Hospital Nurse Salary in San Antonio, TX

Essential Duties:Performs clinical intake utilizing appropriate terminology and abbreviations to determine patient's chief complaints and documents same.Prepares patients for exams, treatments, or procedures.Administers medications and treatments as directed by physician or provider.Provides education to patient and family regarding patient's condition and ongoing care.Consults with Physician and other health professionals on staff regarding patient care, teaching issues.Completes medical record documentation and assists physician in maintaining medical record.Maintains supplies and reorders as necessary.Responds to calls and questions from patients and physicians.Assists in the resolution of complaints, requests and inquiries from clients.Reports STDs, communicable diseases, etc. to appropriate agencies.Assists in completion of quality assurance checks.Assists in maintaining clinic in a clean and orderly fashion.Understands budgetary guidelines.Follows established safety guidelines for working in the Medical Laboratory. Performs phlebotomy, intravenous therapy, blood glucose monitoring and lab procedures.May perform and document all preventive maintenance for equipment and instrumentation.May perform calibrations, quality control and quality assessment procedures according to manufacturer's instructions and current laboratory policy. Documents actions.May investigate deviations from expected results or expected instrument performance and takes action as directed by laboratory procedure such as troubleshooting and/or completion of Corrective Action Form. Documents actions. May receive, process, and perform Proficiency Test samples in accordance with manufacturer's instructions and established laboratory protocol. Maintains accurate record of PT receipt, results, and scores as directed. Assists provider and patient/client with translation as needed during office or telehealth visitPerforms other duties as assigned.Qualifications:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Education/Experience:High school or general education diploma (GED) and graduate of an accredited Licensed Vocational Nurse program required. Two years of related experience in hospital, clinical setting or related field preferred.Language Ability:Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to read, analyze medical documents. Translate between provider and patient/client. Fluent in English and Spanish required.Reasoning Ability:Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Certificates and Licenses:Licensed by the Board of Nurse Examiners in the State of Texas as a Licensed Vocational Nurse. Basic Life Support Certification required.Computer Skills:Demonstrates working knowledge of Outlook, Word, Excel applications and electronic health records.Other:Must be able to drive and have access to a car; maintain valid driver's license and auto liability insurance.Work Environment and Physical Demands:The work environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the team member is exposed to a medical office environment having direct contact with patients. Position necessitates bending, stooping, twisting, turning, walking, climbing step stools, sitting and standing for periods of time. Must be able to lift and maneuver 25 pounds.

Essential Duties:Works with Care Coordination RN to promote and reinforce patient centered medical home concepts with patients and staff.Work with primary care providers in medical services and informatics team to develop a panel of patients that would benefit from coordination of care.Assist in the development of short term and long-term strategies in improvement of patient outcomes and work with the informatics team to track Care Coordination patient outcomesCoordinates care of designated patients within the MHM primary care clinic providers, integrated healthcare team, specialists, Care Coordinator team members, Wesley Nurses, patients, and families to facilitate patient through the care system.Work with outside agencies for welfare checks and occasionally make home visits.Provides education to patient and family regarding patient's condition and ongoing care.Responds to calls and questions from patients, providers, and integrated healthcare team.Documents tracked outcomes for Care Coordination patients using appropriate terminology and abbreviations.Consults with Physician and other health professionals on staff regarding patient care, teaching issues.Regularly using the nursing process to assess, plan, implement and evaluate the patient's status, appropriate goals, care provided, care interventions, and patient outcomes. Takes and documents patient vital signs (blood pressure, pulse, weight, height, other measures as assigned) both in the clinic and patient's home setting. Assists in the resolution of complaints, requests, and inquiries from patients.Monitor patients for changes in clinical symptoms in person at clinic, at home or by phone.Follows processes implemented to improve patient's health outcomes.Assists in the resolution of complaints, requests, and inquiries from clients.Performs other duties as assigned.Qualifications:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Education/Experience:High school or general education diploma (GED) and graduate of an accredited Licensed Vocational Nurse program required. Two years of related experience in hospital, clinical setting or related field preferred.Language Ability:Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to read, analyze medical documents. Translate between provider and patient/client. Fluent in English and Spanish required.Reasoning Ability:Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Certificates and Licenses:Licensed by the Board of Nurse Examiners in the State of Texas as a Licensed Vocational Nurse. Basic Life Support Certification required.Computer Skills:Demonstrates working knowledge of Outlook, Word, Excel applications and electronic health records.Other:Must be able to drive and have access to a car; maintain valid driver's license and auto liability insurance.Work Environment and Physical Demands:The work environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the team member is exposed to a medical office environment having direct contact with patients. Position necessitates bending, stooping, twisting, turning, walking, climbing step stools, sitting and standing for periods of time. Must be able to lift and maneuver 25 pounds.

DescriptionSummary:The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelines related to UM. This Nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Applies demonstrated clinical competency and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine the appropriate level of care.• Resource/Utilization Management appropriateness: Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services. Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance.• Uses appropriate criteria sets for admission reviews, continued-to-stay reviews, outlier reviews, and clinical appropriateness recommendations.• Coordinate and facilitate correct identification of patient status.• Analyze the quality and comprehensiveness of documentation and collaborate with the physician and treatment team to obtain documentation needed to support the level of care.• Facilitates joint decision-making with the interdisciplinary team regarding any changes in the patient status and/or negative outcomes in patient responses.• Demonstrates, maintains, and applies current knowledge of regulatory requirements relative to the work process in order to ensure compliance, i.e. IMM, Code 44.• Demonstrate adherence to the CORE values of CHRISTUS.• Utilize independent scope of practice to identify, evaluate, and provide utilization review services for patients and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards.• Take appropriate follow-up action when established criteria for utilization of services are not met.• Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance.• Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews.• Proactively review patients at the point of entry, prior to admission, to determine the medical necessity of a requested hospitalization and the appropriate level of care or placement for the patient.• Review surgery schedule to ensure planned surgeries are ordered in the appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (ie., CMS Inpatient Only List, Payor Prior Authorization matrix, etc.)• Regularly review patients who are in the hospital in Observation status to determine if the patient is appropriate for discharge or if conversion to inpatient status is appropriate.• Proactively identify and resolve issues regarding clinical appropriateness recommendations, coverage, and potential or actual payor denials. • Maintain consistent communication and exchange of information with payors as per payor or regulatory requirements to coordinate certification of hospital services.• Coordinate and facilitate patient care progression throughout the continuum and communicate and document to support medical necessity at each level of care.• Evaluate care administered by the interdisciplinary health care team and advocate for standards of practice.• Analyze assessment data to identify potential problems and formulate goals/outcomes.• Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).• Attend scheduled department staff meetings and/or interdepartmental meetings as appropriate.• Possesses and demonstrates technology literacy and the ability to work in multiple technology systems.• Act as a catalyst for change in the organization; respond to change with flexibility and adaptability; demonstrate the ability to work together for change.• Translate strategies into action steps; monitor progress and achieve results. • Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals.• Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.• Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers.• Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses.• Must adjust to frequently changing workloads and frequent interruptions.• May be asked to work overtime or take calls.• May be asked to travel to other facilities to assist as needed.• Actively participates in Multidisciplinary/Patient Care Progression Rounds.• Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director.• Documents in the medical record per regulatory and department guidelines.• May be asked to assist with special projects.• May serve as a preceptor or orienter to new associates.• Assumes responsibility for professional growth and development.• Must have familiarity with criteria sets including InterQual and MCG preferred.• Must have excellent verbal and written communication.• Must have critical and analytical thinking skills.• Must have demonstrated clinical competency.• Other duties as assigned.Requirements:BSN required or demonstrated success as a Registered Nurse in the Utilization Management Nurse II role for at least five years at CHRISTUS Health on top of the required experience to include:Demonstrated leadership skills – formal or informalDemonstrated willingness to mentor team members including onboarding and orienting new associatesDemonstrated problem-solving skills Demonstrated positive approach in difficult and challenging situationsDemonstrated agent for change and change management5 years of experience in the clinical setting with at least 3 years in the acute care setting required.B. Licenses, Registrations, or CertificationsRN License in state of employment or compact required.Certification in Case Management preferred.BLS preferred. Work Schedule:8AM - 5PM Monday-FridayWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelines related to UM. This Nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Applies demonstrated clinical competency and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine the appropriate level of care.• Resource/Utilization Management appropriateness: Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services. Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance.• Uses appropriate criteria sets for admission reviews, continued-to-stay reviews, outlier reviews, and clinical appropriateness recommendations.• Coordinate and facilitate correct identification of patient status.• Analyze the quality and comprehensiveness of documentation and collaborate with the physician and treatment team to obtain documentation needed to support the level of care.• Facilitates joint decision-making with the interdisciplinary team regarding any changes in the patient status and/or negative outcomes in patient responses.• Demonstrates, maintains, and applies current knowledge of regulatory requirements relative to the work process in order to ensure compliance, i.e. IMM, Code 44.• Demonstrate adherence to the CORE values of CHRISTUS.• Utilize independent scope of practice to identify, evaluate, and provide utilization review services for patients and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards.• Take appropriate follow-up action when established criteria for utilization of services are not met.• Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance.• Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews.• Proactively review patients at the point of entry, prior to admission, to determine the medical necessity of a requested hospitalization and the appropriate level of care or placement for the patient.• Review surgery schedule to ensure planned surgeries are ordered in the appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (ie., CMS Inpatient Only List, Payor Prior Authorization matrix, etc.)• Regularly review patients who are in the hospital in Observation status to determine if the patient is appropriate for discharge or if conversion to inpatient status is appropriate.• Proactively identify and resolve issues regarding clinical appropriateness recommendations, coverage, and potential or actual payor denials. • Maintain consistent communication and exchange of information with payors as per payor or regulatory requirements to coordinate certification of hospital services.• Coordinate and facilitate patient care progression throughout the continuum and communicate and document to support medical necessity at each level of care.• Evaluate care administered by the interdisciplinary health care team and advocate for standards of practice.• Analyze assessment data to identify potential problems and formulate goals/outcomes.• Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).• Attend scheduled department staff meetings and/or interdepartmental meetings as appropriate.• Possesses and demonstrates technology literacy and the ability to work in multiple technology systems.• Act as a catalyst for change in the organization; respond to change with flexibility and adaptability; demonstrate the ability to work together for change.• Translate strategies into action steps; monitor progress and achieve results. • Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals.• Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.• Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers.• Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses.• Must adjust to frequently changing workloads and frequent interruptions.• May be asked to work overtime or take calls.• May be asked to travel to other facilities to assist as needed.• Actively participates in Multidisciplinary/Patient Care Progression Rounds.• Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director.• Documents in the medical record per regulatory and department guidelines.• May be asked to assist with special projects.• May serve as a preceptor or orienter to new associates.• Assumes responsibility for professional growth and development.• Must have familiarity with criteria sets including InterQual and MCG preferred.• Must have excellent verbal and written communication.• Must have critical and analytical thinking skills.• Must have demonstrated clinical competency.• Other duties as assigned.Requirements:BSN required or demonstrated success as a Registered Nurse in the Utilization Management Nurse II role for at least five years at CHRISTUS Health on top of the required experience to include:Demonstrated leadership skills – formal or informalDemonstrated willingness to mentor team members including onboarding and orienting new associatesDemonstrated problem-solving skills Demonstrated positive approach in difficult and challenging situationsDemonstrated agent for change and change management5 years of experience in the clinical setting with at least 3 years in the acute care setting required.RN License in state of employment or compact required.Certification in Case Management preferred.BLS preferred. Work Schedule:VariesWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:A Registered Professional Dialysis Nurse is responsible for the delivery of patient care through the process of assessment, diagnosis, planning, implementation and evaluation. This position participates in the development and implementation of individualized and comprehensive plan of care for each patient, provides direct and indirect care to patients as it relates to their dialysis treatment, including pre- and post-assessments, and administrations of medications during dialysis. In addition, the Registered Professional Dialysis Nurse operates all dialysis equipment and supplies in accordance with hospital and departmental policy to provide expected patient outcome and documents in the medical record accordingly.The Children’s Hospital of San Antonio, established in 1959, was the first children’s hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.Requirements: Graduate of a Registered Nursing program, Bachelor Degree preferredExcellent customer service, negotiation and communication skillsAt least 6 months dialysis experience preferred12 months acute clinical experience as a Registered Nurse requiredIntensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferredClinical patient care experience in a relevant setting, preferredPrevious healthcare management experience, preferredAdditional InformationRN license in good standing in state of employment or a compact state , if applicableRegistered Nurse (RN) requiredAmerican Heart Association Basic Life SupportCertification in Nephrology Nursing preferredLicenses, Registrations, or Certifications (include all that are on the RN JD plus these):A Hemodialysis Knowledge Exam- within twelve (12) weeks of employmentCertification in Nephrology Nursing preferred, required within 1 year of eligibility to take the examWork Type: Full Time

DescriptionSummary:Assumes primary responsibility for effective implementation of nursing and business operations for CSR Emergency Room (Bitters/Banders). The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of hospital and departmental outcomes philosophy, policies, and procedures. Facilitates intra and interdepartmental communication and collaboration to promote excellence in patient care and enhance patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically effective patient care is provided in a cost effective manner. Promotes the professional development of patient care and administrative support staff assigned to the clinic.The CHRISTUS Children’s Hospital, established in 1959, was the first children’s hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.Requirements:Bachelors degree required. Graduate of an accredited school of nursing is required.5 years clinical nursing experience required 5 years of ambulatory services preferredCurrent RN Licensure to practice nursing in the state of Texas CPR Certification (AHA)Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionJuly 2024 New Grad RN Residency Program - Sign-on Bonus $10,000We are currently accepting applications for our next new graduate RN cohort to staff various units within our hospital system for a July 29th, 2024 start date. These positions are for graduate nurses, or brand new RN's  with less than 6 months of RN work experience. Work Location: This requisition is for all New Grad Nurse Residency opportunities throughout CHRISTUS Santa Rosa. Locations include: The Children's Hospital of San Antonio, Medical Center, Alamo Heights, Westover Hills, New Braunfels, and San Marcos. Please apply to this position to be considered for available specialty unit openings. A recruiter will discuss your areas of interest and opportunities available during the prescreening process. Virtual interviews will be held with unit hiring managers. You do not need to apply to other job postings to be considered for various units with the CHRISTUS Santa Rosa Nurse Residency.Summary:If you are a recent or upcoming nursing graduate, or an RN with less than 6 months of work experience in acute care, the Nurse Residency Pathway at CHRISTUS can transition you into the fast-paced hospital world with greater confidence, more comprehensive knowledge, and an enhanced set of skills.Designed by nurses for nurses, the Residency offers a one-year program that organizes and oversees all aspects of your learning. The ultimate goal: better, safer, and more consistent patient care.In this nationally recognized, comprehensive, and evidence-based program, you'll be supported professionally and emotionally by our nurses who act as mentors, preceptors and de-briefers, guiding and evaluating your growth at every step. Augmenting your clinical learning will be interactive classes and skills labs taught by subject matter experts to strengthen your educational foundation.We welcome all applicants who are planning to complete the RN examination/licensure process prior to the beginning of our next cohort. We are excited about our journey to nursing excellence and providing the best care and achieving the best possible outcomes for our patients. This is accomplished with a nursing staff having the best preparation possible in evidence-based practices and research-supported knowledge.Real-time evaluation to keep you on track.A fully-hosted Web-based suite of development applications offering 24/7 access to curriculum, clinical performance tracking, evaluation materials and real-time reporting. Rapid feedback enables you to track your clinical progress, connect with preceptors and other residents, and much more.Requirements:Associates Degree or Bachelor's Degree in NursingActive GN Permit or RN License with less than 6 months of acute care.BLS certification required; ACLS certification highly desired/recommended. Current specialty certification as required.Must have working knowledge of the nursing process as well as in depth knowledge of therapeutic, physical, psychosocial, spiritual, cultural, and developmental needs for a select category of patients.Strong communication skills, both written and verbal.*Please note that all Nurse Residency positions with The CHRISTUS Santa Rosa Children's Hospital require a BSN.*Work Type:Full TimeTo learn more about our CHRISTUS Santa Rosa Nurse Residency locations:The Children’s Hospital: https://www.christushealth.org/childrensMedical Center: https://www.christushealth.org/santa-rosa/medical-centerNew Braunfels: https://www.christushealth.org/santa-rosa/new-braunfelsSan Marcos: https://www.christushealth.org/santa-rosa/san-marcosWestover Hills: https://www.christushealth.org/santa-rosa/westover-hillsAlamo Heights https://www.christushealth.org/locations/surgery-center-alamo-heightsEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.The Registered Nurse (RN) assesses, implements or delegates, plans, and evaluates total nursing care and functions in accordance with established philosophy, providing and directing patient care for a group of patients. The Registered Nurse (RN) relates effectively with other shifts/departments for optimal continuity of care. The Registered Nurse (RN) provides clinical supervision for entry level nurses and assists in their development.The CHRISTUS Children’s Hospital, established in 1959, was the first children’s hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed• Documents patient history, symptoms, medication, and care given• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resourcesCORE COMPETENCIESStandard I: Utilizes the Nursing Process• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, • Spiritual, and development needs of patient and families• Communicates findings to appropriate healthcare team members• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. • Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). • Performs timely reassessment and documentation• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient populationStandard II. Patient Throughput & Patient Flow Process• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow• Utilizes appropriate systems of communication and tools to facilitate the discharge process • Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.Standard III. Unit Operations• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies• Assesses departmental staffing needs; actively participates in resourcing efforts. • Educates and trains others on the operations, ethics, and regulations within the industry. Standard IV. Safe Practice/Quality Care/Regulations• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes• Demonstrates accountability for nursing research and quality improvement activities• Provides evidence-based nursing care• Communicates patient information effectively across the continuum of care• Educates and trains others on the operations, ethics, and regulations within the industry.• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities. TECHNICAL COMPETENCIESClinical Policies and Standards• Follows a specific set of standards and associated clinical procedures• Analyzes policy and standards documentation and ensures organizational compliance• Provides feedback for improvement of procedures• Assists in the development and implementation of specific procedures• Works with control and monitoring mechanisms, tools and techniquesHealth Information Documentation• Shares experiences with maintaining paper and electronic patient documentation• Walk through the steps and procedures for receiving, validating and updating patient records• Describes the flow of information between various stations or units• Discusses the functions, features and document flow of electronic documentation• Transcribes verbal orders; explains techniques for ensuring their accuracy• Explains health information documentation best practices and their rationale across health care practices.Medical Equipment• Describes experience with basic medical equipment used in own unit or facility• Uses standard diagnostic tools and techniques to resolves common equipment problems• Educates patients about the appropriate use of home medical equipment• Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety• Inspects, troubleshoots and evaluates incoming equipmentMedical Order Processing• Shares experiences with processing medical orders for one or more groups of patients or conditions• Describes functions and features of the system used to enter, validate, update and forward medical orders• Discusses common errors, their sources and procedures for correcting• Explains considerations for entering and following standing orders• Differentiates between standing orders and preprinted orders and considerations for eachPatient Chart Reading and Interpretation• Describes experiences in reading and interpreting patient charts for patients on unit and under own care• Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions• Recognizes unexpected readings and alerts nursing or medical staff• Relates examples of mis-readings or misinterpretations and lessons learned• Reviews, discusses and validates own interpretation with othersPatient Safety• Shares experiences with ensuring safety for one or more patient groups or settings• Explains key features of safety guidelines and procedures for those groups and settings• Listens and responds to safety inquiries from patients and family members• Recognizes and addresses physiological and psychological signs of problems• Describes considerations for patients who can cause to harm to self, versus harm to others• Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.Requirements:Bachelor of Science Degree in Nursing, preferred. 1 year of experience in the related nursing specialty preferred. BLS required RN License in state of employment or compactWork Schedule:7PM - 7AMWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

Envision Physician services is hiring a nocturnist Nurse Practitioner or Physican Assistant at Baptist Health System's brand new hospital opening in June 2024!*Internal Medicine / Hospitalist experience required - no new grads Position Profile: 100 beds 6 ORs 2 Cath Labs Special procedure suites Large emergency department An entire floor dedicated to women's services 2 physicians on during the day (48 hours of coverage daily) 1 Advanced Practice Provider at night (12 hours of coverage at night) Open ICU/ Intensivist on staff Procedures are done by Intensivist W2 status with Medical, Dental, 401K, CME reimbursement, Malpractice with Tail coverage

DescriptionSummary:The Registered Nurse Transfer Center is responsible for evaluating, coordinating, processing, screening, and documentation of patient transfers into the CHRISTUS Health System. The CHRISTUS Transfer Center RN will collaborate with relevant business partners for appropriate level of care and transport of patients into the CHRISTUS Health system. The CHRISTUS Transfer Center will be responsible for obtaining appropriate medical and demographic information and coordinating communication between the referring and receiving physician as well as between healthcare facilities. The CHRISTUS Transfer Center RN will efficiently engage appropriate departments in the transfer process. The CHRISTUS Transfer Center RN will utilize problem solving and customer service skills to determine the best course of action for the patient, the physician, and the hospital by working closely with facility House Supervisors, referring physicians, ED and inpatient staff to ensure the effective and efficient transfer of every patient. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS Health. It is expected that the associate demonstrate behavior consistent with the Core Values. The associate shall support CHRISTUS Health’s strategic plan and the goals and direction of their Performance Improvement Plan (PIP)Responsibilities: Exhibits excellent customer service skills, including telephone and personal contact with all CHRISTUS Transfer Center groups (i.e. physicians, case managers, nurses, administrators, and colleagues)Maintains a high level of professionalism at all timesMaintains a patient-centered mentality at all timesAnticipates and prioritizes critical transfer issuesAppropriately escalates concerns/barriers that require administrative judgment based on hospital policies and proceduresAppropriately escalates concerns/barriers that require administrative judgment based on hospital policies and proceduresAccepts new assignments and performs additional duties as requested in a professional mannerWorking collaboratively with team members, the CHRISTUS Transfer Center RN uses and follows specific protocols, policies, procedures and established resources to ensure appropriate and efficient transferMaintains timely knowledge of all current and future transfer requestsCollaborates with CHRISTUS hospital’s ED, House Supervisors, Administrators, and physicians to ensure appropriate and timely transferWorks closely and proactively with House supervisors to understand daily capacity, availability and patient flowRemains proficient in EMTALAUtilizes ability to organize and prioritize multiple complex tasksUtilizes ability to problem solve and make decisions quicklyMaintains proficiency in computer systems and databases for the purpose of excellent patient care, accurate data collection, monitoring and evaluationResponds to all callers with the aid of computer systems and databasedProficient in using the transfer center softwareKnowledgeable in MeditechAttends team meetings, in-services, and trainings to maintain up to date knowledge of software systems and new processesEstablishes and maintains a high degree of awareness and knowledge of hospital’s medical staff, services and special programsCommunicates with House Supervisors at the hospital to access bed availability and changes in service availability, each shiftCollaborates with team members to maintain standard call listsRegularly updates service availability and contact informationStays up to date on new physician/service changes by reading emails and attending team meetingsRequirements:Associate's Degree in NursingRN License in state of employment or compactBLSWork Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.