Grand Itasca Clinic and Hospital, a part of Fairview Health Services, is looking for a Certified Nurse Practitioner or licensed Physician Assistant (certified by NCCPA) to join its busy and growing medical practice. Grand Itasca is a fully integrated multi-specialty clinic and hospital located in Northern Minnesota. POSITION: Certified Nurse Practitioner or Physician Assistant EMPLOYMENT TYPE: 1.00 FTE WORK SCHEDULE: Days, Evenings, Weekends DEPARTMENT: Medical Staff Practice Opportunity Level III Trauma Center averaging 16,000 visits per year 24-hour physician emergency services Highly trained, expert emergency nursing staff Advanced diagnostic services including CT, MRI, nuclear medicine, and ultrasound Transport for critical patient via ground or helicopter transport if necessary Fully integrated Electronic Medical Record (EPIC) Preferred Qualifications Minimum 2 years of APP experience preferred. Training in Emergency Medicine preferred but not required. About Grand Itasca Grand Itasca is a fully integrated clinic and hospital with over 600 employees, including over 60 providers providing primary and specialty care such as: Family Medicine Pediatrics Internal Medicine OB/Gynecology General Surgery Cardiology Oncology Urology Rheumatology Anesthesiology Radiology Orthopedics Emergency Medicine Chiropractic Pathology Benefits Overview Grand Itasca offers a competitive compensation and benefit package that includes 401K/457B, Health, Dental, Vision, PTO, STDB/LTDB, Long Term Care, Professional liability coverage, and allowances for Continuing Education. Compensation Disclaimer The posted pay range is for a 1.0 FTE. The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Positions with the same min/max are flat rate jobs based on a 1.0 FTE schedule. Compensation plans based on production can allow for higher pay than the range posted. Hiring at the maximum of the range is not typical. Community Information Grand Itasca Clinic and Hospital has 10,000 to 12,000 patient visits per month. The primary service area of the clinic includes roughly 50,000 people. In the local and surrounding community, Grand Itasca is the dominant provider of primary health care services. A long tradition of providing excellent service in Family Practice and Internal Medicine has positioned the Clinic for its expansion into secondary care specialties. Grand Rapids is three hours from Minneapolis and 90 minutes from Duluth. ,_Minnesota EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.<img src="https://www.jobg8.com/Tracking.aspx?HC2AXlKUc17wahynK440Ugm" width="0" height="0" />

**Certified Nurse Practitioner or Physician Assistant**

Grand Itasca Clinic and Hospital, a part of Fairview Health Services, is looking for a Certified Nurse Practitioner or licensed Physician Assistant (certified by NCCPA) to join its busy and growing medical practice. Grand Itasca is a fully integrated multi-specialty clinic and hospital located in Northern Minnesota.

**Job Description**

- Level III Trauma Center averaging 16,000 visits per year
- 24-hour physician emergency services
- Highly trained, expert emergency nursing staff
- Advanced diagnostic services including CT, MRI, nuclear medicine, and ultrasound
- Transport for critical patients via ground or helicopter transport if necessary
- Fully integrated Electronic Medical Record (EPIC)

**Requirements**

- Minimum 2 years of APP experience preferred
- Training in Emergency Medicine preferred but not required

**Benefits**

- Competitive compensation and benefit package that includes 401K/457B, Health, Dental, Vision, PTO, STDB/LTDB, Long Term Care, Professional liability coverage, and allowances for Continuing Education

**Community Overview**

Grand Itasca Clinic and Hospital has 10,000 to 12,000 patient visits per month. The primary service area of the clinic includes roughly 50,000 people. In the local and surrounding community, Grand Itasca is the dominant provider of primary health care services. A long tradition of providing excellent service in Family Practice and Internal Medicine has positioned the Clinic for its expansion into secondary care specialties. Grand Rapids is three hours from Minneapolis and 90 minutes from Duluth.

Emergency Medicine Nurse Practitioner or Physician Assistant

Grand Itasca Clinic & Hospital, a part of Fairview Health Services, is currently seeking an enthusiastic Registered Nurse to join our team! A long-tenured management team that takes a personal interest in every employee is one of the many advantages you'll find here at Grand Itasca Clinic & Hospital. POSITION: Registered Nurse (RN) EMPLOYMENT TYPE: .6-.75 FTE (48-60 Hrs/Pay Period) SHIFT: Days, Nights DEPARTMENT: Women's Health & Birth Center Internal posting until 2/12/25 JOIN OUR TEAM: Nestled in the heart of the Northland, Grand Itasca Clinic & Hospital is the dominant provider of primary care services in the local and surrounding area to include roughly 50,000 people. We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 600 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. JOB SUMMARY: A clinically competent, registered, professional nurse who has demonstrated expertise in Labor and Delivery along with pre/postpartum care. Effectively delivers critical care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. This position is responsible to provide timely, accurate and professional nursing care to patients and families in the department. JOB DUTIES: Provides quality care to all patients and ensures patient safety throughout the continuum of patient care, advocates for the patient respecting advanced directives and patient decisions. Completes admission assessment according to unit policy, utilizing past medical history, therapeutic communication and physical assessment. Utilizes critical thinking and analysis. Identifies accurately nursing diagnosis/collaborative problems to determine appropriate interventions within the framework of accepted standards of care. Assesses the individual needs of the adult, geriatric, adolescent and pediatric patients and developing appropriate plans of care Maintains accurate, objective patient records. Ensures efficiency and accuracy of orders. Assumes patient care responsibilities by organizing workload effectively and remaining flexible to environmental changes. Utilizes departments equipment correctly and efficiently; demonstrates knowledge of special preparations or equipment needed for department specific procedures. Nursing skills/competencies include but are not limited to: Assess, implement and evaluate education and nursing care for antepartum, intrapartum, and postpartum patients, newborns and other assigned patients. IV access, airway management, pain management, neurological assessment, fluid management, infection control measures, and respiratory management. Communicates professionally and collaborates effectively with patients, families, co-workers, health care team members and ancillary departments to ensure patient centered coordination of care. Demonstrated abilities to manage large volumes of multiple patient, family, staff and physicians' priorities within short time frames and organize workload; includes critical thinking, delegation skills and respectful communication. Ensures plan of care is consistent with nursing standards and hospital policy and procedures. Participation in performance improvement activities. Maintains knowledge of The Joint Commission standards and incorporates the standards into the practice of Critical Care nursing. Collaborates with and delegates to ancillary/professional staff as appropriate; assures adherence to their scopes of practice, considering licensure and/or certification. Participates in professional growth and self-development activities to ensure accountability for own professional nursing practice. Participates in staff meetings, committees and special projects; actively contributes to Women's Health and Birth Center's quality and development QUALIFICATIONS: Registered with the Minnesota Board of Nursing. BSN preferred. Equivalent of one (1) year LDRP experience within past 2 years. Basic Life Support (BLS) certifications required and maintain certification. Current NRP certification or attends NRP within 3 months of employment and maintains certification. Completion of Fetal Heart Monitoring course preferred, or completes within 6 months of employment. Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission and values. Maintains reliable and consistent attendance If no candidates meet the above requirements, consideration will be given to those with 1 year relevant Acute Care Hospital experience within the past 3 years or 1 year LDRP experience in the past 3 years. Perform other related duties as required. This list is not all-inclusive, and any other task or job may be assigned in the future. The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.<img src="https://www.jobg8.com/Tracking.aspx?6QYARKSVQFOkbfOvt1Bl%2fQf" width="0" height="0" />

**Registered Nurse (RN)**

Grand Itasca Clinic & Hospital, a part of Fairview Health Services, is currently seeking an enthusiastic Registered Nurse to join our team! A long-tenured management team that takes a personal interest in every employee is one of the many advantages you'll find here at Grand Itasca Clinic & Hospital.

**Job Description**

- Provide quality care to all patients and ensure patient safety throughout the continuum of patient care, advocating for the patient respecting advanced directives and patient decisions.
- Complete admission assessments according to unit policy, utilizing past medical history, therapeutic communication, and physical assessment.
- Utilize critical thinking and analysis to identify nursing diagnoses and collaborative problems to determine appropriate interventions within the framework of accepted standards of care.
- Assess the individual needs of adult, geriatric, adolescent, and pediatric patients and develop appropriate plans of care.
- Maintain accurate, objective patient records and ensure efficiency and accuracy of orders.
- Organize workload effectively and remain flexible to environmental changes while assuming patient care responsibilities.
- Utilize department equipment correctly and efficiently; demonstrate knowledge of special preparations or equipment needed for department-specific procedures.
- Nursing skills/competencies include but are not limited to: assess, implement, and evaluate education and nursing care for antepartum, intrapartum, and postpartum patients, newborns, and other assigned patients; IV access; airway management; pain management; neurological assessment; fluid management; infection control measures; and respiratory management.
- Communicate professionally and collaborate effectively with patients, families, co-workers, health care team members, and ancillary departments to ensure patient-centered coordination of care.
- Manage large volumes of multiple patient, family, staff, and physician priorities within short time frames and organize workload; includes critical thinking, delegation skills, and respectful communication.
- Ensure the plan of care is consistent with nursing standards and hospital policy and procedures.
- Participate in performance improvement activities and maintain knowledge of The Joint Commission standards, incorporating them into the practice of Critical Care nursing.
- Collaborate with and delegate to ancillary/professional staff as appropriate; assure adherence to their scopes of practice, considering licensure and/or certification.
- Participate in professional growth and self-development activities to ensure accountability for own professional nursing practice.
- Participate in staff meetings, committees, and special projects; actively contribute to Women's Health and Birth Center's quality and development.

**Requirements**

- Registered with the Minnesota Board of Nursing. BSN preferred.
- Equivalent of one (1) year LDRP experience within the past 2 years.
- Basic Life Support (BLS) certification required and must maintain certification.
- Current NRP certification or attend NRP within 3 months of employment and maintain certification.
- Completion of Fetal Heart Monitoring course preferred or complete within 6 months of employment.
- Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission, and values.
- Maintain reliable and consistent attendance.

If no candidates meet the above requirements, consideration will be given to those with 1 year relevant Acute Care Hospital experience within the past 3 years or 1 year LDRP experience in the past 3 years.

Perform other related duties as required. This list is not all-inclusive, and any other task or job may be assigned in the future. 

The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. 

EEO/AA Employer/Vet/Disabled. All qualified applicants will receive consideration without regard to any lawfully protected status.

Registered Nurse -Women's Health & Birth Center

What you can expect Grand Itasca is a great place for Registered Nurses! We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. We're glad you are thinking about joining us! Grand Itasca has an excellent opportunity available within our Operating Room. If you are looking for a new chapter, a change of pace, or just to provide a helping hand, Grand Itasca is where you can build a more rewarding career. People support your growth here and there's a team spirit that makes the tough days a whole lot easier. That's Grand Itasca. About the Position: Position: Operating Room Registered Nurse Employment type: casual Work Schedule: Days Department: Surgical Services Internal posting until 2/12/25 Here's what you'll do when you join us: The Operating Room RN will be a part of a professional care team that delivers perioperative care to the surgical/endoscopic patient through the nursing process of assessment, planning, intervention, implementation, and evaluation. Collects patient health data that are relevant to the operative or invasive procedure, analyzes the data to determine nursing diagnosis and identifies expected outcomes that are unique to the patient. Develops and implements an individualized plan of care to attain expected outcomes and evaluates the patient's progress toward attaining outcomes. Systematically evaluates the quality and appropriateness of nursing practice. Communicates professionally and effectively with patients, families, co-workers, healthcare team members, and ancillary departments to ensure "Patient Centered" coordination of care. Acquires and maintains specialized knowledge and skills in nursing practice and evaluates his or her practice in context with current professional practice standards, rules and regulations. Maintains a working knowledge of the AORN and Joint Commission standards. Assigned call for weeknights, holidays, and weekends in an equal rotation with other OR nurses. Interacts with and contributes to the professional growth of peers and colleagues. Participates in performance improvement activities in the unit and organization. Incorporates research findings into practice. Provides leadership in the profession and professional practice setting. Collaborates with and delegates to ancillary/professional staff as appropriate; assures adherence to their scope of practice, considering licensure and/or certification Collaborates with the patient and designated support person(s) when practicing professional nursing. If you have these qualifications, we'd love to chat: Current Licensure with the Minnesota Board of Nursing. Bachelor's degree in nursing and 2 years of OR RN experience preferred. OR RN experience and/or Clinical experience as a Certified Surgical Technologist, and/or Successful completion of a Peri-operative course (AORN or CCI) or equivalent BLS and ACLS certifications or ability to attain within six months and maintain certification. Demonstrated ability to manage large volumes of multiple patient/family/staff/physicians/priorities within short time frames and organize workload; includes critical thinking, delegation skills, and respectful communication. Experience in assessing the individual needs of adult, geriatric, adolescent, and pediatric patients and their families undergoing operative or other invasive procedures, while developing appropriate plans of care. Ability to report to the hospital within thirty minutes of notification for call-outs. Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission and values. Maintains reliable and consistent attendance. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.<img src="https://www.jobg8.com/Tracking.aspx?mxACUbht%2b6W2ASR8dgVn%2bQw" width="0" height="0" />

**Operating Room Registered Nurse**

Grand Itasca is a great place for Registered Nurses! We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

We're glad you are thinking about joining us! Grand Itasca has an excellent opportunity available within our Operating Room. If you are looking for a new chapter, a change of pace, or just to provide a helping hand, Grand Itasca is where you can build a more rewarding career. People support your growth here and there's a team spirit that makes the tough days a whole lot easier. That's Grand Itasca.

**Job Description**

- The Operating Room RN will be a part of a professional care team that delivers perioperative care to the surgical/endoscopic patient through the nursing process of assessment, planning, intervention, implementation, and evaluation.
- Collects patient health data that are relevant to the operative or invasive procedure, analyzes the data to determine nursing diagnosis and identifies expected outcomes that are unique to the patient.
- Develops and implements an individualized plan of care to attain expected outcomes and evaluates the patient's progress toward attaining outcomes.
- Systematically evaluates the quality and appropriateness of nursing practice.
- Communicates professionally and effectively with patients, families, co-workers, healthcare team members, and ancillary departments to ensure "Patient Centered" coordination of care.
- Acquires and maintains specialized knowledge and skills in nursing practice and evaluates his or her practice in context with current professional practice standards, rules, and regulations.
- Maintains a working knowledge of the AORN and Joint Commission standards.
- Assigned call for weeknights, holidays, and weekends in an equal rotation with other OR nurses.
- Interacts with and contributes to the professional growth of peers and colleagues.
- Participates in performance improvement activities in the unit and organization.
- Incorporates research findings into practice.
- Provides leadership in the profession and professional practice setting.
- Collaborates with and delegates to ancillary/professional staff as appropriate; assures adherence to their scope of practice, considering licensure and/or certification.
- Collaborates with the patient and designated support person(s) when practicing professional nursing.

**Requirements**

- Current Licensure with the Minnesota Board of Nursing.
- Bachelor's degree in nursing and 2 years of OR RN experience preferred.
- OR RN experience and/or Clinical experience as a Certified Surgical Technologist, and/or Successful completion of a Peri-operative course (AORN or CCI) or equivalent.
- BLS and ACLS certifications or ability to attain within six months and maintain certification.
- Demonstrated ability to manage large volumes of multiple patient/family/staff/physicians/priorities within short time frames and organize workload; includes critical thinking, delegation skills, and respectful communication.
- Experience in assessing the individual needs of adult, geriatric, adolescent, and pediatric patients and their families undergoing operative or other invasive procedures while developing appropriate plans of care.
- Ability to report to the hospital within thirty minutes of notification for call-outs.
- Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission, and values.
- Maintains reliable and consistent attendance.

Registered Nurse - Operating Room

What you can expect Grand Itasca is a great place for Registered Nurses! We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. We're glad you are thinking about joining us! Grand Itasca has an excellent opportunity available within our Operating Room. If you are looking for a new chapter, a change of pace, or just to provide a helping hand, Grand Itasca is where you can build a more rewarding career. People support your growth here and there's a team spirit that makes the tough days a whole lot easier. That's Grand Itasca. About the Position POSITION: Registered Nurse Surgical Assistant EMPLOYMENT TYPE: .5-.7 FTE (40-56 hours a pay period) WORK SCHEDULE: Days/Evenings DEPARTMENT: Surgical Services Internal Posting through 11/26/2024 Here's what you'll do when you join us: The RN surgical assistant under the direction of the Surgical Services Nurse Leadership provides professional nursing care throughout the continuum of the surgical experience, assisting the surgeon with the care of the patient and family. This occurs in the peri-operative phase of surgical care. These persons are not authorized to operate independently. Works cooperatively with the surgeon to assess the needs of each patient on an individual basis and provide the services necessary to meet those needs. The RN assistant's play a hands-on role in surgical procedures using instruments and medical devices, providing surgical site exposure, providing hemostasis, suturing skin, dressing incisions and wounds, alerting physician to patient changes, and intervening if complications arise. Follows established scope of RN practice. Assists the surgeon as directed during operative cases in the Surgical Services Department Assists the operative crew with patient preparation in the peri-operative period, including patient transfer, positioning, prep and draping as directed by the surgeon and circulating RN. May assist the surgeon in the inpatient setting as directed. May be required to help cover other surgical assistants in the OR. Maintains a working knowledge of all surgical procedures, equipment and instrumentation involved in performing surgeries across multiple service lines. Assigned call for weeknights, holidays, and weekends in an equal rotation with other RN Surgical Assistant nurses. If you have these qualifications, we'd love to chat: Registered with the Minnesota Board of Nursing. BSN preferred. Current 1-year minimum RNSA/RNFA experience Current BLS and ACLS or ability to obtain within 6 months of hire. AORN Peri-operative Nursing 101 or equivalent course to be completed within 12 months of employment if not currently CNOR Certified or RNFA. CNOR Certification or attain certification within 2-years of hire and maintains certification. Maintains reliable and consistent attendance. If no candidates meet the above requirements, consideration will be given to those with 1 year or less current RNSA/RNFA experience, 2 years of Surgical Technician experience in the last 5 years, or 3 years OR RN experience within the last 5 years. The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. "We are an equal opportunity employer."<img src="https://www.jobg8.com/Tracking.aspx?xxL7uR1uYxmrfNMdsp%2f%2fmgo" width="0" height="0" />

**Registered Nurse Surgical Assistant**

Grand Itasca is a great place for Registered Nurses! We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

We're glad you are thinking about joining us! Grand Itasca has an excellent opportunity available within our Operating Room. If you are looking for a new chapter, a change of pace, or just to provide a helping hand, Grand Itasca is where you can build a more rewarding career. People support your growth here and there's a team spirit that makes the tough days a whole lot easier. That's Grand Itasca.

**Job Description**

- The RN surgical assistant under the direction of the Surgical Services Nurse Leadership provides professional nursing care throughout the continuum of the surgical experience, assisting the surgeon with the care of the patient and family. This occurs in the peri-operative phase of surgical care. These persons are not authorized to operate independently.
- Works cooperatively with the surgeon to assess the needs of each patient on an individual basis and provide the services necessary to meet those needs.
- The RN assistant plays a hands-on role in surgical procedures using instruments and medical devices, providing surgical site exposure, providing hemostasis, suturing skin, dressing incisions and wounds, alerting physician to patient changes, and intervening if complications arise.
- Follows established scope of RN practice.
- Assists the surgeon as directed during operative cases in the Surgical Services Department.
- Assists the operative crew with patient preparation in the peri-operative period, including patient transfer, positioning, prep and draping as directed by the surgeon and circulating RN.
- May assist the surgeon in the inpatient setting as directed.
- May be required to help cover other surgical assistants in the OR.
- Maintains a working knowledge of all surgical procedures, equipment and instrumentation involved in performing surgeries across multiple service lines.
- Assigned call for weeknights, holidays, and weekends in an equal rotation with other RN Surgical Assistant nurses.

**Requirements**

- Registered with the Minnesota Board of Nursing. BSN preferred.
- Current 1-year minimum RNSA/RNFA experience.
- Current BLS and ACLS or ability to obtain within 6 months of hire.
- AORN Peri-operative Nursing 101 or equivalent course to be completed within 12 months of employment if not currently CNOR Certified or RNFA.
- CNOR Certification or attain certification within 2 years of hire and maintains certification.
- Maintains reliable and consistent attendance.

If no candidates meet the above requirements, consideration will be given to those with 1 year or less current RNSA/RNFA experience, 2 years of Surgical Technician experience in the last 5 years, or 3 years OR RN experience within the last 5 years.

The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract.

Registered Nurse Surgical Assist

We're glad you are thinking about joining us. Grand Itasca is a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. About the Position POSITION: RN ICU Float EMPLOYMENT TYPE: Part-time .6 FTE (48 hours per pay period) WORK SCHEDULE: Days, Nights DEPARTMENT: Critical Cares Services - ICU Internal posting until 1/27/25 Overview: We care for patients with different diagnosis including but not limited to: Acute Myocardial Infarction, Congestive Heart Failure, Post-Trauma, Shock, Diabetic Ketoacidosis, Acute Croup and Surgical Patients. Job Duties: The Registered Nurse provides quality care to all patients and ensures patient safety throughout the continuum of patient care, advocates for the patient respecting advanced directives and patient decisions. The Registered Nurse completes admission assessment according to unit policy, utilizing past medical history, therapeutic communication and physical assessment. Utilizes critical thinking and analysis. The Registered Nurse identifies accurately nursing diagnosis/collaborative problems to determine appropriate interventions within the framework of accepted standards of care. The Registered Nurse assesses the individual needs of the adult, geriatric, adolescent and pediatric patients and developing appropriate plans of care. The Registered Nurse maintains accurate, objective patient records. The Registered Nurse ensures efficiency and accuracy of orders. The Registered Nurse assumes patient care responsibilities by organizing workload effectively and remaining flexible to environmental changes. The Registered Nurse utilizes departments equipment correctly and efficiently; demonstrates knowledge of special preparations or equipment needed for department specific procedures. The Registered Nurse nursing skills/competencies include but are not limited to: IV access, ECG interpretation, hemodynamic monitoring and interpretation, airway management, pain management, neurological assessment, fluid management, infection control measures, respiratory management and sedation/analgesia assessment and monitoring. The Registered Nurse communicates professionally and collaborates effectively with patients, families, co-workers, health care team members and ancillary departments to ensure patient centered coordination of care. The RN demonstrates abilities to manage large volumes of multiple patient, family, staff and physicians priorities within short time frames and organize workload; includes critical thinking, delegation skills and respectful communication. Ensures plan of care is consistent with nursing standards and hospital policy and procedures. Perform other related duties as required. This list is not all-inclusive and any other task or job may be assigned in the future. Required Qualifications: Registered with the Minnesota Board of Nursing. BSN preferred. Equivalent of one (1) year Critical Care experience or two (2) years Medical Surgical experience within the past five years. Basic Life Support (BLS) and Advance Cardiac Life Support (ACLS) certifications required and maintain certification. Pediatric Advance Life Support (PALS) or attain certification within six months of employment and maintains certification. Trauma Nursing Core Course (TNCC) or Comprehensive Advance Life Support (CALS) certification or attain certification within 12 months of initial orientation in the emergency department and maintain certification. ECG recognition/interpretation within six months of employment. If no candidates meet the above requirements, consideration will be given to those with one (1) years relevant Medical/Surgical experience OR 6 months of relevant Critical Care experience. Preferred Qualifications: American Association of Critical-Care Nurses (AACN) CCRN certification preferred. The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.<img src="https://www.jobg8.com/Tracking.aspx?6QYARKSVQFO%2b4j%2fT823wzAf" width="0" height="0" />

**RN ICU Float**

We're glad you are thinking about joining us. Grand Itasca is a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

**Job Description**

- Care for patients with different diagnoses including but not limited to: Acute Myocardial Infarction, Congestive Heart Failure, Post-Trauma, Shock, Diabetic Ketoacidosis, Acute Croup, and Surgical Patients.
- Provide quality care to all patients and ensure patient safety throughout the continuum of patient care, advocating for the patient respecting advanced directives and patient decisions.
- Complete admission assessments according to unit policy, utilizing past medical history, therapeutic communication, and physical assessment.
- Identify accurately nursing diagnoses/collaborative problems to determine appropriate interventions within the framework of accepted standards of care.
- Assess the individual needs of adult, geriatric, adolescent, and pediatric patients and develop appropriate plans of care.
- Maintain accurate, objective patient records.
- Ensure efficiency and accuracy of orders.
- Organize workload effectively and remain flexible to environmental changes.
- Utilize department equipment correctly and efficiently; demonstrate knowledge of special preparations or equipment needed for department-specific procedures.
- Nursing skills/competencies include but are not limited to: IV access, ECG interpretation, hemodynamic monitoring and interpretation, airway management, pain management, neurological assessment, fluid management, infection control measures, respiratory management, and sedation/analgesia assessment and monitoring.
- Communicate professionally and collaborate effectively with patients, families, co-workers, health care team members, and ancillary departments to ensure patient-centered coordination of care.
- Manage large volumes of multiple patient, family, staff, and physician priorities within short time frames and organize workload; includes critical thinking, delegation skills, and respectful communication.
- Ensure plan of care is consistent with nursing standards and hospital policy and procedures.
- Perform other related duties as required. This list is not all-inclusive and any other task or job may be assigned in the future.

**Requirements**

- Registered with the Minnesota Board of Nursing. BSN preferred.
- Equivalent of one (1) year Critical Care experience or two (2) years Medical Surgical experience within the past five years.
- Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications required and must maintain certification.
- Pediatric Advanced Life Support (PALS) or attain certification within six months of employment and maintain certification.
- Trauma Nursing Core Course (TNCC) or Comprehensive Advanced Life Support (CALS) certification or attain certification within 12 months of initial orientation in the emergency department and maintain certification.
- ECG recognition/interpretation within six months of employment.
- If no candidates meet the above requirements, consideration will be given to those with one (1) year relevant Medical/Surgical experience OR six months of relevant Critical Care experience.

**Preferred Qualifications**

- American Association of Critical-Care Nurses (AACN) CCRN certification preferred.

The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract.

Registered Nurse - Intensive Care Unit

Grand Itasca Clinic and Hospital, a part of Fairview Health Services, is looking for a Certified Nurse Practitioner or licensed Physician Assistant (certified by NCCPA) to join its busy and growing medical practice. Grand Itasca is a fully integrated multi-specialty clinic and hospital located in Northern Minnesota. POSITION: Certified Nurse Practitioner or Physician Assistant EMPLOYMENT TYPE: 1.00 FTE WORK SCHEDULE: Days DEPARTMENT: Medical Staff Practice Opportunity The practice is General Family Medicine with a full-time clinic practice, typically 4.5 days per week. Join a team of 20 Family Medicine Providers, 3 Pediatricians and 4 Internal Medicine Providers. Preferred Qualifications Minimum 2 years Nurse Practitioner or Physician Assistant experience preferred. About Grand Itasca Grand Itasca is a fully integrated clinic and hospital with over 600 employees, including over 60 providers providing primary and specialty care such as: Family Medicine Pediatrics Internal Medicine OB/Gynecology General Surgery Cardiology Oncology Urology Rheumatology Anesthesiology Radiology Orthopedics Emergency Medicine Chiropractic Pathology Benefits Overview Grand Itasca offers a competitive compensation and benefit package that includes 401K/457B, Health, Dental, Vision, PTO, STDB/LTDB, Long Term Care, Professional liability coverage, and allowances for Continuing Education. Compensation Disclaimer The posted pay range is for a 1.0 FTE. The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Positions with the same min/max are flat rate jobs based on a 1.0 FTE schedule. Compensation plans based on production can allow for higher pay than the range posted. Hiring at the maximum of the range is not typical. Community Information Grand Itasca Clinic and Hospital has 10,000 to 12,000 patient visits per month. The primary service area of the clinic includes roughly 50,000 people. In the local and surrounding community, Grand Itasca is the dominant provider of primary health care services. A long tradition of providing excellent service in Family Practice and Internal Medicine has positioned the Clinic for its expansion into secondary care specialties. Grand Rapids is three hours from Minneapolis and 90 minutes from Duluth. ,_Minnesota EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.<img src="https://www.jobg8.com/Tracking.aspx?NFDs8HWnuORY%2fHUeI6pYwAp" width="0" height="0" />

**Certified Nurse Practitioner or Physician Assistant**

Grand Itasca Clinic and Hospital, a part of Fairview Health Services, is looking for a Certified Nurse Practitioner or licensed Physician Assistant (certified by NCCPA) to join its busy and growing medical practice. Grand Itasca is a fully integrated multi-specialty clinic and hospital located in Northern Minnesota.

**Job Description**

- The practice is General Family Medicine with a full-time clinic practice, typically 4.5 days per week.
- Join a team of 20 Family Medicine Providers, 3 Pediatricians, and 4 Internal Medicine Providers.

**Requirements**

- Minimum 2 years Nurse Practitioner or Physician Assistant experience preferred.

**Benefits**

- Grand Itasca offers a competitive compensation and benefit package that includes 401K/457B, Health, Dental, Vision, PTO, STDB/LTDB, Long Term Care, Professional liability coverage, and allowances for Continuing Education.

**Community Overview**

Grand Itasca Clinic and Hospital has 10,000 to 12,000 patient visits per month. The primary service area of the clinic includes roughly 50,000 people. In the local and surrounding community, Grand Itasca is the dominant provider of primary health care services. A long tradition of providing excellent service in Family Practice and Internal Medicine has positioned the Clinic for its expansion into secondary care specialties. Grand Rapids is three hours from Minneapolis and 90 minutes from Duluth.

Family Medicine Nurse Practitioner or Physician Assistant

Grand Itasca Clinic & Hospital, a part of Fairview Health Services, is currently seeking an enthusiastic LPN/MA to join our team! Grand Itasca's LPN's/MA's work closely with providers to deliver quality patient care and service by maintaining patient flow, escorting patients through the clinic, identifying patient needs, collecting/verifying information, administering medications, updating electronic medical records, implementing methods as directed to improve care and the patient experience, maintaining exam/treatment rooms, ordering related supplies and display original thinking & creativity while working effectively as an important team member. POSITION: Licensed Practical Nurse (LPN) or Certified or Registered Medical Assistant - Urology EMPLOYMENT TYPE: .9-1.0 (72-80 hours a pay period) WORK SCHEDULE: Days DEPARTMENT: Clinic Nursing Internal posting until 10/7/24 Education Reimbursement! Experience Pay Given! Generous PTO Accruals! Employee Referral Program! JOB SUMMARY: Uses the nursing process - planning, implementation, and evaluation - under the supervision of the RN or licensed provider to provide continuing healthcare to individuals, families, and community. The LPN provides basic nursing care which includes performing routine office procedures and testing, participating in patient teaching, communicating effectively with others, and participating in decision making. When this job description applies to the assignment of a float position, the responsibilities are equivalent; however, the health care team and unit you are assigned to will direct specific job duties to meet the patient care needs. JOB DUTIES: Works cooperatively with the provider to determine the needs of each patient on an individual basis and provide the services necessary to meet these needs. Must be able to perform catheterization, void trials, bladder scans, and other duties associated with a Urology practice. Schedules surgeries for patients. Assures the necessary patient information is available for the provider prior to them seeing the patient. Accurately takes messages from patients, other providers, and other third parties to be relayed to the providers. Makes the necessary arrangements for the day when assigned as the early nurse. Accurately records patient information. Understands and is able to employ all BLS and First Aid techniques as needed QUALIFICATIONS: Maintains a current state licensure. Experience in Urology preferred. Experience in an ambulatory health care setting is preferred or experience in a hospital setting is a plus. Ability to work efficiently, accurately, and maintain positive working relationships. Ability to develop leadership skills, which affects the action of others through appearance, conduct, and practice. Demonstrates ability to handle personally sensitive material in a confidential manner. BLS certification to be completed within two months of employment. Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission and values. Maintains reliable and consistent attendance. The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.<img src="https://www.jobg8.com/Tracking.aspx?xAZl2OSnWhIwW8Ra2iwLXAk" width="0" height="0" />

**Licensed Practical Nurse (LPN) or Certified or Registered Medical Assistant - Urology**

Grand Itasca Clinic & Hospital, a part of Fairview Health Services, is currently seeking an enthusiastic LPN/MA to join our team! Grand Itasca's LPNs/MAs work closely with providers to deliver quality patient care and service by maintaining patient flow, escorting patients through the clinic, identifying patient needs, collecting/verifying information, administering medications, updating electronic medical records, implementing methods as directed to improve care and the patient experience, maintaining exam/treatment rooms, ordering related supplies, and displaying original thinking and creativity while working effectively as an important team member.

**Job Description**

- Uses the nursing process - planning, implementation, and evaluation - under the supervision of the RN or licensed provider to provide continuing healthcare to individuals, families, and community.
- Provides basic nursing care which includes performing routine office procedures and testing, participating in patient teaching, communicating effectively with others, and participating in decision making.
- Works cooperatively with the provider to determine the needs of each patient on an individual basis and provide the services necessary to meet these needs.
- Must be able to perform catheterization, void trials, bladder scans, and other duties associated with a Urology practice.
- Schedules surgeries for patients.
- Assures the necessary patient information is available for the provider prior to them seeing the patient.
- Accurately takes messages from patients, other providers, and other third parties to be relayed to the providers.
- Makes the necessary arrangements for the day when assigned as the early nurse.
- Accurately records patient information.
- Understands and is able to employ all BLS and First Aid techniques as needed.

**Requirements**

- Maintains a current state licensure.
- Experience in Urology preferred.
- Experience in an ambulatory health care setting is preferred or experience in a hospital setting is a plus.
- Ability to work efficiently, accurately, and maintain positive working relationships.
- Ability to develop leadership skills, which affects the action of others through appearance, conduct, and practice.
- Demonstrates ability to handle personally sensitive material in a confidential manner.
- BLS certification to be completed within two months of employment.
- Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission, and values.
- Maintains reliable and consistent attendance.

**Benefits**

- Education reimbursement
- Experience pay given
- Generous PTO accruals
- Employee referral program

The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract.

Licensed Practical Nurse / Medical Assistant

Grand Itasca Clinic & Hospital, a part of Fairview Health Services, is currently seeking a dedicated Registered Nurse to join our Home Care team! About the Position: Home Care Registered Nurse 6-.8 FTE (48-64 hours per pay period) Work Schedule: Days Internal posting through 9/17/24 JOB SUMMARY: The Home Care RN plans, organizes, coordinates and provides skilled nursing care to home care patients of all ages according to a plan of care, including advanced nursing interventions related to the patients' needs while following agency, State and Federal regulations through the competent application of primary nursing through a case management model. RN must possess the ability to function independently yet be a team player. Strong communication, organization, documentation and interpersonal skills are required. Here's what you'll do when you join us: 1. Planning: ongoing development and implementation of the plan of care Assesses and continually reassesses the patient's health status, environment, and support system through ongoing comprehensive assessment. Develops and maintains an individualized plan of care, related to the patient's needs, in collaboration with the patient/family, provider and interdisciplinary team. Evaluates the patient's progress and response to care/services delivered and adjusts the plan accordingly. Continually evaluating whether the patient's clinical needs can be safely met at home, the patient is able to care for themselves or has a primary caregiver and whether the home environment supports home care services. Continually reassess resource utilization as patient progresses towards goals. Reviews, prioritizes and implements POC based on patient need taking into consideration payer limitations. Completes assignments by managing all anticipated patient's care needs during visit and through next planned nurse visit. 2. Service delivery Provides specialized nursing skill in accordance with the plan of care and provider orders. Demonstrates competency in all skills required for the agency including but not limited to, wound vacuum, cauterization, TPN, medication management, venipuncture, infusion therapy, CADD pump, infusion therapy device care, wound care and aseptic technique. Teaches and supervises LPN, HHA, patients, caregivers and ALF facility staff as needed. 3. Coordination of services Communicates consistently and effectively with the patient, caregiver, providers and interdisciplinary (internal and external) team members to assure appropriate implementation and completion of the patient's plan of care. Participates in care conferences and communicates any changes in plan of care to the interdisciplinary care team. Addresses concerns and makes referrals to other disciplines and community agencies when needed. Manages patient expectations. Advances the POC with the multidisciplinary team. Consults with the other team members as needed to make modifications in the plan. Decreases utilization of services as patient moves towards goal achievement. Communicates/coordinates with the support team; including, but not limited to billing, coding, clinical resource, utilization review and insurance specialists. 4. Control Maintains complete, accurate and legible clinical records/ documentation on all patients according to agency policy. Meets all compliance measures i.e. provider orders, insurance authorization, patient rights Submits all documentation timely. Maintains fiscal accountability i.e. good steward of resources, visit utilization, mileage, visits and supplies within payer limits and maintains productivity standards. Responsible for completion of record audits and in-home observational audits. 5. On-call as scheduled to make un-planned and short notice home visits and to responds to patient needs. 6. Professional development Participates in professional growth and self-development activities to ensure accountability for own professional nursing practice. Maintains licensure Responsible to maintain OASIS competency to maximize appropriate reimbursement and accurate Home Health Compare scores. Understands Medicare, Medical Assistance, and other insurance authorization and eligibility/coverage criteria. Requests authorization when needed to ensure proper reimbursement. Stays current in, understands and follows regulatory requirements and State licensure laws, Medicare Conditions of Participation (COPs) and other regulatory bodies like TJC. Responsible for following all policies and procedures of the department Participates in the agency's Quality Assurance Process Improvement program; including but not limited to, QAPI projects, survey preparation, staff meetings, AWARE, CPR certified, yearly competency skills check list, and home visit for competency. Identifies processes to improve and potential solutions for the processes. Actively participates in educational programs, meetings and agency committees as appropriate. 7. Performs additional duties as assigned. If you have these qualifications, we'd love to chat: Must maintain a current, unrestricted registered nursing license with the Minnesota Board of Nursing that is in good standing. BLS Certification or ability to obtain within two (2) months. Must have reliable transportation and maintain current car insurance. Must possess ability to care for adult, geriatric and pediatric patients in an independent fashion in the home setting. Home Care experience preferred, with knowledge of reimbursement, prior authorization, OASIS, and Medicare rules and regulation. Must possess at least one of the following: One year RN Experience, or six-month's RN experience along with one-year LPN experience in Home Care, TCU or SNF. Demonstrated abilities to manage multiple priorities organize the workload; includes critical thinking, assessment skills, coordinating with physicians for care delivery. Experience in assessing the individual needs of the adult/geriatric or pediatric patients and developing appropriate written plans of care. Experience or the ability to learn during orientation the skills necessary to work with electronic medical records. Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission and values. Preferred Qualification: Bachelor's degree in nursing, previous Home Care experience, Public Health Nurse certification. Let's talk about benefits Competitive pay Tuition reimbursement and scholarship/grant opportunities Health, dental, vision, & life insurance kick in on the first of the month after 30 days of employment Generous paid time off package to maintain a healthy home-work balance STDB (short term disability bank) 401K with employer contributions Experience Pay Given Employee Referral Program About Grand Itasca: Nestled in the heart of the Northland, Grand Itasca Clinic & Hospital is the dominant provider of primary care services in the local and surrounding area to include roughly 50,000 people. We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.11. Maintains regular, dependable and consistent attendance. The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. "We are an equal opportunity, Affirmative Action employer."<img src="https://www.jobg8.com/Tracking.aspx?xX%2fzfyba5ADQjLwBqtFd6Ar" width="0" height="0" />

**Registered Nurse - Home Care**

Grand Itasca Clinic & Hospital, a part of Fairview Health Services, is currently seeking a dedicated Registered Nurse to join our Home Care team!

**Job Description**

- The Home Care RN plans, organizes, coordinates, and provides skilled nursing care to home care patients of all ages according to a plan of care, including advanced nursing interventions related to the patients' needs while following agency, State, and Federal regulations through the competent application of primary nursing through a case management model.
- RN must possess the ability to function independently yet be a team player. Strong communication, organization, documentation, and interpersonal skills are required.

Here's what you'll do when you join us:

1. Planning: ongoing development and implementation of the plan of care
   - Assesses and continually reassesses the patient's health status, environment, and support system through ongoing comprehensive assessment.
   - Develops and maintains an individualized plan of care, related to the patient's needs, in collaboration with the patient/family, provider, and interdisciplinary team.
   - Evaluates the patient's progress and response to care/services delivered and adjusts the plan accordingly.
   - Continually evaluating whether the patient's clinical needs can be safely met at home, the patient is able to care for themselves or has a primary caregiver, and whether the home environment supports home care services.
   - Continually reassess resource utilization as the patient progresses towards goals.
   - Reviews, prioritizes, and implements POC based on patient need taking into consideration payer limitations.
   - Completes assignments by managing all anticipated patient's care needs during visit and through next planned nurse visit.

2. Service delivery
   - Provides specialized nursing skill in accordance with the plan of care and provider orders.
   - Demonstrates competency in all skills required for the agency including but not limited to wound vacuum, cauterization, TPN, medication management, venipuncture, infusion therapy, CADD pump, infusion therapy device care, wound care, and aseptic technique.
   - Teaches and supervises LPN, HHA, patients, caregivers, and ALF facility staff as needed.

3. Coordination of services
   - Communicates consistently and effectively with the patient, caregiver, providers, and interdisciplinary (internal and external) team members to assure appropriate implementation and completion of the patient's plan of care.
   - Participates in care conferences and communicates any changes in plan of care to the interdisciplinary care team.
   - Addresses concerns and makes referrals to other disciplines and community agencies when needed.
   - Manages patient expectations.
   - Advances the POC with the multidisciplinary team. Consults with other team members as needed to make modifications in the plan. Decreases utilization of services as the patient moves towards goal achievement.
   - Communicates/coordinates with the support team; including but not limited to billing, coding, clinical resource, utilization review, and insurance specialists.

4. Control
   - Maintains complete, accurate, and legible clinical records/documentation on all patients according to agency policy.
   - Meets all compliance measures i.e. provider orders, insurance authorization, patient rights.
   - Submits all documentation timely.
   - Maintains fiscal accountability i.e. good steward of resources, visit utilization, mileage, visits, and supplies within payer limits and maintains productivity standards.
   - Responsible for completion of record audits and in-home observational audits.

5. On-call as scheduled to make unplanned and short notice home visits and to respond to patient needs.

6. Professional development
   - Participates in professional growth and self-development activities to ensure accountability for own professional nursing practice.
   - Maintains licensure.
   - Responsible to maintain OASIS competency to maximize appropriate reimbursement and accurate Home Health Compare scores.
   - Understands Medicare, Medical Assistance, and other insurance authorization and eligibility/coverage criteria. Requests authorization when needed to ensure proper reimbursement.
   - Stays current in, understands, and follows regulatory requirements and State licensure laws, Medicare Conditions of Participation (COPs), and other regulatory bodies like TJC.
   - Responsible for following all policies and procedures of the department.
   - Participates in the agency's Quality Assurance Process Improvement program; including but not limited to QAPI projects, survey preparation, staff meetings, AWARE, CPR certified, yearly competency skills checklist, and home visit for competency.
   - Identifies processes to improve and potential solutions for the processes.
   - Actively participates in educational programs, meetings, and agency committees as appropriate.

7. Performs additional duties as assigned.

**Requirements**

- Must maintain a current, unrestricted registered nursing license with the Minnesota Board of Nursing that is in good standing.
- BLS Certification or ability to obtain within two (2) months.
- Must have reliable transportation and maintain current car insurance.
- Must possess ability to care for adult, geriatric, and pediatric patients in an independent fashion in the home setting.
- Home Care experience preferred, with knowledge of reimbursement, prior authorization, OASIS, and Medicare rules and regulations.
- Must possess at least one of the following: One year RN experience or six months RN experience along with one year LPN experience in Home Care, TCU or SNF.
- Demonstrated abilities to manage multiple priorities organize the workload; includes critical thinking, assessment skills, coordinating with physicians for care delivery.
- Experience in assessing the individual needs of adult/geriatric or pediatric patients and developing appropriate written plans of care.
- Experience or the ability to learn during orientation the skills necessary to work with electronic medical records.
- Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission, and values.

**Preferred Qualifications**

- Bachelor's degree in nursing
- Previous Home Care experience
- Public Health Nurse certification

**Benefits**

- Competitive pay
- Tuition reimbursement and scholarship/grant opportunities
- Health, dental, vision & life insurance kick in on the first of the month after 30 days of employment
- Generous paid time off package to maintain a healthy home-work balance
- Short term disability bank
- 401K with employer contributions
- Experience pay given
- Employee referral program

**Community Overview**

Nestled in the heart of the Northland, Grand Itasca Clinic & Hospital is the dominant provider of primary care services in the local and surrounding area to include roughly 50,000 people. We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

Registered Nurse - Home Care

We're glad you are thinking about joining us. Grand Itasca is a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. POSITION: Critical Care Services Charge Nurse EMPLOYMENT TYPE: .6-.75 (48-60 hours / pay period) WORK SCHEDULE: Days / Nights DEPARTMENT: Critical Care Services Internal posting through: 12/4/24 JOB SUMMARY: A clinically competent, registered, professional nurse who has demonstrated expertise in critical care. Effectively delivers critical care to the patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. In addition, the Charge Nurse possesses the following skills: demonstrated leadership ability, ability to process multiple sources of information independently utilizing critical thinking, is adaptable to frequently changing situations, understands and responds to the needs of a multi-disciplinary team, works to build trust, is passionate about the needs of the customer (patient, family, providers, team members), demonstrated communication skills, and works to empower all members of the team to work toward their full potential. This position is responsible to ensure that timely, accurate, and professional nursing care is provided to the patients and families. Here's what you'll do when you join us: Assists and supports unit employees: ER/ICU RNs, Monitor Tech's and Critical Care Unit Coordinators Performs daily rounds in ER/ICU and leads ongoing "huddles" as necessary to ensure smooth patient flow. Collaborates with Manager/House Supervisor to obtain updated census of other hospital units and discuss plan of potential hospital admissions. Assists in maintaining patient and organizational flow; admission and discharge coordination Collaborates with the MSP and Surgical Services Charge Nurses to assist with any needs of coordinating patient flow. Ensure the process of reporting patient status to the following shift of nursing personnel. Ensure rounds on patients in the department and waiting room are being managed and that they are kept informed and updated on the patient's condition and/or situation. Staffs the unit according to organizational guidelines, ensure meal breaks for all staff, and facilitate to reduce overtime. Evaluates the effectiveness of care and addresses issues that may affect the desired patient outcomes. Promotes the delivery of safe effective and appropriate care in a timely and accurate manner. Assists/supports staff with all levels of patient care delivery. Oversee and directs the planning and distribution of patient assignments. Address patient and/or family issues/concern and communicates to the Manager. Understand and utilizes the online variance reporting system. Assesses risk, responds and solves issues that may arise in the ER/ICU and provides a safe working environment for the entire department. Performs and/or delegates the completion of quality review, regulatory observational/chart audits; actively contributes to quality and development including compliance, core measure and documentation. Demonstrates ability to provide immediate professional practice feedback to staff. Interacts with and contributes to the professional growth of peers, colleagues and unit. . Collaborates and supports staffs to ensure the completion of annual unit specific trainings, and organizational required education. Responds and assists all Trauma, STEMI, Stroke activations. Participates in the development and planning of goals and objectives related to Trauma/STEMI/Stroke/Emergency Operation Plan programs and compliance. Collaborates with the ED Nurse Manager, Trauma Program Medical Director, Stroke Medical Director, and Quality data abstractor in the development, implementation and evaluation of a Trauma/STEMI/Stroke/EOP quality care and programs Monitors team's compliancy according to the Trauma/STEMI/Stroke/EOP regulatory requirements, policies and standards. Participate in state and regional Trauma/STEMI/Stroke/EOP activities. Ensure completion of the daily/monthly checks (i.e Crash carts, accuchecks). Provides quality care to all patients and ensures patient safety throughout the continuum of patient care, advocates for family-centered approach, in accordance with established policies, procedures of the healthcare organization, as well as guidelines of profession organization. Oversees and directs the delivery of patient care through the process of assessment, diagnosis, planning, implementing and evaluation according to the Minnesota Nurse Practice Act, physician's orders, recognized nursing techniques, policies, procedures, and established standards. QUALIFICATIONS: 1. Registered with the Minnesota Board of Nursing. BSN preferred. 2. Equivalent of two (2) years Critical Care experience, three (3) years preferred within the past five years. a. ECG recognition/interpretation b. Certified Emergency Nurse (CEN) and/or CCRN certification preferred or willing to obtain within 24 months 3. Basic Life Support (BLS) and Advance Cardiac Life Support (ACLS) certifications required and maintain certification. 4. Pediatric Advance Life Support (PALS) certification or attain certification within six months of employment and maintains certification. 5. Trauma Nursing Core Course (TNCC) or Comprehensive Advance Life Support (CALS) certification or attain certification within 12 months of employment and maintains certification. 6. Demonstrated abilities to manage large volumes of multiple patient, family, staff and physicians priorities within short time frames and organize workload; includes critical thinking, teaching/delegation skills and respectful communication. a. Demonstrates mature judgment, initiative and proficiency in nursing skills b. Demonstrates leadership qualities, executive and organizational abilities c. Ability to lead and mentor change in culture of patient care team d. Ability to adapt resources to the need of the situation e. Leads by example in displaying consistent behaviors reflective of GICH standards of conduct 7. Demonstrated ability to follow and adhere to Grand Itasca and Hospital policies, vision, mission and values. 8. Maintains reliable and consistent attendance. The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.<img src="https://www.jobg8.com/Tracking.aspx?HC2AXlKUc16d7wwEGEqWVQm" width="0" height="0" />

**Critical Care Services Charge Nurse**

We're glad you are thinking about joining us. Grand Itasca is a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

**Job Description**

- A clinically competent, registered, professional nurse who has demonstrated expertise in critical care.
- Effectively delivers critical care to the patients through the nursing process of assessment, planning, intervention, implementation, and evaluation.
- Assists and supports unit employees: ER/ICU RNs, Monitor Techs, and Critical Care Unit Coordinators.
- Performs daily rounds in ER/ICU and leads ongoing "huddles" as necessary to ensure smooth patient flow.
- Collaborates with Manager/House Supervisor to obtain updated census of other hospital units and discuss plan of potential hospital admissions.
- Assists in maintaining patient and organizational flow; admission and discharge coordination.
- Collaborates with the MSP and Surgical Services Charge Nurses to assist with any needs of coordinating patient flow.
- Ensures the process of reporting patient status to the following shift of nursing personnel.
- Ensures rounds on patients in the department and waiting room are being managed and that they are kept informed and updated on the patient's condition and/or situation.
- Staffs the unit according to organizational guidelines, ensures meal breaks for all staff, and facilitates to reduce overtime.
- Evaluates the effectiveness of care and addresses issues that may affect the desired patient outcomes.
- Promotes the delivery of safe effective and appropriate care in a timely and accurate manner.
- Assists/supports staff with all levels of patient care delivery.
- Oversees and directs the planning and distribution of patient assignments.
- Addresses patient and/or family issues/concerns and communicates to the Manager.
- Understands and utilizes the online variance reporting system.
- Assesses risk, responds, and solves issues that may arise in the ER/ICU and provides a safe working environment for the entire department.
- Performs and/or delegates the completion of quality review, regulatory observational/chart audits; actively contributes to quality and development including compliance, core measure, and documentation.
- Demonstrates ability to provide immediate professional practice feedback to staff.
- Interacts with and contributes to the professional growth of peers, colleagues, and unit.
- Collaborates and supports staff to ensure the completion of annual unit-specific trainings, and organizational required education.
- Responds and assists all Trauma, STEMI, Stroke activations.
- Participates in the development and planning of goals and objectives related to Trauma/STEMI/Stroke/Emergency Operation Plan programs and compliance.
- Collaborates with the ED Nurse Manager, Trauma Program Medical Director, Stroke Medical Director, and Quality data abstractor in the development, implementation, and evaluation of a Trauma/STEMI/Stroke/EOP quality care programs.
- Monitors team's compliance according to the Trauma/STEMI/Stroke/EOP regulatory requirements, policies, and standards.
- Participates in state and regional Trauma/STEMI/Stroke/EOP activities.
- Ensures completion of the daily/monthly checks (i.e., crash carts, accuchecks).
- Provides quality care to all patients and ensures patient safety throughout the continuum of patient care, advocates for family-centered approach, in accordance with established policies, procedures of the healthcare organization, as well as guidelines of profession organization.
- Oversees and directs the delivery of patient care through the process of assessment, diagnosis, planning, implementing, and evaluation according to the Minnesota Nurse Practice Act, physician's orders, recognized nursing techniques, policies, procedures, and established standards.

**Requirements**

- Registered with the Minnesota Board of Nursing. BSN preferred.
- Equivalent of two (2) years Critical Care experience, three (3) years preferred within the past five years.
  - ECG recognition/interpretation
  - Certified Emergency Nurse (CEN) and/or CCRN certification preferred or willing to obtain within 24 months
- Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications required and maintain certification.
- Pediatric Advanced Life Support (PALS) certification or attain certification within six months of employment and maintains certification.
- Trauma Nursing Core Course (TNCC) or Comprehensive Advanced Life Support (CALS) certification or attain certification within 12 months of employment and maintains certification.
- Demonstrated abilities to manage large volumes of multiple patient, family, staff, and physicians' priorities within short time frames and organize workload; includes critical thinking, teaching/delegation skills, and respectful communication.
  - Demonstrates mature judgment, initiative, and proficiency in nursing skills
  - Demonstrates leadership qualities, executive and organizational abilities
  - Ability to lead and mentor change in culture of patient care team
  - Ability to adapt resources to the need of the situation
  - Leads by example in displaying consistent behaviors reflective of GICH standards of conduct
- Demonstrated ability to follow and adhere to Grand Itasca and Hospital policies, vision, mission, and values.
- Maintains reliable and consistent attendance.

The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract.

Registered Nurse - Critical Care Charge Nurse

We're glad you are thinking about joining us. Grand Itasca is a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. About the Position POSITION: Registered Nurse EMPLOYMENT TYPE: .6-.75 FTE D/N (48-60 hours per pay period) WORK SCHEDULE: Day/Night DEPARTMENT: Emergency Department Internal Posting through 2/5/25 OVERVIEW: This ER has a total of 10 beds that sees abdominal pains, falls, strokes, chest pain, headaches etc within Pediatric through geriatric patients. The unit schedules 2 ED RN's 24/7, Critical Care Unit Coordinator (CNA) 24/7, 3rd ED RN mid morning 24/7, and 4th ED RN mid day 24/7. Critical Care Services ED/ICU are supported with a Charge RN 24/7. ER MD 24/7 in support with an additional ER provider mid day. All shift are 12 hour shifts every third weekend. JOB SUMMARY: A clinically competent, registered nurse who has demonstrated expertise in critical care. Effectively delivers critical care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. This position is responsible to provide timely, accurate and professional nursing care to patients and families in the department. JOB DUTIES: 1. The Registered Nurse demonstrates abilities to manage large volumes of multiple patient, family, staff and physicians priorities within short time frames and organize workload; includes critical thinking, delegation skills and respectful communication. 2. The Registered Nurse provides quality care to all patients and ensures patient safety throughout the continuum of patient care, advocates for the patient respecting advanced directives and patient decisions. 3. The Registered Nurse completes admission assessment according to unit policy, utilizing past medical history, therapeutic communication and physical assessment. Utilizes critical thinking and analysis. 4. The RN Identifies accurately nursing diagnosis/collaborative problems to determine appropriate interventions within the framework of accepted standards of care. 5.The RN assesses the individual needs of the adult, geriatric, adolescent and pediatric patients and developing appropriate plans of care 6. Maintains accurate, objective patient records. 7. Ensures efficiency and accuracy of orders. 8. The RN assumes patient care responsibilities by organizing workload effectively and remaining flexible to environmental changes. 9. The Registered Nurse utilizes the department equipment correctly and efficiently; demonstrates knowledge of special preparations or equipment needed for department specific procedures. 10. Nursing skills/competencies include but are not limited to: IV access, ECG interpretation, hemodynamic monitoring and interpretation, airway management, pain management, neurological assessment, fluid management, infection control measures, respiratory management and sedation/analgesia assessment and monitoring. 11. Communicates professionally and collaborates effectively with patients, families, co-workers, health care team members and ancillary departments to ensure patient centered coordination of care. 12. The RN ensures plan of care is consistent with nursing standards and hospital policy and procedures. 13. Participation in performance improvement activities. 14. Maintains knowledge of The Joint Commission standards and incorporates the standards into the practice of Critical Care nursing. 15. Collaborates with and delegates to ancillary/professional staff as appropriate; assures adherence to their scopes of practice, considering licensure and/or certification. 16. Participates in professional growth and self-development activities to ensure accountability for own professional nursing practice. 17. Participates in staff meetings, committees and projects; actively contributes to the Critical Care Services quality and development. 18. Must be willing to be cross-trained to ICU and to be scheduled there to maintain competency. QUALIFICATIONS: 1. Registered with the Minnesota Board of Nursing. BSN preferred 2. Equivalent of one (1) year Critical Care experience within the past five years. a. ECG recognition/interpretation within 6 months of employment. b. Emergency Department experience preferred c. Certified Emergency Nurse (CEN) preferred. 3. Basic Life Support (BLS) and Advance Cardiac Life Support (ACLS) certifications required and maintain certification. 4. Pediatric Advance Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC) certification or attain certification within six months of employment and maintains certification. 5. Trauma Nursing Core Course (TNCC) or Comprehensive Advance Life Support (CALS) certification or attain certification within 12 months of employment and maintains certification. 6. Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission and values. 7. Maintains reliable and consistent attendance. If no candidates meet the above requirements, consideration will be given to those with one (1) year RN experience. Paramedic, EMT, ED Internship, or ED Capstone experience preferred. The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status<img src="https://www.jobg8.com/Tracking.aspx?tjTXx%2flKAG6R1m8yJLlXpAv" width="0" height="0" />

**Registered Nurse**

We're glad you are thinking about joining us. Grand Itasca is a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

**Job Description**

- This ER has a total of 10 beds that sees abdominal pains, falls, strokes, chest pain, headaches, etc., within pediatric through geriatric patients.
- The unit schedules 2 ED RNs 24/7, Critical Care Unit Coordinator (CNA) 24/7, 3rd ED RN mid-morning 24/7, and 4th ED RN mid-day 24/7. Critical Care Services ED/ICU are supported with a Charge RN 24/7. ER MD 24/7 in support with an additional ER provider mid-day. All shifts are 12-hour shifts every third weekend.
- A clinically competent registered nurse who has demonstrated expertise in critical care. Effectively delivers critical care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. This position is responsible for providing timely, accurate, and professional nursing care to patients and families in the department.

**Job Duties**

- The Registered Nurse demonstrates abilities to manage large volumes of multiple patient, family, staff, and physician priorities within short time frames and organize workload; includes critical thinking, delegation skills, and respectful communication.
- The Registered Nurse provides quality care to all patients and ensures patient safety throughout the continuum of patient care, advocates for the patient respecting advanced directives and patient decisions.
- The Registered Nurse completes admission assessment according to unit policy, utilizing past medical history, therapeutic communication, and physical assessment. Utilizes critical thinking and analysis.
- The RN identifies accurately nursing diagnosis/collaborative problems to determine appropriate interventions within the framework of accepted standards of care.
- The RN assesses the individual needs of the adult, geriatric, adolescent, and pediatric patients and develops appropriate plans of care.
- Maintains accurate, objective patient records.
- Ensures efficiency and accuracy of orders.
- The RN assumes patient care responsibilities by organizing workload effectively and remaining flexible to environmental changes.
- The Registered Nurse utilizes the department equipment correctly and efficiently; demonstrates knowledge of special preparations or equipment needed for department-specific procedures.
- Nursing skills/competencies include but are not limited to: IV access, ECG interpretation, hemodynamic monitoring and interpretation, airway management, pain management, neurological assessment, fluid management, infection control measures, respiratory management, and sedation/analgesia assessment and monitoring.
- Communicates professionally and collaborates effectively with patients, families, co-workers, health care team members, and ancillary departments to ensure patient-centered coordination of care.
- The RN ensures the plan of care is consistent with nursing standards and hospital policy and procedures.
- Participation in performance improvement activities.
- Maintains knowledge of The Joint Commission standards and incorporates the standards into the practice of Critical Care nursing.
- Collaborates with and delegates to ancillary/professional staff as appropriate; assures adherence to their scopes of practice, considering licensure and/or certification.
- Participates in professional growth and self-development activities to ensure accountability for own professional nursing practice.
- Participates in staff meetings, committees, and projects; actively contributes to the Critical Care Services quality and development.
- Must be willing to be cross-trained to ICU and to be scheduled there to maintain competency.

**Requirements**

- Registered with the Minnesota Board of Nursing. BSN preferred.
- Equivalent of one (1) year Critical Care experience within the past five years.
  - ECG recognition/interpretation within 6 months of employment.
  - Emergency Department experience preferred.
  - Certified Emergency Nurse (CEN) preferred.
- Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications required and maintain certification.
- Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC) certification or attain certification within six months of employment and maintain certification.
- Trauma Nursing Core Course (TNCC) or Comprehensive Advanced Life Support (CALS) certification or attain certification within 12 months of employment and maintain certification.
- Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission, and values.
- Maintains reliable and consistent attendance.

If no candidates meet the above requirements, consideration will be given to those with one (1) year RN experience. Paramedic, EMT, ED Internship, or ED Capstone experience preferred.

The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract.

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