Clinical Nurse Leader RN
Company: Rush University Medical Center
Location: Oak Park
Posted on: June 17, 2022
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Job Description:
**Job Description**
**Department:** Telemetry
**Work Type:** Full Time (Total FTE between 0.9 and 1.0)
**Shift:** **Shift 1**
**Work Schedule:** **10 Hr**
**Summary:**
The Clinical Nurse Leader (CNL) is an expert nurse and role model
who achieves expected outcomes, demonstrates leadership, and serves
as a resource in the management of clinically complex patients. The
CNL works with the healthcare team to coordinate care for all
patients within the defined microsystem and functions to provide
holistic patient centered care using the nursing process and
evidence based practices. The CNL is responsible for determining
the appropriateness of admissions and continued patient stay,
assisting the Care Management team in the development of the plan
of care, ensuring that the plan is implemented in a timely basis,
and identifying the expected length of stay (ELOS). The CNL
contributes to the healthcare team's effectiveness by identifying
barriers to effective and efficient utilization of resources and
evaluating patients' psychosocial and/or financial and clinical
needs throughout the continuum of care. The CNL also functions as a
nexus of internal and external communication between patients,
physician practices, the hospital, and other community providers,
and actively participates in and initiates efforts to enhance
patient flow and decrease length of stay while increasing patient
satisfaction and reducing readmissions. The CNL evaluates,
monitors, and improves the quality of nursing care, promotes
quality patient care by participating in performance improvement
activities, and coordinates and participates in the provision of
education and/or nursing quality improvement. The CNL evaluates
monitors, manages and improves the quality of nursing care through
planning, implementation, and evaluation of educational activities
to promote high standards of nursing practice throughout the
Division of Nursing. The CNL assignment will be by unit and may
require responsibility on other units. The CNL functions over half
of the time in direct patient care through these activities on the
assigned unit. The CNL assists in organizational initiatives as
relates to ongoing upkeep of specialty designations, regulatory
requirements and community collaboratives. Exemplifies the Rush
mission, vision and values and acts in accordance with Rush
policies and procedures.
**Relationships and Caring**
--- Create respectful interactions that are therapeutic and
trusting through supporting patient's rights to make decisions
about care and treatment and through remaining cognizant of
cultural differences when communicating.
Foster collaborative relationship with interdisciplinary team and
colleagues through rounding with other members of the
interdisciplinary team to discuss patient progress and by
conducting interdisciplinary team meetings to provide mechanism for
all clinical disciplines to collaborate, plan, implement, and
assess the plan of care.
--- Interact with the patient/family upon admission and throughout
the hospital stay to discuss the plan of care and coordination of
services based on clinical needs and available resources.
--- Support of educational environment through patient and family
education regarding available options for care through the
continuum, creation and coordination of the development of patient
educational pathways and patient education materials, and by
providing formal and informal educational opportunities on the unit
to improve clinical skills of all staff.
--- Nurture professional relationships both internal and external
to unit and organization with professional organizations,
regulatory bodies, Boards of Nursing, colleges of nursing and other
key stakeholders through participation in continuing education for
self and for the development of colleagues and future
generations.
--- Seek opportunities within the nursing team to act as coach,
mentor, and support to staff of all disciplines and students
through utilizing the most current tools to access information,
ensuring appropriate assessments of learner needs.
--- Work collaboratively with physicians on concurrent denial
appeals.
--- Coordinate direct communication between the physician and the
payors medical director as required.
--- Assist Clinical Social Worker and Emergency Department staff to
identify the appropriate level of care for the patient by utilizing
approved criteria and identify clinical resources to achieve
optimal patient outcomes and appropriate reimbursement for ROPH
(e.g. Skilled Nursing Facility (SNF), Long Term Acute Care (LTAC)
inpatient psychiatric placement, ROPH observation, or ROPH acute
inpatient).
--- Cultivate and maintain a collaborative relationship with
community agencies offering services to discharged patients.
Maintain and promote the Rush System for Health ICARE Values as
customer service is performed.
**Leadership**
--- Lead activities that evaluate current practice and stimulate
change through the dissemination and implementation of latest
evidence-based practice to nursing staff and colleagues, writing or
revising unit-based or organizational procedures and/or protocols
to reflect the latest evidence, implementation of research findings
determining costs and client benefits, and through assuming a
leadership role in facilitating division-wide innovations in the
development, revision and implementation of clinical protocols
which transition patient across the continuum of care.
--- Mentor other nurses and students regarding nursing practice and
career development through providing formal and informal
educational opportunities on the unit to improve clinical skills,
recommending specific programming to build clinical skill sets, and
through effective communication to support staff progress towards
identified goals.
--- Manage patient services beyond the clinical unit through
negotiation of health care resources on behalf of the patient, and
through working with team members, other leaders, and physicians to
develop and trend performance improvement indicators based on
national standards and best practices.
--- Evaluate, plan, and have ownership of nursing care for a group
of patients for a period of time through outcome management by
reviewing consultation notes and/or speaking directly with
consultants to discuss patient care and though assessment of
patients' response to treatment and care.
--- Communicate and advocate for additional resources when
necessary through the maintaining of communication with the Care
Management team, Managers and Physicians to ensure appropriate
utilization of resources.
--- Meet patient care needs through the troubleshooting of complex
problems in patient care and by ensuring patient/family preparation
for care across the continuum
Provide consultation to physicians and providers to expedite the
process of clinical decision-making, diagnostic testing, and
treatment.
--- Implement and engage in care coordination of specific
activities, conferences, strategies, and interventions to move the
patient through the continuum of care.
--- Establish and maintain a system to identify barriers to
efficient and effective care.
Collect and analyze data for presentation to the Utilization
Review/Performance Improvement Committee as well as other meetings
as applicable.
--- Review all direct admissions and transfers from other
facilities for appropriate level of care placement, utilizing
approved criteria.
--- Serve on ROPH Division of Nursing and Professional Nursing
Staff process improvement committees as designated.
--- Serve and as a role model to nursing staff by demonstrating
skilled interpersonal communication while involved in programs at
ROPH.
--- Oversee and create nursing education programs, utilize the ROPH
nursing learner needs assessment to identify gaps in knowledge of
nursing staff and deliver education to meet them.
--- Collaborate and plan with colleges of nursing to provide
progressive educational experience for all levels of nursing
students at ROPH.
--- Lead initiatives and meet deadlines relative to maintenance of
Joint Commission accreditation, ANCC Magnet
--- Designation and other specialty designations or certifications
within the organization.
--- Support and facilitate planning for ROPH based faculty and
instructors as well as meaningful student experiences throughout
the organization.
**Evidenced Based Practice**
--- Employ nurses science to patient care and environment through
utilization of information technology to obtain evidence-based
practices and the latest research to provide current best practice
information to care providers on the unit.
--- Base strategies on successful interventions for given patient
population, substantiates procedures, standards, and protocols by
research or best practice by exemplars, contribute to body of
evidence for best practice by questioning interventions and
studying alternatives, and provides a structure for evaluation of
evidence and dissemination of best practice through the
dissemination and implementation of latest evidence-based practice
to nursing staff and colleagues and the writing and/or revising of
unit-based procedures, protocols to reflect latest evidence.
--- Coordinate and lead formal and informal educational programs
based on nursing evidence for staff and students.
--- Initiate and/or participate in the development, implementation,
and evaluation of Care and Standards of Practice.
--- Lead activities that evaluate current practice and stimulate
changes in nursing practice.
--- Use the results of quality monitoring data and other
evidence-based content to plan and conduct annual competency
verification activities that assure compliance with RUMC, ROPH, The
Joint Commission, Illinois Department of Public
--- Health, and professional association standards.
--- Complete continued stay reviews utilizing standardized criteria
to justify continued inpatient stay.
--- Maintain expertise with utilization review guidelines and
regulation and educates interdisciplinary team members where
appropriate.
--- Coordinate discharge planning and social service functions,
ensuring compliance with federal and state laws governing hospitals
and in context of current prevailing reporting structures such as
IHA and HCAHPS and their associated benchmarks and
expectations.
--- Utilize best practice and current scientific literature reviews
to pursue care coordination, discharge planning, transitions
management.
--- Pursue regular and frequent education for department and other
key groups within ROPH related to case management, utilization
review and care coordination.
Create and maintain programs for education that reflect best
current practices for nurses, other disciplines and students.
--- Maintain standardized organizational as well as unit specialty
population specific elements of the CNL role, seeking to update it
with any new evidence relative to this job description.
**Technical Expertise**
--- Use technology to deliver effective patient care through the
utilization of information technology to obtain evidence-based
practices and the latest research.
--- Translate purpose of equipment and medical devices for patient
and families, coordinate the medication administration process, and
coordinate the plan of care through the continuum through the
coordination of care of multiple disciplines actively involved in
patient care.
--- Review specific patient cases to determine compliance with
standards for nursing practice and reports findings to unit
managers, unit advisory committee, and appropriate NPGO standing
committees.
--- Develop, implement, and evaluate programs at the division-wide
and the department level.
Identify educational needs of nursing staff and interdisciplinary
team in order to develop, implement, and evaluate continued
education programs, product in-services, and other staff
development activities.
--- Coordinate the necessary tools, information, resources, and
personnel for special programs and projects.
--- Serve and lead as an expert in quality improvement processes,
tools and methodologies
--- Document all clinical reviews in the Electronic Medical Record
and include criteria justification.
--- Evaluation and documentation of outcomes achieved and
identified internal and external barriers.
--- Maintain a working knowledge of the UR requirements of each
payor within the patient population, perform level of care
appropriateness reviews and document review activities in the
electronic medical record as indicated.
--- Document patient assessments and subsequent discharge plans,
continuum of care coordination activities, and associated,
individualized action plans in the electronic medical record.
**Critical Thinking**
--- Synthesize information and use reasoned clinical judgment which
understand science, assures patient safety, advocates for patient
and family, revises plan of care when needed through providing
centralized care and the coordination of a caseload of patients at
the microsystem level and through the overseeing of the management
of patient care through assessment of patient population daily.
--- Inquire and ask clarifying questions through communication
between caregivers in a timely, continuous, and complete
manner.
--- Identify issues through interpretation of quality data and
assists in the coordination of quality improvement activities for
assigned departments as negotiated with the Unit Directors.
--- Mentor staff and students in the development and application of
critical thinking in order to manage complex patients, care for
changing patient conditions, and understand quality improvement
data/activities.
--- Educate nursing staff in the understanding and interpretation
of quality improvement data, activities, and quality tools.
--- Communicate and facilitate understanding among patient and
others on the clinical team through the facilitation of direct care
when appropriate and through the facilitation of full team
discussions including patient and family.
--- Review new admissions and perform utilization review, discharge
planning, outlier case review, psychosocial needs assessment and/or
care management.
--- Actively screen all patients for being high risk readmitters
and create individualized plans of care, collaborating with the
interdisciplinary team on strategies to promote their health in the
outpatient setting, rather than through a readmission.
--- Identify variances related to length of stay and the discharge
planning process and develop individualized plans to resolve
barriers.
--- Conduct follow-up of care of treatment delays, results
reporting and actions outcomes in the electronic medical
record.
--- Appropriately identify, refer and collaborate on cases with the
Physician Advisor that do not meet criteria for admission or
continued stay, utilizing approved criteria to support timely
progression of patients along the healthcare continuum.
**Required Job Qualifications:**
--- Master's Degree in: Nursing from an accredited school of
nursing is required (must, at a minimum, be enrolled in a Master's
Program with proof of graduation date within 9 months of
employment).
--- BLS
--- At least 1 year experience
--- Professional nursing certification.
--- ACLS
--- PALS in ED or continuously assigned to areas with a scope of
service that involves patients under the age of 13.
--- Incident Command Training
--- Case Management Educational Programs as dictated by
organization
--- Clinical Nurse Leader- ICU: At least 1 year of ICU RN
experience, and ACLS
--- Clinical Nurse Leader-ED: At least 1 year of ED RN experience,
ACLS, and PALS required.
*Clinical Nurse Leader-Perioperative Services: At least 1 year of
RN experience within a perioperative services
departments (OR, SDS, PACU, Pre-op, or Endo), ACLS required.
--- Clinical expertise, ability to practice at an advanced
level
--- Ability to teach and motivate staff
--- Ability to act flexibly as new developments arise and
priorities change
--- Ability to take initiative and develop role
--- Mentoring and group facilitation skills
--- Must possess level of interpersonal skills sufficient to
interact effectively across the multidisciplinary team
--- Knowledgeable on evidence based practice
--- Basic computer skills
--- Can demonstrate recent clinical practice
--- Ability to utilize various data monitoring outcomes through
tools such as Excel.
--- Ability to disseminate outcomes and knowledge through the use
of PowerPoint and writing abilities.
--- Ability to meet deadlines both at unit and organizational
level.
**Preferred Job Qualifications:**
--- Clinical Nurse Leader certification preferred, but not
required.
--- CCRN.
Rush is an equal opportunity employer. We evaluate qualified
applicants without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, disability, veteran
status, and other legally protected characteristics.
Rush Oak Park Hospital has provided exceptional health care in
Chicago's western suburbs for more than a century. As a partner
with Rush University Medical Center, we combine the convenience and
personal touch of a community hospital.
**Position** Clinical Nurse Leader RN
**Location** US:IL:Oak Park
**Req ID** 1059
Keywords: Rush University Medical Center, Oak Park , Clinical Nurse Leader RN, Other , Oak Park, Illinois
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