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Immediate opening for a Family Practice NP.

Various opportunities for NPs to work throughout the state of Michigan in a correctional facility. Correctional medicine requires that you work independently, apply your assessment skills daily, and provide all levels of medical care. You will be working for a stable, national medical management company that specializes in providing and managing medical care in correctional institutions. Competitive salary and full benefits package.

Nurse PractitionerFastCareESCANABACombine a professional challenge with an unparalleled quality of life in Marquette, Michigan recognized as an All America County as well as one of Americas Most Livable Communities. As a 315 bed regional medical center located on the shore of Lake Superior and serving Michigan´s Upper Peninsula, MGHS offers comprehensive programs in oncology, cardiology/cardiovascular surgery, medical rehabilitation, addiction treatment, psychiatry and neonatal intensive care. FastCare is a retail partnered walk-in cliniclocated at Shopko in Escanaba. Marquette General Health System is seeking candidates for a full-time Nurse Practitioner position. Candidates must be a graduate of a Master’s Degree in Nursing with specialization in specific patient population. * Flexible Scheduling.* New Grads Welcome.We offer a comprehensive benefit package and competitive wage structure, with opportunities for advancement.

Serves as a primary member of the core care delivery team on Labor and Delivery at a facility performing 5500 deliveries per year.

Job Summary:Serves as a primary member of the core care delivery team on Labor and Delivery at a facility performing 5500 deliveries per year. Provides seperate and distinct 24/7 coverage of both Labor and Delivery and OB Triage. Key responsibilities include first assisting on OB surgical cases, discharging patients from OB Triage, performing vaginal deliveries, managing laboring patients, interpreting maternal fetal strips, writing H & Ps and operative notes, communicating with core care delivery team, conducting L & D board rounds every three hours, supporting resident and medical student education. Position operates in a high intensity, high volume, high acuity, critical care environment. Position requires credentialing and privileging through the Medical Staff of facility. Position works under the auspices of a supervising physician.Representative Job Duties:The following description of job responsibilities and standards are intended to reflect the major responsibilities and duties of the job, but are not intended to describe minor duties or other responsibilities assigned from time to time. Performs/records initial prenatal history/physical on patients in Triage/Labor and Delivery. Develops and initiates treatment plans. Provides routine prenatal care and documents admission, antepartum, intrapartum and postpartum orders. Delivers patient management and documentation in Triage. Interprets diagnostic tests and prescribes medications including controlled substances, schedule III - V; and schedule II. Performs antenatal history and physical. Performs speculum and manual vaginal exams. Provides routine intrapartum care including: evaluation of labor, confirmation of rupture of membranes, interpretation of external/internal electronic fetal monitoring data, amniotomy, Oxytocin/prostaglandin induction of labor, oxytocin/prostaglandin augmentation of labor, insertion of I.U.P.C, placement of fetal scalp electrode, ultrasound for presentation, amnioinfusion, interpretation of NST, and insertion of cervical medical dilators. Administers local anesthesia, performs routine term vaginal deliveries. Performs and repairs episiotomies and first, second and third degree lacerations. Performs VBAC deliveries. Obtains fetal scalp ph. First assists on cesarean delivery/tubal ligations. Minimum Job Qualifications:Education: Master’s Degree in Science with clinical specialization from an accredited institution. State of Michigan nurse specialty certification. Certification through the ACNM.Experience: 1 to 3 years experience as a professional nurse in ob/gyn specialty.Licensure: Registered Nurse licensed to practice in the State of Michigan. Nurse Midwifery License.Skills & Ability: Strong clinical assessment and management skills. Ability to work with multidisciplinary team members. Good communication skills. Multitask oriented. Ability to interpret fetal monitoring data. BCLS/NRP certification.Physical Requirements:1. STRENGTH:Position requires incumbent to occasionally perform physical activities requiring ability to push/pull light objects and to occasionally lift objects of less than 20 pounds.2. MANUAL DEXTERITY:Position requires incumbent to frequently perform simple motor skills such as standing and walking; frequently perform simple manipulative skills as writing, collating, faxing, answering phone; frequently perform moderately difficult manipulative skills such as typing and using a calculator. 3. COORDINATION:Position requires incumbent to frequently perform gross body coordination such as walking, stooping, reaching and bending and frequently must perform tasks which require hand-eye coordination. 4. MOBILITY:Position requires incumbent to occiasionally perform mobility skills of walking and standing periodically, frequently must be able to sit for prolonged period of time. 5. VISUAL DISCRIMINATION:Position requires incumbent to frequently see objects closely as in reading printed material or information and viewing CRT screen; must frequently be able to see objects far away as in driving.6. HEARING:Position requires incumbent to constantly be able to hear normal sounds with some background noise and to distinguish sound as voice patterns when answering the telephone and meeting with employees and visitors.Mental Requirements:1. CONCENTRATIONPosition requires incumbent to frequently be able to concentrate on fine detail with constant interruption such as requests and inquiries, answering of telephone, special projects and problem solving situations. 2. ATTENTION SPANPosition requires incumbent to attend tasks/functions frequently for varying lengths of time for periods up to 60 minutes in length and frequently for more than 60 minutes at a time. 3. CONCEPTUALIZATIONPosition requires incumbent to frequently be able to understand and relate to specific concepts behind specific ideas; frequently understand and relate to more than one specific idea at a time and to the theories behind related concepts.4. MEMORYPosition requires incumbent to constantly be able to remember multiple tasks/assignments during course of a day as well as over a long period of time. Excellent memory skills are required with storage capability of a high level of information and knowledge.Environmental Conditions:Employee may be exposed to blood, body tissue, or fluids, constantly, hazardous material other than blood, body tissue, or fluids, occasionally high temperature, seldom. Low temperature seldom. Sudden fluctuations in temperature, seldom. Grease or oil, seldom. Radiation, seldom. Toxins, cytotoxins, or poisonous substances, occasionally, dust, constantly. Other chemical hazardous materials, occasionally, bodily injuries, occasionally, loud, unpleasant noises, occasionally, High humidity or wetness, occasionally, electrical hazards, occasionally burns, seldom, electro-magnetic radiations as in CRTSs (VDTs) frequently.

Functions as a role model in nursing, demonstrating competency in clinical judgment and extensive knowledge base. Demonstrates clinical expertise in the extension of the nursing process and supports peers in its application.Responsible for departments overall goals and objectives. Assists in writing, reviewing, implementing and clarifying policies and procedures to medical staff, patients and visitors.Actively participates in the development and implementation of the standards of care for the departments, quality assurance programs and integrates the results into practice and policy. Communicates violation of the Nurse Practice Act to the State Board of Nurse Examiners.Interviews, hires, trains and assigns nursing personnel. Maintains staff competencies through the development of standards of performance, evaluation of performance, and initiation and/or recommendations for personnel corrective actions.Develops and maintains effective communication mechanisms and working relationships with staff, physicians, patients/families and between the unit and other departments.Develops and delegates direct care to patients from assessment to discharge. Makes rounds and discusses current status of patients with physicians.Leads the department through necessary change. Directs and ensures effective communication of issues throughout the department and interdepartmentally as appropriate.Participates in the selection of patients to be admitted by evaluating the level and amount of care required by prospective residents in relation to existing nursing capabilities.Manages financial aspects by preparing, justifying and controlling the budget of the FTEs.Provides clinical resources to staff regarding the level of care provided. Evaluates nursing assessment and care of patients in the department. Develops and assists others in the development of educational programs to improve the knowledge and skills.Demonstrates awareness and adherence to safety and legal requirements established by the hospital and department.Represents the department through participation, leadership role on committees, task forces, etc. on a voluntary and appointed basis at the department and hospital level.Maintains professional growth of self and other staff members through seminars, workshops, and professional/civic service organizations as hospital representative.Demonstrates knowledge of regulatory requirements, and is responsible for maintaining department compliance.Performs other related duties as assigned or requested.

The Clinical Coordinator will have a focus on Borgess Family Practice and Pediatrics Practice sites located in Richland, MI.

This full-time, day shift position will coordinate daily clinical operations in collaboration with the Clinical Manager. The Clinical Coordinator will establish clinical quality control procedures and oversee orientation and skill competencies of each new clinical staff for the clinics. This role will also be responsible for developing and maintaining schedules for providers and clinical staff. Additional responsibilities include:organizing and scheduling clinical staff educational in-services for annual competencies as well as continuing clinical education. Development, implementation of clinical policies and procedures. Creating and updating practice specific protocols as needed. Observe, monitor and resolve any clinical safety issues. Assess clinical work flow/process. Collaborate with managers and staff to improve inefficiencies. Develop a consistent orientation program for clinical staff at the Family Practice and Pediatrics clinics. Assist Managers and Quality Excellence with Joint Commission planning, preparation and continued maintenance. Requirements:Registered Nurse highly preferred. Minimum of three years management experience in an ambulatory setting. Previous experience in Pediatrics and/or Family Practice setting preferred. Knowledge and understanding of provider and staff scheduling techniques. Talent in establishing and maintaining effective working relationships with medical staff, clinical staff, patient/families and co-workers. Ability to work well with others in a team environment.

Direct and coordinate functions of the Clinical Services for Primary/OB Core Process to ensure quality patient care in accordance with the hospitals mission, goals and objectives. Specific areas of responsibility include OB department, Primary Care/Pediatric Unit, and various out patient clinics/programs (Women=s Health Center, Maternal/Infant Support, OB Home Care, Family Planning, Oncology, Pain, Outpatient and Bayview). The responsibility for quality patient care in a cost effective manner, compatible with recommendations from accrediting agencies is key in this position. Full compliment of management responsibilities, including: planning, human resource management, financial accountability of quality assessment and improvement, regulatory compliance, and productivity management.Graduate from approved program in professional nursing, Masters preferred. Certification in Nursing Administration encouraged. Current RN Michigan license. Five years nursing experience. Three years progressive level of administrative experience. Demonstrate ability and skill in the management of organizational change and continuous quality improvement processes. Evidence of creative and innovative approaches to achieving outcomes. Demonstrate ability to work effectively with staff and physicians. Demonstrate quantitative values based problem solving and systems thinking. Facilitate staff development through appropriate coaching, mentoring, and counseling.

The Ambulatory Care Manager reports to the Director of Care Management.

The Ambulatory Care Manager is responsible for facilitating and coordinating the care delivered to an assigned group of patients through multidisciplinary, multi-agency, and patient/family collaboration to ensure the delivery of cost effective quality care outcomes within various ambulatory care settings. This position focuses on Outpatient area, cardiac and surgery with some coverage responsibility for Emergency Trauma Center. Care management goals include patient advocacy; facilitate quality care and desired outcomes for patients; promote utilization of most appropriate level of care; obtain financial certification; decrease inappropriate clinical resource usage; promote early, timely discharge and provide smooth transition along continuum of care. Coordination involves assessment, planning, support, and evaluation of patient care and related outcomes. Activities to be performed include but are not limited to: utilization management, insurance verification, pre-certification with payors, clinical care management, clinical resource management, clinical teaching, and discharge planning. The Ambulatory Care Manager provides professional nursing care within Borgess Medical Center. The practice of professional nursing is the systematic application of specialized knowledge and skill, derived from the biological, physical, and behavioral sciences to the care, treatment, counsel and health teaching of individuals who are experiencing changes in normal health processes or who require assistance in the maintenance of health and the prevention or management of illness, injury or disability and demonstrates this through the application of the Standards of Clinical Nursing Practice and Standards of Professional Performance defined by the American Nurses Association. The Ambulatory Care Manager recognizes that each patient is an unique individual and has the right to quality nursing care that ensures mutual goal setting between the Ambulatory Care Manager and the patient and that the Ambulatory Care Manager assures patient rights and privacy are protected. Recognizing personal, interpersonal, and social systems, the nursing process facilitates the promotion, maintenance and restoration of an individuals health, incorporating knowledge of growth and development through the life span. The Ambulatory Care Manager is held accountable to the ethical and professional standards as defined in the ANA Code for Nurses, the ANA Nursings Social Policy Statement, the State of Michigan Public Health Code, and the ANA and Specialty Nursing Standards of Clinical Practice. The Ambulatory Care Manager is held accountable to the standards set by BMC as defined in the Administrative, Patient Care and Biosafety Policy and Procedure Manuals. The Ambulatory Care Manager is also accountable to adhering to the standards set by regulatory agencies such as but not limited to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Conditions of Participation of Healthcare Finance Administration (HCFA), Michigan Occupational Health and Safety (MOSHA) and Emergency Medical Treatment and Active Labor Act (EMTALA). These accountabilities require individual competence in nursing practice, and the recognition and responsible acceptance of individual actions and judgments. Requirements:Bachelors degree in a health related field and 5 years recent experience/certification in utilization management, case management or focused discharge planning preferred. BSN or MSN or completion of BSN within 1 year of date of hire and one year experience certification in utilization management, case management or focused discharge planning preferred. Must be currently licensed as a registered nurse in the State of Michigan. Minimum of two years clinical experience in any setting. Prefer one year experience in an ambulatory care center specialty (acute healthcare environment) to assure sufficient understanding of patient types and to serve as expert resources to care teams. Other Requirements: Evaluation demonstrates past excellence in nursing practice and accountability in resolving patient care and system issues. Current knowledge and experience working with the following (for example): Community resources and services; placement options. Appropriate level of care (home care, rehab, and sub acute care, extended care facility). Rules and regulations of third party reimbursement for post hospital care/equipment. Current knowledge and experience working with third party payers regarding the following (for example): Appropriate criteria for hospitalization of patients. Pre-certification requirements. Requirements by payers for special review types. Basic computer skills in word processing and spreadsheet software preferred. Demonstrates leadership ability, communication, and interpersonal skills necessary to interact effectively with physicians, team members, external agencies/customers and patients/families. Analytical skills necessary to collect, tabulate, and analyze data to determine and implement effective actions and solutions. Work assigned/rotated shifts on weekends and holidays.

This position is responsible for the coordination and supervision of hospital and patient care services for the 2nd (3pm-11pm) shift. Provides leadership for clinical excellence, personnel management, resources management, fiscal accountability and maintenance of positive working relationships with staff, physicians, patients, visitors, volunteers, community agency representatives and the public. Participates in nursing and hospital activities to achieve department and organization goals. Makes decisions, authorizes and acts in the absence of department management and/or hospital administration. All job duties are performed in a manner, which demonstrates Borgess-Lees values of caring, respect and professional excellence toward patients, families, volunteers, physicians and coworkers. This includes cutting-edge diagnostics and imaging services, advanced surgical technologies and techniques, fast and trusted emergency care 24/7, cardiac diagnostics and treatments and a dozen different multi-specialty clinics. In addition to these capabilities, BLMH is part of Borgess Health, one of the regions largest and most recognized health systems. That means the medical professionals at BLMH have close, easy access to nationally recognized healthcare professionals, specialties and services. The future for BLMH is even brighter. The hospitals physician network, Borgess Lee Medical Group, opened a stunning new clinic that offers family medicine, internal medicine, surgery and pediatrics. Additionally this new clinic features adult and pediatric walk-in clinics. Also underway is a massive remodeling and expansion of the emergency room. Construction commenced in the spring of 2008. When completed, the emergency room at BLMH will offer ER services and capabilities that are unmatched in the region. Borgess-Lee Memorial Hospital It is the hospital that offers innovative medicine and inspired care to its patients and outstanding career opportunities to providers and caregivers. Requirements:Graduate of an accredited school of nursing and current RN licensure in the state of Michigan required. Bachelor of Science in nursing or related field from an accredited school of nursing preferred. CPR, BCLS and ACLS certification required. Minimum of three to five years current nursing experience required. ER or Critical Care and supervisor experience preferred. Benefits: Benefit package: health, dental, life, & disability insurance, FSAs & 403bs. Wages comparable with larger area hospitals.

Excellent opportunity in a beautiful resort community in Michigan!

The PositionThe Director of Acute Care will be responsible for overall operations of a four bed ICU and a 32 bed medical/surgical unit including telemetryOversees approximately 40 FTEs Seeking a registered nurse with a bachelors degree and at least three years of management experience; masters degree preferred The position will require a collaborative leader with strong mentoring and team building skillsExcellent salary and benefitsThe Organization96-bed, non-profit community health center with The Joint Commission Gold Seal of ApprovalServices include surgical services, obstetrics, nuclear medicine, diagnostic ultrasound, cardiac rehabilitation, cardiopulmonary, oncology, pediatrics and a sleep centerThe organization has registered pharmacists available 24 hours a day, houses audiology and speech therapy services, and is affiliated with Hospice and home health programsThe CommunityKnown as a peaceful harbor town, Cheboygan hugs the shoreline of Lake Huron and the banks of the Cheboygan RiverResidents enjoy boating, fishing, dining, shopping, hiking, biking, cross country skiing, snowmobiling and hunting. Along the way are waterfalls, perfect picnic places, swimming beaches and climbing rocksThe community offers excellent schools and a low cost of living with a family-friendly atmosphereFor questions, please contact, Terri Houchen, Executive Search consultant, B. E. Smith, thouchen@besmith.com , 800-397-2078

The PositionThe Director of Emergency Services will provide oversight for a seven bed emergency department and a 6-bed Urgent Care with approximately 17,000 annual visitsThe department is in need of a leader with a depth of process improvement knowledge as they are looking at throughput improvement and best practices within the ED and hospital-wideThe position will require a collaborative leader with strong mentoring and team building skills with a focus on improving customer satisfactionThe Organization96-bed, community health center with The Joint Commission Gold Seal of ApprovalThe hospital consists of 46 beds for medical/surgical patients including a four-bed intensive care unit and 50 beds for long term care patientsServices include 24-hour emergency care, surgical services, obstetrics, nuclear medicine, diagnostic ultrasound, cardiac rehabilitation, cardiopulmonary, oncology, pediatrics and a sleep centerThe CommunityKnown as a peaceful harbor town, Cheboygan hugs the shoreline of Lake Huron and the banks of the Cheboygan RiverResidents enjoy boating, fishing, dining, shopping, hiking, biking, cross country skiing, snowmobiling, and hunting and along the way are waterfalls, perfect picnic places, swimming beaches, and climbing rocksThe community offers excellent schools and a low cost of living with a family-friendly atmosphere