The Clinical Nurse I job Integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions.
The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions.
The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions.
Licensure, Certification, or Registration Requirements for Hire:
Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state
Licensure, Certification, or Registration Requirements for continued employment:
Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent
Clin I: N/A
Clin II: 12 to 24 months RN experience
Clin III: 3 years of clinical experience
Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice
Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice
Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing.
All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements.
Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area
Independent action(s) required:
Follows documented physician/licensed independent provider orders.
Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia.
Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards.
All practice is guided by and follows the VCUHS policies and procedures and established practice.
Supervisory responsibilities (if applicable):
Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments.
Additional position requirements:
Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays.
Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager.
Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed.
Age Specific groups served:
As appropriate based on unit assignment.
Physical Requirements (includes use of assistance devices as appropriate):
Physical: Lifting 20-50 lbs.
Other: Exposure to potentially hazardous and infectious substances
Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive)
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment
Position: VCU Health at Home Command Center RN – Coordinated Care & Continuum Integration
Shift: Rotating Day/Evening/Night/Weekends
VCU Health is seeking authentic, passionate and inspiring candidates to staff a new, virtually-enabled Hospital-at Home program, housed in the health system’s Continuum Integration Center in north Richmond. This exciting opportunity offers innovation and professional growth and you would be joining an already incredible team, which is expanding to provide this new service offering under the highly-regarded VCU Health at Home brand.
Located in contemporary offices on Richmond’s Northside, this on-site position will support the continued growth and development of a robust VCU Health at Home strategy, including 24/7 acute virtual monitoring of individuals enrolled in the VCUHS Hospital at Home program, transitional remote patient monitoring, and triage support for both high-risk ambulatory and post-discharge patients across VCU Health System Hospitals.
Hospital-at-Home programs are gaining momentum nationwide, because of the benefits for patients and health systems, including increased patient satisfaction, improved patient outcomes, better performance on value-based metrics and relieving facility capacity constraints. The model operates with a patient-centric focus and a comprehensive, team-based, outcomes-motivated approach to care using population health principles to keep patients healthy.
The focus of the position is:
- To ensure quality virtual nursing, triage, and coordination of care for both acute and post-acute patients throughout the VCU Health System.
- To ensure quality patient care across the continuum, reduce avoidable readmissions, and improve outcomes for both acute inpatients and the highest risk discharged individuals from VCU Health System.
- To provide quality acute/inpatient level of virtual support to the visiting healthcare team including triage of calls, virtual medication administration, virtual visits, telephone outreaches, education, and escalation of services both clinical and non-clinical.
- To ensure acute inpatient individuals are receiving appropriate services during their Hospital at Home stay including but not limited to therapy, food, consultative, mobile imaging, labs, and medical equipment.
- To provide high level nursing care through the ability to perform phone triage and intervene or escalate appropriately using critical thinking skills for both inpatients and complex adult and/or geriatric patient populations.
- To ensure patients and/or caregivers are confident and comfortable in self-care management through use of virtual teach back education strategies.
- To ensure appropriate screening of patients in need of continuum integration services prior to hospital discharge including but not limited to transitional remote patient monitoring and telehealth virtual visits.
- To provide direct bedside patient education and consultation on continuum integration services as needed.
- To provide community resources appropriately in order to prevent un-necessary hospital readmissions by collaborating with the interdisciplinary care team such as home health or social services.
The successful candidate will have:
- Professional enthusiasm and commitment to patient and family experience
- Creative problem solving and critical thinking skills to support coordination of care
- Ability to plan, motivate and organize self, others and work in order to achieve objectives and targets.
- Exceptional interpersonal skills, with demonstrated ability to establish, maintain, and leverage positive, productive working relationships with individuals at all levels throughout an organization.
- Strong technical/computer skills with the ability to work in multiple applications and on various devices such as Microsoft Word, Excel, Teams, an electronic medical platform, a smartphone, and/or laptop.
- Determination to deliver outcomes and is able to overcome obstacles in order to move forward.
- Strong written, verbal and interpersonal communication skills with an acute ability to listen attentively and to communicate effectively throughout all levels of the organization.
- Group motivation, creativity and diplomacy.
- Highest-level customer service standards.
- Strong patient educational skills.
Varies by Need (United States of America)
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.