At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated unit(s) and/or service line. This position works with the physicians and interprofessional healthcare team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The CM Certified position holds joint accountability with social workers for discharge planning and continuity of care and assures that admission and continued stay are medically necessary, communicating clinical information to payors to ensure reimbursement. In addition to performing the duties of a CM, this position helps drive change by identifying areas where performance improvement is needed, e.g., day-to-day workflow, education, process improvements, patient satisfaction. PEOPLE ESSENTIAL FUNCTIONSCollaborates with the physician and all members of the interprofessional healthcare team to facilitate care for designated assignment; monitors the patient's progress, intervening as needed to ensure that the plan of care and services provided are patient-focused, high quality, efficient, and cost-effective.Serves as a preceptor and implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. Serves a resource for department and hospital. Provides education to physicians, nurses, and other healthcare providers on case management topics.Conducts self in a manner that is congruent with cultural diversity, equity and inclusion principles. Initiates contributions towards improvement of department scores for employee engagement, i.e., peer-to-peer accountability.SERVICE ESSENTIAL FUNCTIONSPerforms review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Milliman l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician advisor, if needed, and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews level of care denials to identify trends and collaborate with team to recommend opportunities for process improvement.Plans for routine/difficult discharge and anticipates/prevents and manages emergent situations. Facilitates timely: - Assessment and intervention to prevent or reduce readmission - completion of treatment plan and discharge plan - modification of plan of care, as necessary, to meet the ongoing needs of the patient - assignment of appropriate levels of care - completion of all required documentation in designated EMR and applications or programs - elimination of discharge barriersQUALITY/SAFETY ESSENTIAL FUNCTIONSDocuments assessment and interventions efficiently and effectively. Proactively takes action to achieve continuous improvement and expedite care/facilitate discharge.Performs post-discharge review by analyzing the inpatient record to ensure that compliance with quality indicators are met. Intervenes and takes appropriate action to foster real-time compliance with CMS guidelines and other performance measures associated with certification programs and other regulatory, national, regional or locally- sponsored quality programs. Provides reports, as needed, to appropriate parties showing: - compliance with established governmental and/or institutional rules and regulations - analysis of problematic areas, and - actions taken to improve complianceConducts chart audits and performs peer-to-peer evaluations for continuous quality improvement.Identifies opportunities to improve patient satisfaction with focus on discharge domain and collaborates with unit leadership to implement evidence-based patient engagement strategies.FINANCE ESSENTIAL FUNCTIONSMonitors Length of Stay (LOS) for assigned cases on an ongoing basis. Identifies population and/or service-specific trends impacting LOS and addresses/resolves problems impeding treatment progress. Contributes to meeting department and hospital financial targets, with focus on length of stay.Manages all patients in Observation Status, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital.Secures reimbursement for hospital services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal agencies. Responds to requests for information, monitors covered days, initiates review to assure that all days are covered and reimbursable.GROWTH/INNOVATION ESSENTIAL FUNCTIONSIdentifies opportunity for practice changes. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONBachelor's degree or higher in nursingMaster's degree preferredWORK EXPERIENCEFive years hospital clinical nursing experience which includes two years in case management LICENSES AND CERTIFICATIONS - REQUIREDRN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days ORRN-Temp - Registered Nurse - Temporary State Licensure within 60 days ANDMagnet - ANCC Recognized Certification -- Case Management-related ORACM - Accredited Case Manager (NBCM) -- National Board for Case Management KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesComprehensive knowledge of Medicare, Medicaid and Managed Care requirementsComprehensive knowledge of community resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programsComprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.Understanding of pre-acute and post-acute venues of care and post-acute community resourcesAbility to work independentlyStrong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role componentsDemonstrates critical thinking and makes decisions using evidence-based analytical approach in interactions with physicians, payors, and patients and their familiesCompetent computer skills of the entire Microsoft Office Suite (Access, Excel, Outlook, PowerPoint and Word)SUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs NoBusiness professional YesOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* YesTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Social Worker II (SW II) position comprehensively provides compassionate, clinical social work, psychosocial assessments, diagnosis and treatments, and complex discharge planning to patients and their families of a targeted patient population on a designated unit(s). In collaboration with physicians and the interprofessional health care team, this position sensitizes other health care providers to the social and emotional aspects of a patient's illness to collaboratively facilitate efficient quality care and achievement of desired treatment outcomes and affect positive patient and family outcomes. This position uses case management skills to help patients and their families address and resolve the social, financial and psychological problems related to their health condition. The SW II position holds joint accountability with case manager, assuring that psychosocial and continuing care issues are addressed and treated as needed across the continuum of care and has responsibility for unit or departmental social work program development. This position serves as a hospital-wide, service-line leader for psychosocial related issues, complex discharge planning activities, and population disease management. PEOPLE ESSENTIAL FUNCTIONSRole models communication in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner, listens and responds to the ideas of others. Uses therapeutic communication to establish a relationship with patients and families and communicates the discharge plan, facilitating transitions and hand-offs. Supports patients and families in clinical or ethical issues.Provides staff education specific to patient populations and departmental processes. Functions as a preceptor and mentor to new employees. Identifies opportunities for professional growth of self and peers.SERVICE ESSENTIAL FUNCTIONSServes as a hospital/post acute-based leader for comprehensive case management activities including assessing high-risk patients and leading team to identify at-risk patients, participating in daily Care Coordination rounds, and identifying and leading resolution to barriers of efficient patient throughput. Completes a full assessment based on the social work assessment, leading and addressing solutions of social determinants which is accomplished by patient/family interview, review of the medical record including previous episodes of care, H&P, lab and other test results/findings, plan of care, physician orders, nursing and progress notes. Uses advanced knowledge and clinical expertise and screening tools to identify need for case management and/or social work intervention.Addresses and manages conflict associated with a comprehensive psychosocial treatment plan utilizing appropriate clinical social work diagnoses, treatments and interventions, including crisis intervention, brief individual, marital and family therapies, and patient, family and caregiver groups. Maintains ownership of the psychosocial component, assessments, diagnosis and treatment, of the discharge planning process on assigned units. Assists with screening, identification, diagnosis, management and treatment of victims of abuse, neglect, and domestic violence and of mental health and/or substance abuse problems in patients and family members.Establishes mutual educational goals with patient and family, providing appropriate resources, incorporating planning for care after discharge. Provides education to physicians and other interprofessional health care team members on mutually identified goals of care and uses knowledge of levels of care, working with patient and family, to ensure discharge disposition is the appropriate level and facilitates transfers.Uses knowledge for different levels of care, working with patient and family, to ensure discharge disposition is to the appropriate level and facilitates transfers, Provides brief, goal-directed counseling services to assist patients/families to cope more effectively with the transition.QUALITY/SAFETY ESSENTIAL FUNCTIONSConsistently documents to reflect completed patient screening/assessment and reassessment upon admission and concurrently as needed. Modifies care based on continuous evaluation of the patient's condition, demonstrates problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. Considers variables that impact treatment plans including diagnosis of emotional, social, and environmental strengths and problems related to their illness, treatment and/or life situation.Consistently reviews the total picture of the patient for opportunities for care facilitation and needs for discharge planning. Works with case manager for routine discharge and anticipates/prevents and manages/elevates emergent situations with specific focus given to discharge plan and elimination of psychosocial barriers.Collaborates with staff from the interprofessional health care team concerning safety data to improve outcomes and the safe transition of care through effective patient handoffs.FINANCE ESSENTIAL FUNCTIONSCompletes timely and thorough assessment on all unfunded patients to identify community resources required for effective transition by demonstrating an effective community resource knowledge base and judgment/ability to effectively select and coordinate available resources, including referrals to regulatory agencies, i.e. CPS/APS.Identifies, obtains and utilizes alternative resources to fill gaps in established community resources.Guides discharge planning activities for assigned patients and collaborates with the case managers and other members of the interprofessional health care team, as well as patient and family by intervening and coordinating cost-effective, complex discharge planning outcomes and decreased length of stay.GROWTH/INNOVATION ESSENTIAL FUNCTIONSProvides education to hospital physicians, nurses, and other healthcare providers on community resources and psychosocial impact on care needs.Identifies areas for improvement based on understanding of evidence-based practice literature. Completes and updates the individual development plan (IDP) on an on-going basis.Identifies, initiates and leads evidence-based practice/performance improvement projects based on observations by offering solutions and participating in unit projects and activities.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONMaster Degree in Social Work from accredited University (MSW)WORK EXPERIENCEThree (3) years social services experience in a healthcare setting LICENSES AND CERTIFICATIONS - REQUIREDLCSW- License Clinical Social Worker - State Licensure -- No additional credential needed if LCSW ORLMSW - Licensed Medical Social Worker - State Licensure -- if LMSW, need one additional credential ANDACM-SW - Accredited Case Manager-Social Worker (ACMA) ORCCM - Certified Case Manager (CCMC) ORACM - Accredited Case Manager (NBCM) ORACM - Accredited Case Manager (ACMA) ORC-SWHC - Certified Social Worker in Health Care (NASW) KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesKnowledge of community resources and health care financial and payer issues, and eligibility for state, local and federal programsMaintains individual competencies around critical Social Work functions including; payor rules and regulations, psycho-social assessments and discharge planning methodsAbility to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their familiesWell versed in computer skills of the entire Microsoft Office Suite (Access, Excel, Outlook, PowerPoint and Word)Critical thinking, collaboration, negotiation, and mediation skillsTime management and prioritization skillsAdherence to the clinical practice standards set forth by NASW practice standards for healthcare settings and more specifically in hospitals and medical centersMaintains level of professional contributions as defined in Career Path programSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs NoBusiness professional YesOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* YesTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area YesCompany Profile:Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Registered Nurse (RN) II Float position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II Float position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records. The RN II Float position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN II Float position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management.The RN II Float will be required to float to various assigned departments. PEOPLE ESSENTIAL FUNCTIONSUses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care.Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes.Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement on unit-based scorecard.SERVICE ESSENTIAL FUNCTIONSFollows the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintenance of medical records. Practices in a manner that is congruent with cultural diversity and inclusion principles.Develops, updates and communicates plan of care, including discharge, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patient's needs, abilities and preferences. Advocates on patient/family's behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.Provides patient teaching based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patient's comprehension and adapts teaching methods accordingly.Helps drive improvement of department score for patient satisfaction on unit-based scorecard, through peer-to-peer accountability to service standards.QUALITY/SAFETY ESSENTIAL FUNCTIONSFollows the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document.Follows the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Identifies areas of practice improvements with research-based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation.Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patient's condition, supported by accurate documentation. Utilizes clinical judgement, using an evidence-based analytical approach.Improves quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team.FINANCE ESSENTIAL FUNCTIONSDisplays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs.Contributes towards meeting department financial targets on unit-based scorecard through decreasing length of stay, optimizing efficiency and other areas according to department specifications.GROWTH/INNOVATION ESSENTIAL FUNCTIONSIdentifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONBachelor of Science degree from an accredited School of NursingWORK EXPERIENCETwelve months registered nurse experience in a healthcare environment LICENSES AND CERTIFICATIONS - REQUIREDRN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days ORRN-Temp - Registered Nurse - Temporary State Licensure within 60 days ANDBLS - Basic Life Support (AHA) ANDOther credentials and certifications as defined by unit/service line LICENSES AND CERTIFICATIONS - PREFERREDMagnet - ANCC Recognized Certification -- in applicable specialty area KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations as defined in orientation checklist and annual departmental competency checklistSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesStrong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role componentsAbility to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their familiesUses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice ActDemonstrates proficient time management skillsMaintains level of professional contributions as defined in Clinical Career Path program guideWorking knowledge of Microsoft products including OutlookSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional NoOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* YesTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.Houston Methodist is an Equal Opportunity Employer.

We hold ourselves and the careers we build to a higher standard. At Houston Methodist, nurses develop their skills through a wide range of educational programs, collaborate with physicians to provide the best care and build upon a world-class reputation for excellence in patient care, education and research. We hold ourselves - and the careers we build - to a higher standard. Our growing, inclusive health care system offers: Superior practice settingsHigh safety standardsProfessional development & nursing educationMeaningful collaboration with physiciansUnparalleled support Requirements Bachelor of Science degree or higher from an accredited School of NursingTwelve months registered nurse experience in a healthcare environmentTexas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirementsAmerican Heart Association Basic Life Support (BLS)Other credentials and certifications as defined by unit/service line I CARE VALUES INTEGRITY We are honest and ethical in all we say and do. COMPASSION We embrace the whole person and respond to emotional, ethical and spiritual concerns as well as physical needs. ACCOUNTABILITY We hold ourselves accountable for our actions. RESPECT We treat every individual as a person of worth, dignity and value. EXCELLENCE We strive to be the best at what we do and a model for others to emulate. Fast Facts | Houston Methodist Willowbrook Hospital 358 operating beds20 operating rooms1,171 affiliated physicians2,300 employees21,717 inpatients230,466 outpatients62,932 emergency room visits Hear From Our Chief Nursing Executive, Nicole Twine Nicole Twine, PhD, APRN, ACNP-BC, NE-BC Vice President & Chief Nursing Officer Houston Methodist Willowbrook Hospital "At Houston Methodist Willowbrook Hospital, we are a close-knit family committed to Leading Medicine in our community. I take a personal interest in meeting with all our new hires to ensure they have the resources they need to help drive our mission to provide unparalleled safety, quality, service and innovation to our patients and their families. We recognize our nursing staff as the backbone of our hospital and take every opportunity to reward their hard work and provide guidance for growth and development to advance their careers." About Houston Methodist Willowbrook Hospital Since 2000, Houston Methodist Willowbrook Hospital has been serving Northwest Houston residents. Houston Methodist Willowbrook Hospital is a comprehensive acute care facility and has been named a Magnet recognized health care facility by the American Nurses Credentialing Center's (ANCC) Magnet Recognition Program(R). With 358 operating beds, 20 operating rooms and more than 2,300 employees, Houston Methodist Willowbrook Hospital provides comprehensive, personalized care for patients in Champions, Tomball, Magnolia, Spring and Cypress. Awards and Distinctions AACN Silver Beacon Award - Medical ICU- American Association of Critical-Care Nurses (AACN)Chest Pain Center Accreditation- Society of Chest Pain CentersISO 9001 Certification- DNV GLAccredited Pulmonary Rehabilitation Program- American Association of Cardiovascular and Pulmonary RehabilitationBreast Imaging Center of Excellence- American College of RadiologyRecognized Diabetes Education Program- American Diabetes AssociationMagnet(R) Recognition- American Nurses Credentialing CenterGold Beacon Award for Excellence - Surgical ICU- American Association of Critical-Care Nurses (AACN)Primary Stroke Center- The Joint CommissionPatient Safety Excellence Award(tm)- Healthgrades(R)Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Charge Nurse II Operating Room (OR) Department Premium position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. This position coordinates interdepartmental communication with all those involved in the care delivered to our diverse patient population (i.e., Anesthesia Board Runner, Sterile Processing staff, Pre-op, PACU, Bed Control Perfusionists, ICU, Monitoring, and Cell Savers) as well as creates an environment for the management and delivery of safe patient care. In addition to fulfilling the duties and responsibilities of a clinical nurse, the Charge Nurse II OR Department Premium position is a role model and assists in coaching and mentoring department staff in areas of clinical and professional practice. Role modeling compassionate communication with physicians and the interprofessional health care team, the Charge Nurse II OR Department Premium position assumes leadership responsibilities with high level contributions in the unit, service line, and across the institution. Responsibilities for this position may include but are not limited to leading unit and shared governance activities, assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff and coordinating unit and hospital-wide education in partnership with management. PEOPLE ESSENTIAL FUNCTIONSAccurately and clearly communicates information regarding the OR schedule and staffing resource needs. Reviews next day OR schedule and works with the management team to make room assignments based on skill and knowledge. Communicates with staff concerning changes in their assignment, taking into consideration staff competency. Reassigns staff to another room as appropriate, directly informing staff or their manager.Ensures students, new medical students, residents, and visitors, etc. have been appropriately processed/credentialed accordingly. Maintains constant awareness that observers and visitors do not scrub, escalating issues as they arise.Fosters staff engagement by demonstrating active listening, requesting, and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. Anticipates the needs of the staff members and proactively offers assistance. Role models interprofessional communication, which includes active listening and teaching, and assists with staff stress management as needed. Improves department scores for employee engagement.SERVICE ESSENTIAL FUNCTIONSLeads the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Practices in a manner that is congruent with cultural diversity and inclusion principles. Proactively recognizes, determines a plan of action, and responds to situations, such as emergency codes.Coordinates activities that align the surgeon and their schedule for efficiency and effectiveness by going to rooms and communicating with the surgeon and staff assigned as to the projection for time to send for the next patient. Communicates and discusses information with Anesthesia board runner and staff assigned to to-follow case.Confers with the Lead in Sterile Processing/Materials Management to ensure all cases are pulled and all equipment, instrumentation, and supplies are available for scheduled cases and any appropriate resources are ready for use.Maintains ongoing interactions with entire care team, and patients and families as appropriate, throughout the perioperative experience, on improvement of patient care through consistent rounding, as needed. Drives department service standards and activities to improve department score for patient satisfaction, through role modeling and fostering accountability.QUALITY/SAFETY ESSENTIAL FUNCTIONSModels the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document by actively participating in continuous improvement environment initiatives to improve quality and safety scores on the unit and hospital scorecards, through peer-to-peer accountability, using teachable moments, reporting near misses, and identifying solutions by collaborating with the interprofessional team promoting situational awareness.Coordinates OR flow throughout the shift considering staff skill level and safety to ensure that duty to patients can be met. Reviews surgery schedule the day prior and at the beginning of the shift, delegating appropriately with Sterile Processing Department (SPD) team. Informs staff, anesthesia, and surgeon of any issues.Facilitates seamless patient flow to/from/through the department by providing an accurate report to oncoming OR Charge Nurse or upcoming on-call staff, ensuring all emergency add-on cases are posted on the schedule, anticipating any changes to schedule, communicating to OR staff and to all involved department. Role models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document.FINANCE ESSENTIAL FUNCTIONSReviews the OR schedule on a regular ongoing basis with Anesthesia board runner and interprofessional health care team, determining room availability, to maximize productive use of operating rooms.Ensures staff have checked their rooms and removed what is not needed and that restocking has occurred. Holds assigned staff accountable for restocking. Oversees shift by shift resource utilization through the allocation of staff, supplies and contributions to the patient throughput.Implements department strategies to achieve financial target and encourages others to do the same through timely documentation of care, optimizing efficiency, minimizing incidental overtime, and other areas according to department specifications.GROWTH/INNOVATION ESSENTIAL FUNCTIONSEncourages identification and implementation of innovative solutions for practice changes to improve patient care or unit operations such as reduction of hospital readmissions or other department-specific measures by leading and/or participating in unit projects and shared governance activities. Incorporates evidence-based practices which are presented to shared governance and leadership. Supports change initiatives and adapts to unexpected changes.Identifies and assumes responsibility of own learning needs and seeks continuing education opportunities to meet those needs. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice Completes and updates the My Development Plan on an on-going basis.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONBachelor's degree or higher from an accredited school of NursingWORK EXPERIENCETwo years' operating room nursing experience with demonstration of progressive leadership skills LICENSES AND CERTIFICATIONS - REQUIREDRN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days ORRN-Temp - Registered Nurse - Temporary State Licensure within 60 days ANDBLS - Basic Life Support (AHA) ANDACLS - Advanced Cardiac Life Support (AHA) -- as defined by unit/service line ANDPALS - Pediatric Advanced Life Support (AHA) -- as defined by unit/service line ORNRP - Neonatal Resuscitation -- as defined by unit/service line ANDCNOR - Certified Operating Room Nurse (CCI) -- through National Commission for Certifying Agencies (NCCA) or American Board for Specialty Nursing Certification (ABSNC) within 6 months KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesStrong assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role componentsAbility to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their familiesUses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice ActDemonstrates proficient time management skillsDemonstrates highly developed assessment skills; contributes to policies, procedure, and protocolsHas knowledge of department Dashboard and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoresDemonstrates expertise in operating the electronic medical recordAbility to circulate and scrub surgical cases as required per assigned Operating RoomAbility to remain calm in the presence of emergency situations and manage the emergent situationSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional NoOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* YesTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.Houston Methodist is an Equal Opportunity Employer.

We hold ourselves and the careers we build to a higher standard. At Houston Methodist, nurses develop their skills through a wide range of educational programs, collaborate with physicians to provide the best care and build upon a world-class reputation for excellence in patient care, education and research. We hold ourselves - and the careers we build - to a higher standard. Our growing, inclusive health care system offers: Superior practice settingsHigh safety standardsProfessional development & nursing educationMeaningful collaboration with physiciansUnparalleled support Requirements Bachelor of Science degree or higher from an accredited School of NursingTwelve months registered nurse experience in a healthcare environmentTexas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirementsAmerican Heart Association Basic Life Support (BLS)Other credentials and certifications as defined by unit/service line I CARE VALUES INTEGRITY We are honest and ethical in all we say and do. COMPASSION We embrace the whole person and respond to emotional, ethical and spiritual concerns as well as physical needs. ACCOUNTABILITY We hold ourselves accountable for our actions. RESPECT We treat every individual as a person of worth, dignity and value. EXCELLENCE We strive to be the best at what we do and a model for others to emulate. Fast Facts | Houston Methodist Willowbrook Hospital 358 operating beds20 operating rooms1,171 affiliated physicians2,300 employees21,717 inpatients230,466 outpatients62,932 emergency room visits Hear From Our Chief Nursing Executive, Nicole Twine Nicole Twine, PhD, APRN, ACNP-BC, NE-BC Vice President & Chief Nursing Officer Houston Methodist Willowbrook Hospital "At Houston Methodist Willowbrook Hospital, we are a close-knit family committed to Leading Medicine in our community. I take a personal interest in meeting with all our new hires to ensure they have the resources they need to help drive our mission to provide unparalleled safety, quality, service and innovation to our patients and their families. We recognize our nursing staff as the backbone of our hospital and take every opportunity to reward their hard work and provide guidance for growth and development to advance their careers." About Houston Methodist Willowbrook Hospital Since 2000, Houston Methodist Willowbrook Hospital has been serving Northwest Houston residents. Houston Methodist Willowbrook Hospital is a comprehensive acute care facility and has been named a Magnet recognized health care facility by the American Nurses Credentialing Center's (ANCC) Magnet Recognition Program(R). With 358 operating beds, 20 operating rooms and more than 2,300 employees, Houston Methodist Willowbrook Hospital provides comprehensive, personalized care for patients in Champions, Tomball, Magnolia, Spring and Cypress. Awards and Distinctions AACN Silver Beacon Award - Medical ICU- American Association of Critical-Care Nurses (AACN)Chest Pain Center Accreditation- Society of Chest Pain CentersISO 9001 Certification- DNV GLAccredited Pulmonary Rehabilitation Program- American Association of Cardiovascular and Pulmonary RehabilitationBreast Imaging Center of Excellence- American College of RadiologyRecognized Diabetes Education Program- American Diabetes AssociationMagnet(R) Recognition- American Nurses Credentialing CenterGold Beacon Award for Excellence - Surgical ICU- American Association of Critical-Care Nurses (AACN)Primary Stroke Center- The Joint CommissionPatient Safety Excellence Award(tm)- Healthgrades(R)Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Charge Nurse II Operating Room (OR) Department Premium position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. This position coordinates interdepartmental communication with all those involved in the care delivered to our diverse patient population (i.e., Anesthesia Board Runner, Sterile Processing staff, Pre-op, PACU, Bed Control Perfusionists, ICU, Monitoring, and Cell Savers) as well as creates an environment for the management and delivery of safe patient care. In addition to fulfilling the duties and responsibilities of a clinical nurse, the Charge Nurse II OR Department Premium position is a role model and assists in coaching and mentoring department staff in areas of clinical and professional practice. Role modeling compassionate communication with physicians and the interprofessional health care team, the Charge Nurse II OR Department Premium position assumes leadership responsibilities with high level contributions in the unit, service line, and across the institution. Responsibilities for this position may include but are not limited to leading unit and shared governance activities, assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff and coordinating unit and hospital-wide education in partnership with management. PEOPLE ESSENTIAL FUNCTIONSAccurately and clearly communicates information regarding the OR schedule and staffing resource needs. Reviews next day OR schedule and works with the management team to make room assignments based on skill and knowledge. Communicates with staff concerning changes in their assignment, taking into consideration staff competency. Reassigns staff to another room as appropriate, directly informing staff or their manager.Ensures students, new medical students, residents, and visitors, etc. have been appropriately processed/credentialed accordingly. Maintains constant awareness that observers and visitors do not scrub, escalating issues as they arise.Fosters staff engagement by demonstrating active listening, requesting, and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. Anticipates the needs of the staff members and proactively offers assistance. Role models interprofessional communication, which includes active listening and teaching, and assists with staff stress management as needed. Improves department scores for employee engagement.SERVICE ESSENTIAL FUNCTIONSLeads the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Practices in a manner that is congruent with cultural diversity and inclusion principles. Proactively recognizes, determines a plan of action, and responds to situations, such as emergency codes.Coordinates activities that align the surgeon and their schedule for efficiency and effectiveness by going to rooms and communicating with the surgeon and staff assigned as to the projection for time to send for the next patient. Communicates and discusses information with Anesthesia board runner and staff assigned to to-follow case.Confers with the Lead in Sterile Processing/Materials Management to ensure all cases are pulled and all equipment, instrumentation, and supplies are available for scheduled cases and any appropriate resources are ready for use.Maintains ongoing interactions with entire care team, and patients and families as appropriate, throughout the perioperative experience, on improvement of patient care through consistent rounding, as needed. Drives department service standards and activities to improve department score for patient satisfaction, through role modeling and fostering accountability.QUALITY/SAFETY ESSENTIAL FUNCTIONSModels the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document by actively participating in continuous improvement environment initiatives to improve quality and safety scores on the unit and hospital scorecards, through peer-to-peer accountability, using teachable moments, reporting near misses, and identifying solutions by collaborating with the interprofessional team promoting situational awareness.Coordinates OR flow throughout the shift considering staff skill level and safety to ensure that duty to patients can be met. Reviews surgery schedule the day prior and at the beginning of the shift, delegating appropriately with Sterile Processing Department (SPD) team. Informs staff, anesthesia, and surgeon of any issues.Facilitates seamless patient flow to/from/through the department by providing an accurate report to oncoming OR Charge Nurse or upcoming on-call staff, ensuring all emergency add-on cases are posted on the schedule, anticipating any changes to schedule, communicating to OR staff and to all involved department. Role models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document.FINANCE ESSENTIAL FUNCTIONSReviews the OR schedule on a regular ongoing basis with Anesthesia board runner and interprofessional health care team, determining room availability, to maximize productive use of operating rooms.Ensures staff have checked their rooms and removed what is not needed and that restocking has occurred. Holds assigned staff accountable for restocking. Oversees shift by shift resource utilization through the allocation of staff, supplies and contributions to the patient throughput.Implements department strategies to achieve financial target and encourages others to do the same through timely documentation of care, optimizing efficiency, minimizing incidental overtime, and other areas according to department specifications.GROWTH/INNOVATION ESSENTIAL FUNCTIONSEncourages identification and implementation of innovative solutions for practice changes to improve patient care or unit operations such as reduction of hospital readmissions or other department-specific measures by leading and/or participating in unit projects and shared governance activities. Incorporates evidence-based practices which are presented to shared governance and leadership. Supports change initiatives and adapts to unexpected changes.Identifies and assumes responsibility of own learning needs and seeks continuing education opportunities to meet those needs. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice Completes and updates the My Development Plan on an on-going basis.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONBachelor's degree or higher from an accredited school of NursingWORK EXPERIENCETwo years' operating room nursing experience with demonstration of progressive leadership skills LICENSES AND CERTIFICATIONS - REQUIREDRN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days ORRN-Temp - Registered Nurse - Temporary State Licensure within 60 days ANDBLS - Basic Life Support (AHA) ANDACLS - Advanced Cardiac Life Support (AHA) -- as defined by unit/service line ANDPALS - Pediatric Advanced Life Support (AHA) -- as defined by unit/service line ORNRP - Neonatal Resuscitation -- as defined by unit/service line ANDCNOR - Certified Operating Room Nurse (CCI) -- through National Commission for Certifying Agencies (NCCA) or American Board for Specialty Nursing Certification (ABSNC) within 6 months KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesStrong assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role componentsAbility to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their familiesUses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice ActDemonstrates proficient time management skillsDemonstrates highly developed assessment skills; contributes to policies, procedure, and protocolsHas knowledge of department Dashboard and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoresDemonstrates expertise in operating the electronic medical recordAbility to circulate and scrub surgical cases as required per assigned Operating RoomAbility to remain calm in the presence of emergency situations and manage the emergent situationSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional NoOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* YesTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.Houston Methodist is an Equal Opportunity Employer.

We hold ourselves and the careers we build to a higher standard. At Houston Methodist, nurses develop their skills through a wide range of educational programs, collaborate with physicians to provide the best care and build upon a world-class reputation for excellence in patient care, education and research. We hold ourselves - and the careers we build - to a higher standard. Our growing, inclusive health care system offers: Superior practice settingsHigh safety standardsProfessional development & nursing educationMeaningful collaboration with physiciansUnparalleled support Requirements Bachelor of Science degree or higher from an accredited School of NursingTwelve months registered nurse experience in a healthcare environmentTexas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirementsAmerican Heart Association Basic Life Support (BLS)Other credentials and certifications as defined by unit/service line I CARE VALUES INTEGRITY We are honest and ethical in all we say and do. COMPASSION We embrace the whole person and respond to emotional, ethical and spiritual concerns as well as physical needs. ACCOUNTABILITY We hold ourselves accountable for our actions. RESPECT We treat every individual as a person of worth, dignity and value. EXCELLENCE We strive to be the best at what we do and a model for others to emulate. Fast Facts | Houston Methodist Willowbrook Hospital 358 operating beds20 operating rooms1,171 affiliated physicians2,300 employees21,717 inpatients230,466 outpatients62,932 emergency room visits Hear From Our Chief Nursing Executive, Nicole Twine Nicole Twine, PhD, APRN, ACNP-BC, NE-BC Vice President & Chief Nursing Officer Houston Methodist Willowbrook Hospital "At Houston Methodist Willowbrook Hospital, we are a close-knit family committed to Leading Medicine in our community. I take a personal interest in meeting with all our new hires to ensure they have the resources they need to help drive our mission to provide unparalleled safety, quality, service and innovation to our patients and their families. We recognize our nursing staff as the backbone of our hospital and take every opportunity to reward their hard work and provide guidance for growth and development to advance their careers." About Houston Methodist Willowbrook Hospital Since 2000, Houston Methodist Willowbrook Hospital has been serving Northwest Houston residents. Houston Methodist Willowbrook Hospital is a comprehensive acute care facility and has been named a Magnet recognized health care facility by the American Nurses Credentialing Center's (ANCC) Magnet Recognition Program(R). With 358 operating beds, 20 operating rooms and more than 2,300 employees, Houston Methodist Willowbrook Hospital provides comprehensive, personalized care for patients in Champions, Tomball, Magnolia, Spring and Cypress. Awards and Distinctions AACN Silver Beacon Award - Medical ICU- American Association of Critical-Care Nurses (AACN)Chest Pain Center Accreditation- Society of Chest Pain CentersISO 9001 Certification- DNV GLAccredited Pulmonary Rehabilitation Program- American Association of Cardiovascular and Pulmonary RehabilitationBreast Imaging Center of Excellence- American College of RadiologyRecognized Diabetes Education Program- American Diabetes AssociationMagnet(R) Recognition- American Nurses Credentialing CenterGold Beacon Award for Excellence - Surgical ICU- American Association of Critical-Care Nurses (AACN)Primary Stroke Center- The Joint CommissionPatient Safety Excellence Award(tm)- Healthgrades(R)Houston Methodist is an Equal Opportunity Employer.

We hold ourselves and the careers we build to a higher standard. At Houston Methodist, nurses develop their skills through a wide range of educational programs, collaborate with physicians to provide the best care and build upon a world-class reputation for excellence in patient care, education and research. We hold ourselves - and the careers we build - to a higher standard. Our growing, inclusive health care system offers: Superior practice settingsHigh safety standardsProfessional development & nursing educationMeaningful collaboration with physiciansUnparalleled support Requirements Bachelor of Science degree or higher from an accredited School of NursingTwelve months registered nurse experience in a healthcare environmentTexas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirementsAmerican Heart Association Basic Life Support (BLS)Other credentials and certifications as defined by unit/service line I CARE VALUES INTEGRITY We are honest and ethical in all we say and do. COMPASSION We embrace the whole person and respond to emotional, ethical and spiritual concerns as well as physical needs. ACCOUNTABILITY We hold ourselves accountable for our actions. RESPECT We treat every individual as a person of worth, dignity and value. EXCELLENCE We strive to be the best at what we do and a model for others to emulate. Fast Facts | Houston Methodist Willowbrook Hospital 358 operating beds20 operating rooms1,171 affiliated physicians2,300 employees21,717 inpatients230,466 outpatients62,932 emergency room visits Hear From Our Chief Nursing Executive, Nicole Twine Nicole Twine, PhD, APRN, ACNP-BC, NE-BC Vice President & Chief Nursing Officer Houston Methodist Willowbrook Hospital "At Houston Methodist Willowbrook Hospital, we are a close-knit family committed to Leading Medicine in our community. I take a personal interest in meeting with all our new hires to ensure they have the resources they need to help drive our mission to provide unparalleled safety, quality, service and innovation to our patients and their families. We recognize our nursing staff as the backbone of our hospital and take every opportunity to reward their hard work and provide guidance for growth and development to advance their careers." About Houston Methodist Willowbrook Hospital Since 2000, Houston Methodist Willowbrook Hospital has been serving Northwest Houston residents. Houston Methodist Willowbrook Hospital is a comprehensive acute care facility and has been named a Magnet recognized health care facility by the American Nurses Credentialing Center's (ANCC) Magnet Recognition Program(R). With 358 operating beds, 20 operating rooms and more than 2,300 employees, Houston Methodist Willowbrook Hospital provides comprehensive, personalized care for patients in Champions, Tomball, Magnolia, Spring and Cypress. Awards and Distinctions AACN Silver Beacon Award - Medical ICU- American Association of Critical-Care Nurses (AACN)Chest Pain Center Accreditation- Society of Chest Pain CentersISO 9001 Certification- DNV GLAccredited Pulmonary Rehabilitation Program- American Association of Cardiovascular and Pulmonary RehabilitationBreast Imaging Center of Excellence- American College of RadiologyRecognized Diabetes Education Program- American Diabetes AssociationMagnet(R) Recognition- American Nurses Credentialing CenterGold Beacon Award for Excellence - Surgical ICU- American Association of Critical-Care Nurses (AACN)Primary Stroke Center- The Joint CommissionPatient Safety Excellence Award(tm)- Healthgrades(R)Houston Methodist is an Equal Opportunity Employer.