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Psychiatric Registered Nurse Salary in Cincinnati, OH

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Registered Nurse (RN) Case Management, Full-Time, First Shift, Care Management
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About UC Medical Center As the pioneering hospital of UC Health, Greater Cincinnati's academic health system, UC Medical Center has served greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care teams utilizing the most advanced medical knowledge and technology available. UC Medical Center has 724 licensed beds and more than 5,800 employees. Unit Details It is a remarkable achievement to have established such a successful and productive department in such a short time Excellent opportunities for employees to expand their skills and knowledge. Great engagement scores. We are always working towards improving our company culture and fostering a better working environment. Education and Experience: Graduate from an accredited school of nursing; Bachelor of Science in Nursing, minimum required.Current OH RN License1-3 yrs. Case Management/Utilization Management, or related experience. (preferred)Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. 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Registered Nurse (RN-CNI) Blood Cancer Healing Center, ONA
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Education and Experience Requirements: Graduate from an accredited school of nursing Associate of Science in Nursing (ASN), required Bachelor of Science in Nursing (BSN), preferred Current OH RN License Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. 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Prepares, implements, evaluates, revises and coordinates interdisciplinary plan of care for each assigned patient in a collaborative effort with the other healthcare team members and patient/family within the time frame indicated by unit's standards of practice. Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patient's care, and demonstrates ability to establish priorities of care based on patient's assessment and needs. Gives clear instructions to patients/family regarding treatment, and involves family/guardian in the assessment, initial treatment, and continuing care of the patient. Identifies and responds appropriately to different patient needs resulting from behavioral health problems, unique psychological needs or those associated with religious/cultural norms. Demonstrates critical thinking, accountability, flexibility, and a cooperative attitude in meeting the needs of the unit. 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Prepares, implements, evaluates, revises and coordinates interdisciplinary plan of care for each assigned patient in a collaborative effort with the other healthcare team members and patient/family within the time frame indicated by unit's standards of practice. Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patient's care, and demonstrates ability to establish priorities of care based on patient's assessment and needs. Gives clear instructions to patients/family regarding treatment, and involves family/guardian in the assessment, initial treatment, and continuing care of the patient. Identifies and responds appropriately to different patient needs resulting from behavioral health problems, unique psychological needs or those associated with religious/cultural norms. Demonstrates critical thinking, accountability, flexibility, and a cooperative attitude in meeting the needs of the unit. Nursing process is accurately and concisely documented, including evaluation of treatment and in accordance to hospital policy and procedure. Acts as a resource person and mentor for new personnel, floater, and/or supplemental staff working on the unit. Assumes responsibility for personal professional development and contributes to the professional development of peers, colleagues, and others.
Psychiatric Therapeutic Program Worker, Full-Time, 12 Hour AM, AFSCME
UC HEALTH LLC, Cincinnati
Psychiatric Therapeutic Program Worker, Full-Time, 12 Hour AM, Psychiatry- 6 Ridgeway UC Health is hiring a full-time Psychologist Therapeutic Program Worker for the Psychiatry department for the 12 Hour AM shifts at University of Cincinnati Medical Center. The Psychiatric Therapeutic Program Worker will support the University of Cincinnati Medical Center's Emergency Mental Health Services department and Greater Cincinnati's only Level I Trauma Center, delivering high-quality care to patients based on assessed needs. The major focus will be on the Psychiatric Therapeutic Program Worker (TPW), in collaboration with other members of the healthcare team, is responsible for maintaining a therapeutic milieu and a safe environment for all psychiatric patients on the unit. As a member of the patient care team, the TPW performs selected duties under the direction of the Registered Nurse, to ensure quality patient care. About University of Cincinnati Medical Center As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati. Unit Details In 2022, Newsweek magazine recognized UC Medical Center among a listing of the World's Best Hospitals for the world-class clinical care provided to the Greater Cincinnati Region and beyond. UC Medical Center is also home to medical breakthroughs-our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. Education: High school diploma or GED, required. License and Certification: STNA certification preferred or college-level coursework in nursing/psychiatry/social work. Years of Experience: Six months direct patient care experience in psychiatric setting or equivalent college-level coursework in nursing/psychology/social work (required). Specialized training in phlebotomy, vitals signs, and assistance with activities of daily living experience (preferred). Required Skills and Knowledge: Must be able to demonstrate full range of motion in reaching, bending and stooping. An understanding of psychiatric diagnosis and mental retardation/developmental disabilities is desired. Must have excellent communication skills; sensitivity to the needs of patients/families; and the ability to maintain a safe environment. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment.Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Establish a therapeutic milieu and provide a safe environment for all psychiatric patients. This includes monitoring the unit for safety at all times, maintaining a quiet and peaceful atmosphere, managing patient's behavior, preparing room for patient's arrival, orienting patients to the unit, checking belongings for hazardous objects or weapons, securing all belongings in designated areas, provide routine bed checks and secure areas. Provide clinical duties as directed by Registered Nurse. These assignments may include but are not limited to: NIPPAS for vital signs and daily weights, phlebotomy, EKG, finger sticks, assistance with feedings, personal hygiene/grooming, ADL's, collecting meal trays and returning to dietary, clean dining area, provide clean linen and dispose of soiled linen, and assist with inventory control and distribution of supplies and equipment in the clinical areas and hallways. Co-lead treatment groups, i.e., Goals Group, Exercise Group, etc. Participate, organize and direct social and therapeutic leisure time activities, i.e., Bingo, card playing, chess and activities in the Recreation Room. Observe individual behaviors and group interactions and report any major change in patient's behavior and/or medical condition to the RN. Initiate basic psychiatric interventions and provide appropriate redirection as needed. Uses age appropriate communication skills. Provide non-punitive limit setting, appropriate modeling and reinforcement as needed to meet the patient's emotional needs. Assist in physical crisis management as needed and/or assigned. Participate in quality improvement activities. Attend staff meetings, in-service sessions, and crisis intervention programs. Performs other duties as delegated or directed by RN, Clinical Manager or Nursing Supervisor. Transport patients to X-ray, EEG, MRI, clinic appointments, etc. Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Establish a therapeutic milieu and provide a safe environment for all psychiatric patients. This includes monitoring the unit for safety at all times, maintaining a quiet and peaceful atmosphere, managing patient's behavior, preparing room for patient's arrival, orienting patients to the unit, checking belongings for hazardous objects or weapons, securing all belongings in designated areas, provide routine bed checks and secure areas. Provide clinical duties as directed by Registered Nurse. These assignments may include but are not limited to: NIPPAS for vital signs and daily weights, phlebotomy, EKG, finger sticks, assistance with feedings, personal hygiene/grooming, ADL's, collecting meal trays and returning to dietary, clean dining area, provide clean linen and dispose of soiled linen, and assist with inventory control and distribution of supplies and equipment in the clinical areas and hallways. Co-lead treatment groups, i.e., Goals Group, Exercise Group, etc. Participate, organize and direct social and therapeutic leisure time activities, i.e., Bingo, card playing, chess and activities in the Recreation Room. Observe individual behaviors and group interactions and report any major change in patient's behavior and/or medical condition to the RN. Initiate basic psychiatric interventions and provide appropriate redirection as needed. Uses age appropriate communication skills. Provide non-punitive limit setting, appropriate modeling and reinforcement as needed to meet the patient's emotional needs. Assist in physical crisis management as needed and/or assigned. Participate in quality improvement activities. Attend staff meetings, in-service sessions, and crisis intervention programs. Performs other duties as delegated or directed by RN, Clinical Manager or Nursing Supervisor. Transport patients to X-ray, EEG, MRI, clinic appointments, etc.
Psychiatric Therapeutic Program Worker, Part-Time, First Shift, Emergency Mental Health Services, AFSCME
UC HEALTH LLC, Cincinnati
Location: UCMC- 6 RidgewayDepartment: Emergency Mental Health ServicesHours: Part-Time, 24 Hours/WeekShift: First Psychiatric Therapeutic Program Worker, Part-Time, Day Shifts, Emergency Mental Health Services, AFSCME UC Health is hiring a part-time Psychologist Therapeutic Program Worker for the Psychiatry department for the first shift at University of Cincinnati Medical Center. The Psychiatric Therapeutic Program Worker will support the University of Cincinnati Medical Center's Emergency Mental Health Services department and Greater Cincinnati's only Level I Trauma Center, delivering high-quality care to patients based on assessed needs. The major focus will be on the Psychiatric Therapeutic Program Worker (TPW), in collaboration with other members of the healthcare team, is responsible for maintaining a therapeutic milieu and a safe environment for all psychiatric patients on the unit. As a member of the patient care team, the TPW performs selected duties under the direction of the Registered Nurse, to ensure quality patient care. About University of Cincinnati Medical Center As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati. Unit Details In 2022, Newsweek magazine recognized UC Medical Center among a listing of the World's Best Hospitals for the world-class clinical care provided to the Greater Cincinnati Region and beyond. UC Medical Center is also home to medical breakthroughs-our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. Program Worker (TPW), in collaboration with other members of the healthcare team, is responsible for maintaining a therapeutic milieu and a safe environment for all psychiatric patients on the unit. As a member of the patient care team, the TPW performs selected duties under the direction of the Registered Nurse, to ensure quality patient care. Education: High school diploma or GED, required. License and Certification: STNA certification preferred or college-level coursework in nursing/psychiatry/social work. Years of Experience: Six months direct patient care experience in psychiatric setting or equivalent college-level coursework in nursing/psychology/social work (required). Specialized training in phlebotomy, vitals signs, and assistance with activities of daily living experience (preferred). Required Skills and Knowledge: Must be able to demonstrate full range of motion in reaching, bending and stooping. An understanding of psychiatric diagnosis and mental retardation/developmental disabilities is desired. Must have excellent communication skills; sensitivity to the needs of patients/families; and the ability to maintain a safe environment. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment.Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Establish a therapeutic milieu and provide a safe environment for all psychiatric patients. This includes monitoring the unit for safety at all times, maintaining a quiet and peaceful atmosphere, managing patient's behavior, preparing room for patient's arrival, orienting patients to the unit, checking belongings for hazardous objects or weapons, securing all belongings in designated areas, provide routine bed checks and secure areas. Provide clinical duties as directed by Registered Nurse. These assignments may include but are not limited to: NIPPAS for vital signs and daily weights, phlebotomy, EKG, finger sticks, assistance with feedings, personal hygiene/grooming, ADL's, collecting meal trays and returning to dietary, clean dining area, provide clean linen and dispose of soiled linen, and assist with inventory control and distribution of supplies and equipment in the clinical areas and hallways. Co-lead treatment groups, i.e., Goals Group, Exercise Group, etc. Participate, organize and direct social and therapeutic leisure time activities, i.e., Bingo, card playing, chess and activities in the Recreation Room. Observe individual behaviors and group interactions and report any major change in patient's behavior and/or medical condition to the RN. Initiate basic psychiatric interventions and provide appropriate redirection as needed. Uses age appropriate communication skills. Provide non-punitive limit setting, appropriate modeling and reinforcement as needed to meet the patient's emotional needs. Assist in physical crisis management as needed and/or assigned. Participate in quality improvement activities. Attend staff meetings, in-service sessions, and crisis intervention programs. Performs other duties as delegated or directed by RN, Clinical Manager or Nursing Supervisor. Transport patients to X-ray, EEG, MRI, clinic appointments, etc. Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Establish a therapeutic milieu and provide a safe environment for all psychiatric patients. This includes monitoring the unit for safety at all times, maintaining a quiet and peaceful atmosphere, managing patient's behavior, preparing room for patient's arrival, orienting patients to the unit, checking belongings for hazardous objects or weapons, securing all belongings in designated areas, provide routine bed checks and secure areas. Provide clinical duties as directed by Registered Nurse. These assignments may include but are not limited to: NIPPAS for vital signs and daily weights, phlebotomy, EKG, finger sticks, assistance with feedings, personal hygiene/grooming, ADL's, collecting meal trays and returning to dietary, clean dining area, provide clean linen and dispose of soiled linen, and assist with inventory control and distribution of supplies and equipment in the clinical areas and hallways. Co-lead treatment groups, i.e., Goals Group, Exercise Group, etc. Participate, organize and direct social and therapeutic leisure time activities, i.e., Bingo, card playing, chess and activities in the Recreation Room. Observe individual behaviors and group interactions and report any major change in patient's behavior and/or medical condition to the RN. Initiate basic psychiatric interventions and provide appropriate redirection as needed. Uses age appropriate communication skills. Provide non-punitive limit setting, appropriate modeling and reinforcement as needed to meet the patient's emotional needs. Assist in physical crisis management as needed and/or assigned. Participate in quality improvement activities. Attend staff meetings, in-service sessions, and crisis intervention programs. Performs other duties as delegated or directed by RN, Clinical Manager or Nursing Supervisor. Transport patients to X-ray, EEG, MRI, clinic appointments, etc.
Psychiatric Therapeutic Program Worker, Part-Time, 12 Hour PM, Psychiatry-5 Ridgeway, AFSCME
UC HEALTH LLC, Cincinnati
Location: UCMC-5 RidgewayDepartment: PsychiatryHours: Part-Time, 24 Hours/WeekShift: 12 Hour PM Psychiatric Therapeutic Program Worker, Part-Time, 12 Hour PM, Psychiatry- 5 Ridgeway UC Health is hiring a part-time Psychiatric Therapeutic Program Worker for the Psychiatry department for the 12 Hour PM at University of Cincinnati Medical Center. The Psychiatric Therapeutic Program Worker will support the University of Cincinnati Medical Center's Emergency Mental Health Services department and Greater Cincinnati's only Level I Trauma Center, delivering high-quality care to patients based on assessed needs. The major focus will be on the Psychiatric Therapeutic Program Worker (TPW), in collaboration with other members of the healthcare team, is responsible for maintaining a therapeutic milieu and a safe environment for all psychiatric patients on the unit. As a member of the patient care team, the TPW performs selected duties under the direction of the Registered Nurse, to ensure quality patient care. About University of Cincinnati Medical Center As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati. Unit Details In 2022, Newsweek magazine recognized UC Medical Center among a listing of the World's Best Hospitals for the world-class clinical care provided to the Greater Cincinnati Region and beyond. UC Medical Center is also home to medical breakthroughs-our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. Education: High school diploma or GED, required. License and Certification: STNA certification preferred or college-level coursework in nursing/psychiatry/social work. Years of Experience: Six months direct patient care experience in psychiatric setting or equivalent college-level coursework in nursing/psychology/social work (required). Specialized training in phlebotomy, vitals signs, and assistance with activities of daily living experience (preferred). Required Skills and Knowledge: Must be able to demonstrate full range of motion in reaching, bending and stooping. An understanding of psychiatric diagnosis and mental retardation/developmental disabilities is desired. Must have excellent communication skills; sensitivity to the needs of patients/families; and the ability to maintain a safe environment. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employmentJob Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Establish a therapeutic milieu and provide a safe environment for all psychiatric patients. This includes monitoring the unit for safety at all times, maintaining a quiet and peaceful atmosphere, managing patient's behavior, preparing room for patient's arrival, orienting patients to the unit, checking belongings for hazardous objects or weapons, securing all belongings in designated areas, provide routine bed checks and secure areas. Provide clinical duties as directed by Registered Nurse. These assignments may include but are not limited to: NIPPAS for vital signs and daily weights, phlebotomy, EKG, finger sticks, assistance with feedings, personal hygiene/grooming, ADL's, collecting meal trays and returning to dietary, clean dining area, provide clean linen and dispose of soiled linen, and assist with inventory control and distribution of supplies and equipment in the clinical areas and hallways. Co-lead treatment groups, i.e., Goals Group, Exercise Group, etc. Participate, organize and direct social and therapeutic leisure time activities, i.e., Bingo, card playing, chess and activities in the Recreation Room. Observe individual behaviors and group interactions and report any major change in patient's behavior and/or medical condition to the RN. Initiate basic psychiatric interventions and provide appropriate redirection as needed. Uses age appropriate communication skills. Provide non-punitive limit setting, appropriate modeling and reinforcement as needed to meet the patient's emotional needs. Assist in physical crisis management as needed and/or assigned. Participate in quality improvement activities. Attend staff meetings, in-service sessions, and crisis intervention programs. Performs other duties as delegated or directed by RN, Clinical Manager or Nursing Supervisor. Transport patients to X-ray, EEG, MRI, clinic appointments, etc. Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Establish a therapeutic milieu and provide a safe environment for all psychiatric patients. This includes monitoring the unit for safety at all times, maintaining a quiet and peaceful atmosphere, managing patient's behavior, preparing room for patient's arrival, orienting patients to the unit, checking belongings for hazardous objects or weapons, securing all belongings in designated areas, provide routine bed checks and secure areas. Provide clinical duties as directed by Registered Nurse. These assignments may include but are not limited to: NIPPAS for vital signs and daily weights, phlebotomy, EKG, finger sticks, assistance with feedings, personal hygiene/grooming, ADL's, collecting meal trays and returning to dietary, clean dining area, provide clean linen and dispose of soiled linen, and assist with inventory control and distribution of supplies and equipment in the clinical areas and hallways. Co-lead treatment groups, i.e., Goals Group, Exercise Group, etc. Participate, organize and direct social and therapeutic leisure time activities, i.e., Bingo, card playing, chess and activities in the Recreation Room. Observe individual behaviors and group interactions and report any major change in patient's behavior and/or medical condition to the RN. Initiate basic psychiatric interventions and provide appropriate redirection as needed. Uses age appropriate communication skills. Provide non-punitive limit setting, appropriate modeling and reinforcement as needed to meet the patient's emotional needs. Assist in physical crisis management as needed and/or assigned. Participate in quality improvement activities. Attend staff meetings, in-service sessions, and crisis intervention programs. Performs other duties as delegated or directed by RN, Clinical Manager or Nursing Supervisor. Transport patients to X-ray, EEG, MRI, clinic appointments, etc.
Behavioral Health Nurse
ViaQuest, Inc., Cincinnati
A Great OpportunityAt ViaQuest Psychiatric & Behavioral Solutions we offer unique and individualized care to clients in the long term care settings, with multiple diagnoses, including dementia, anxiety, depression, psychosis and more. Our clients are supported by a team of Registered Nurses (RNs),Licensed Practical Nurses (LPNs), certified nurse practitioners, psychiatrists, mental health counselors, social workers, and case managers to ensure the best outcomes for those we serve. Apply today and make a difference in the lives of the clients we serve!What ViaQuest can offer you:Comprehensive training.Monthly productivity incentive bonus.Benefit package for full-time employees (including medical, vision, dental, disability and life insurance and a 401k).Paid-time off. Premium holiday pay. Mileage reimbursement. Flexible scheduling. Employee referral bonus program.No evening, weekend, or 12-hour shiftsCell phone stipendAnnual pay increaseResponsibilities may include:Address the mental, behavioral and physical health needs of clients on a weekly/biweekly and/or monthly basis.Complete in person nursing assessments as well as medication and chart review in long term care facilities (LTC).Educate caregivers and clients on their prescribed psychiatric and physical health medications and monitor for possible side effects.Care management duties including coordination of community services and correspondence with treatment team members, including physicians, pharmacies, employment programs. Assist clients in building coping skills to address mood, stressors and improve communication and in creating annual goals as it relates to their psychiatric diagnosis.Possibly assisting clinic and residential needs for assigned locations.Help train and mentor peers.May need to cover more than one facility depending on company needsRequirements for this position include:Graduate of an accredited nursing program.LPN or RN license. Experience in psychiatric, mental and behavioral health services.Willingness to travel throughout assigned service area. Preferably has experience working in LTC facilities as well as Behavioral Health.CPR or Course can be provided during trainingAbout ViaQuest Psychiatric & Behavioral SolutionsTo learn more about ViaQuest Psychiatric & Behavioral Solutions please visithttp://www.viaquestinc.com/core-services/behavioral-mental-health/From Our Employees To Youhttp://careers.viaquestinc.com/viaquest-culture-of-choice/Would you like to refer someone else to this job and earn a bonus? Participate in our referral program!https://www.viaquestinc.com/contact/external-referral-program/Do you have questions?Email us at [email protected]
Registered Nurse (RN) Clinical Supervisor, PACU
UC HEALTH LLC, Cincinnati
UC Health is hiring a Full-Time Registered Nurse (RN) Supervisor for the PACU Department, First Shift (Hours Vary) at the University of Cincinnati Medical Center. This 30 bed Post Anesthesia Care Unit specializes in Phase 1 recovery for general anesthesia cases throughout the hospital. As the region's only Level 1 academic trauma center, we specialize in the treatment of complex neuro, ENT and trauma cases. Other surgeries and procedures are diverse and include Cath Lab/EP, IR and ICU level of care patients. Phase 1 recovery focuses on airway maintenance, breathing, hemodynamic stability and pain control. The Clinical Registered Nurse (RN) Supervisor assumes the responsibility for ensuring excellent patient care is being delivered, maintaining expeditious patient flow with a focus on customer service, and supervision of nursing staff. The Clinical Shift Supervisor will provide input on staff evaluations and complete evaluations for their regular staff cohort. The Clinical Shift Supervisor will also assist with cost containment and manage all employees to do the same. The position requires knowledge of leadership and effective interpersonal communication skills. About The University of Cincinnati Medical Center As part of the Main Campus of UC Health, Greater Cincinnati's academic health system, The University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati. UC Medical Center is also home to medical breakthroughs- our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. UC Medical Center houses Greater Cincinnati's only Level I adult trauma center, which includes the right mix of specialist and medical resources available at a moment's notice for a wide variety of the most complex medical conditions and injuries.Education and Experience Requirements: Bachelor of Science in Nursing (BSN), required. Minimum of five years of clinical and progressive management experience in area of clinical specialty. Licensed to practice in the State of Ohio. Recent Registered Nurse experience in SDS/PACU, required. Leadership: Supervises staff assigned to their unit or center of excellence and demonstrates the ability to coach and mentor staff. Operational leadership of shift including patient flow and assignment/adjustment of resources to meet dynamic changing needs throughout the shift. Champion efficient throughput and capacity management. Benchmark internal processes to improve practice. Lead and implement operational improvement initiatives and assures compliance via staff coaching and mentoring. Ensures staff behaviors supports and are consistent with the RITE Values, Missions and Vision of UC Health and University Hospital. Provide transformational leadership as related to PFCC. Assist with developing and revising of departmental standards, policies and procedures. Staffing and scheduling responsibility for cohort of staff and shift. Promote patient care safety standards. Actively identifying opportunities for improvement in patient satisfaction, perform trials and report back to leadership on results. Facilitate conflict resolution. Empower staff to participate in decision making through shared governance/UBC. Maintain, support and encourage others with professional development. Resource Management: Demonstrates efficiency through the appropriate use of resources or supplies to support timely and effective delivery of patient care. Identifies needs for specific equipment and ensures adequate and properly functioning equipment and supplies are available for patient care. Identify operational needs for units including but not limited to needs related to capital equipment; medical supplies; office supplies; hours of practice; minor equipment; and equipment maintenance. Participate in the new hire process: Shadowing process, selection and oversee specific staff orientation to maintain established standards of care and to ensure competency. Specific professional development and coaching for assigned cohort of staff including quarterly rounding and annual performance appraisals. Provides immediate counseling for staff when specific behaviors or incidents negatively affect patient care or the general work environment. Write up incidents. Participates in the corrective action process. Promote staff retention, team building/collaboration. Performance Improvement/Regulatory Requirements: Ensure shift practice is in compliance with state and federal medical laws (EMTALA, HIPAA and House Bill 316). Enforce and maintain corporate compliance. Identify and oversee risk management issues. Ensures staff compliance with established policies, procedures, standards and accreditation and licensing regulations. Actively involved and engage staff in departmental performance improvement (PI) activities according to department PI plan. Assist the manager in evaluation the quality of patient care and staff performance through: Personal observation. Facilitating quality improvement monitoring activities. Interviewing patients/families/staff. Reviewing documentation. Clinical Resource and Competency: Maintain hospital wide and department specific nursing competencies and completes annual competencies in required time frame. Collaborate with the Department Educator and/or provides for orientation and educational needs identified in the department. Function as a clinical resource for area of clinical specialty. Promote the use of evidence based practice. Assist in identifying and operationalizing best practices in the unit. Facilitates ongoing staff professional growth. Leadership: Supervises staff assigned to their unit or center of excellence and demonstrates the ability to coach and mentor staff. Operational leadership of shift including patient flow and assignment/adjustment of resources to meet dynamic changing needs throughout the shift. Champion efficient throughput and capacity management. Benchmark internal processes to improve practice. Lead and implement operational improvement initiatives and assures compliance via staff coaching and mentoring. Ensures staff behaviors supports and are consistent with the RITE Values, Missions and Vision of UC Health and University Hospital. Provide transformational leadership as related to PFCC. Assist with developing and revising of departmental standards, policies and procedures. Staffing and scheduling responsibility for cohort of staff and shift. Promote patient care safety standards. Actively identifying opportunities for improvement in patient satisfaction, perform trials and report back to leadership on results. Facilitate conflict resolution. Empower staff to participate in decision making through shared governance/UBC. Maintain, support and encourage others with professional development. Resource Management: Demonstrates efficiency through the appropriate use of resources or supplies to support timely and effective delivery of patient care. Identifies needs for specific equipment and ensures adequate and properly functioning equipment and supplies are available for patient care. Identify operational needs for units including but not limited to needs related to capital equipment; medical supplies; office supplies; hours of practice; minor equipment; and equipment maintenance. Participate in the new hire process: Shadowing process, selection and oversee specific staff orientation to maintain established standards of care and to ensure competency. Specific professional development and coaching for assigned cohort of staff including quarterly rounding and annual performance appraisals. Provides immediate counseling for staff when specific behaviors or incidents negatively affect patient care or the general work environment. Write up incidents. Participates in the corrective action process. Promote staff retention, team building/collaboration. Performance Improvement/Regulatory Requirements: Ensure shift practice is in compliance with state and federal medical laws (EMTALA, HIPAA and House Bill 316). Enforce and maintain corporate compliance. Identify and oversee risk management issues. Ensures staff compliance with established policies, procedures, standards and accreditation and licensing regulations. Actively involved and engage staff in departmental performance improvement (PI) activities according to department PI plan. Assist the manager in evaluation the quality of patient care and staff performance through: Personal observation. Facilitating quality improvement monitoring activities. Interviewing patients/families/staff. Reviewing documentation. Clinical Resource and Competency: Maintain hospital wide and department specific nursing competencies and completes annual competencies in required time frame. Collaborate with the Department Educator and/or provides for orientation and educational needs identified in the department. Function as a clinical resource for area of clinical specialty. Promote the use of evidence based practice. Assist in identifying and operationalizing best practices in the unit. Facilitates ongoing staff professional growth.
Psychiatric Therapeutic Program Worker Part Time- ECT
UC HEALTH LLC, Cincinnati
Location: UCMC- 6 RidgewayDepartment: PsychiatryHours: Part-Time, 24 Hours/WeekShift: First Shift Psychiatric Therapeutic Program Worker, Part-Time, First Shift 7A-330P, Psychiatry- 6 Ridgeway UC Health is hiring a part-time Psychologist Therapeutic Program Worker for the Psychiatry department for the 12 hour PM shifts at University of Cincinnati Medical Center. The Psychiatric Therapeutic Program Worker will support the University of Cincinnati Medical Center's Emergency Mental Health Services department and Greater Cincinnati's only Level I Trauma Center, delivering high-quality care to patients based on assessed needs. The major focus will be on the Psychiatric Therapeutic Program Worker (TPW), in collaboration with other members of the healthcare team, is responsible for maintaining a therapeutic milieu and a safe environment for all psychiatric patients on the unit. As a member of the patient care team, the TPW performs selected duties under the direction of the Registered Nurse, to ensure quality patient care. About University of Cincinnati Medical Center As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati. Unit Details In 2022, Newsweek magazine recognized UC Medical Center among a listing of the World's Best Hospitals for the world-class clinical care provided to the Greater Cincinnati Region and beyond. UC Medical Center is also home to medical breakthroughs-our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. Qualifications for Internal Candidates Education: High school diploma or GED, required. License and Certification: STNA certification preferred or college-level coursework in nursing/psychiatry/social work. Years of Experience: Six months direct patient care experience in psychiatric setting or equivalent college-level coursework in nursing/psychology/social work (required). Specialized training in phlebotomy, vitals signs, and assistance with activities of daily living experience (preferred). Required Skills and Knowledge: Must be able to demonstrate full range of motion in reaching, bending and stooping. An understanding of psychiatric diagnosis and mental retardation/developmental disabilities is desired. Must have excellent communication skills; sensitivity to the needs of patients/families; and the ability to maintain a safe environment. Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Establish a therapeutic milieu and provide a safe environment for all psychiatric patients. This includes monitoring the unit for safety at all times, maintaining a quiet and peaceful atmosphere, managing patient's behavior, preparing room for patient's arrival, orienting patients to the unit, checking belongings for hazardous objects or weapons, securing all belongings in designated areas, provide routine bed checks and secure areas. Provide clinical duties as directed by Registered Nurse. These assignments may include but are not limited to: NIPPAS for vital signs and daily weights, phlebotomy, EKG, finger sticks, assistance with feedings, personal hygiene/grooming, ADL's, collecting meal trays and returning to dietary, clean dining area, provide clean linen and dispose of soiled linen, and assist with inventory control and distribution of supplies and equipment in the clinical areas and hallways. Co-lead treatment groups, i.e., Goals Group, Exercise Group, etc. Participate, organize and direct social and therapeutic leisure time activities, i.e., Bingo, card playing, chess and activities in the Recreation Room. Observe individual behaviors and group interactions and report any major change in patient's behavior and/or medical condition to the RN. Initiate basic psychiatric interventions and provide appropriate redirection as needed. Uses age appropriate communication skills. Provide non-punitive limit setting, appropriate modeling and reinforcement as needed to meet the patient's emotional needs. Assist in physical crisis management as needed and/or assigned. Participate in quality improvement activities. Attend staff meetings, in-service sessions, and crisis intervention programs. Performs other duties as delegated or directed by RN, Clinical Manager or Nursing Supervisor. Transport patients to X-ray, EEG, MRI, clinic appointments, etc. Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious/cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Establish a therapeutic milieu and provide a safe environment for all psychiatric patients. This includes monitoring the unit for safety at all times, maintaining a quiet and peaceful atmosphere, managing patient's behavior, preparing room for patient's arrival, orienting patients to the unit, checking belongings for hazardous objects or weapons, securing all belongings in designated areas, provide routine bed checks and secure areas. Provide clinical duties as directed by Registered Nurse. These assignments may include but are not limited to: NIPPAS for vital signs and daily weights, phlebotomy, EKG, finger sticks, assistance with feedings, personal hygiene/grooming, ADL's, collecting meal trays and returning to dietary, clean dining area, provide clean linen and dispose of soiled linen, and assist with inventory control and distribution of supplies and equipment in the clinical areas and hallways. Co-lead treatment groups, i.e., Goals Group, Exercise Group, etc. Participate, organize and direct social and therapeutic leisure time activities, i.e., Bingo, card playing, chess and activities in the Recreation Room. Observe individual behaviors and group interactions and report any major change in patient's behavior and/or medical condition to the RN. Initiate basic psychiatric interventions and provide appropriate redirection as needed. Uses age appropriate communication skills. Provide non-punitive limit setting, appropriate modeling and reinforcement as needed to meet the patient's emotional needs. Assist in physical crisis management as needed and/or assigned. Participate in quality improvement activities. Attend staff meetings, in-service sessions, and crisis intervention programs. Performs other duties as delegated or directed by RN, Clinical Manager or Nursing Supervisor. Transport patients to X-ray, EEG, MRI, clinic appointments, etc.
Registered Nurse (RN) Case Management, Full-Time, First Shift, Care Management Services
UC HEALTH LLC, Cincinnati
Location: UC Medical Center Department: Care Management Services Hours: Full-Time, 40 Hours/Week Shift: First, 8:30am-5:00pm (every 10th weekend) Registered Nurse (RN) Case Management, Full-Time, First Shift, Care Management Services UC Health is hiring a full-time Registered Nurse (RN) Case Management for the Care Management Service's department for the first shift at University of Cincinnati Medical Center. The Case Manager utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include but are not limited to clinical effectiveness, discharge planning, care coordination, and clinical resource management. The Case Manager interacts with Medical, Nursing and Ancillary department staff to facilitate quality based, cost effective patient outcomes, and ensure care is provided in the most appropriate setting. About UC Medical Center As the pioneering hospital of UC Health, Greater Cincinnati's academic health system, UC Medical Center has served greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care teams utilizing the most advanced medical knowledge and technology available. UC Medical Center has 724 licensed beds and more than 5,800 employees. Unit Details It is a remarkable achievement to have established such a successful and productive department in such a short time Excellent opportunities for employees to expand their skills and knowledge. Great engagement scores. We are always working towards improving our company culture and fostering a better working environment. Education and Experience: Graduate from an accredited school of nursing; Bachelor of Science in Nursing, minimum required. Current OH RN License 1-3 yrs. Case Management/Utilization Management, or related experience. (preferred) Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Collaborate with health care team on the plan of care, referrals and ongoing needs of the patient. Review and assess selected cases within one business day of admission and as appropriate throughout the patient's stay to assess and execute transition of care planning requirements that ensure timely and appropriate discharges. Perform face-to-face brief screen on appropriate patients within one business day of admission to determine discharge barriers early in hospital stay/document findings in MR Progress Notes. Collaborates in the preparation of discharge forms/paperwork and prescriptions that often delay the discharge. Identify actual and potential delays in service and works with the appropriate individuals, including but not limited to, the patient, family, caregivers, Access Team, Social Work, Financial Counseling, and Quality Management Services to ensure timely action/resolution. Provide ongoing consultation and training to medical staff and other healthcare professionals on discharge and home care issues; participate in process improvement activities; identify barriers in service delivery systems and develop a process for improvement. Review assigned patient population to ensure that admissions, continued stays and ancillary services are medically necessary and provided in the appropriate setting. Job Responsibilities: Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Collaborate with health care team on the plan of care, referrals and ongoing needs of the patient. Review and assess selected cases within one business day of admission and as appropriate throughout the patient's stay to assess and execute transition of care planning requirements that ensure timely and appropriate discharges. Perform face-to-face brief screen on appropriate patients within one business day of admission to determine discharge barriers early in hospital stay/document findings in MR Progress Notes. Collaborates in the preparation of discharge forms/paperwork and prescriptions that often delay the discharge. Identify actual and potential delays in service and works with the appropriate individuals, including but not limited to, the patient, family, caregivers, Access Team, Social Work, Financial Counseling, and Quality Management Services to ensure timely action/resolution. Provide ongoing consultation and training to medical staff and other healthcare professionals on discharge and home care issues; participate in process improvement activities; identify barriers in service delivery systems and develop a process for improvement. Review assigned patient population to ensure that admissions, continued stays and ancillary services are medically necessary and provided in the appropriate setting.