Entry Level Rn Data Abstractor Jobs in Albuquerque, NM

1. Collects, validates, synthesizes, and records objective and subjective data;
2. Prioritizes data collection based on patient needs;
3. Analyzes all data;
4. Identifies actual or potential problems or needs based on data analysis;

1. Establishes realistic and measurable short and long term goals for the identified health problems and needs;
2. Develops individualized interventions to achieve goals;
3. Determines timelines within the care plan;
4. Conducts a systematic and ongoing evaluation of patient outcomes;
5. Reviews and revises plan of care as indicated;

1. Performs nursing functions and provides care within scope of practice;
2. Coordinates and delegates care as appropriate;
3. Verifies that medical orders are accurately transcribed;
4. Administers medications and performs treatments per physician orders;
5. Communicates and documents interventions and patient response;

1. Delegates care responsibilities to staff considering:
   1. Complexity of care;
   2. Competency of staff;
   3. Center policies;
   4. State's practice act;
2. Supervises staff to ensure that delegated tasks and interventions are implemented appropriately and per policy;
3. Evaluates and adjusts the plan of care to achieve patient goals and minimize re- hospitalizations;
4. Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning:
   1. Communicates team's recommendations for discharge to the attending physician, patient and family;
   2. Prepares patient/family for discharge including patient and family education;

1. Communicates patient information with assigned staff during and between shifts;
2. Participates in shift-to-shift communication between incoming and outgoing nursing staff;
3. Uses Point Click Care (PCC) according to the Business Processes;
4. Performs drug count when beginning and ending shift and whenever necessary;

1. Collaborates with physicians in rounds and examination of patients, as needed;
2. Collaborates and coordinates with other departments to provide timely effective care consistent with individual's needs, choices and preferences;
3. Contributes to an environment that is respectful, team-oriented, and responsive to the concerns of staff, patients and families;
4. Enhances nursing practice by attending all mandated in-service programs and other GHC and outside professional education programs;
5. Assists with the orientation of newly hired nursing staff;
6. Promotes a culture of safety to ensure a healthy practice and living environment;
7. Maintains confidentiality and protects sensitive Protected Health Information (PHI) at all times;
8. Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of patients;
9. Performs other duties as requested.

1. Complies with applicable legal requirements, standards, policies and procedures including but not limited to those within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA.
2. Participates in required orientation and training programs.
3. Promptly reports concerns and suspected incidences of non-compliance to supervisor, Compliance Liaison or to the Compliance Officer via the Integrity Hotline.
4. Cooperates with monitoring and audit functions and investigations.
5. Participates, as requested, in quality assurance and process improvement activities.

1. Graduates of an approved school of nursing is required.
2. Must be licensed by the State Board of Nursing.
3. Experience is preferred in rehabilitative or geriatric nursing.
4. This position requires that the employee is able to read, write, speak and understand the spoken English language to ensure the safety and wellbeing of our patients and visitors at the work site when responding to their medical and physical needs.
5. Must provide verification of TST (tuberculin skin test) as required by state law and in accordance with Company policy. TSTs will be administered at the work site if required.

1. Maintains current BLS/CPR certification (All SNFs and Behavioral Centers; ALFs/ILFs as required by State).

1. Current physical assessment skills and comprehensive knowledge of nursing principles required, including the ability to recognize and identify symptoms and manage emergency situations.
2. Knowledge of medications, their proper dosage, and expected results.
3. Ability to coordinate, delegate and supervise nursing functions, problem solve and make decisions as necessary.
4. Ability to create a patient-centered environment.
5. Ability of communicate in English both orally and in writing.
6. Basic knowledge of computer use.

Why TalentBurst?
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Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships.

We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options.

TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce.