Start the day excited to make a differenceend the day knowing you did. Come join our team.Job Summary:The Level II Competent Registered Nurse is clinically able to care for patients. The Level II MWHC nurse demonstrates the ability to collaborate with the healthcare team to improve the quality of care in the designated clinical area by incorporating research and implementing evidenced-based knowledge into practice. The Level II Competent Registered Nurse assumes the accountability and responsibility as a professional nurse for providing total, comprehensive, continuous, and patient-centered care for an assigned group of patients. The RN is responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation.Practice Standards for a Level II Registered Nurse:In the MWHC Practice Standards, a Level II Registered Nurse is outlined in the following areas of: Exemplary Professional Practice Standards Structural Empowerment Practice Standards Transformational Leadership Practice Standards New Knowledge, Innovations, and Improvement Practice StandardsEssential Functions & Responsibilities: Direct and coordinate nursing care, including oversight of licensed and unlicensed personnel in any assigned or delegated tasks using the nursing process and interdisciplinary teamwork to achieve desired patient outcomes.Coordinate involvement of the patient, family and health team members in patient care, including patient/family teaching and discharge planning.Communicate and coordinate the plan of care and other pertinent information to/from other health care team members.Assist Leadership to define standards of excellence for patient care; participate in improvement of patient care services.Participate in, contribute to and integrate performance improvement into care delivery and participate in quality improvement activities.Participate in orientation of new permanent and temporary staff members.Act as point of contact on hospital and departmental policies and procedures to nurses and other health team members.Participate in daily operational activities necessary for safe patient/staff environment.Provide input to the Nurse Manager regarding unit needs.Participate in unit, departmental and hospital committees for formulation of nursing and hospital policies and procedures.Provides for the physical, mental and social well-being for individuals and families by assessing, planning, implementing and evaluation for nursing care.Performs the comprehensive assessment and develops/implements and evaluates the plan of care as identified on admission and subsequent home visits.Provides appropriate and through education to patients and their caregivers as it relates to the plan of care.When assigned, serves as case manager to coordinate multidisciplinary services per the plan of care.Maintains acceptable productivity standard as determined by agency leadership.Participates in multi-disciplinary team meetings in order to share information and assist with patient management.Participates in staff and administrative meetings.Participates in quality and performance improvement activities.Perform other duties as assigned.Performs essential functions and responsibilities of the role at Mary Washington Hospital and Stafford Hospital locations, as scheduled. Qualifications:Graduate of an accredited nursing program and has experience as a Registered NurseValid RN License from Virginia or reciprocal compact state required.BSN is preferred.AHA BLS Provider CPR required at hireNIHSS (Bluecloud) required at hireAdditional certifications will be required according to the assigned unit2 years of recent RN acute care experience requiredAs an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Start the day excited to make a differenceend the day knowing you did. Come join our team.Job Summary:The Emergency Department Clinical Care Coordinator (ED C3) is responsible for the management of admission flow efficiency through appropriate patient statusing, DRG/TLOS assignment, level of care assignment, and timely patient progression to achieve system efficiency. This position serves as a spoke of the Hub providing ED progression leadership and serving as the primary liaison between the Emergency Department and the Hub, Nursing Units (C3s) and support departments, and in partnership with physicians, to ensure patient care needs are met and treatment plans are executed timely. The ED C3 leads and collaborates work with members of the healthcare team to improve patient throughput and LOS performance of the organizationEssential Functions and Responsibilities:Assesses patients’ clinical presentation against Milliman Care Guidelines (MCG) to identify admission status, working DRG and target LOS; communicates recommended status to physician; validates admission order matches determined status and level of care.Collaborates with ED and Hospitalist providers/clinicians to proactively evaluate appropriateness of potential admissions (i.e., status, level of care); evaluates alternatives for patients not meeting admission criteria.Assesses patient discharge needs (for patients not meeting admission criteria); collaborates with physicians and ancillary services (i.e., PT, OT, Social Work) when indicated to ensure a comprehensive discharge plan that addresses patient needs, barriers, and readmission risk.Communicates plan of care and discharge plan to patient and/or their family in coordination with the patient’s primary care team (RN, physician).Evaluates and identifies cases where status discrepancy requires physician level review; escalates case through appropriate venue for review and status determination.Consults and educates medical and nursing staff regarding status, placement, payor requirements, patient progression and care coordination.Communicates and coordinates patient admission activities with the Hub and Unit Clinical Care Coordinators (C3s) to facilitate system-wide planning; ensures appropriate patient placement, level of care, patient progression, and patient flow.Leads clinical care team (RN, physician, ancillary staff, and social worker) in SNAP huddles for ED Holds to ensure care team alignment on progression of care; identifies and escalates barriers to senior leadership as appropriate.Manages all aspects of admission/patient progression in Care Advance software (i.e., bed requests, status, patient attributes/alerts, DRG/TLOS, etc.); communicates timely, updates of patient status and level of care with the Hub to facilitate unit and bed assignment for admitted patients.Oversees and ensures timely compliance with patient’s preprocedural requirements for service department diagnostics and procedures; ensures communication of service event issues with care team.Proactively identifies and removes barriers that may impede department or system-wide patient flow.Serves as a resource on patient status, progression, and care coordination for the Emergency Department Associates.Performs other duties as assigned.Qualifications:Required:Minimum of three (3) years recent acute care clinical experienceBachelor of Science in Nursing is preferred (applicable to all external and internal placements.)Able to work independently, managing time, multiple priorities, and resources to achieve goalsAble to assimilate information quickly to produce sound decisions and recognize situations that require immediate interventionAble to maintain a calm demeanor and command during time of crisis managementAble to articulate information and ideas clearly through both written and verbal communicationPreferred:One (1) year supervisory experience strongly preferredClinical experience in critical care or emergency nursing strongly preferredUtilization review experienceLicense and/or CertificationsRequired:Valid RN License from Virginia or reciprocal compact state required.Preferred:Certification in nursing, case management or utilization reviewAs an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Start the day excited to make a differenceend the day knowing you did. Come join our team.Job Summary:The Level II Competent Registered Nurse is clinically able to care for patients. The Level II MWHC nurse demonstrates the ability to collaborate with the healthcare team to improve the quality of care in the designated clinical area by incorporating research and implementing evidenced-based knowledge into practice. The Level II Competent Registered Nurse assumes the accountability and responsibility as a professional nurse for providing total, comprehensive, continuous, and patient-centered care for an assigned group of patients. The RN is responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation.Practice Standards for a Level II Registered Nurse:In the MWHC Practice Standards, a Level II Registered Nurse is outlined in the following areas of: Exemplary Professional Practice Standards Structural Empowerment Practice Standards Transformational Leadership Practice Standards New Knowledge, Innovations, and Improvement Practice StandardsEssential Functions & Responsibilities: Direct and coordinate nursing care, including oversight of licensed and unlicensed personnel in any assigned or delegated tasks using the nursing process and interdisciplinary teamwork to achieve desired patient outcomes.Coordinate involvement of the patient, family and health team members in patient care, including patient/family teaching and discharge planning.Communicate and coordinate the plan of care and other pertinent information to/from other health care team members.Assist Leadership to define standards of excellence for patient care; participate in improvement of patient care services.Participate in, contribute to and integrate performance improvement into care delivery and participate in quality improvement activities.Participate in orientation of new permanent and temporary staff members.Act as point of contact on hospital and departmental policies and procedures to nurses and other health team members.Participate in daily operational activities necessary for safe patient/staff environment.Provide input to the Nurse Manager regarding unit needs.Participate in unit, departmental and hospital committees for formulation of nursing and hospital policies and procedures.Provides for the physical, mental and social well-being for individuals and families by assessing, planning, implementing and evaluation for nursing care.Performs the comprehensive assessment and develops/implements and evaluates the plan of care as identified on admission and subsequent home visits.Provides appropriate and through education to patients and their caregivers as it relates to the plan of care.When assigned, serves as case manager to coordinate multidisciplinary services per the plan of care.Maintains acceptable productivity standard as determined by agency leadership.Participates in multi-disciplinary team meetings in order to share information and assist with patient management.Participates in staff and administrative meetings.Participates in quality and performance improvement activities.Perform other duties as assigned.Performs essential functions and responsibilities of the role at Mary Washington Hospital and Stafford Hospital locations, as scheduled. Qualifications:Graduate of an accredited nursing program and has experience as a Registered NurseValid RN License from Virginia or reciprocal compact state required.AHA BLS Provider CPR required at hireNIHSS (Bluecloud) required at hireENPC and TNCC required within 30 days of hire for ED rolesAdditional certifications will be required according to the assigned unit2 years of recent RN acute care experience requiredAs an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Start the day excited to make a differenceend the day knowing you did. Come join our team.Job Summary:The Level II Competent Registered Nurse is clinically able to care for patients. The Level II MWHC nurse demonstrates the ability to collaborate with the healthcare team to improve the quality of care in the designated clinical area by incorporating research and implementing evidenced-based knowledge into practice. The Level II Competent Registered Nurse assumes the accountability and responsibility as a professional nurse for providing total, comprehensive, continuous, and patient-centered care for an assigned group of patients. The RN is responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation.Practice Standards for a Level II Registered Nurse:In the MWHC Practice Standards, a Level II Registered Nurse is outlined in the following areas of: Exemplary Professional Practice Standards Structural Empowerment Practice Standards Transformational Leadership Practice Standards New Knowledge, Innovations, and Improvement Practice StandardsEssential Functions & Responsibilities: Direct and coordinate nursing care, including oversight of licensed and unlicensed personnel in any assigned or delegated tasks using the nursing process and interdisciplinary teamwork to achieve desired patient outcomes.Coordinate involvement of the patient, family and health team members in patient care, including patient/family teaching and discharge planning.Communicate and coordinate the plan of care and other pertinent information to/from other health care team members.Assist Leadership to define standards of excellence for patient care; participate in improvement of patient care services.Participate in, contribute to and integrate performance improvement into care delivery and participate in quality improvement activities.Participate in orientation of new permanent and temporary staff members.Act as point of contact on hospital and departmental policies and procedures to nurses and other health team members.Participate in daily operational activities necessary for safe patient/staff environment.Provide input to the Nurse Manager regarding unit needs.Participate in unit, departmental and hospital committees for formulation of nursing and hospital policies and procedures.Provides for the physical, mental and social well-being for individuals and families by assessing, planning, implementing and evaluation for nursing care.Performs the comprehensive assessment and develops/implements and evaluates the plan of care as identified on admission and subsequent home visits.Provides appropriate and through education to patients and their caregivers as it relates to the plan of care.When assigned, serves as case manager to coordinate multidisciplinary services per the plan of care.Maintains acceptable productivity standard as determined by agency leadership.Participates in multi-disciplinary team meetings in order to share information and assist with patient management.Participates in staff and administrative meetings.Participates in quality and performance improvement activities.Perform other duties as assigned.Performs essential functions and responsibilities of the role at Mary Washington Hospital and Stafford Hospital locations, as scheduled. Qualifications:Graduate of an accredited nursing program and has experience as a Registered NurseValid RN License from Virginia or reciprocal compact state required.BSN is preferred.AHA BLS Provider CPR required at hireNIHSS (Bluecloud) required at hireAdditional certifications will be required according to the assigned unit2 years of recent RN acute care experience requiredAs an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Start the day excited to make a differenceend the day knowing you did. Come join our team.Job Summary:The Respiratory Therapist (RT) II is an advanced respiratory care practitioner with advanced assessment and therapeutic skills who can provide care to multiple patient populations. The RT II will provide quality care, develop, and ensure patient plan of care collaboration with the multidisciplinary team including physicians, registered nurses, and speech, occupational, and physical therapists. The RT II is a professional member of the team who can implement respiratory therapy independently.Essential Functions & Responsibilities:Provides competent and compassionate patient and family centered care based on respiratory processes and interdisciplinary teamwork.Administers and assesses responses to respiratory therapeutic interventions with high proficiency and minimal to no supervision. (e.g., aerosol therapy, oxygen therapy, bronchodilator therapy, bronchopulmonary hygiene).Evaluates effects of respiratory therapy treatment plan by observing, noting, and evaluating patient's progress; recommends adjustments and modifications.Establishes and manages mechanical ventilation.Measures ventilator volumes, pressures, and blood gas analysis.Routinely develops or refines the ventilator care plan and communicates with the patient care team based on evidence and best practice.Communicates other pertinent information to/from healthcare team members consistent with MWHC standards.Maintains and ensures operation of equipment by setting up, cleaning, sterilizing, completing preventive maintenance requirements, troubleshooting malfunctions, and calling for repairs.Provides education and training to patients and family members.Ensures the safety of patients and Associates by adhering to hospital and departmental policies and protocols.Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and participating in professional societies.Functions as a Charge Therapist when needed.Attends focus group meetings and learns about quality initiatives and performance improvement projects.Competent in and actively works in at least 1 critical care area (ED, NICU, and/or ICU) for MWH, all critical care areas for Stafford Hospital.Performs other duties as assigned.Qualifications:Licensed Respiratory Care Practitioner in good standing within the Commonwealth of Virginia required.Graduate of Respiratory Care program accredited by the Committee on Accreditation for Respiratory Care preferred, Certified Respiratory Therapist (CRT) with 10+ years of experience or Registered Respiratory Therapist (RRT).Minimum of one year of experience as a Respiratory Therapist.AHA BLS Provider CPR required at hire.ACLS required within 90 days of hire at MWH.NRP required within 90 days of hire for SH; required for NICU only at MWH within 90 days of hireSpecialty credentials through the National Board of Respiratory Care (NBRC), preferred.Member of the American Association of Respiratory Care (AARC), preferred.As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Start the day excited to make a differenceend the day knowing you did. Come join our team.Job Summary:The Level II Competent Registered Nurse is clinically able to care for patients. The Level II MWHC nurse demonstrates the ability to collaborate with the healthcare team to improve the quality of care in the designated clinical area by incorporating research and implementing evidenced-based knowledge into practice. The Level II Competent Registered Nurse assumes the accountability and responsibility as a professional nurse for providing total, comprehensive, continuous, and patient-centered care for an assigned group of patients. The RN is responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation.Practice Standards for a Level II Registered Nurse:In the MWHC Practice Standards, a Level II Registered Nurse is outlined in the following areas of: Exemplary Professional Practice Standards Structural Empowerment Practice Standards Transformational Leadership Practice Standards New Knowledge, Innovations, and Improvement Practice StandardsEssential Functions & Responsibilities: Direct and coordinate nursing care, including oversight of licensed and unlicensed personnel in any assigned or delegated tasks using the nursing process and interdisciplinary teamwork to achieve desired patient outcomes.Coordinate involvement of the patient, family and health team members in patient care, including patient/family teaching and discharge planning.Communicate and coordinate the plan of care and other pertinent information to/from other health care team members.Assist Leadership to define standards of excellence for patient care; participate in improvement of patient care services.Participate in, contribute to and integrate performance improvement into care delivery and participate in quality improvement activities.Participate in orientation of new permanent and temporary staff members.Act as point of contact on hospital and departmental policies and procedures to nurses and other health team members.Participate in daily operational activities necessary for safe patient/staff environment.Provide input to the Nurse Manager regarding unit needs.Participate in unit, departmental and hospital committees for formulation of nursing and hospital policies and procedures.Provides for the physical, mental and social well-being for individuals and families by assessing, planning, implementing and evaluation for nursing care.Performs the comprehensive assessment and develops/implements and evaluates the plan of care as identified on admission and subsequent home visits.Provides appropriate and through education to patients and their caregivers as it relates to the plan of care.When assigned, serves as case manager to coordinate multidisciplinary services per the plan of care.Maintains acceptable productivity standard as determined by agency leadership.Participates in multi-disciplinary team meetings in order to share information and assist with patient management.Participates in staff and administrative meetings.Participates in quality and performance improvement activities.Perform other duties as assigned.Qualifications:Graduate of an accredited nursing program and has experience as a Registered NurseValid RN License from Virginia or reciprocal compact state required.AHA BLS Provider CPR required at hireNIHSS (Bluecloud) required at hireAdditional certifications will be required according to the assigned unit2 years of recent RN acute care experience requiredENPC and TNCC needed within 30 daysAs an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.