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Nurse

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NURSE
Grade 23 - 25


SPECIAL JOB REQUIREMENTS

• Experience in Industrial Medicine preferred
• Training and/or certification in Medical Case Management preferred
• Performs Registered Nurse duties
• Performs database entry
• Interfaces with all levels of a clinic medical staff
• Works well under minimal supervision where assignments are both well defined, non-defined but based on the needs of the patient and much must be interpretation as needed based on principles of ethical and safe nursing practice.
• Knowledgeable of OSHA regulations including but not limited to Hearing Conservation surveillance regulations; knowledgeable of the OSHA Beryllium surveillance regulations; and knowledgeable of the OSHA Respirator surveillance regulations


SPECIAL TRAINING, CERTIFICATIONS, QUALIFICATIONS, OR LICENSES

• Registered Nurse with the State of Tennessee
• Certified Occupational Health Nurse (COHN or COHN-S)
• Case Manager (CM or CCM)


LEVEL/GRADE SPECIFIC
Grade 23
Nurse II

Education:

Bachelor of Science, Nursing (BS RN) with current state RN licensure required. BLS and ACLS certification required. Certified Occupational Health Nurse desired.

Experience:

5+ years as a Registered Nurse in a medical facility. Must be a registered nurse (RN) and have a valid Tennessee State License. Quality Assurance/Continuing Quality Program experience required. Experience in Industrial Medicine is strongly preferred. Training and/or certification in Medical Case Management preferred. Knowledge of Tennessee State Workers Compensation laws and experience with Workers􀀁 Compensation program case management preferred. Must possess and maintain all credentialing requirements of the project including, but not limited to, a state license. Experience, license, or certification in audiometry as specified in 29 CFR 1910.95(g) or equivalent state OSHA or federal safety program preferred. Demonstrated knowledge of OSHA regulations is preferred. Must have strong organizational skills, with the ability to coordinate and prioritize projects. Must have the ability to adapt to changes as they occur.

Level Specific Responsibilities:

Ensures compliance to federal and state laws as well as and company regulations and requirements for privacy and security of employee privacy and medical records.

• Maintains knowledge of State and Federal Regulations, and company guidelines affecting practice and clinic operations.
• Counsels employees for wellness, injuries and illness, and utilization of the Employee Assistance Program and employee concerns programs, under direction of the SOMD, Clinic Operations Manager, and Deputy Clinic Operations Manager.
• Provides referrals to employees to see a Physician, Nurse Practitioner, or Physician Assistant when necessary.
• Interfaces with other ESH&QA professionals, as needed, on specific employee issues.
• Ensures compliance with Blood borne Pathogen Requirements.
• Cross-trains as directed by clinic management in spirometry, audiometric, X-ray, phlebotomy and packaging of labs/urine testing.
• Assists in the oversight of the medical treatment facility (MTF), including but not limited to patient evaluation and care, administration of diagnostic occupational health tests, as appropriate, and evaluating tests and their performance for compliance with applicable laws, regulations, standards, plans, policies and procedures.
• Maintains Inventory log/maintenance and organization of inventory.
• Maintains EKG log and handling of Stat EKG requests, checking for return of test results on a timely basis, keeping a record of EKG testing, as they are sent for cardiology review/over read and returned. This may include STAT requests.
• Responsible for daily room checks and equipment checks, other than lab/X-Ray equipment.
• Assists clinicians in ordering supplies/medications under the direction of clinic management.
• Works with the Medical Records Technician in maintaining the medical treatment facility (MTF) library of regulatory material electronically, with working copies as needed or in hardcopy if electronic copies are unavailable.
• Responsible for documenting all clinic, e-mail and phone call encounters with employees.
• Works with employees, clinicians, site occupational medical director, risk management, insurance adjusters, legal, supervision, safety, legal, HR, and other ES&H and project management in providing appropriate management of occupational injuries, illness, and concerns.
• Provides prompt, accurate, notifications to those designated as 􀀂 need to know􀀃 by DDR and e-mail of employee status on return to work, injury and illness, reports of potential or actual exposures, or those with safety concerns.
• Responsible for being familiar with Surveillance requirements
• Assists in the development of a continuing clinical quality improvement (CQI) program to assess programs and functions in terms of regulatory compliance and best medical practices.
• Prepares reports of findings and outcomes, makes recommendations for improvements and, when approved by the Medical Director, initiates corrective actions.
• Keeps abreast of current developments in occupational health and associated laws and regulations, sharing knowledge and experience with staff.
• Facilitates and assists with patient flow within the clinic including monitors vital signs as needed, collects and documents brief history of chief complaint when needed, assists physician, physician assistants and/or directs paramedics providing care to sick or injured workers.
• Responsible for administration and maintenance of vaccines including temperature log requirements and is knowledgeable about quality Control procedure for maintenance of vaccines in power/equipment failure.
• Under physician direction, administers immunizations and medications.
• Responsible for initial contact with chief complaint, history, questionnaires, Dust Mask Approvals (COHN only for Dust Mask Approvals) and triage of walk-in encounters with employees.
• Makes entries into employee medical records of Employee injuries, illnesses and treatment administered by project first aid and medical personnel as required by the company, client, State and Federal regulations.
• Manages workers􀀁 compensation cases and maintains workers􀀁 compensation case files as appropriate and in accordance with the pertinent laws and regulations.
• Supervises, conducts and documents periodic health and sanitation inspections.
• Ensures that testing is performed correctly and results appropriately documented, filed and, as appropriate, entered into the occupational health information database.
• Ensures that appropriate information is provided to the employer/supervisor about medical restrictions without violating employee privacy/Health Information Portability and Privacy Act (HIPPA) requirements.
• Accountable for knowledge of responsibilities when responding to stat to treatment room notification.
• Participates in walk downs with other ES&H personnel.
• Responsible for maintenance of wellness materials, and informational brochures for DOE Worker Programs.
• Completes and maintain certifications for Drug and Alcohol testing.
• Responsible for staying up to date with Health Services and required contractor Training, Policies and Procedures
• Responsible for being available when on assigned call 24/7.
• May be assigned to work/cross train with the Legacy Beryllium Program.
• Responsible for working with HR as necessary on issues of FMLA/STD that often relate to return to work.
• May be assigned to work/cross train with the Hearing Conservation Program.
• May be assigned to serve as the Clinic Operations Manager or Deputy Clinic Operations Manager for day-to-day administration of the Occupational Medical Program.
• May be assigned to represent Health Services on the EOC cadre.


Grade 24
Project Nurse I
Education:
Bachelor of Science, Nursing (BS RN) with current state RN licensure required. BLS and ACLS certification required. Certified Occupational Health Nurse desired.

Experience:

8+ years as a Registered Nurse in a medical facility. Quality Assurance/Continuing Quality Program experience required. Industrial Medicine experience is required. Experience with Workers Compensation program case management required. Must have and maintain all credentialing requirements of the project including, but not limited to, a state license. Experience, license, or certification in audiometry as specified in 29 CFR 1910.95(g) or equivalent state OSHA or federal safety program preferred. Demonstrated knowledge of OSHA regulations is required. Must possess strong organizational skills, with the ability to coordinate and prioritize projects. Must have the ability to adapt to changes as they occur.

Level Specific Responsibilities:

• Administers first aid treatment to injured or ill personnel and subsequent follow-up treatment as needed.
• Evaluates employees with injuries and/or illnesses and refers them to a physician or hospital as necessary.
• Responds to emergency situations and directs operations accordingly.
• Assists physician in various treatments and examinations.
• Supervises paramedical personnel in performing routine and emergency medical services at the jobsite.
• Reviews and updates Project Medical Directives for approval by the consulting physician.
• Administers medication in accordance with Project Medical Directives.
• Performs primary and secondary observations and assists in the administering of Drug and Alcohol Programs.
• Maintains and prepares medical reports in accordance with applicable Workers' Compensation Claims requirements.
• Maintains medical and first aid reports as defined in the UCOR Safety/Health Procedure Manual.
• Participates in Medical/First Aid personnel planning and conducts employee performance evaluations.
• Supervises, directs, and trains First Aid/Rescue Teams.
• Assists in coordination of activities to prevent accidents.
• Recommends the purchase of medical equipment and supplies/medications as outlined in Medical Directives.
• Assists in planning health/medical educational programs and provides basic health information.
• Assists in planning emergency evacuation procedures.
• Supervises the evacuation of patients as needed to assure continuous treatment en route to other medical facilities.
• Participates in Workers' Compensation/Insurance Claims reviews as required.
• Provides technical direction and functional supervision to Nurses and Emergency Medical Technicians/Paramedics as assigned.
• Maintains daily working relationships with local medical services, consulting physician, and emergency transportation services to keep them informed of the project/facility medical program.
• Maintains contact with insurance claims personnel to monitor the status of worker compensation claims.
• Maintains contact with regulatory compliance officers when auditing medical/record-keeping requirements.
• Maintains contact with injured employees who require medical attention.
• Assists the Medical Director in developing, initiating, and maintaining Wellness Programs as approved and directed.
• Assists Medical Director and staff in preparing the clinic for Chemical Personnel Reliability Program (CPRP) inspections and audits.
• Works with the Physician Assistant(s) (PA) and/or the Paramedic Supervisor/Trainer, to develops and conduct training/educational programs for staff and employees in areas of occupational health.
• Makes entries into employee medical records of employee injuries, illnesses and treatment administered by project first aid and medical personnel as required by the company, client, State and Federal regulations.
• Manages workers compensation cases and maintains workers􀀁 compensation case files as appropriate and in accordance with the pertinent laws and regulations.
• Supervises, conducts and documents periodic health and sanitation inspections.
• Ensures that appropriate information is provided to the employer/supervisor about medical restrictions without violating employee privacy/Health Information Portability and Privacy Act (HIPPA) requirements.


Grade 25
Project Nurse II Nurse Practitioner I or Physician Assistant I

Education:
Master’s degree in medical science from an accredited educational institution and current License as a
Physician Assistant or Nurse Practitioner in the State of Tennessee required.

Experience:
3+ year(s) experience as a nurse practitioner or physician assistant is preferred for this position. Experience, license, or certification in audiometry as specified in 29 CFR 1910.95(g) or equivalent state OSHA or federal safety program preferred. Possesses strong organizational skills, with the
ability to coordinate and prioritize projects. Must have the ability to adapt to changes as they occur.

Level Specific Responsibilities:

• Performs duties assigned and authorized by supervising physician/Medical Director.
• Ensures all safety and environmental guidelines are followed without deviation.
• Treats injured and ill employees, performs accurate health assessments in patients who present for treatment, and initiates appropriate diagnostic and therapeutic measures according to protocol and within his/her written agreement with the supervising physician.
• Conducts routine physical examinations, periodic job-related surveillance exams, epidemiological follow-ups and routine screenings.
• Conducts physical examinations and systematically documents findings
• Works with the RN to advise and educate workers about hazards in the workplace and their health effects.
• Provides clinical support to employees in monitoring health problems, offers medical counseling and referrals to medical or surgical services.
• Coordinates services such as cholesterol and blood pressure, promotes the preventive medicine program to increase the health and well being of the work force and to protect the work force from disease and injury.
• Expedites and evaluates Workers Compensation and lost time injury issues.
• Reviews employee immunization records to ensure the employee is updated on all immunizations as recommended by the Centers for Disease Control (CDC).
• Provides health care services to patients under the direction and responsibility of a physician.
• Evaluates and treats employees with injuries and/or illnesses and refers them to a physician or hospital as necessary. Provides follow-up treatment as needed.
• Performs suturing for uncomplicated, non-facial lacerations.
• Diagnoses and manages acute and chronic diseases and/or conditions. Administers or orders diagnostic tests such as x-ray and laboratory test and interprets test results.
• Examines patients and administers immediate advanced life support and stabilization.
• Responds to emergency situations and directs operations accordingly. Provides urgent/emergency care that may include medical procedures. Writes appropriate orders including those for narcotics, stimulant and depressant drugs.
• Assists in planning emergency evacuation procedures. Supervises the evacuation of patients as needed to assure continuous treatment en route to other medical facilities.
• Obtains medical histories and performs pre-employment physicals. Supervises paramedical personnel in performing routine and emergency medical services; supervises, directs and trains First Aid/Rescue teams.
• Administers ongoing programs of preventative medicine including tetanus and flu inoculations, and blood pressure screening; advises employees on methods of disease prevention and educates and counsels individuals to promote positive health behaviors and self-care skill. Assists in administering drug and alcohol programs.
• Reviews the ongoing adequacy of medical care; recommends the need for supplementary medical support staff and the purchase of medical equipment and supplies/medications as outlined in medical directives.
• Assists in the coordination of activities to prevent accidents.
• Assists in the education and training of medical support personnel, including selection, training, development, and performance monitoring. Serves as a preceptor for nurse practitioner students and/or allied health care students.
• Maintains and prepares medical reports in accordance with applicable worker’s compensation claim requirements.
• Participates in worker’s compensation insurance claims reviews as required.
• Acts as lead medical authority in the absence of the Medical Director or other authorized physician.

For persons with disabilities: If you require assistance completing, or are unable to complete the online resume/application process, please contact:

Human Resources @ (803) 644-0070
Mon. - Fri. 9am - 4pm

237 High Gate Loop
Aiken, SC 29803

Value Added Solutions, Inc. is an Equal Opportunity Employer and supports a drug-free work environment.



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