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Job Title: CLINICAL SUPERVISOR Expires 3-19-10 Company: Tule River Indian Health Center, Inc. Location: Porterville, CA Description: Position Summary: Under the direction of the Medical Director or Chief Executive Officer, the Clinical Supervisor assists in the delivery of direct patient care services. The Clinical Supervisor is expected to utilize independent judgment and discretionary decision-making within their scope of practice in addressing needs within the clinic. The Clinical Supervisor works under the guidelines set forth by the Policies and Procedures, as well as the scope of practice for the Indian Health Service, and other regulatory governing agencies, including the California Board of Nurses. The Clinical Supervisor is responsible for supervising, managing and directing the nursing care services for the TRIHC. The Clinical Supervisor provides leadership for the overall nursing care services which is an essential component to clinical care services of the clinic. The Clinical Supervisor is responsible and accountable for maintaining a safe patient care environment and using the performance improvement process to monitor, evaluate, and improve care. The work involves identifying and developing ways to resolve problems or cope with issues that directly affect the accomplishment of principle program goals and objectives (i.e., delivery of patient care). The Clinical Supervisor must be able to communicate well and be able to establish rapport with patient and their families. He/she must be sensitive to the needs of the Indian community; its cultures, traditions, behavior patterns, and background. The Clinical Supervisor must be familiar with the goals and objectives of the Health Center, also maintains genuine enthusiasm for the success of TRIHCI’s health programs and consequently exercises a strong sense of stewardship in developing and maintaining community relations. ________________________________________ Essential Duties and Responsibilities: a) Assists the clinical staff with daily patient flow. b) Responsible for overall managerial duties with planning, organizing, directing, and evaluating a comprehensive nursing program for TRIHCI. c) Responsible for establishing and implementing long and short-term policies, and program plans for nursing services. Monitors the nursing program plans. Prepares routine reports based upon program plans. d) Evaluates and adjusts organizational structures to accomplish TRIHCI Nursing Services goals. e) Keeps abreast on changing development, health care policies, directions, or practices and the changing health care needs of the population served. f) Responsible for nursing care and services compliance with HIPAA and Infection Control. g) Responsible and accountable for maintaining budget that include personnel, FTE’s equipment, supply purchases, travel, training, care and services. h) Responsible for the oversight and completion of GPRA requirements. i) Works on a daily basis with the Medical Director, CEO and other key staff with responsibility for fully participating in management discussions, decisions, and policy making and sharing accordingly in management decisions/actions relating to nursing services or overall clinical services. j) Develops and implements plans for the improvement for the revision of present programs and services to meet the changing needs of patient population, and or the integration of health activities with other programs. k) Participates in the formulation of strategic planning which incorporates long and short term goals. l) Develops and implements internal program plans and procedures to ensure that subordinate staff implement the provisions of various state, CRIHB, I.H.S., and grants entities. m) Reviews and resolves staff grievances and serious employee and patient complaints as well as recommending disciplinary actions involving nursing staff as well as overseeing performance appraisals and recommendations for merit and promotion plans. n) Approves or rejects formal requests for promotions, reassignments, status changes, awards, selections, scheduling, time accountability etc. o) Conducts meetings with staff to explain work requirements, changes, methods and procedures as needed, gives special instructions on difficult or different activities, and answer technical questions about work assignments. Formulates and issues written instructions and procedures for non-routine or complex assignments, new or changed programs, functions, or processes. p) Supervises nursing staff including medical records, medical reception and lab assistants, who engage in performing a variety of nursing care, technical and supportive activities. Determines personnel needs and manages available resources to provide optimal patient care. Additional Responsibilities may include: a) Participate in all required staff meetings including any necessary trainings. b) Perform general office duties or other responsibilities as needed and assigned. c) Must be willing and able to travel to different sites as necessary. ________________________________________ Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed here are representative of the knowledge, skills, and/or abilities required. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Knowledge, Skills, and Abilities 1) Knowledge of: medical terminology, medical processes, and medical procedures sufficient to perform routine patient care; 2) Must have good communication skills, be able to effectively communicate with diverse populations, and be willing to convey responsibilities to patients and employees. 3) Demonstrate the ability to work independently in carrying out assignments while remaining reliable and dependable. 4) Demonstrate professional competency in office and healthcare abilities, including the maintenance of client confidentiality. 5) Possess basic computer and database software operation knowledge, and demonstrate a working knowledge of routine office hardware and equipment (e.g. printers, copiers, fax machines, etc.). 6) Must demonstrate the ability to maintain accurate records and preparing clear and accurate reports for informational, auditing, and operational use, including capacities for attention to detail and for reviewing and verifying accuracy of data. 7) Possess the ability to organize and follow one’s own work schedule (i.e. setting priorities, being available during work hours, and meeting critical deadlines). 8) Possess the ability to perform well in group problem-solving situations and use reason even when dealing with highly emotional topics. 9) Possess the ability to become knowledgeable of health needs and services provided to the Indian community both on and near the reservation. 10) Demonstrate the competency and integrity to maintain the confidentiality of organizational, employee, and client records. 11) Possess the ability to deliver effective training and presentations on technical subjects to large and/or small groups of various educational and cultural backgrounds. 12) Possess knowledge of federal, state and local laws and regulations governing public health, principles of mental health. Laws and regulations relating to the practice of medicine and nursing; 13) Knowledge of causes, means of transmission and methods of control of communicable disease, principles and practices of diagnosis and treatment of common medical problems, child growth, and development. 14) A professional knowledge of nursing principles, practices and processes including the establishment of health and nursing care goals to plan and evaluate the nursing services in ambulatory care settings. 15) Ability to provide guidance, instruction and leadership to other personnel. Must recognize the different functions and motivations of various employees and groups in the health care delivery system; and ability to communicate effectively with each in order to gather information, present recommendations and coordinate services including meeting productivity goals, objectives and deadlines. 16) Must possess management ability including ability to delegate authority, evaluate, motivate people and programs, recognize and adapt to changing priorities. 17) Ability to respond to emergencies, disasters, and other crises by implementing emergency action plans including call back in these situations. 18) Stays up to date with guidelines including I.H.S., HIPAA, OSHA and HCFA standards, Corporate Compliance, and TRIHC policies, regulations, standards and procedures, professional journals and literatures ensuring quality assurance, workload reporting and safety, etc. 19) Knowledge and experience in financial management and manpower analysis for ambulatory care services. Education and/or Experience Graduation from an accredited Registered Nursing education program. Graduation from an accredited four-year nursing program with an earned bachelor’s degree (BSN) required, masters (MSN, MPH, MHA, etc) preferred. 2 years supervisory experience in clinical setting required, 4 years supervisory experience preferred. Certificates, Licenses, Registrations Valid registration and certificate as an RN issued by the California State Board of Registered Nursing Examiners, without restriction. A current California driver’s license and a good driving record are required for this position. First Aid/CPR at ACLS level Current certification to perform Venipuncture and administer injections Must have a current IV certificate; Valid phlebotomist certificate Contingencies TRIHCI maintains a drug- and alcohol-free workplace, and all offers of employment are contingent on the successful completion of a criminal background check, a post-offer drug test and physical, and verification of each candidate’s right to work in the United States. ________________________________________ Physical Work Environment: The description provided here is representative of those conditions in which the Clinical Supervisor will be required to perform the essential functions of this position. As stated earlier, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. While performing the duties of this position, the Clinical Supervisor is situated in a standard office environment within the health center, where there is little or no exposure to variations in the weather or other similar elements. The Clinical Supervisor will move throughout the health center to meet with supervisors and co-workers, and maintains direct patient/client contact. At times the Clinical Supervisor will work with other departments to make home visits or work at satellite sites as necessary. Consequently, the Clinical Supervisor must: Possess the mobility to work in a standard office setting (i.e. walk, stand, or sit for extended periods of time); Possess the ability to use standard office equipment to write, type, copy, fax, maintain E.H.R. or perform other duties; Possess the strength to lift and carry supplies weighing up to 15 lbs repeatedly and up to 45 lbs intermittently; Possess the visual acuity to read printed materials and a computer screen; and Demonstrate hearing and speech capabilities that allow him/her to communicate in person and over the telephone as required, Possess the ability to push, bend and/or lift to help patients to/from vehicle, wheelchairs, stretchers, etc. and moving equipment and medical supplies. The clinical setting at TRIHCI is categorized by OSHA as a Blood-borne Pathogen Category I facility. Consequently, there exists the potential for exposure to blood, body fluid/tissue, and infectious wastes. There also exists the potential for exposure to chemicals, biologicals, toxicants, and irradiants found on-site. ________________________________________ Disclaimer: This position description lists the major duties and requirements for the Clinical Supervisor position as established by subject-matter experts and the Human Resources Manager at the time of this document’s creation. This position may require additional performance of duties and responsibilities beyond those outlined in this document, and thus may require additional sets of knowledge, skills, and abilities not fully articulated herein.

Job Title: Clinical Nurse Specialists Company: Baylor Health Care System Location: Dallas, TX Description: Turn talent into success with Baylor Health Care System. Over a century of being the best – for patients, families and our community. We're Baylor Health Care System (BHCS), a multi-hospital, not-for-profit organization that is setting the standard for health care excellence in the Dallas/Fort Worth Metroplex. Baylor has achieved a number of honors, including being ranked in U.S News & World Report's "America's Best Hospitals"; nursing Magnet status for Baylor University Medical Center and Baylor Heart and Vascular Hospital; Consumer Choice Award for Overall Quality and Image; Health Care's "Most Wired" hospitals; and the Dallas Business Journal’s Best Places to Work. Clinical Nurse Specialist When you become a Clinical Nurse Specialist at Baylor, you’re making a big difference in our patients’ lives and influencing the nursing practices at our highly acclaimed hospitals. At Baylor, our nurses are empowered to make decisions that improve patient care. We are committed to a shared leadership model that encourages all staff nurses to be actively involved in setting the clinical policies and procedures for their unit. Our Clinical Nurse Specialists use their advanced knowledge to develop and apply high standards and research to enhance the quality of care in their specialty areas. They work with health care providers as an expert clinical practitioner, researcher, consultant, leader and educator. They assess the educational needs of patients, their families and our staff and implement learning modalities to meet those needs. They develop, teach, coordinate and evaluate education programs in collaboration with other educators and managers. We understand what Clinical Nurse Specialists contribute to our patients. Some of our nurse leaders are Clinical Nurse Specialists themselves. We have career opportunities for clinical nurse specialists at all of our hospitals and in all specialties. Most shifts are days, but could vary according to staff education needs. Locations Whether you would like to work in a small rural hospital, a large urban research hospital or a leading rehabilitation facility, Baylor Health Care System offers your ideal environment. Each hospital is united by Baylor’s vision to be trusted as the best place to give and receive safe, quality, compassionate health care. Visit our web site to learn more about our facilities. Requirements If you have an MSN and CNS certification as recognized by the Texas Board of Nursing and a minimum of 5 years of staff-level experience, consider joining Baylor. Career Development At Baylor, you’ll enjoy some of the most comprehensive career development opportunities in the health care industry, including: • A generous tuition reimbursement program after six months of employment • Nearby nursing schools with graduate programs – including one on our Dallas campus • Continuing education classes – most available at no cost • Support for certification Baylor Benefits At Baylor, you’ll enjoy a competitive benefits package that includes: • Immediate eligibility for health and welfare benefits • 401(k) savings plan with dollar-for-dollar match up to 5% • Flexible schedules • Employee Assistance Program Join Baylor Explore a system of rewards and unmatched opportunities with health care's brightest minds. Apply online at Click Here To Apply. EOE

Job Title: CLINICAL NURSE SPECIALIST, Student Health Services (5801/C0410) Company: Boston University Location: Boston, MA Description: 5801/C0410 Job Description Responsible for psychiatric and psychopharmacology assessments and short term follow up and treatment for students. Provide crisis intervention and referrals to community resources. Engage in collaborative work and communication with others when appropriate and authorized. Adhere to documentation standards. Participate in departmental meetings and on call responsibilities. Present and participate in psychoeducation activities, act as liaison with other University community organizations, and participate in regular continuing education relevant to college health. Teach and supervise trainees. Required Skills Requires a Master's degree in Psychiatric Nursing, national certification in psychiatric nursing, and a current Massachusetts license to practice in an expanded role. Three to five years of clinical experience in psychiatric evaluation and various modalities of treatment including short term therapy and psychopharmacology management. Interest in and experience working with college age population is preferred. Excellent clinical assessment skills, knowledge of psychotherapy treatment modalities. Excellent communication skills, problem solving and organizational skills and the ability to work both as a team member and independently. This position is 75 percent time. Job Location Boston , MA, US. Position Type Full-Time/Regular

Job Title: Clinical Nurse Specialist - Labor and Delivery Company: Hospital Corporation of America Location: Nashville, TN Description: · Demonstrates knowledge of human growth and development, nursing assessment, range of treatment, and care of patients appropriate to the ages of patients served· Collaborates with nursing leadership and education to develop nursing staff skills.· Provides support for nursing care through advanced practice, education, research and consultation.· Promotes customer service· Manages patient care in collaboration with physician sponsor· Promotes womens services to the facility and community.

Job Title: Clinical Nurse Specialist - Emergency Services Company: Elliot Hospital Location: Manchester, NH Description: Clinical Nurse Specialist - Emergency Services Department: Nursing Practice, Education & Research Schedule: Days Shift: Primarily days w/flexibility to meet off shift or w/e needs Hours: 40 Job Summary: Functions within the Department of Nursing Practice, Education & Research as a Clinical Nurse Specialist who demonstrates clinical expertise in a specialized area of practice. Functions in the areas of clinical practice, education, and research, in order to improve the quality of patient care and increase staff competence. Supports the purpose of the Department of Nursing Practice, Education & Research in support of Elliot Health System's overall mission. Under the general supervision of the Manager, Nursing Practice & Education and within established Elliot Hospital and departmental policies and procedures, the incumbent performs the following functions: Demonstrates clinical expertise in area of specialty. Models excellence in nursing practice through the utilization of advanced concepts in the areas of assessment, diagnosis, planning, implementation and evaluation of perceived, actual or potential problems that occur in a variety of patient populations. Functions as a facilitator and innovator for state-of-the-art nursing care with direct involvement in implementing and evaluating new techniques and equipment for safety, cost-effectiveness, and benefits related to quality care. Assists the clinical staff in providing care to select patients based on identified patient needs. Assesses individual patient care and staff development needs through periodic rounds and communication with nursing staff and other health team members. Assists and provides direction to nursing staff with clinical decision making and priority setting Participate in ongoing evaluation of organization-wide learning needs that includes: · Needs assessment · Emerging trends · Sentinel Event reviews · Current and new regulations · Learning needs identified by staff and leadership · Patient outcomes and practice patterns Utilizes a variety of educational modalities to accommodate learning styles and the learning environment. · Implements innovative technologies and strategies to strengthen critical thinking and problem solving abilities of the learner. Coordinates and/or provides educational activities, which may involve other staff and/or disciplines. · This includes design, implementation, and evaluation of the educational program. Collaborates with colleagues in the nursing leadership team in order to identify and plan for training needs. Serves as a resource to nursing staff, nursing students, and other health care personnel in the acquisition of knowledge and skills related to nursing knowledge. Education: Master's degree in Nursing, Clinical Nurse Specialist preferred Experience: Five years' clinical experience with a specialty focus, teaching experience preferred. Licensure: Current registration in the State of New Hampshire as a Registered Nurse. Certification: Possession of the following certificates are required: Basic Life Support (BLS); Pediatric Life Support (PALS); Advanced Cardiac Life Support (ACLS), TNCC certification required.  TNCC instructor qualification preferred.  Certified Emergency Nursing (CEN) preferred.

Job Title: *RN - Clinical Nurse Specialist - ICU - Full Time (40 hr/wk) Company: Hospital Corporation of America Location: Portsmouth, NH Description: Full time Clinical Nurse Specialist opportunity with our Intensive Care Unit, 40 hrs/wk.This is an outstanding opportunity to work at a state-of-the-art acute care hospital. We are looking for a self-starter who can function independently and act as a clinical leader supporting staff to meet the demands of advances in technology and care. The Clinical Nurse Specialist is a Masters prepared nurse with specialization in Critical Care Nursing who promotes competent, compassionate and professional nursing care for patients/families across the continuum. His/her knowledge and skills are applied directly in the management of specific high risk patient populations and indirectly through mentoring of nursing staff and consulting with all members of the healthcare team. The CNS promotes excellence in patient care, supports and facilitates professional growth and development, and upholds professional standards. The CNS is directly responsible for the advancement of clinical practice in the Intensive Care Unit (ICU). Masters Degree in Nursing required. Current RN license and ACLS required.5 years acute care experience with 3 yrs in theIntensive Care Unitrequired.2 years as CNS preferred.

Job Title: Clinical Nurse Specialist Company: Location: San Francisco, CA Description: The neurosurgery CNS is an integral member of the neurosurgery team.  Duties and responsibilities include, but are not limited to: -review neurosurgery consults -outpatient management of patients referred to neurosurgery service for surgery; facilitate preoperative workup, maintain surgery schedule -participate in neurosurgery clinic -serve as resource to nursing staff regarding care of neurosurgery patients -provide patient education

Job Title: RN-Pediatric Nurse/Clinical Nurse Specialist-Bridges to Health Program Company: Location: New York City, NY Description: NEW ALTERNATIVES FOR CHILDREN, INC. New Alternatives for Children, Inc. (NAC) is a health care and social service agency in Midtown Manhattan that serves medically fragile/physically disabled children and their families. NAC is currently seeking applicants for a RN ? Pediatric Nurse/Clinical Nurse Specialist in its Medical Department to work with the Agency?s Bridges To Health Program. Job Description Title: RN - Pediatric Nurse/Clinical Nurse Specialist ? Bridges To Health Program Work Schedule: Full-time, Monday ? Friday, 10:00 a.m. ? 6:00 p.m. Prefer ability to work every 6th or 7th Saturday and 11:00 a.m. ? 7:00 p.m. once a week. Supervisor: Director of Nursing and Clinic Administration Duties: 1. Assess the medical needs of each child by reviewing their diagnosis, birth history, and inpatient and outpatient records. 2. Initiate and update Level of Care Assessments for each medically fragile client on the caseload. 3. Train foster and birth families to care for their child in a home setting with reinforcement as needed. 4. Make appropriate referrals for community-based care and provide follow-up as needed. 5. Make monthly nurse home visits to children in the Bridges To Health Program. Fill out medical forms for school, day camps and treatment centers, medical records for courts for subsidy and adoption cases. 6. Collaborate with Health Care Integrators, Case Planners and doctors to assess child?s health care needs and problems, and to implement Individual Health Care Plans. 7. Provide direct care to patients consisting of asthma treatments, catheterization, physical assessment for child abuse cases, vital signs, and any emergency/respite care. 8. Provide telephone triage and advice to biological and foster parents. 9. Maintain records and provide follow-up on all children taking psychotropic medications and liaison to child psychiatrist. 10. Provide pre-counseling to biological parents and foster/adoptive parents of children who are at risk for HIV and need to be tested; provide sexuality counseling to medically fragile adolescents in foster care, or who have been adopted or returned to the care of their birth parents. 11. Attend Quarterly Team meetings with Health Care Integrators to provide medical information pertaining to the clients. Minimum requirements: -NYS RN license -BSN Degree -Must have 2 years post graduate experience in pediatrics and/or maternal child health field. -Home care experience preferred. -Ability to be on call for medical emergencies after 9:00 a.m. ? 5:00 p.m. Salary commensurate with experience and excellent benefits. Please specify position of interest when applying and submit resume to: New Alternatives for Children, Inc. 15 West 26th Street, 8th Floor New York, NY 10010 E-mail: Register to View -inc.org Fax: Register to View ?WE ARE AN EQUAL OPPORTUNITY EMPLOYER, COMMITTED TO DIVERSITY?

Job Title: CLINICAL NURSE SPECIALIST (85950) Company: CHW-Bakersfield Memorial Hospital Location: Bakersfield, CA Description: CLINICAL NURSE SPECIALIST (85950) FACILITY INFORMATION As our city grows, the New West Tower affords Bakersfield Memorial Hospital the ability to treat more patients, allowing families to stay close to home rather than traveling elsewhere for services and quality care they need and deserve. Patient rooms that offer privacy for patients and family which enhance healing. The new 114 bed West Tower includes 24 state-of-the art ICU beds, helping Memorial meet the growing demand for beds from patients coming through the Emergency department. There are two additional 30 bed telemetry/med surgery floors and a new 30 bed Family Care floor (post-partum, GYN). Our tiniest patients receive the highest level of care from Kern County's most experienced and trusted doctors and nurses in Memorial's expanded Neonatal Intensive Care unit. This unit is equipped with the most advanced technology and soon our Pediatric Intensive Care Unit will be open to treat local children with critical healthcare needs. The New West Tower has given Memorial Hospital over 400 licensed acute care beds, making Memorial hospital the largest full service Hospital in Kern County. POSITION REQUIREMENTS Three to five years in Neonatal Intensive Care. Masters of Science. Advanced Practice Skills in NICU. Working knowledge of several software systems. Effective oral and written communication skills Ability to read, analyze, and interpret hospital policies and procedures, professional journals, technical procedures, or governmental regulations. Must have ability to critically think and problem solve. Current California license as a registered nurse and CNS. National Certification in NICU. Cerrtification in Neonatal Resuscitation Program (NRP). Instructor certification for NRP. Certification in Pediatric Advanced Life Support (PALS) Current Basic Life Support Certification (BLS).Keywords:Clinical Nurse Specialist, Neonatal Intensive Care, NICU, RN, CNS, NRP, PALS, Registered Nurse, Bakersfield, California, CA *MH*CB~*HJ

Job Title: Ortho/Neuro CNS-Clinical Education Specialist Company: Hospital Corporation of America Location: Fort Worth, TX Description: POSITION SUMMARY:Under the supervision of the director/manager or designee, the registered nurse provides holistic, individualized patient care in response to identified needs of the orthopedic/joint, neuro and general medical/surgical patient. Additional functions will be performed in accordance with the Nurse Practice Act in a manner consistent with the mission and goals of the organization.Assures quality care through compliance with departmental policies, hospital, and external regulatory agency guidelines.Demonstrates desirable work habits and promotes personal growth and professionalism in the work environment.Provides and documents quality patient care consistently according to hospital standards and policy/procedures.Accepts accountability and responsibility as a member of the department of nursing services.Addendum - charge nurse - participation in activities that promote quality patient care and efficient functioning of unit.