Cardiology Clinic Nurse/Case Manager
Expert Services:
- Provides patient-centered, culturally appropriate care to patients with cardiovascular disease.
- Gathering and reporting information about the patient’s condition by reviewing vital signs, medications, symptom assessment, compliance with plan of care; reviewing echocardiograms, lab data and performing 12 lead ECGs as needed.
- The cardiology case manager must be ACLS certified (within 6 months) to provide conscious sedation for transesophageal echocardiograms and proficient at managing dobutamine infusion per protocol during dobutamine stress testing (training provided).
- Phlebotomy skills for laboratory testing, IV placement and assessment
- Managing and organizing the provider’s schedule
- Scheduling and contacting patients for appointments
- Coordinating referrals with other specialty clinics and outside facilities
- Triaging patient concerns over the telephone and giving appropriate advice
- Educating every patient about diet and healthy lifestyle choices for optimal cardiovascular health
Work Environment:
- Nine exam rooms, one device interrogation room, four cardiovascular testing rooms
- One echo reading room
- Supply room with Pyxis system for medication management
- Computers in every exam room and throughout the clinic
- Offices are located in the Inuit building, a short walk from the hospital
- Each nurse has a desk, phone and computer assigned to them in the office
- 60-70% of time spent in the clinic; 30-40% of time spent at desk
Staffing and Scheduling:
- Primary working hours are Monday through Friday, 8:00 AM to 4:30 PM, no weekends, no call, no holidays, no overtime
- Each nurse works with the same provider on a regular basis
- Two medical clerks in the reception area check patients in for appointments
- Two ECG techs for performing ECG’s, placing monitors and assisting with treadmills
- One device tech for interrogating pacemakers/ICD’s in the clinic and remotely
- VTC (video teleconference) assistant for scheduling and connecting with remote site patient visits
- Four sonographers for cardiovascular testing
- Two assistants manage telephone calls, process travel/housing requests and assist with other record keeping
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| Case Management/Social Work
Tracking Code: 20161882
Full Time, Part Time, Intermittent and Temporary RN opportunities available!
The Alaska Native Medical Center is currently soliciting Registered Nurses for Case Management/Social Work. ANMC RN Case Managers collect, analyze data, identify expected outcomes of each patient, develop a plan of care with interventions and constantly evaluate the patient's progress toward attainment of outcomes, working collaboratively with the specialty healthcare team and other disciplines.
Social Services provide clinical social work services for ANMC Clients, performing psychosocial assessment and planning for patients with a variety of complex social service’s needs; diagnoses and treats psychosocial issues that present with healthcare and impacts the wellness of the individual.
Required Skills
All RNs at ANMC are required to maintain full proficiency in nursing. This can vary from their knowledge of nursing science and techniques to their skill in prioritizing requests from providers, patients and their families. It would also include any knowledge, skills and abilities that are specific to the specialty unit or type of care they are providing. The job description will list in detail the required knowledge, skills and abilities; candidates are welcome to request a copy of the job description(s) should they get selected for an interview.
Required Experience
This specialty area requires licensed RNs with at least five years of RN experience; we will consider RNs who are not yet licensed in the state of Alaska provided they have their licensure by their first date of employment. Either AA or BS degrees in nursing are required. Finally, all candidates must have a current BLS; lapsed certification must be brought up to date by first date of employment. Specialty certifications may also be required depending upon designated placement area; employees must obtain these specific certifications within six months of hire.
Job Location
Anchorage, Alaska, United States
Position Type
Full-Time/Regular
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| Colorectal Screening Clinic
Expert Services:
- The Colorectal Screening Clinic operates as a sub-specialty within the General Surgery Clinic, which specifically focuses on screening the Alaska Native and American Indian population, starting at age 40.
- Teaching and care coordination by all of the Colorectal Screening Clinic staff.
Clinic Environment:
- Three exam rooms
- One screening rooms to check in patients
- Computer resources include order entry and scheduling menus, patient health summary information, Database containing first degree relatives of patients diagnosed with colon cancer, intranet and internet access.
Staffing and Scheduling:
- Three Medical clerks for the Surgery and Urology clinic are also responsible for the reception and clerical duties for the Colorectal Screening Clinic.
- Two Certified Medical Assistants assist in coordinating clinic appointments, performing vital signs and a brief history in regards to family history of colon cancer and any information about previous colonoscopies. They coordinate colonoscopy dates with the patients and go over pre-operative instructions for the colonoscopy.
- One Assistant Case Manager providing clerical support for travel, contacting patients who are referred, scheduling and coordinating the patients visits and care.
- One Patient Navigator providing clerical support for travel, contacting patients who are referred, scheduling and coordinating the patients visits and care. The Patient Navigator also manages a first degree relative data base of patients diagnosed with colon cancer.
- One Midlevel Provider to review patient’s health history, explain the details about a colonoscopy and obtain consent for the procedure.
- Primary working hours are Monday through Friday, 8:00 AM to 5:30 PM. Staffing is staggered to provide coverage.
- Typical full time schedule is five 8-hour shifts (40 hours) every week; major holidays are rotated with special requests honored, when possible.
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Critical Care Unit/Intensive Care/Flex Unit
Tracking Code: 20161880
Full Time, Part Time, Intermittent and Temporary RN opportunities available!
The Alaska Native Medical Center is currently soliciting Registered Nurses for the ICU/CCU/FLEX units. The ICU/CCU/FLEX is a 22-bed Intensive Care and Progressive Care Unit offering services that support treatments for patients experiencing complex cardiac, pulmonary, renal, neurological, endocrine, gastrointestinal, vascular and orthopedics disorders and conducts Cardiac, hemodynamic and intracranial pressure monitoring. Staff dedicated to all Code Blue, Rapid Response and Trauma calls, designated CCU charge nurse to support staff and patient flow, provides 24/7 intensivist and respiratory therapy coverage, daily multidisciplinary rounds and has Cerner electronic health record documentation.
Required Skills
All RNs at ANMC are required to maintain full proficiency in nursing. This can vary from their knowledge of nursing science and techniques to their skill in prioritizing requests from providers, patients and their families. It would also include any knowledge, skills and abilities that are specific to the specialty unit or type of care they are providing. The job description will list in detail the required knowledge, skills and abilities; candidates are welcome to request a copy of the job description(s) should they get selected for an interview.
Required Experience
This specialty area requires licensed RNs with at least one year of RN experience; we will consider RNs who are not yet licensed in the state of Alaska provided they have their licensure by their first date of employment. Either AA or BS degrees in nursing are required. Finally, all candidates must have a current BLS; lapsed certification must be brought up to date by first date of employment. Specialty certifications may also be required depending upon designated placement area; employees must obtain these specific certifications within six months of hire.
Expert Services
- 22-bed Intensive Care and Progressive Care Unit offering services that support treatments for patients experiencing complex cardiac, pulmonary, renal, neurological, endocrine, gastrointestinal, vascular and orthopedics disorders
- Cardiac, hemodynamic and intracranial pressure monitoring
- Critical Care Unit (CCU) staff dedicated to all Code Blue, Rapid Response and Trauma calls
- Designated CCU charge nurse to support staff and patient flow
- 24/7 intensivist and respiratory therapy coverage
- Daily multidisciplinary rounds
- Cerner electronic health record documentation
Staffing and Scheduling
- Positions that support the unit: nurse director, nurse manager, clinical shift coordinators, educator, quality analyst, office manager, telemetry technicians, patient service assistants
- Nurse assignments are based on patient acuity
- Full-time, part-time and intermittent positions available
- 12-hour shifts, day shift starting between 6:30 and 7 a.m., and night shift starting between 6:30 and 7 p.m.
- Supportive scheduling and online staffing schedule available off campus
- Specialty pay offered
- Clinical Practice Program advancement opportunities
Healthy Work Environment
- Staff lead a unit-based council that focuses on unit improvement projects
- Positive work environment with provider and RB collaboration, and supportive co-workers and leadership
- Support for specialty certification, preceptor, and mentor training
- Support for a variety of educational opportunities
Job Location
Anchorage, Alaska, United States
Position Type
Full-Time/Regular
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| Day Surgery
Expert Services:
- Provides preoperative preparation and stage II recovery for patients who require a same day stay in the hospital
- Provides preoperative preparation for patients who require overnight observation or admission to the hospital
- Provides care for patients recovering from sedation for pediatric CT scans, transesophageal echocardiograms, and selected radiology procedures
- Provides preoperative preparation and/or stage II recovery for surgeries
- Inpatient and outpatient endoscopy services
Unit Environment:
- Preoperative exam and preparation areas
- Holding area within the operating room area
- Stage II recovery area
- Two endoscopy rooms and preprocedure endoscopy room
- Day Surgery RNs maintain verification of current training in BLS, ACLS and PALS; TNCC training is encouraged
Staffing and Scheduling:
- Staffing supported by Surgical Services manager and director, RNs, patient service assistants and medical clerks
- Staff shifts rotate to cover the department from 0600-1900 on weekdays; disposition of patients not ready for discharge by 1900 may require overtime until patients are discharged and/or admitted into an observation bed
- Endoscopy technicians cover on-call responsibilities with care provided in the Critical Care Unit
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| Dialysis Nurse – Full Time – Dialysis
Dialysis Nurse - Full Time - Dialysis
- Tracking Code 20161872
JOB SUMMARY: Under limited supervision, applies considerable knowledge to perform a broad range of tasks in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.
REPRESENTATIVE DUTIES
Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined – hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.
Provides direction to Dialysis / Patient Care Technicians. Provides direction and education to ICU staff for CRRT. Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.
Responsible for the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
Assesses patients’ responses to treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the physician. Communicates problems or concerns to management, physician, patient hospital primary nurse, and others as indicated.
Applies high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD orders, or patient assessments.
Delivers safe, effective care in a timely an efficient manner. Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care. Initiates and communicates to facility nursing staff and appropriate hospital personnel as needed.
Accurately documents all treatment information in the individual patient record as needed.
Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate. Performs all required pre-treatment dialysis machine alarm testing. If applicable, initiates Solution Delivery System.
Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.
Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per policy.
Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.
Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services).
Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long term professional goals.
Utilizes the ANA Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as the foundation for nursing practice. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice.
Makes decisions and takes actions on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights.
Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services.
Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs.
Performs nursing assessments, interventions, and evaluations. Delivers timely and effective nursing care according to established standards including physical, social and emotional care.
Performs other duties as assigned.
Required Skills
• Knowledge of nursing science, principles, techniques, and procedures for the care of patients.
• Knowledge of healthcare terminology, anatomy, physiology and concepts of disease.
• Knowledge and ability to utilize evidence based practice to develop the plan of care and interventions.
• Knowledge of the hospital environment and how the services and functions interact.
• Knowledge of Alaskan culture.
• Knowledge of nursing theorists and ability to provide theory based care for patients.
• Knowledge of shared governance environment with shared-decision making.
• Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action.
• Skill in providing cardiopulmonary resuscitation.
• Skill in providing effective nursing services, assessing patient situations and taking effective courses of action.
• Skill in assessing and prioritizing multiple requests by patients, families, and team members.
• Skill in evaluating health problems, and making recommendations based on observations.
• Skill in operating a personal computer utilizing a variety of software applications.
• Skill in oral and written communication.
• Skill in managing multiple priorities and tasks concurrently and meeting deadlines.
• Skill in establishing and maintaining cooperative working relationships with others.
Required Experience
MINIMUM EDUCATION QUALIFICATION
An Associate’s Degree in Nursing is required.
MINIMUM EXPERIENCE QUALIFICATION
Non-supervisory – One (1) year experience as a Registered Nurse.
MINIMUM CERTIFICATION QUALIFICATION
• Current Registered Nurse license in the State of Alaska.
• Current Basic Life Support (BLS) card required.
PREFERRED EDUCATION QUALIFICATION
• Bachelor’s Degree in Nursing.
PREFERRED EXPERIENCE QUALIFICATION
• Dialysis and/or ICU experience preferred.
PREFERRED CERTIFICATION QUALIFICATION
• Certification in Nephrology Nursing and/or Apheresis Nursing preferred.
• ACLS preferred.
ADDITIONAL REQUIREMENTS
• Depending on the needs of the organization, some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas.
• Successful completion of training course in the theory and practice of care of the ESRD patient – Progressive Renal Education Preparation.
• Three (3) months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.
• Six (6) months nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.
Job LocationAnchorage, Alaska, United StatesPosition
TypeFull-Time/Regular
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Emergency Department
Tracking Code: 20161879
Full Time, Part Time, Intermittent and Temporary RN opportunities available!
The Alaska Native Medical Center is currently soliciting Registered Nurses for the Emergency Department. The Emergency Department provides emergency medical care for any patient presenting with a variety of illnesses/injuries on an unscheduled basis, stabilization, diagnosis and initial treatment for patients who are transferred from the outlying rural areas and/or referral hospitals, is a Level II Trauma Center with designated trauma team response with triage performed by RNs for all patients presenting. Nursing support and MD consultation provided for the adjacent Fast Track (low acuity injury/illness urgent care).
Required Skills
All RNs at ANMC are required to maintain full proficiency in nursing. This can vary from their knowledge of nursing science and techniques to their skill in prioritizing requests from providers, patients and their families. It would also include any knowledge, skills and abilities that are specific to the specialty unit or type of care they are providing. The job description will list in detail the required knowledge, skills and abilities; candidates are welcome to request a copy of the job description(s) should they get selected for an interview.
Required Experience
This specialty area requires licensed RNs with at least one year of RN experience; we will consider RNs who are not yet licensed in the state of Alaska provided they have their licensure by their first date of employment. Either AA or BS degrees in nursing are required. Finally, all candidates must have a current BLS; lapsed certification must be brought up to date by first date of employment. Specialty certifications may also be required depending upon designated placement area; employees must obtain these specific certifications within six months of hire.
Expert Services
- Provides emergency medical care for any patient presenting with a variety of illnesses/injuries on an unscheduled basis
- Provides stabilization, diagnosis and initial treatment for patients who are transferred from the outlying rural areas and/or referral hospitals
- Level II Trauma Center with designated trauma team response
- Triage performed by RNs for all patients presenting
- Nursing support and MD consultation provided for the adjacent Fast Track (low acuity injury/illness urgent care)
Unit Environment
- 19-bed ED with 2 trauma rooms, ENT, gynecology and isolation rooms
- 10 beds in multi-patient bays, 4 exam rooms are shared with the Fast Track
- Philips Central Monitoring,System
- Pyxis system for medication and supply management
- Radiology adjacent to ED and portable X-ray in the unit
- Access to OR (directly above the ED) by private elevator
- Cerner computerized charting
Staffing and Scheduling
- Average staffing is 5-6 RNs and an ED tech on duty 24 hours/ day; there can be up to 9 RNs and 3 ED techs per shift
- 12-hour shifts on fixed schedules, but very flexible
- Every other weekend off
- Patient volume is more than 60,000 patients annually
Job Location
Anchorage, Alaska, United States
Position Type
Full-Time/Regular
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| Endoscopy
The Endoscopy Department at the Alaska Native Medical Center provides sedation services for patients undergoing Endoscopy associated procedures as well as other sedation needs throughout the organization.
Expert Services:
- Approximately 900 surgeries are performed each month
- Surgical specialties include general surgery, orthopedics, otolaryngology, gynecology, urology, neurosurgery, ophthalmology, dental and plastic surgery
- ANMC has 10 operating rooms and one hybrid OR
- Central sterile core for access to sterile instruments and supplies; case carts managed by Central Service; electronic preference cards updated by specialty service managers
- Day Surgery for preoperative preparation, phase 2 recovery and discharge
- PACU for acute care and phase 1 recovery
- On-call teams complement the in-house staff to provide staff for emergency surgeries
Staffing and Scheduling:
- Daily staffing is supported by a charge nurse, surgical services manager and director; operations supported by unit shift coordinators, RNs, OR technicians and patient service assistants; OR office personnel manage communication and scheduling needs supported by a program assistant
- Elective schedule runs from 0730 to 1600 in 6 rooms with an additional 4 rooms running until 1800; one elective room runs until 2200
- 10-hour shifts running from 0730-1800, 1130-2200 and 2130-0800 on weekdays/ nights;12-hour shifts running from 0930-2200 on weekdays;12-hour shifts running from 0730-2000 and 1930- 0800 on weekends to minimize overtime responsibilities
Unit Environment:
- Excellent continuing education opportunities available in-house at no cost to the employee, such as ACLS, TNCC, PALS, BLS supported by full-time surgical services educator
- OR work environment promotes teamwork and friendly atmosphere
- Opportunities in the department to specialize in a particular service; participate in quality improvement projects; and precept and become involved in hospital-wide committees and projects
- Electronic and manual documentation processes to address patient care communication needs, laboratory and radiology orders
- Weekly staff meetings to inservice equipment and supplies as well as provide a forum to discuss issues and resolve problems
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| ENT Clinic
Expert Services:
- Provides patient-centered, culturally appropriate care to patients within the ENT Service
- Surgical intervention as well as interventional injections as deemed necessary
- Referral’s entered for outside services utilizing Contract Health Services as needed, both locally and out of state for complex cases
- Point of care medical services, such as phlebotomy, dressing changes and suture removal.
- Twenty-four hour on call ENT surgeon for trauma response and emergency operations.
- Field support office offering immediate outpatient consultative service for ENT patients, including the review of radiological imaging.
- Teaching and care coordination by Case Managers
- Multidisciplinary case management of complex cases as well as out of state referrals
- Case Managers work collaboratively with other health care disciplines to best meet the needs of our patient
Clinic Environment:
- Eight exam rooms / one on call exam room
- One provider dictation room
- One screening room to check in patients
- Two procedure rooms. One main OR and one SOR.
- One supply room with Pyxis system for medication management
- Physician and nursing office space located in the clinic.
- Computer resources include order entry and scheduling menus, patient health summary information, intranet and internet access
Staffing and Scheduling:
- Medical clerks are responsible for reception and clerical duties at the front desk of the clinic
- Certified Medical Assistants assist in coordinating clinic, checking in patients, assisting the physicians and PAs with procedures, patient teaching, point of care phlebotomy, as well as scheduling tests and procedures. The ten clinic staff members (CMAs) are assigned in a two to one ratio with an ENT surgeon and PA.
- Four Assistant Case Managers are supervised by the Case Mangers providing clerical support for travel, contacting patients who are referred in, scheduling and coordinating the patients visits and care
- Four Registered Nurse Case Managers provide complex patient teaching, coordination of care, scheduling appointments, tests and operations.
- Case Managers are in and out of the clinic as needed and are called when issues arise.
- Eight full-time ENT surgeons and one full-time Physician Assistants. Three locum ENT surgeons.
- Trauma team consisting of 24 hour provider availability, a Registered Nurse Case Manager and an Assistant Case manager during primary working hours.
- Primary working hours are Monday through Friday, 8:00 AM to 4:30 PM. Staffing is staggered to provide coverage
- Typical full time schedule is five 8-hour shifts (40 hours) every week for CMA’s and RN Case Managers; major holidays are rotated with special requests honored, when possible.
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General Surgery Clinic
Expert Services:
- Providers of patient centered, culturally appropriate care
- Outpatient consultative service for general surgery patients
- General surgery operations and procedures including non-cardiac thoracic surgery, laparoscopic surgery, vascular surgery and minimally invasive varicose vein and reflux surgery, trauma/burn surgery and endoscopy.
- Twenty four hour on call general surgeon for consultation, trauma response and emergency operations.
- High risk breast clinic
- Certified wound and ostomy registered nurses specialists.
- General surgery residents on the inpatient units, in the operating room and emergency/trauma response.
- Midlevel practitioners on the inpatient units and in the ambulatory clinics.
- Registered nurse case managers for each general surgeon who act as care coordinators and liaisons between patients, providers and staff at other medical facilities.
Clinic Environment:
- Six exam rooms including a procedure room and a wound care room
- One PACS and provider dictation room.
- PICIS system for medication management.
- Medical Clerks for reception and clerical duties.
- Assistant Case Managers supervised by the registered nurse case managers in scheduling and patient logistic coordination.
- Registered nurse case managers provide complex patient teaching and coordination of care.
- Point of service care testing including phlebotomy service for laboratory testing, EKGs, preoperative teaching and limited ultrasonography.
- Certified Medical Assistants and Licensed Practical nurses for patient appointment check in, assisting providers, phlebotomy, EKGs, dressing changes, scheduling appointments, tests and operations and clinic supply management.
- The General Surgery Clinic is open from 8 AM to 5 PM Monday through Friday with the exception of major holidays.
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| Hematology/Oncology Clinic
Expert Services:
- Provides patient-centered, culturally appropriate care to adult patients within the Hematology/Oncology Service
- Vascular access device management
- Telephone triage
- Educate patients and caregivers on symptom management related to infusions
- Multidisciplinary case management of complex cases as well as out of state referrals
- RN’s work collaboratively with other health care disciplines to best meet the needs of our patients
Unit Environment:
- Twelve exam rooms
- Medication room with Pyxis system for medication management
- Electronic Health Record (Cerner) available on work stations on wheels in addition to fixed computers
- RNs are assisted by Certified Medical Assistants in the delivery of direct patient care
- Case Managers also have a case manager assistant to work with them
- Medical clerks are responsible for reception, scheduling and all clerical duties
- Nursing office space located at the back of the clinic with large windows.
Staffing and Scheduling:
- Primary working hours are Monday through Friday, 7:30 AM to 6:00 PM with a 30 minute lunch on a 4/10 flex schedule
- Weekends and major holidays off
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| Inpatient Internal Medicine
Expert Services:
- Provides patient-centered, culturally appropriate care to Alaska Native and American Indian adult patients within the Internal Medicine Service
- Multiple specialties in this service center include: general internal medicine, pulmonology, cardiology, neurology, oncology gerontology, hepatitis and diabetes
- Provides inpatient administration of chemotherapy for adultpatients
- Provides telemetry services
- As dictated by patient bed status, patients from other services may be cared for on this unit
- EKG testing and phlebotomy for laboratory testing services are decentralized and provided on the unit by the point of care staff
Staffing and Scheduling:
- The nurse/patient ratio for the day shift is typically 1 nurse per 4-6 patients, and for the night shift it is typically 1 nurse per 5-7 patients
- A lift team is available from 8 a.m.-6 p.m. Mon.-Fri. and 8 a.m.-4 p.m. Sat.-Sun.; a patient lift device is available at all times
- The staff primarily works 12-hour shifts, from 6:30 a.m. to 7:30 p.m.; report occurs between 6:30-7 a.m. and 6:30-7 p.m.
- Typical full-time schedule is three 12-hour shifts (36 hours) every week; alternative patterns are available; major holidays are rotated with special requests honored, when possible
- Medical clerks are responsible for reception and clerical duties on the unit
Unit Environment:
- 23-bed unit with 9 private and 7 double occupancy rooms
- All beds have telemetry monitoring capability
- Pyxis system for medication and supply management
- Computer resources include order entry, patient health summary information, intranet and internet access
- RNs are assisted by certified nurse assistants in delivery of direct patient care and are an available resource as patient observer
- Nursing staff work collaboratively with other health care disciplines to best meet the needs of our patients
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Inpatient Medical Surgical
Expert Services:
- Provides patient-centered, culturally appropriate care to Alaska Native and American Indian adult patients from internal medicine, women’s health, otolaryngology, ophthalmology and dental
- Provides telemetry services
- As dictated by patient bed status, patients from other services may be cared for on this unit
- Nursing staff work collaboratively with other health care disciplines to best meet the needs of our patients
- EKG testing and phlebotomy for laboratory testing services are decentralized and provided on the unit by the point of care staff
Staffing and Scheduling:
- The nurse/patient ratio for the day shift is typically 1 nurse per 4-6 patients, and for the night shift it is typically 1 nurse per 5-7 patients
- A lift team is available from 8 a.m.-6 p.m. Mon.-Fri. and 8 a.m.-4 p.m. Sat.-Sun.; a patient lift device is available at all times
- The staff primarily works 12-hour shifts, from 6:30 a.m. to 7:30 p.m.; report occurs between 6:30-7 a.m. and 6:30-7 p.m.
- Typical full-time schedule is three 12-hour shifts (36 hours) every week; alternative patterns are available; major holidays are rotated with special requests honored, when possible
Unit Environment:
- 23-bed unit with 9 private and 7 double occupancy rooms
- Pyxis system for medication and supply management
- Computer resources include order entry, patient health summary information, intranet and internet access
- RNs are assisted by certified nurse assistants in delivery of direct patient care and are an available resource as patient observer when there is a concern for patient safety and as an alternative to using restraints
- Medical clerks are responsible for reception and clerical duties on the unit
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| Inpatient Orthopedics
Expert Services:
- Provides patient-centered, culturally appropriate care to Alaska Native and American Indian adult patients within the Orthopedic Service
- Multiple specialties in this service center include: general orthopedics, total joint replacement, spinal and hand surgical sub-specialties, frostbite care, and neurosurgery
- As dictated by patient bed status, patients from other services may be cared for on this unit
- Nursing staff work collaboratively with other health care disciplines to best meet the needs of our patients
- EKG testing and phlebotomy for laboratory testing services are decentralized and provided on the unit by the point of care staff
Staffing and Scheduling:
- The nurse/patient ratio for the day shift is typically 1 nurse per 4-6 patients, and for the night shift it is typically 1 nurse per 5-7 patients
- A lift team is available from 8 a.m.-6 p.m. Mon.-Fri. and 8 a.m.-4 p.m. Sat.-Sun.; a patient lift device is available at all times
- The staff primarily works 12- hour shifts, from 6:30 a.m. to 7 p.m.
- Typical full-time schedule is three 12-hour shifts (36 hours) every week; alternative patterns are available; major holidays are rotated with special requests honored, when possible
Unit Environment:
- 23-bed unit with 9 private and 7 double occupancy rooms
- Pyxis system for medication and supply management
- Computer resources include order entry, patient health summary information, intranet and internet access edical clerks are responsible for reception and clerical duties on the unit
- RNs are assisted by certified nurse assistants in delivery of direct patient care and are an available resource as patient observer
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| Inpatient Orthopedics/Neurosurgery
Tracking Code: 20161883
Full Time, Part Time, Intermittent and Temporary RN opportunities available!
The Alaska Native Medical Center is currently soliciting Registered Nurses for the Orthopedics/Neurosurgery unit. The Neurosurgery/Comprehensive Pain Management and Orthopedic clinics provides Surgical intervention (Neurosurgery) as well as interventional injections (Pain Management Clinic) as deemed necessary.
Required Skills
All RNs at ANMC are required to maintain full proficiency in nursing. This can vary from their knowledge of nursing science and techniques to their skill in prioritizing requests from providers, patients and their families. It would also include any knowledge, skills and abilities that are specific to the specialty unit or type of care they are providing. The job description will list in detail the required knowledge, skills and abilities; candidates are welcome to request a copy of the job description(s) should they get selected for an interview.
Required Experience
This specialty area requires licensed RNs with at least five years of RN experience; we will consider RNs who are not yet licensed in the state of Alaska provided they have their licensure by their first date of employment. Either AA or BS degrees in nursing are required. Finally, all candidates must have a current BLS; lapsed certification must be brought up to date by first date of employment. Specialty certifications may also be required depending upon designated placement area; employees must obtain these specific certifications within six months of hire.
Job Location
Anchorage, Alaska, United States
Position Type
Full-Time/Regular
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Inpatient Pediatrics/PICU/NICU
Expert Services:
- Provides family-centered, culturally appropriate care to Alaska Native and American Indian pediatric patients
- Provides care for pediatric patients up to age 17 who are admitted to pediatrics, surgery, trauma, orthopedics, gynecology, ENT and neurosurgery
- Provides care for pediatric intensive care patients admitted to pediatrics, pediatric intensive care, surgery and internal medicine services
- Level II NICU with 12 beds
- Pediatric hospitalists and pediatric intensivists on staff
- Provides support for pediatric patients requiring sedation for outpatient radiology procedures
- Provides chemotherapy and other IV therapy infusion for outpatients with hematologic/ oncologic problems.
Staffing and Scheduling:
- Average staffing is eight RNs per shift, with nurses working 12-hour shifts
- One assigned charge RN (with the intent that they do not take a patient assignment)
- Three RNs assigned to PICU, each RN taking 1-3 patients, depending on the acuity
- 1-3 RNs assigned to NICU, each RN caring for 3- 4 newborns each shift, one RN is assigned to attend all high-risk deliveries
- 2- 3 RNs are assigned to pediatric patients, each RN taking 3-4 patients
- 1-2 patient services assistants (unlicensed assistive personnel) per shift to help with delivery of direct patient care
- Medical clerks are responsible for reception and clerical duties on the unit from 7:30 a.m.-11 p.m. daily
Unit Environment:
- 19-bed unit with 9 private rooms, 5 semi-private rooms, and 6 dedicated PICU beds. All pediatric beds can be converted to PICU beds
- Three semi-private rooms set up to deliver pediatric intensive care
- Treatment room for procedures
- One private room with the capability for negative or positive airflow for isolation needs
- Philips Central Monitoring System; all rooms with central monitoring
- Pyxis system for medication and supply management
- Cerner computerized charting
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| Inpatient Surgery
Expert Services:
- Provides patient-centered, culturally appropriate care to adult patients within the surgical service
- There are multiple specialties that make up this service center including general surgery, plastic reconstruction/skin grafts, urology, wound care, colostomy care and burn care
- Receiving trauma unit
- As dictated by patient bed status, patients from other services may be cared for on this unit
- Nursing staff work collaboratively with other health care disciplines to best meet the needs of our patients
- EKG testing and phlebotomy for laboratory testing services are decentralized and provided on the unit by the point of care staff
Unit Environment:
- 23-bed unit with nine private and seven double occupancy rooms
- Pyxis system for medication and supply management
- Computer resources include order entry, patient health summary information, intranet and internet access
- Medical clerks are responsible for reception and clerical duties on the unit
- RNs are assisted by certified nurse assistants in delivery of direct patient care and are an available resource as patient observer
Staffing and Scheduling:
- The nurse-patient ratio for the day and night shift is typically one nurse per 4-5 patients
- A lift team is available from 8 a.m.-6 p.m. Mon.-Fri. and 8 a.m.-4 p.m. Sat.-Sun.; a patient lift device is available at all times
- The staff primarily works 12-hour shifts, from 6:30 a.m. to 7 p.m.
- Typical full time schedule is three 12-hour shifts (36 hours) every week; alternative patterns are available; major holidays are rotated with special requests honored, when possible
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| Inpatient Telemetry/ Oncology/ Specialty Surgery Units
Registered Nurse - Telemetry/Inpatient Oncology/Specialty Surgery Units
Tracking Code: 20161845
Full Time, Part Time, Intermittent and Temporary RN opportunities available!
Expert Services:
Provides patient-centered, culturally appropriate care to adult patients within the Internal Medicine Department
There are several specialties that make up this service center including Internal Medicine hospitalists, Oncologists, Gynecological, ENT Surgeons, Cardiologist, wound care & infection prevention;
Nursing staff work collaboratively with other health care disciplines to best meet the needs of our patients;
EKG testing and phlebotomy for laboratory testing services are decentralized and provided on the unit by the point of care staff.
Registered Nurse Job Summary:
Provides professional nursing services to accomplish the individual patient plan of care; independently and consistently using the nursing process to safely, therapeutically, and efficiently care for a full assignment of patients with subtle and sometimes unidentified needs. Supports the operations of the Alaska Native Medical Center and programs.
Essential Functions:
The functions of the Registered Nurse are to independently and consistently use nursing knowledge, collect patient health data, analyze the data to determine diagnoses, identify expected outcomes individualized to the patient, develop a plan of care that prescribes interventions to attain the expected outcomes, implement the interventions identified in the plan of care, and evaluate the patient’s progress toward attainment of the outcomes, working collaboratively with the healthcare team.
Unit Environment:
23-bed unit with nine private and seven double occupancy rooms;
Pyxis system for medication and supply management;
Computer resources include order entry, patient health summary information, intranet and internet access;
Medical clerks are responsible for reception and clerical duties on the unit;
RNs are assisted by certified nurse assistants in delivery of direct patient care and are an available resource as patient observer.
Staffing and Scheduling:
The nurse-patient ratio for the day and night shift is never greater than one nurse per 4-5 patients;
A lift team is available from 8 a.m.-6 p.m. Mon.-Fri. and 8 a.m.-4 p.m. Sat.-Sun.; a patient lift device is available at all times;
The staff primarily works 12-hour shifts, from 6:30 a.m. to 7 p.m.;
Typical full time schedule is three 12-hour shifts (36 hours) every week; alternative patterns are available; major holidays are rotated with special requests honored, when possible;
Staff guided orientation to optimize learning.
Required Skills
- Knowledge of nursing science, principles, techniques, and procedures for the care of patients.
- Knowledge of healthcare terminology, anatomy, physiology and concepts of disease.
- Knowledge and ability to utilize evidence based practice to develop the plan of care and interventions.
- Knowledge of the hospital environment and how the services and functions interact.
- Knowledge of Alaskan culture.
- Knowledge of nursing theorists and ability to provide theory based care for patients.
- Knowledge of shared governance environment with shared-decision making.
- Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action.
- Skill in providing cardiopulmonary resuscitation.
- Skill in providing effective nursing services, assessing patient situations and taking effective courses of action.
- Skill in assessing and prioritizing multiple requests by patients, families, and team members.
- Skill in evaluating health problems, and making recommendations based on observations.
- Skill in operating a personal computer utilizing a variety of software applications.
Required Experience
Minimum Qualifications:
Associates or bachelors in Nursing.
Must have participated in 30 hours every 2 years continuing education in nursing in general, 16 of which are in the specific area of practice.
Minimum Certification/Licensure Qualification:
Current registered nurse license in the State of Alaska.
Current BLS card required.
All other certifications as required for specific work area: New Employees must obtain the required certifications within six months of hire; New graduates must obtain the required certifications within 18 months of hire; Contract and MOA employees must come to us with the required training completed as outlined in their individual contracts/MOAs, and must be licensed as a RN by the State of Alaska and remain active with all annual licensing requirements.
Additional Minimum Requirements:
Work involves the potential for exposure to infectious diseases. ANMC is not a latex free environment therefore some latex exposure can be expected. Some non-standard work hours are required.
Job Location
Anchorage, Alaska, United States
Position Type
Full-Time/Regular
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Internal Medicine Clinic
The Internal Medicine clinic at the Alaska Native Health Campus provides comprehensive and culturally sensitive care to patients requiring the following specialty services.
Specialties encompassed:
- Neurology
- Hepatology
- Diabetes
- Rheumatology
- Dermatology
- Endocrinology
- General Internal Medicine
- Nephrology
- Gastroenterology
- Infectious Disease
- Neuro Testing Lab
Services Provided:
- Initial medical evaluation
- Point of care medical services, including medical complaints, phlebotomy, EKGs
- Teaching and care coordination by Case Managers
- Urgent patient visits
- Multidisciplinary case management of medically complex patients
- Internal Medicine provides primarily adult medicine years of age.
- This service is a Consultation service by referral only for the Anchorage Service Unit patients and sees all medicine clients from outside the Anchorage Service Unit.
Unit Environment
- Fifty-two exam rooms
- 3 Procedure
- 3 Blood Draw Stations
- Physician and support staff collocated near the clinical exam rooms
- Onsite lab, Neuro-diagnostics, pharmacy and radiology
Staffing and Scheduling:
- Primary working hours are Monday through Friday, 8:00 AM to 6 PM. Staffing is staggered to provide coverage. Allow for a 4/10 flex scheduling
- 13 Nurse Specialists work with specified physicians.
- CMA’s work directly in clinic with the providers
- Case managers work with the providers and support staff
Additional Comments:
- Cerner Electronic Medical Record is used for all patient charting, scheduling and ordering.
- Monthly staff meetings are held to discuss issues, present new equipment or supplies, present Continuing Education topics and promote shared governance activities.
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| Labor & Delivery and Family Birthing Services
Expert Services:
- Provides culturally sensitive, family-centered care to Alaska Native and American Indian OB patients
- ANMC averages 135 births per month ANMC averages a C-section rate of 14 percent
- Labor epidural anesthesia available 24 hours per day; utilized by less than 35 percent of vaginal births
- ANMC serves as the high-risk antenatal referral center for eligible patients statewide
- In-house certified nurse midwife and obstetrician coverage 24 hours per day
- Provides mother/baby couplet care with a Level I Newborn Nursery
Staffing and Scheduling:
- Average staffing is 8-10 RNs per shift, with nurses working 12-hour shifts
- RNs are assisted by patient services assistants (licensed CNAs) and OB scrub technicians (unlicensed assistive personnel) in delivery of direct patient care
- Medical clerks are responsible for reception and clerical duties on the unit from 6:30 a.m.-5 p.m. daily
- RN staff circulate for C-sections and OB emergencies
- Ability to work days and nights is required- efforts are made to facilitate your preferred shift
- On call will be required
- Self-scheduling is being utilized
Unit Environment:
- Eight labor/delivery/recovery (LDR) rooms
- Two OB operating rooms
- Six bed OB triage/testing area
- Eleven private and five semiprivate mother/baby rooms
- Four private rooms on the Mother/Baby Unit equipped for high-risk antepartum care
- Level II NICU
- One LDR with the capability for negative or positive airflow for isolation needs
- Fetalink Central Monitoring System and Cerner Electronic Health Records System
- Pyxis System for medication and supply management
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| Maternal Fetal Medicine/Antenatal Testing
Expert Services:
- Provides patient-centered, culturally appropriate care to patients with high risk pregnancies
- Maternal Fetal Medicine is comprised of specialized ultrasound and consult services, and includes the Antenatal Testing Clinic
- ANMC MFM serves as the high risk referral center for all IHS facilities throughout the State of Alaska, as well as the preferred referral center for all Active Duty Military bases in the state
- Nursing staff work collaboratively with other health care disciplines to best meet the needs of our patients. We work most closely with Seattle Children’s Hospital and the University of Washington Medical Center
- Registered Nurses work closely with our part-time genetic counselor to provide comprehensive care planning
- Phlebotomy services are provided by the Registered Nurses as we do not have Certified Medical Assistants or Certified Nurse Aides employed in Maternal Fetal Medicine
- Registered Nurses assist physicians in the performance of invasive testing such as amniocentesis and chorionic villus sampling
- Our Antenatal Testing Clinic employs Registered Nurses who have specialized training in limited OB ultrasound and fetal monitoring
Unit Environment:
- 2 specialized ultrasound rooms, 2 patient exam rooms, 3 bed antenatal testing unit with limited ultrasound capability
- Centralized fetal monitoring system that is connected to our electronic health record
- Pyxis system for medication and supply management
- Computer resources include order entry, patient health summary information, intranet and internet access
- Medical clerks are responsible for reception and clerical duties on the unit
Staffing and Scheduling:
- The nurse-patient ratio for the day and night shift is typically one nurse per 4-5 patients
- There are 2 full time RN Case Managers that work within MFM and share caseloads as evenly as possible. These Case Managers are responsible for both case management and direct patient care when the patient is seen in the clinic
- There are 2 full time RN’s working in the Antenatal Testing Clinic who perform fetal monitoring and limited OB ultrasounds as dictated by our institutional guidelines
- Clinic work hours are M-F 0800-1630
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Neurosurgery/Comprehensive Pain Management Clinic
Expert Services:
- Provides patient-centered, culturally appropriate care to patients within the Neurosurgery and Pain Management Service
- Surgical intervention (Neurosurgery) as well as interventional injections (Pain Management Clinic) as deemed necessary
- Referral’s entered for outside services utilizing Contract Health Services as needed, both locally and out of state for complex cases
- Point of care medical services, such as phlebotomy, dressing changes, suture removal
- Teaching and care coordination by Case Managers
- Multidisciplinary case management of complex cases as well as out of state referrals
- Case Managers work collaboratively with other health care disciplines to best meet the needs of our patient
- Phlebotomy services for laboratory testing are decentralized and provided on the unit by the point of care staff
Unit Environment:
- Seven exam rooms
- One PAC room
- Supply room with Pyxis system for medication management
- Physician and Nursing office space located at the back of the clinic.
- Computer resources include order entry and scheduling menus, patient health summary information, intranet and internet access
- Medical clerks are responsible for reception and clerical duties on the unit
- RNs are assisted by Certified Medical Assistants in the delivery of direct patient care
- Assistant Case Managers are supervised by the Case Mangers in scheduling and coordinating the patients visits and care
Staffing and Scheduling:
- Primary working hours are Monday through Friday, 8:00 AM to 5:00 PM. Staffing is staggered to provide coverage
- Two Neurosurgery Case Managers work with assigned patients by last name (A-K, L-Z)
- Pain Management Case Manager works with all patients in the Pain Management clinic
- Case Managers are in and out of the clinic as needed and are called when issues arise.
- Certified Medical Assistants assist in coordinating clinic, checking in patients, assisting the physicians and PAs with procedures, patient teaching, point of care phlebotomy, as well as scheduling tests and procedures. The three clinic staff members (CMAs) are assigned to the five provider clinics in a team approach.
- CMA’s rotate as needed to assist with all specialties in order to maintain clinic skills and knowledge.
- One Medical clerk and three Case Manager Assistants provide clerical support for travel, contacting patients, scheduling appointments and answering phone calls.
- Typical full time schedule is five 8-hour shifts (40 hours) every week; major holidays are rotated with special requests honored, when possible.
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| Operating Room
Expert Services:
- Approximately 900 surgeries are performed each month
- Surgical specialties include general surgery, orthopedics, otolaryngology, gynecology, urology, neurosurgery, ophthalmology, dental and plastic surgery
- ANMC has 10 operating rooms and one hybrid OR
- Central sterile core for access to sterile instruments and supplies; case carts managed by Central Service; electronic preference cards updated by specialty service managers
- Day Surgery for preoperative preparation, phase 2 recovery and discharge
- PACU for acute care and phase 1 recovery
- On-call teams complement the in-house staff to provide staff for emergency surgeries
Staffing and Scheduling:
- Daily staffing is supported by a charge nurse, surgical services manager and director; operations supported by unit shift coordinators, RNs, OR technicians and patient service assistants; OR office personnel manage communication and scheduling needs supported by a program assistant
- Elective schedule runs from 0730 to 1600 in 6 rooms with an additional 4 rooms running until 1800; one elective room runs until 2200
- 10-hour shifts running from 0730-1800, 1130-2200 and 2130-0800 on weekdays/ nights;12-hour shifts running from 0930-2200 on weekdays;12-hour shifts running from 0730-2000 and 1930- 0800 on weekends to minimize overtime responsibilities
Unit Environment:
- Excellent continuing education opportunities available in-house at no cost to the employee, such as ACLS, TNCC, PALS, BLS supported by full-time surgical services educator
- OR work environment promotes teamwork and friendly atmosphere
- Opportunities in the department to specialize in a particular service; participate in quality improvement projects; and precept and become involved in hospital-wide committees and projects
- Electronic and manual documentation processes to address patient care communication needs, laboratory and radiology orders
- Weekly staff meetings to inservice equipment and supplies as well as provide a forum to discuss issues and resolve problems
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| Ophthalmology Clinic
Expert Services:
- Provides patient-centered, culturally appropriate care to patients within Ophthalmology Services
- Surgical intervention as well as interventional injections as deemed necessary
- Referral’s entered for outside services utilizing Contract Health Services as needed, both locally and out of state for complex cases
- Twenty four hour on call general surgeon for consultation, trauma response and emergency operations.
- 22 field clinics yearly to provider Ophthalmology services to tribal partners
- Multidisciplinary case management of complex cases as well as out of state referrals
- Case Managers work collaboratively with other health care disciplines to best meet the needs of our patient
Clinic Environment:
- 8 exam rooms, OCT/Laser room, Visual field room
- One supply room with Pyxis system for medication management
- Two screening rooms to check in patients
- Fully equipped on call room located in the main hospital
- Physician and Nursing office space located in the clinic.
- Computer resources include order entry and scheduling menus, patient health summary information, intranet and internet access
Staffing and Scheduling:
- Medical clerks are responsible for reception and clerical duties at the front desk of the clinic
- Two Assistant Case Managers are supervised by the Case Manager providing clerical support for travel, contacting patients who are referred, in scheduling and coordinating the patients visits and care
- Four board certified Ophthalmologists which includes 2 cornea specialists and one pediatric/strabismus specialist
- 7 Ophthalmology Assistants and one surgical scheduler
- Primary working hours are Monday through Friday, 8:00 AM to 4:30 PM. Staffing is staggered to provide coverage
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|
Orthopedic Clinic
Expert Services:
- Provides patient-centered, culturally appropriate care to patients within the Orthopedic Service
- Surgical intervention as well as interventional injections as deemed necessary
- Referral’s entered for outside services utilizing Contract Health Services as needed, both locally and out of state for complex cases
- Point of care medical services, such as phlebotomy, dressing changes, suture removal, splinting, and casting
- Twenty-four hour on call orthopedic surgeon for trauma response and emergency operations.
- Field support office offering immediate outpatient consultative service for orthopedic patients, including the review of radiological imaging.
- Teaching and care coordination by Case Managers
- Multidisciplinary case management of complex cases as well as out of state referrals
- Case Managers work collaboratively with other health care disciplines to best meet the needs of our patient
Clinic Environment:
- Ten exam rooms
- One PACs and provider dictation room
- Two screening rooms to check in patients
- One Cast room
- Two Procedure rooms
- Two supply rooms with Pyxis system for medication management
- Physician and Nursing office space located in the clinic.
- Computer resources include order entry and scheduling menus, patient health summary information, intranet and internet access
Staffing and Scheduling:
- Medical clerks are responsible for reception and clerical duties at the front desk of the clinic
- Certified Medical Assistants assist in coordinating clinic, checking in patients, assisting the physicians and PAs with procedures, applying casts and splints, patient teaching, point of care phlebotomy, as well as scheduling tests and procedures. The ten clinic staff members (CMAs) are assigned in a one to one ratio with an orthopedic surgeon and PA.
- Seven Assistant Case Managers are supervised by the Case Mangers providing clerical support for travel, contacting patients who are referred, in scheduling and coordinating the patients visits and care
- Seven Registered Nurse Case Managers provide complex patient teaching, coordination of care, scheduling appointments, tests and operations.
- The Orthopedic Case Management team is divided into three specialties, Adult Reconstruction, Sports Medicine, and Hand specialist.
- Case Managers are in and out of the clinic as needed and are called when issues arise.
- Ten Orthopedic Surgeons and eight Physician Assistants
- Trauma team consisting of 24 hour provider availability, a Registered Nurse Case Manager and an Assistant Case manager during primary working hours.
- Primary working hours are Monday through Friday, 8:00 AM to 5:30 PM. Staffing is staggered to provide coverage
- Typical full time schedule is five 8-hour shifts (40 hours) every week for CMA’s and four 10-hour shifts for RN Case Managers; major holidays are rotated with special requests honored, when possible.
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| Outpatient Infusion Center
Expert Services:
- Provide patient-centered, culturally appropriate care to adult, ambulatory patients for the ANMC Campus
- Administer chemotherapeutics, biologics, blood products, hydration and other outpatient infusion medications
- Assess and manage infusion induced side-effects
- Educate patients and caregivers on symptom management related to infusions
- Vascular access device management
Unit Environment:
- On-site Infusion Pharmacy directed by Board Certified Oncology Pharmacist: all infusion medications are prepared by pharmacy
- Eighteen infusion bays including 2 private rooms
- Medication room with Pyxis system for medication management
- Safe handling of hazardous medications according to Oncology Nursing Society standards
- Electronic Health Record (Cerner) available on work stations on wheels in addition to fixed computers
- Medical clerks are responsible for reception, check-in and scheduling
- Nutrition Center with snacks and beverages available for patients and escorts
- Spectacular mountain views from all infusion bays and nursing station
Staffing and Scheduling:
- Primary working hours are Monday through Friday, 7:30 AM to 6:00 PM with a 30 minute lunch on a 4/10 flex schedule
- Weekends and major holidays off
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| PACU
The Post Anesthesia Care Unit at the Alaska Native Medical Center's PACU does all immediate Phase 1 recovery for all patients going through OR/Anesthesia services, including cardiac cath/interventional radiology patients. Pediatric through Geriatric with varying acuity levels.
Expert Services:
- Approximately 900 surgeries are performed each month
- Surgical specialties include general surgery, orthopedics, otolaryngology, gynecology, urology, neurosurgery, ophthalmology, dental and plastic surgery
- ANMC has 10 operating rooms and one hybrid OR
- Central sterile core for access to sterile instruments and supplies; case carts managed by Central Service; electronic preference cards updated by specialty service managers
- Day Surgery for preoperative preparation, phase 2 recovery and discharge
- PACU for acute care and phase 1 recovery
- On-call teams complement the in-house staff to provide staff for emergency surgeries
Staffing and Scheduling:
- Daily staffing is supported by a charge nurse, surgical services manager and director; operations supported by unit shift coordinators, RNs, OR technicians and patient service assistants; OR office personnel manage communication and scheduling needs supported by a program assistant
- Elective schedule runs from 0730 to 1600 in 6 rooms with an additional 4 rooms running until 1800; one elective room runs until 2200
- 10-hour shifts running from 0730-1800, 1130-2200 and 2130-0800 on weekdays/ nights;12-hour shifts running from 0930-2200 on weekdays;12-hour shifts running from 0730-2000 and 1930- 0800 on weekends to minimize overtime responsibilities
Unit Environment:
- Excellent continuing education opportunities available in-house at no cost to the employee, such as ACLS, TNCC, PALS, BLS supported by full-time surgical services educator
- OR work environment promotes teamwork and friendly atmosphere
- Opportunities in the department to specialize in a particular service; participate in quality improvement projects; and precept and become involved in hospital-wide committees and projects
- Electronic and manual documentation processes to address patient care communication needs, laboratory and radiology orders
- Weekly staff meetings to inservice equipment and supplies as well as provide a forum to discuss issues and resolve problems
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|
Podiatry Clinic
Expert Services:
Outpatient
- Primary focus on high risk diabetic foot care
Common Podiatric conditions:
- Plantar Fasciitis
- Neuroma
- Bunion
- Hammertoe
- Ingrown toenails
Procedure/OR
- Minor in office procedures such as toenail removals for ages 13 and above
- Monday morning operating room for forefoot surgeries
Inpatient
- No admitting privileges, but available for inpatient consultation
Clinic Environment:
- Five exam rooms
- One PACs (xray viewer)
- One Procedure room
- One supply room / One Medication room Pyxis
- One Nursing station in clinic
- Physician and Nursing office space
- Standard office equipment
Staffing and Scheduling:
- One Certified Medical Assistant assists in coordinating clinic appointments, performing vital signs and a brief history, also provides clerical support for travel, contacting patients who are referred, scheduling and coordinating the patients visits and care.
- Three Podiatrist who see patients in clinic and do surgeries
- Primary working hours are Monday through Friday, 8:00 AM to 4:30 PM with the exception of Monday morning.
- Operating hours are Monday morning 8AM to 12 p.m. and clinic hours are 1-4:30 p.m.
- We are located on the fourth floor of the Healthy Communities Building on campus
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| Pulmonology Sleep Medicine Clinic
The Pulmonary, Sleep Medicine clinic at the Alaska Native Health Campus provides comprehensive and culturally sensitive care to patients requiring the following specialty services.
Specialties encompassed:
Services Provided:
- Initial Pulmonology and Sleep evaluation
- Point of care medical services, including medical complaints, phlebotomy
- Procedures (Thoracentesis)
- Pulmonary Function Testing
- Sleep Studies
- Teaching and care coordination by Case Managers
- Urgent patient visits
- Multidisciplinary case management of medically complex patients
- These services are Consultative and by referral only
Unit Environment
- Moving to 9 exam rooms
- 1 Procedure
- Physician and support staff collocated near the clinical exam rooms
- Onsite 6 bed sleep lab and PFT lab
Staffing and Scheduling:
- Primary working hours are Monday through Friday, 8:00 AM to 6 PM. Sleep Lab Sunday through Saturday 7pm to 7am. Staffing is staggered to provide coverage. Allow for a 4/10 flex scheduling
- 5 Nurse Specialists work with specialized physicians.
- CMA’s work directly in clinic with the providers
- Case managers work with the providers and support staff
Additional Comments:
- Cerner Electronic Medical Record is used for all patient charting, scheduling and ordering.
- Monthly staff meetings are held to discuss issues, present new equipment or supplies, present Continuing Education topics and promote shared governance activities.
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| Specialty Clinics Case Managers
Seeking motivated, team oriented, flexible and organized applicants, to work in collaboration with our physicians, nurse practitioners and physician assistants caring for Alaska Native people. The Specialty clinics are a dynamic, fast paced, team environment in one of the most popular scenic destinations. We have fantastic opportunities to discover what interests you in one of our 25 Specialty Clinics as well as to increase your knowledge base. The Alaska Native Medical Center Specialty Outpatient Clinics consist of:
- Cardiology
- Colorectal Clinic
- Dermatology
- Diabetes
- Early Intervention Services
- Endocrinology
- ENT
- Gastroenterology
- Internal Medicine Hepatitis
- Infectious Disease
- Infusion
- Maternal Fetal Medicine
- Nephrology
- Neurology
- Neurosurgery
- Oncology
- Ophthalmology
- Orthopedics
- Pain Management Clinic
- Podiatry
- Pulmonology
- Rheumatology
- Sleep Lab
- Surgery
- Urology
The Specialty Clinic Case manager duties are to: plan, direct, and provide professional case management in a medical clinic using a multidisciplinary approach. Experience is preferred but not required. Salary is dependent on experience.
In our clinics, the Specialty Case Manager RN will:
- Independently and consistently use nursing knowledge, collect patient health data, and analyze data to determine diagnoses, while identifying expected outcomes which are individualized to each patient.
- Work closely with our tribal healthcare partners across the state to coordinate care across the continuum for our patients.
- Collaborate with the patient, family and other health care providers to formulate the plan of care and goals as well as assist the patient and family to identify and obtain the appropriate and available services for their health care needs
- Educate patients in a wide variety of health care subjects such as disease prevention, life style issues, basic health care maintenance, and self-administration of medications.
- Perform patient follow-up including notifying patients of laboratory results, scheduling referral appointments, maintaining charts and records, and responding to patient telephone calls.
- Utilize the ANA Scope and Standards of Practice and code of Ethics for Nurses as well as the Standards of Practice for Case Management.
- Assist physicians and other healthcare providers in specialty procedures.
- Direct the day to day activities of Assistant Case Managers, LPN’s and Medical Assistants
Schedule Details: Monday – Friday, day shift hours and no weekends. Six paid major federal holidays as well as four floating holidays.
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|
Surgical Services
Registered Nurse - Surgical Services/OR/PACU
Tracking Code: 20161876
Full Time, Part Time, Intermittent and Temporary RN opportunities available!
The Alaska Native Medical Center is currently soliciting Registered Nurses for Surgical Services, Operating Room and Post-Anesthesia Care Units. We provide outstanding comprehensive surgical services including: non-cardiac thoracic; laparoscopic; vascular; trauma/burn; and endoscopy. We serve all ages and are proud of the level of commitment and service offered by our team. Surgical specialties include general surgery, orthopedics, otolaryngology, gynecology, urology, neurosurgery, ophthalmology, dental and plastic surgery.
Each specific unit represented by this recruitment bulletin has a job description outlining essential functions of the position. Candidates are welcome to request a copy of the job description(s) should they get selected for an interview.
Required Skills
All RNs at ANMC are required to maintain full proficiency in nursing. This can vary from their knowledge of nursing science and techniques to their skill in prioritizing requests from providers, patients and their families. It would also include any knowledge, skills and abilities that are specific to the specialty unit or type of care they are providing. The job description will list in detail the required knowledge, skills and abilities; candidates are welcome to request a copy of the job description(s) should they get selected for an interview.
Required Experience
This specialty area requires licensed RNs with at least one year of RN experience; we will consider RNs who are not yet licensed in the state of Alaska provided they have their licensure by their first date of employment. Either AA or BS degrees in nursing are required. Finally, all candidates must have a current BLS; lapsed certification must be brought up to date by first date of employment. Specialty certifications may also be required depending upon designated placement area; employees must obtain these specific certifications within six months of hire.
Job Location
Anchorage, Alaska, United States
Position Type
Full-Time/Regular
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| Urology Clinic
Expert Services:
- Provides patient centered, culturally appropriate care surrounding urological needs. Our Urologists provide consultation services and do procedures such cystoscopies and stent removal in clinic as well as Transurethral Prostate Biopsies. Surgical services include Transurethral Resection of the Prostate, Transurethral Resection of Bladder Tumors, Prostatectomy, Nephrectomy, Urethral Stricture Surgery, ESWLs and Laser Lithotripsy for kidney stones, Ureteroscopy, and Stent placements to name a few. Some of the services provided by the Pediatric Urologist includes Circumcisions, Hypospadias Repair, Congenital Urological Disorders and Incontinence. We also care for and follow Urological Cancer patients.
- Twenty four hour on call services are available for Urological consult and emergencies. Our medical staff includes three Urologist, one Pediatric Urologist (who provides specialized urological care for our pediatric clients), and two Midlevel providers.
- The nursing staff duties covers a broad range of catheter care including indwelling catheters, suprapubic catheters, nephrostomy tubes, patient teaching around catheter care and maintenance, how to do self-catheterization, and pre-op teaching. Their responsibilities also include phlebotomy, urine collection, urodynamic testing such as flow rate/ post-void residuals (bladder scans), appointment intake, assisting the providers with clinic procedures, sterilizing our scopes and other equipment.
Staffing:
- We presently have on nursing staff two CMAs and one LPN, who work directly with the Urologists and Midlevels in clinic.
- Our Case Management staff includes two RN Case Managers and two Assistant Case Managers. The Case Managers process referrals working with clinics throughout the state of Alaska, coordinating care with other departments on campus, off campus, as well as out of state, when a higher level of care is needed.
- Our Assistant Case Managers work closely with the Case Managers and Providers in getting our patients scheduled and making sure that housing and travel has been requested.
- We have Medical Clerks for reception and clerical duties.
Clinic Environment:
- Urology Clinic consists of four exam rooms, one Urodynamic room, one PACs room, a clean and soiled utility room.
- We have a Pyxis for medication management.
- We utilize a team approach in caring for our patients.
- Urology Clinic is open Monday through Friday, 8 a.m. to 5 p.m. with the exception of major holidays.
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