Job Functions•Supports and models behaviors consistent with Billings Clinic Cancer Center and Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.•Becomes cross-trained in the following nursing specialties: Radiation Oncology, Supportive and Palliative Care, Medical Oncology, Gynecologic Oncology, Oncology Care Navigation, and Infusion.•Participates in the development of the strategy of care in collaboration with other members of the healthcare team by providing data; identifying priorities; setting realistic and measurable goals; identifying measures to maintain comfort, support human functions and response and maintain an environment conducive to well-being; and provide health teaching.•Implements and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies & procedures and according to scope of license.•Adheres to Billings Clinic and departmental safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.•Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status.•Utilizes performance improvement principles and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.•Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team.•Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.•Floats as needed within the Cancer Center.•Floats as needed to Bozeman Oncology.•Performs other duties as assigned or needed to meet the needs of the department/organization.•Maintains a minimum of 2 CE's for both breast cancer and stem cell education per year

Under the direction and supervision of the physician and in accordance with the authorized scope of practice for the level, assists in the delivery of patient care. Works collaboratively with the health care team including nursing staff and other health care providers to meet the physical, psychosocial, educational and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with the mission, vision, values and philosophy of Billings Clinic and the Emergency Department. Functions within the core competencies and "Minimum Specifications" set forth by the organization. • Responds in a timely, pleasant, efficient manner to the ED phone lines, using PSE guidelines; able to transfer calls. Adheres to confidentiality (HIPPA) and patient right requirements. • Pleasantly greets patient upon entering ED (waiting room) and directs to next available triage room, if Chief complaint is emergent will immediately notify Triage Nurse. Obtains and/or records vital signs, including height and weight and places on white board for RN charts and documents in patients record according to documentation guidelines. Collects laboratory specimens as needed. Performs Point of Care (POC) laboratory testing (glucometer) as listed in the job description. • Performs basic patient care, treatments, and documentation approved by the Physician or delegated by RN. • Assists patient's activities during ED care, such as showers, ambulating and turning, crutches, walkers, wheelchair or stretchers, transfers and assists with patient transports within the ED & facility. • Obtains and records vital signs including blood pressure, pulse, respiration, temperature, and pulse oximetry using manual & automatic technology. Additionally performs postural vital signs, obtains weights & heights, visual acuities, and specific POC testing (i.e. precision Glucometer). • Measures, records, and provides, for patient: intake of food and fluid which includes partial and total assistance with feedings; output from bodily functions/specified drainage devices and collects specimens as directed by the physician. Works collaboratively within the ED patient care team • Reports changes in patient condition, patient needs, and patient/visitor problems to the ED Physician AND Primary Nurse/or ED Charge Nurse. • Documents all care provided utilizing appropriate ED documentation-CERNER FirstNet and/or ED paper chart guidelines. • Assists in preparing wounds for suturing, i.e., cleansing and irrigation of the wound and setting up of all equipment (including sterile supplies) for suture procedure. • Performs EKGs as required and places patients on cardiac monitors. • Assists in preparing patient for MD exam, Patients need to be changed into a gown for assessment (i.e., assisting patient to undress, providing warm blankets, ice, extremity elevations, etc.) • Assists Diagnostic Imaging Tech with X-ray procedures as needed, as well as assisting in transfer of patients to CT or US. • Assists in the safety search of designated patient(s) as needed. (Following safety search policy) • Institutes seizure precautions when applicable • Assists MD/RN with gastric lavage as directed (ED only). • Assists ED physician/RN as needed with tasks such as providing supplies and equipment. • Responds to patient call lights and reports patient requests to MD/RN caring for patient. • Completes documentation following patient disposition, i.e. admission and discharge and transfer. • Sets up initial IV fluid bag including priming tubing adhering to aseptic technique at the specific request of the MD/RN • Establishes peripheral IV line upon MD's request. Applicable to PCT II (with EMT) & III only. Discontinues peripheral IV lines upon MD request per education requirements Applicable to PCT II (with EMT) & III. • May establish ultrasound IV's after class/competency completion (level II (with EMT) & Level III only.) • If trained/competent in I/O may insert under request/supervision of ED physician. (level II (with EMT) & Level III only.) • Maintains clean patient environment by assisting in the cleaning and maintenance of the waiting room, patient rooms and the ED unit. Performs linen changes for occupied beds while maintaining proper patient body alignment and comfort. • Knowledge and competence in all equipment cleaning • Utilizes appropriate personal protective equipment • Is versed in aseptic and sterile technique • Visual acuity's • Performs phlebotomy procedures per established ED and laboratory guidelines for collection and processing of specimens. • Applies and removes restraints according to Billings Clinic policy. • Assists with ambulance/helicopter/flight transfers into the ED. Is knowledgeable in admission, transfer and discharge of patient (including equipment) intra-facility and EMTALA/HIPPA regulations. • Understands system for disaster callbacks of ED staff and Emergency/Kardex notebook. Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains a safe, clean, and orderly environment for patient and visitors. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance. Identifies and anticipates problems and safety issues and initiates appropriate action • Has well developed computer skills with ability to document in The FirstNet CERNER program. Able to use Outlook for sending and receiving E-mail communication. ~it is the employees responsibility to document all cares (i.e. IVs, ambulation, vitals, etc) and patient contact they perform. As well as checking organizational email. • Utilizes performance improvement principles to assess and improve the quality of patient care. • Takes responsibility for identifying own development needs; meets all system and departmental educational requirements. Attends required meetings and participates in committees as requested. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Refers more difficult problems to the MD, RN, , PCT II and/or III• Active participant in keeping a safe work environment. • Able to perform all basic CNA and/or/EMT patient care requirements Competency in: • Performing basic phlebotomy procedures to include a variety of draw sites, specimen preparation • EKGs. • Wound care/dressings. • Splinting. • Vital signs • Patient safety search • Understanding and compliance of 1:1 policy • May be cross-trained to Unit Clerk job role Knowledge, Skills and Abilities • General knowledge of Billings Clinic policy and procedures, both departmental and organizational • Regulatory standards and requirements • Billings Clinic Corporate Compliance • Billings Clinic Code of Business Conduct • Customer service techniques and Personal Service Excellence (PSE) skills • Patient care treatment, planning and assessment within scope of practice • Interpersonal (PSE)skills necessary in order to interact with patients, families, and physicians • Demonstrates empathy and sensitivity necessary to elicit patient's cooperation and allay apprehensions • Phlebotomy techniques and utilization of vacutainer and other phlebotomy equipment • Performing EKG's • Performing basic patient care and treatments within scope of certification/license • Performing a safety search • Performing computerized documentation according to unit guidelines. • Critical thinking • Patient Care II (with EMT or CMA) & III • IV techniques • I/O insertion• Incorporate population specific needs into all aspects of patient care and communications; scope of services will encompass age groups ranging from infant through geriatric • Utilize time management concepts or maximize time effectively • Communicate clearly and effectively both verbally and in writing • Utilize critical thinking skills • Respond calmly and professionally in difficult situations and when dealing with difficult patients and/or family members • Lift a minimum of 50 pounds• Professional conduct when dealing with co-workers, patients, and visitors. Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel. • Practices within the scope and level of certification/licensure Minimum QualificationsEducation• High school graduate or equivalent • Medical training as a Certified Nursing Assistant, Medical Assistant, Certified Assistant (MA), EMT, AEMT, or Paramedic Experience• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Certifications and Licenses• Current Montana license as Certified Nurse Assistant and/or EMT certification (or) • College training in a health-related field. • CPR Certification BLS for infant, child and adult upon hire (ACLS for Level III)• Must successfully pass Billings Clinic phlebotomy training upon of hire. Other Qualifications• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Required to

The incumbent in this position acts as an advocate for patients serving as the primary point of contact and is responsible for coordinating the care and services of the identified patient populations for an extended period of time across the continuum of care for outpatient services; promoting effective resource utilization; assuming a leadership role with the multidisciplinary team to achieve an optimal clinical outcome.Operational aspects include but are not limited to schedule coordination, follow-up communication with patients, outside care facilities, and referring providers, documentation and record maintenance for necessary records for accreditation and continued care needs.Supply an exceptional patient and family entry and journey through the healthcare system. Help providers by coordinating patient visits, provision of proper records as applicable, and aid in coordinating proper supplementary service visits as applicable. Navigation will ideally begin before the patient comes for their first visit, continue during the first phases of consultation and care plan generation, and often during a course of therapy. Navigation will often be a 'go to' when patients or family have question, concerns, or confusion. They will supply skills and knowledge to effectively arrange patient centered cancer care through leadership of the interdepartmental team.The oncology nurse navigator will provide effective communication to patient and families regarding disease process, treatment plan review, next steps in care. ONN will translate medical terminology into information that patients can use to improve their understanding of their cancer journey. Ancillary services offered in the cancer center -Social work, palliative care team, financial counseling, dietician, support groups will be discussed and encouraged with the patient and family. Coordination of care provides timely access to cancer care by addressing patient barriers and providing interventions.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Facilitates the coordination of patient care services to assure excellence in patient care and patient flow; includes coordinating care, treatment and communication among the medical team• Follows patient through the care continuum/experience, eliminating operational (such as scheduling, test results, etc.) barriers to services.• Works closely with other healthcare disciplines to ensure timely appointments, results reporting, financial need referrals, communication, patient care and follow-up• Coordination of care: The oncology nurse navigator will receive referral for cancer patients from outside providers, departments in the Billings Clinic and faxed referrals.• The nurse navigator will then start the process of obtaining records if applicable. This includes but not limited to provider notes, labs, pathology report, imaging report and imaging.• After patient records are obtained in a prompt matter; the nurse will start the process of scheduling the patient with proper provider and multidisciplinary team in the clinic. The nurse will notify cancer research team of patient.• The nurse navigator will contact the patient/caregiver within one business day of scheduling patient. • The navigator will supply education on the rationale of the multidisciplinary team/appointments and need for further imaging or testing. Location, date, and time will be provided to the patient. • Appointment notification will be mailed to home address, along with navigator business card. The navigator will explain the role and supply contact information to the patient/caregivers.• The nurse navigators will attend patient first consult in medical and radiation oncology. Navigation may be present in multidisciplinary appointments inside the Billings Clinic.• Nurse navigation schedule further appointments, imaging, lab draw, etc. as directed by providers. • These appointments will be communicated to the patient/caregiver's day of and or within one business day.• Nurse navigation will notify/schedule patient with supplementary appointments, such as symptom management team, oncology social workers, physical therapists, dietician, breast boutique, financial counselors, oral oncology pharmacist, site specific and/or general tumor board.• When patient presents for the first consults the nurse navigator will provide patient/family with Billings Clinic Cancer Center resources, contact numbers for staff, education resources on cancer, staging, treatment from reputable sources. (NCCN, ACOS, ACS)• The nurse navigator will supply education to the patient. Navigation will assess patient education needs by assessing barriers to care (literacy, language, cultural influences, and comorbidities). Resources will be offered such as web, printed materials, and verbal education.• The nurse navigator will supply and reinforce education to the patient, families, and caregivers about diagnosis, treatment, post treatment care and survivorship. (Treatment summary when applicable.)• The nurse navigator will schedule patient for their first treatment, they will provide calendars to the patient and review times, dates, and providers with them to expedite the plan of care and continuity of care.• The nurse navigator will schedule patients for follow up in the cancer center when actively navigating patient.• The nurse navigator will provide anticipatory guidance and manage expectations to aid patient/caregivers/families in coping with cancer diagnosis, potential or expected outcomes.• The nurse navigator will support a smooth transition of patients from active/initial treatment into survivorship, chronic cancer management or end of life care.• Facilitates the development, implementation and adherence to clinical and evidenced based guidelines, as appropriate, to ensure optimal clinical outcomes• Ensures follow-up on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.) Ensures follow up has occurred regarding patient clinical and non clinical care to include adherence to plans of care, resource utilization, and general progress utilizing care conferences as necessary.• Works in collaboration with the medical team to develop and implement clinical guidelines. Facilitates the adherence of the guidelines through regular evaluation and auditing of clinical practice.• Ensures follow-up in the outpatient setting on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.)• Demonstrates expertise in educational and resourcing services• Participates in educational activities related to patient/community, clinical operation and process issues on an ongoing basis• Collaborates with other health care providers in developing, implementing and evaluating educational materials for patients and their families• Facilitates intra-departmental relationships in an effort to provide necessary resources to and for the patient.• Interfaces with other members/disciplines within the healthcare teams for appropriate referrals/services• Aware of and assists with financial needs of the patients.• Identify and access appropriate social services, including resources to assist caregivers to support treatment• Contributes to an environment of quality and process improvement• Ensures accurate and timely data collection and entry into patient database as indicated by department guidelines• Directs and coordinates identified quality assessment and improvement activities to assure quality patient services are monthly provided through audits and reviews other identified evaluation tools• Ensures patient care activities for the department services are monitored monthly through audits and reviews• Ensures and enhances facility, safety, and regulatory outcomes• Complies with all applicable laws, regulations and accrediting agencies• Complies with all Billings Clinic policies• Works in collaboration with Leadership team to ensure departmental goals and objectives are met.• Contributes to community activities sponsored by the Cancer Center• Develops patient referral services by relationship-building strategies with physicians not related to the department.• Performs other duties as assigned or needed to meet the needs of the department/organization.• Works as an active team member and effective communicator• Demonstrates effective internal and external communication strategies, written and verbal, to assure a collaborative environment• Ensures appropriate and timely documentation in the EHR• Demonstrates a productive work ethic• Works consistently as an active team player, inter-and intra-departmentally• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.• Assists Mammography provider throughout imaging guidance breast biopsy procedures.Remove this line.• Identification and assistance for patients in potential benefit for genetic testing evaluation.• Organization and record maintenance of appropriate record needs required for accreditation purposes.• Performs other duties as assigned or needed to meet the needs of the department/organization.• Additional Duties for Breast Diagnostics• Facilitates the coordination of patient care services to assure excellence in patient care and patient flow.• Follows patient from abnormal mammogram through diagnosis.• Provides seamless patient flow from abnormal mammogram to diagnosis and referral to breast Patient Care Navigator• Facilitates breast biopsy scheduling• Facilitates breast biopsy education• Facilitates the development, implementation and adherence to clinical and research guidelines, as appropriate, to ensure optimal clinical outcomes• Ensures that each patient scheduled for a screening mammogram has had a clinical breast exam within acceptable time frame.• Demonstrates expertise in educational and resourcing services• Facilitates relationship between physicians, vendors, departments and the breast multidisciplinary program• Interfaces with finance and breast imaging services to meet the financial needs of the patients• Additional Duties for Regional Navigator• Collaborate with local individuals, agencies and organizations to facilitate the increased availability of community-based care services.• Facilitates research participation opportunities.• Facilitates increased utilization of telemedicine in connecting rural patients and providers to Billings Clinic resources.• Coordinate opportunities to increase prevention awareness and offer early-detection screening programs in outreach areas.• Develop and implement regional care protocols, resulting in reduced time to problem resolution and improved quality of care.• Interfaces with local and outreach providers in addressing care navigation concerns.• Identifies community support services in underserved and frontier areas and facilitates utilization of these services.• Advocates for the individual and collective needs of patients in rural and frontier areas.• Facilitates relationship-building between physicians, agencies, and organizations.• Interfaces with physicians, agencies, and organizations to meet the medical, social, and financial needs of patients.

The Pediatric Certified Diabetic Educator should have a broad knowledge base in diabetes care. This position is responsible for facilitating the education management of patients with newly diagnosed or poorly controlled diabetes from point of entry into Billings Clinic through the continuum of care. The strength of the role is in education and active collaboration with the multidisciplinary team and physicians to promote quality patient care. The Pediatric Certified Diabetic Educator promotes effective utilization; monitors health care resources and assumes a leadership role with the multidisciplinary team to achieve optimal clinical, financial and resource outcomes. This position develops and provides education to Billings Clinic staff, patients, as well as to care providers and family member of diabetics.Essential Job Functions•Supports and practices the mission and philosophy of Billings Clinic, Care Management and the Diabetes program.•Education. Provides education to patients and families based on their specific needs including new patient education, injection and pump skills, training and troubleshooting and sick day management. Provides and coordinates education to nurses for disease related technology. Facilitates local and regional diabetes education for coordination of care between care providers of children with diabetes (school nurses, foster families, regional CDEs, etc.)•Quality Improvement. Identifies issues, purposes solutions and reviews findings of monitoring and evaluation activities Accountable for oversight, planning, implementation and evaluation of the American Diabetes Association Educationally Recognized Diabetes Self-Management Education Program for Billings Clinic for pediatric patients. Acts as a change agent by participating in work re-design projects. Participates in maintaining•Professional Development. Develop, implement and monitor policies/procedures of care related to diabetes patients and blood glucose monitoring protocols. Proactively support staff by advancing competence of diabetes care through education development•Assessment. Gathers timely information from patient, family, medical team, medical record and other key resources. Anticipates needs based on reason for admission and discharge needs. Interacts and educates patients, families and public. Considers legal issues: Guardianship, care providers. Reassesses patient as needs change or dictate. Initial chart review (prior to assessment) and concurrent chart reviews. Identifies physical, psychological and spiritual needs and incorporates them into the plan of care. Encourage use of blood glucose protocols. Attend Diabetes Rounds as designated by the program director•Planning: Formulation of Discharge Plan. Attend scheduled Diabetes Team meetings. Demonstrates timely intervention. Demonstrates creativity when needed. Considers resources available. Collaborates with physician(s) and other appropriate resources on treatment goals, projected length of stay, and discharge plan. Advocates for patient and family (care conferences, health care team meetings). Facilitates patient care conferences as needed. Reviews physician orders. Ensures compliance/accuracy with discharge plan. Make follow-up appointments for Diabetes Clinic as needed.•Implementation: Patient Care Coordinator. Interacts with community resources/networks. Demonstrates knowledge of community resources. Ensures confidentiality. Ensures services appropriate for age/level of care. Monitors clinical pathways and collects appropriate data as dictated. Educates and trains staff for management of diabetes patients.•Evaluation: Matches plan to patient/family physical, emotional, resource, and safety needs. Identifies risk management issues and communicates to supervisor/Risk Management Department. Communicates variances in discharge plan to patient, family and medical team.•Interdisciplinary Team Participation: Incorporates team recommendations into plan. Ensures discharge needs are addressed and consensus reached. Incorporates clinical pathways info as appropriate/available. As delegated by the health care team, provides patient care and treatments according to scope of RN license, adhering to policy and procedures; documentation is concise and thorough.•Documentation. Contents thorough and timely. Reflects plan, limitations, patient choice, legal considerations, family input, and education. Meets Cerner and other department/organizational/ professional documentation standards.•Facility Compliance//HIPAA/QI/PRO. Participates in interdepartmental collaboration. Develops/implements processes/protocols and promotes changes as organizational needs dictate. Participates in process to ensure compliance and monitors knowledge of requirements. Reports needs/noncompliance issues. Completes assigned projects/duties. Assists in maintaining .•Utilization Review. Demonstrates resource management. Demonstrates cost effectiveness. Provides timely interventions. Collaborates with care management team members. Monitors patient care to avoid redundancy, duplication or fragmentation.•Professional Accountabilities. Demonstrates care Management standards. Participates in committees/unit involvement. Participates in and/or seeks out continuing education opportunities to maintain Diabetes Certification once attained.•Safety. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.•Performs other duties as assigned or needed to meet the needs of the department/organization