Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
Nursing at Michigan offers a competitive salary with excellent benefits!
Salary range for Registered Nurses- $69,849.91- $108,327.09
- Evening Shift Differential- $2.55 per hour
- Night Shift Differential- $3.40 per hour
- Weekend Differential- $1.75 per hour
The benefit package includes:
- Excellent medical, dental and vision coverage
- 2:1 Match on retirement savings and immediate vesting
- Generous Paid Time Off Allowances
- Robust Tuition and Certification support programs
- Large offering of no cost CEs and professional development for advancement
This position is responsible for serving as a primary nurse and providing skilled nursing services to adult patients (generally 18 years of age and over) in their homes with mental health illnesses.
This position is responsible for assessing the nursing needs, including the physical, psychosocial, developmental, and environmental needs of patients and families. The Visiting Nurse provides home health services which meet all state, federal, accreditation, and payer regulations. The Visiting Nurse exercises independent judgment in day to day responsibilities, including the establishment of the plan of care and the provision of home health services. The Visiting Nurse assigns and supervises Home Health Aides and Licensed Practical Nurses and collaborates with the patient’s primary and specialty physicians to develop, implement, and evaluate the individual plan of care. The Visiting Nurse completes nursing procedures and treatments safely and in accordance with accepted professional standards of care. The nurse is responsible for patient teaching, and counseling patients and families regarding mental health, and self-care, evaluating the patient’s response to care and treatment. The Visiting Nurse initiates appropriate referrals to other home health disciplines as necessary and as a multidisciplinary team member, collaborates to coordinate and evaluate care. The nurse coordinates the daily visit schedule with the office staff and maintains acceptable standards of productivity.
Characteristic Duties and Responsibilities:
CLINICAL SKILLS AND KNOWLEDGE
Clinical Skills and Knowledge includes, but not limited to the following:
- Independently and consistently performs goal-focused and individualized assessments when caring for all patients, including those with complex pathophysiological and psychosocial needs. Demonstrates knowledge of current psychiatric medications for treatment of mental health disorders
- Individualizes nursing diagnoses based on assessment data. Demonstrates knowledge and proficiency using DSM (Diagnostic and Statistical Manual for psychiatric disorder).
- Practice relies on previous experience for focused analysis of problems and solutions with individual patient modification in order to meet outcomes.
- Acts as an expert and resource for use of standard unit technology and advanced technology as appropriate.
- Resource for use of EMR system and computer
- Works collaboratively to develop strategies to meet learning needs of self and coworkers.
- Revises and develops patient education materials.
- Involved in ongoing quality monitoring of documentation of nursing care and patient outcomes.
- Exercises independent judgment in day to day responsibilities.
- Ensures patients are eligible for home care services and meet all required program guidelines.
- Completes accurate comprehensive nursing assessments, including OASIS dataset when applicable, to identify physical, psychosocial, developmental, and environmental needs of the patient.
- Educates the patient and family regarding home care services and assists them in independence with care.?
Delivery of Care:
- Performs and submits timely documentation of nursing assessments, procedures, and interventions in the home according to the plan of care.
- Ensures that patients meet insurance requirements for home health services.
- Adheres to all UMHS and agency infection control and safety policies.
- Delivers nursing care according to departmental and professional standards of care.
- Manages assigned patient caseload, and maintains departmental productivity standards.
- Teaches and/or supervises family members and other caregivers in the care of the patient, seeking to encourage the maximum amount of independence with the care.
- Accountable for utilizing all technology and equipment (i.e., cellular phones, point of care devices, computers, etc.) according to department expectations and policies.
- May also see patients under age 18 if specific pediatric competencies have been met and pediatric competency checklist has been completed.
- Ensures that patient presenting mental health problems and goals are adequately communicated through telephone calls to the provider and/or medical records.
- Applies interventions to proactivity prevent readmission
- Ensures that the care provided is safe, effective, patient-centered, timely and efficient. This approach achieves optimum value and desirable outcomes for all – the patients, their support systems, the providers and the payers.
- Facilitates the achievement of patient wellness and autonomy through advocacy, assessment, planning, communication, education, resource management and service facilitation.
- Secures and maintains complete physician orders within regulated time frames.
- Develops, updates, and maintains plan of care based on the initial and ongoing assessment of patient and family needs, meeting all regulatory time frames.
- Communicates and interacts with patients and families/caregivers in a positive, effective, and professional manner.
- Coordinates the plan of care with other nursing staff, physical therapists, occupational therapists, speech language pathologists, home health aides, dieticians, and medical social workers, and documents for inclusion in the medical record.
- Provides effective case management of assigned patients including the utilization of appropriate disciplines, achievement of quality metrics, cost-effective services and the appropriate use of medical supplies.
Patient and Family Centered Care:
- Actively engages the patient and family by exhibiting respect and dignity, sharing information in a timely and unbiased manner, and welcoming and encouraging participation to achieve shared decision making.
- Collaborates with other members of the team, including the patient and family, to achieve the ideal patient care experience.
- Understands the family dynamics as it relates to mental illness.
Professional Development includes, but not limited to:
- Sets goals for knowledge/skill enhancement within and beyond the practice setting.
- Attends in-services CE’s within and beyond practice area.
- Takes a leadership role in building and maintaining an environment where all team members thrive.
- Shares in/contributes to others knowledge/skill development in practice setting examples include: Conducts in-services - Develops staff education- tools - Acts as interdisciplinary clinical resource and informal mentor.
Therapeutic Relationships include, but not limited to:
- Consistently role models individualized therapeutic communication based on patient and family needs.
- Initiates consultation/leadership with the healthcare team to share and promote collaborative approach to patient and family care.
- Invites patients and families to actively participate in plan of care to foster growth and competence.
- Anticipates patient/family needs.
- Demonstrates actions that incorporate the rich traditions, beliefs, and values of patients and families.
Professional Relationships include, but not limited to:
- Acts as a resource in psychiatry and mental health illnesses to nursing and healthcare teams.
- Is sought out by members of the multi-disciplinary healthcare team.
- Frequently initiates consults with health care team.
- Creates conditions and relationships that promote creative, innovative, and positive processes and outcomes.
- Role models and helps to establish group norms that promote valuing of all health care team members.
- Demonstrates active engagement to enhance patient care and promote a positive workplace.
ADVANCING PRACTICE THROUGH INNOVATION AND RESEARCH:
Advancing practice through innovation and research include, but limited to:
- Reads evidence based articles related to area of practice.
- Participates in unit/area based/institutional Continuous Quality Improvement projects.
- Presents at unit based educational forums.
- Takes on leadership role in relation to innovations/ improvements in practice setting.
Supervisory and General -
- Supervises and assigns Licensed Practical Nurses and Home Health Aides.
- Directly supervises nursing students as assigned.
- Assists in the planning, organization, implementation, evaluation and supervision of student training and provision of care and services.
- Works up to two weekends out of every four weeks; holiday and evening rotations as assigned.
- Communicates effectively and professionally with colleagues and provides support for smooth functioning of nursing teams.
- Updates required employee information as necessary.
Other Related Duties:
- Practices within the scope of license, certification, or registration.
- Complies with all applicable continuing education requirements.
- Complies with all University of Michigan and departmental standards and expectations.
- Supports the department’s commitment to continuous improvement activities and principles through positive and respectful contribution in all problem-solving and change processes at Home Care Services.
- Performs other duties as assigned.
Nursing Specific Info
Under Michigan Law, a criminal history check including fingerprinting is required as a condition of employment or transfer for this position.
Nursing Specific Info
Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period.
Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined.
If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.
- Current licensure as a registered nurse in the state of Michigan
- Three (3) or more years of in-patient, geriatric, or out-patient psychiatric unit experience in the last 5 years
- Demonstrates knowledge and proficiency using DSM (Diagnostic and Statistical Manual for psychiatric disorder).
- Demonstrates knowledge of current psychiatric medications for treatment of mental health disorders
- Demonstrates knowledge in biological and psychological cases of mental health illness.
- Demonstrates knowledge in CBT (Cognitive Behavior Therapy)
- Demonstrates knowledge of family dynamics as it relates to mental illness
- Ability to demonstrate excellent problem solving and triage skills
- Ability to work independently in a multidisciplinary, fast-paced environment as demonstrated by interview, professional references and performance evaluations
- Direct experience with all types of vascular access devices, wound care, and oxygen therapies
- In-depth experience in patient education (i.e. self-care, disease management state)
- Demonstrated proficiency with computer skills, Microsoft Word, e-mail, and smart phones
- Excellent communication and customer service skills
- Demonstrates proficiency at providing individualized care to a full range of patient populations
- Demonstrates contributions within a previous unit and the nursing profession
- Participation in evidence based practice changes, research, and/or LEAN project involvement
- Ability to travel from point A to point B throughout the workday as assigned
NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
RESUME REQUIRED (for both internal & external applicants):
You must attach a complete and accurate resume to be fully considered for this position
- Home care experience as a Registered Nurse within the last two years
- Certification in Psychiatric Nursing
- Experience in teaching and developing patient education materials
- Experience with EPIC Home Health
Appointment: 32 Hours
Shift:: Day shift, with rotating weekends and evenings.
Location: Michigan Visiting Nurses
Note: All new employees will be expected to float to a designated unit(s) in times of low census.
This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The Department of Nursing, like the University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.
U-M COVID-19 Vaccination Policy
COVID-19 vaccinations are now required for all University of Michigan students, faculty and staff across all three campuses, including Michigan Medicine. This includes those working or learning remotely. More information on this policy is available on the Campus Blueprint website or the U-M Dearborn and U-M Flint websites.