One of the greatest things about the nursing field is the lateral mobility within the field that provides nurses with a unique ability to try something new. Tired of traditional patient care in a healthcare facility? Want to change your career path, or try something different? Here are 11 suggestions that might put you on that new path:
1. Nursing Informaticist
Overview: An informatics nursing position would be a perfect fit for a nurse with a strong affinity for math, statistics and information systems. The informatics nurse’s job is to collect, interpret, and forward necessary medical data coming from and into hospitals, clinics, doctor’s offices, and nursing homes. You would support customers, patients, nurses and other providers in their decision making through the use of information structures, processes and technology. You would often work with nursing leadership and staff to support competency assessments, support validation processes, and develop workflows in various tools which reflect best practice and enhance clinical practice, address patient safety and quality outcomes, and improve user satisfaction. Sound boring? Maybe the incredible pay will persuade you! Nursing Informatics Workforce Survey, conducted by the Healthcare Information and Management Systems Society states the median salary reported for Nurse Informaticists was $93,000. The average salary reported was $100,717.
- Sound and strong competency in mapping real-life nursing and physician practices to informatics applications.
- Experience evaluating and implementing hospital-wide informatics systems.
- Adept at persuading and training physicians and staff to adopt new workflows and tools, requiring a strong knowledge of change management.
- Broad knowledge of hospital operations and associated technologies.
- Able to read and understand technical manuals, procedural documentation and healthcare guides.
- Excellent ability to translate technical terminology for consumption by non-technical audiences.
- Knowledge of adult learning and training methods.
- Good familiarity with project management, quality improvement information systems design.
- Demonstrate attention to detail and a high degree of accuracy, the risk of error could result in significant harm or loss.
- Professional written and verbal communication skills.
- Collaborate closely with and communicate between IT leadership and the clinical community to provide leadership for clinical systems projects and initiatives.
- Assist in the development of policy and procedures for use of clinical information systems.
- Train, educate, and instruct clinical users on features, operation and usage of software systems
- Provide writing and documentation support to capture business areas reporting requirements.
- Develop and implement auditing and review processes to ensure project goals and objectives are met.
- Creates E-Forms, PhysDoc templates, Standing Order sets, Flowcharts and other standard templates within the system
- Bachelor’s degree in nursing or an associate’s degree. A preference in nursing and a bachelor’s degree with a preference in computer science or related field highly desirable.
- Current license with the appropriate State Board of Nursing.
- Certificate in nursing informatics,
- National certification in nursing informatics, or certification in related eMR applications is usually preferred or must be willing to pursue additional education or certification.
- Minimum of 2 years nursing experience patient care and/or informatics.
2. Camp Nurse
Overview: Summer camps are still around and there is a need for nurses to work in the camp for the safety of the campers, staff and families. Some of these jobs are volunteer positions, although many are paid. Many times you will have a cabin in the camp and work under a physician via telephone or in person. You would be required to be “on-call” 24 hours a day and many times, acute care nurses are preferred due to the possibility of traumatic injuries that might occur in the camp. There’s even an Association for Camp Nurses.
- Caring for ill or injured patients
- Sorting and dispensing medication to campers
- Responding to an “emergency” which may arise at camp
- Maintaining the climate and care of communication in the Nurse’s Room
- Set-up and clean up of the Nurses’ Room
- Collecting & organizing all camper and staff medical forms
- Collecting, administering all medications (prescribed and over-the-counter)
- Maintaining accurate health logs and incident reports
- Providing First Aid for minor injuries and illnesses
- Attending to homesickness & dehydration
- Keeping open communication with camp directors
- Communicate with local medics or hospital if needed
- On-call 24 hrs/day
- LVN or RN preferred
- Active nursing license in the state of the camp
- Certification in PALS, CPR, and ACLS
- Pediatric experience preferred
- Previous camp experience preferred
- At least 2-5 years nursing experience
Other Skills and Abilities:
- Ability to manage health forms and paperwork
- Enjoy working with kids aged 9-17
- Hard-working, enthusiastic and committed to the safety and well-being of campers
- Adaptable and comfortable living in a camp setting and interacting positively with other camp staff.
- Regular communication is a must.
3. Nurse Claims Analyst (RN)
Overview: Review Explanation of Benefit (EOB) cases, beneficiary, provider, and/or pharmacy cases for a variety of beneficiaries of benefits and potential overpayment, fraud, waste, and abuse cases. The Nurse Claims Analyst may work in a variety of different claim field including; Medicare, pharmacies, insurance companies, and hospitals. The Nurse Claims Analyst uses their knowledge in the nursing field to ensure the Medicare Part D Compliance team is following CMS guidelines. The Claims Analyst is responsible for making sure the policies and procedures are simple and clear for the team to understand, and must be able to answer questions that the team may have.
- Provide educational programs to medical review nurses focusing on quality control with respect to supporting local, state and federal partners.
- Completes desk review or field audits to meet applicable contract requirements and to identify evidence of potential overpayment or fraud.
- Effectively identifies and resolves claims issues and determines the root cause.
- Interacts with beneficiaries and health plans to obtain additional case-specific information, as needed.
- Consults with Benefit Integrity investigation experts and pharmacists for advice and clarification.
- Completes inquiry letters, investigation finding letters, and case summaries.
- Investigates and refers to all potential fraud leads to the Investigators/Auditors.
- Responsible for case-specific or plan specific data entry and reporting.
- Identifies opportunities to improve processes and procedures.
- Testifies at various legal proceedings as necessary.
- Performs a variety of tasks some requiring independent thought and research. A degree of creativity and latitude is required.
- Ability to read, analyze, and interpret technical procedures, review documents, or contract regulations.
- Ability to write reports, business correspondence, and procedures.
- Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
- Generally a BSN, however at times LPN/LVN and ADN are also considered based on experience.
- Additional current and active degree/license/certification/s in a relevant healthcare discipline (i.e., CPC, CPHM, CFE, CCM, HCAFA) are a plus.
- Must possess at least three to five years of strong clinical experience. Preference is given to critical care experience or floor nurses with a broad range of experience.
- Healthcare experience that demonstrates expertise in conducting utilization reviews, ICD-9 and ICD-10 CPT coding, and knowledge of managed care organizations (MCOs),
- Medicare and/or Medicaid regulation knowledge preferred.
- Prior successful experience with CMS, State Medicaid, and OIG/FBI or similar agencies preferred.
Other Skills and Abilities:
- Utilizes required data entry and reporting systems, including advanced features.
- Must have the ability to work independently with minimal supervision.
- Must be able to communicate effectively with all members of the team to which he/she is assigned.
- Must have the ability to effectively resolve complex issues.
4. Utilization Review Nurse
Overview: The Utilization Review Nurse reviews medical records for appropriate application of medical necessity criteria to determine the appropriateness of admission and/or continued stay and readiness for discharge criteria and clinical expertise. You would establish and maintain efficient methods of ensuring the medical necessity and appropriateness of all hospital/unit admissions. Part of the job would include the clinical review for patients to ensure that extended stays are medically justified and are so documented in patient’s medical. You might work in conjunction with Clinical Documentation Improvement Nurses to identify the Working DRG for patients admitted as inpatients and ensure the Working DRG is entered into the hospital’s EMR.
- Performs concurrent and retrospective telephonic clinical reviews at the designated network or out-of-network facilities
- Documenting medical necessity and appropriate level of care utilizing clinical guidelines (Milliman). Complies with CMS regulations and Health Plan requirements
- Interacts and effectively communicates with members, their families and or designated member representative to assess discharge needs and formulate a discharge plan, provide Health Plan benefit information
- Interacts daily with treating physicians regarding the Monarch HealthCare member’s plan of care and alternative care solutions
- Effectively communicates the plan of care to facility staff, health plan partners, and ambulatory case management
- RN or NP license
- 2+ years of experience in an acute care clinical setting highly preferred
- 1+ years of case management experience preferred
- Experience in utilization management
- Certified Case Manager (CCM) is also helpful
- Friendly, happy, with a good sense of humor
5. Doping Control Officer
Overview: The Doping Control Officer usually works with sporting agencies that have doping laws and policies in place. The Olympics, USDA, and other national organizations and sports teams utilize the Doping Control Officer to ensure their athletes adhere to the policies. This is a rare job yet, there are periodic postings on USA.gov and other sites looking for this position. A DCO evaluates, monitors, and performs tests on professional athletes to identify and mitigate doping.
- Accept, plan and manage doping control test assignments.
- Witness sample collection or overseeing the witnessing of the Sample Collection Process.
- Perform urine and/or blood collections.
- Process athlete samples according to protocol and procedures.
- Ensure accurate documentation/completion of the Doping Control Process.
- Ship processed samples to the specified/certified laboratory.
- Submit all Sample Collection Documentation to the appropriate board.
- Assist in the recruitment and training of Doping Control Officer candidates.
- Accountable to the most current version(s) of the DCO Manual, sample Collection Documentation and other training resources.
- Participate in DCO evaluation and support program.
- Collect Samples on behalf of other agencies when requested.
- Ensure adequate control of Document, Record and Sample Collection Equipment.
- Maintain confidentiality at all times.
- Excellent oral and written communication skills.
- Excellent organizational skills and attention to detail
- Multitask and to work accurately under pressure
- Interact with internal and external customers
- RN, NP Licenses in the states you would be working.
- Possible completion of all USADA certification/recertification requirements
- Work experience in Allied Health Professions w/certification and/or License
(Athletic Trainer, Physical Therapist, Registered Nurse, Paramedics, Phlebotomist, etc.)
Other Skills and Abilities:
- Pass written and practical exams
- Attend DCO training sessions, meetings, conferences
- Travel, possibly at short notice, to conduct test assignments
- Work flexible hours as needed
- Work in a diverse environment
- Perform in a team environment
- Meet deadlines and operate with limited supervision
- Bilingual in other languages also highly recommended and desirable
6. Director of Wellness
Overview: The person holding this position has delegated the responsibility for carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures and the Nurse Practice Act. The Wellness Director must exhibit genuine interest in residents and show patience and understanding while working with patients, families and visitors. This position oversees the health care given, assesses health, functional and psycho-social status of residents, initiates individualized service plans, proactively manages care and services for each patient, evaluate effectiveness and maximizes the patient’s opportunity to remain in the healthcare facility The Wellness Director oversees and promotes the patients’ health and wellness through regular visits with each patient, patient assessment, and ongoing communication with the family and care team.
- Assists the Business office manager in the completion of new hire paperwork, monitoring time sheets, and performing evaluations per company policy.
- Manage the health care of all residents, including the dissemination of information to families, staff, physicians and third-party providers. Maintain ongoing communication with the patient, patient’s family and physician regarding the patient’s medical needs.
- Provide maximum patient-care services within limits defined by delegated tasks.
- Perform duties in accordance with established methods and techniques and in conformance with recognized standards.
- Perform on-site assessments of patients admitted to hospitals or skilled nursing facilities for treatment, and maintain contact with the patient’s family and discharge planner with the view to returning to the community.
- Complete pre-admission assessments for each patient and update as needed with a change in condition.
- Initiate patient negotiated service plans according to the individualized needs of the resident as prescribed by a physician and/or community policy. Provides patient and family instruction where applicable seeks input from the resident and family in the development of the negotiated service plan
- Performs ongoing assessments of patient’ physical and psychosocial needs and coordinates with other departments to assure quality, proactive care.
- Meet with each patient on a regular basis to provide health and wellness checks and answer any health-related questions.
- Coordinate additional health services the patient may need.
- Current Nursing License issued by appropriate state licensing agency and must have a BLS, possibly ACLS or PALS
- Prefer a minimum of 2 years experience working with patients in a hospital environment.
- Basic typing skills along with a working knowledge of personal computing and word processing software.
- Must have the ability to read and interpret documents such as safety rules, operating and maintenance instructions, procurement manuals, etc.
- Must have good communication skills and must be able to effectively communicate, understand and follow written and oral direction.
Other Skills and Abilities:
- Knowledge of procedures and techniques involved in administering simple treatments and providing related care service.
- Good understanding of the basis of universal precautions to avoid infection of patients and self or contamination of equipment and supplies.
- Be aware of the assessment process, and the development and execution of negotiated care plans.
- Possess the ability to solve problems and deal with a variety of situations according to hospital standards and the Nurse Practice Act.
7. Advice/Telemed Nurse
Overview: Uses telephonic interaction as the mode of communication which facilitates patients’ access to the appropriate level of care by assessing needs, offering a clinical option, referral to health care providers, services, and community resources. Promotes wellness and informed decisions by providing health information, home care advice, and prevention concepts. The Advice nurse is utilized by many organizations to field general questions, medication refill requests and some counseling. This is also a job that is increasing in popularity among organizations and many Advice/Telemed Nurses work from home, saving organizations money.
- Answers inbound calls from patients for a variety of reasons (nurse triage)
- Provides telephone triage of patient health status using general, and emergency medicine protocols
- Evaluates and prioritizes data and implements nursing actions
- Acts as a patient advocate by resolving problems or communicating patient needs and concerns to appropriate resources
- Initiates written follow-up communication for each encounter using accurate documentation
- Interacts with patients, physicians, community services and all personnel
- Maintains confidentiality of information regarding patients, physicians, co-workers
- Maintains current knowledge base, including triage skills, and appropriate teaching principles
- Performs other duties as needed
- Nursing degree (RN, NP and sometimes LPN) from accredited college or university
- Minimum of 3 years nursing experience
- Nursing degree (RN, NP and sometimes LPN) from accredited college or university
- High-speed internet required if working from home.
- Laptop, headset, and phone
- Nights and Weekends and some holidays
- Willingness to commute to the area as well for training
8. Clinical Quality Improvement Nurse
Overview: The Clinical Quality Improvement Nurse facilitates the establishment of the annual Quality Improvement (QI) activities and methods of measurement that are prioritized to organizational priorities. This position collaborates with various functional areas to understand and alleviate obstacles as needed and monitors for successful performance via the Quality Improvement Committee. A Quality Improvement Nurse has a similar role to a Director of Wellness, but focuses more on the quality metrics within a facility. They can develop quality methods and goals, respond to inquiries of poor quality care, and assist outside agencies during reviews and audits. They also analyze trends in performance data to help identify problem areas and maintain low costs by preventing errors in care.
- Establish annual QI Work Plan document which defines quality improvement priorities from both an activity and metric standpoint; update to insert data and information as received; conduct an annual evaluation.
- Monitor required QI Work Plan metric trends, identify variation, convene functional area or cross-functional teams as needed to conduct root cause analysis, and institute a meaningful action to achieve defined performance goals.
- Review QI and UP Program description documents; identify and act on any need for revision identified.
- Set agenda and create Quality Improvement Committee meeting materials to drive desired meeting outcomes, and ensure proper recording of committee activities.
- Perform various department functions and processes, such as those associated with client health plan delegation oversight, and annual QI, UM operational policy review and revision.
- Interact with client health plan and Avalon vendor staff as needed to ensure compliance with expectations associated with delegation.
- Establish and implement a process to regularly assess changes in NCQA accreditation standards, detail changes in content and/or processes that would be required, and work to achieve organizational compliance.
- Act as project manager for NCQA accreditation pursuit, as may be required by client health plans.
- Manage and monitor clinical quality studies that may be undertaken by Avalon, to include receipt and analysis of trended data, assessment of national benchmarks as available, development of improvement recommendations (to include ROI and best practice interventions as appropriate), presentation to senior leadership, implementation of plan, and evaluation for the desired result.
- 5-10 years of healthcare experience in a variety of settings.
- Bachelor of Science in Nursing (BSN) generally the minimum requirement.
- Active, unrestricted Registered Nurse (RN/NP) license required.
Working knowledge of NCQA (National Committee for Quality Assurance) accreditation requirements.
- Certification in Healthcare Quality.
- Management Professional (PMP) certification strongly desired.
- Previous experience largely preferred
Other Skills and Abilities:
- Ability to work cross-functionally within the organization.
- Willingness to take direction and coaching from the remote manager.
- Self-sufficient and Autonomous working environment (at times from home).
- Possess a passion for quality improvement initiatives.
9. Nurse Navigator
Overview: Healthcare is a complex business these days, and there’s probably no one who feels it more than the person diagnosed with a serious or complex illness. Nurse navigators are becoming ever more important in helping patients “navigate” their way to timely and quality care. This is a position that is generally in a very acute care setting that required further coordination to improve patient outcomes in complex situations. According to the Academy of Oncology Nurse & Patient Navigators, “The heart of navigation is personalized care,” which applies to patients, families, and caregivers. Nurse navigators focus first and foremost on the clinical aspects of care. They are often involved from the point of a suspicious finding through diagnostic testing, treatment, and follow-up or end-of-life care.
- Educate patients by optimizing their engagement, their adherence to care plans and follow up.
- Provides care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, and provider referrals.
- Ensures physician orders are transcribed, executed and documented appropriately.
- Performs assessments as appropriate.
- Orders and interprets procedures and diagnostic tests or studies.
- Directs test results to physicians for review.
- Accurately documents assessment of information including patient needs.
- Maintains records according to established standards and guidelines.
- Provides patient education as needed and documents when completed.
- Determines the priority of patient needs based on history and current symptoms.
- Coordinates and evaluates the appropriate patient plan of care with a physician.
- Ensures the plan of care is consistent and individualized to each patient, is evaluated in a consistent and timely manner, is properly documented and is updated as patient needs change.
- Schedules and carries outpatient follow up calls when appropriate and return patient phone calls in a timely manner.
- Counsels, instructs and educates patients on physical and mental health.
- Registered Nurse designation required. BSN degree preferred.
- Must hold a valid RN license to practice in their respective state
- At least 5 years related nursing experience is preferred.
- GYN/Oncology/Chemo/Acute background is a PLUS
- Travel to clinics is generally required
Other Skills and Abilities:
- Assists with minor office procedures.
- Additional duties as assigned.
- Respects and maintains confidentiality.
- Works in a safe, compliant and ethical manner at all times.
10. Occupational Health Nurse
Overview: As a key member of a larger corporate organization, the Occupational Nurse will provide injury evaluation and management and routine immunizations and checkups, with healthcare advice and direction to all employees. They work collaboratively with the leadership and operational teams to promote a healthy and safe work environment. The occupational health nurse works to help workers remain healthy and productive with a focus on employee protection from work-related and environmental hazards and the prevention of illness and injury in the workplace. This is a growing field due to the insurance breaks the large companies get by employing preventative medicine. Some prospective clients include companies like Disney Theme Parks, Ski Resorts, Google, and other organizations where employee satisfaction is paramount. Also, most hospitals and clinics in the US also employ the Occupational Health Nurse.
- Coordinate and provide all health services for all associates. Duties include periodic health screenings, education and training, nursing assessments of issues within the scope of practice.
- Acts as an advocate for all levels of staff by observing and teaching employees good work and health practices, housekeeping, hygiene, the use of personal protective equipment and respirators. Assist with workplace assessments and evaluations as needed. Provides Crisis Intervention, counseling and referrals to appropriate services.
- Evaluate and treat certain illnesses/injuries with emphasis on early recognition and intervention, follow-up and monitor workers as they safely return to work.
- Provide Case Management for all work-related injury/illnesses and Medical Leaves.
- Maintain records of all services rendered, provide or assist with physician referral when appropriate.
- Make independent decisions based on professional knowledge, judgment and scope of practice in emergency cases and provide emergency treatment of occupational injuries and illness as required.
- File Workers Compensation claims and facilitates claims administration.
- Perform an initial evaluation and treatment of Workers Compensation injuries, electronically filing the Workers Compensation claim and completing any associated paperwork. In conjunction with the Workers Compensation insurer, make referrals to local treating clinics or specialists as needed. Maintaining individual files.
- Works with operations management with identifying, evaluating and implementing work accommodations and return to work options for associates with work restrictions. Communicate as needed with the Workers Compensation insurer and treating provider regularly.
- Conduct pre-placement, post-accident and random drug testing on site in accordance with the Corporate Substance Abuse Policy. Refer non-negative specimens for further testing and follow up as indicated. Communicate results of testing in a confidential manner.
- Coordinate the Emergency Responder program, providing initial and ongoing training and support to the responders and janitorial personnel on Blood-borne Pathogens, as required by the OSHA standards. Administer the Hepatitis B vaccine series to all responders and janitorial personnel who request this vaccine. Maintain written records of training as well as vaccine administration.
- Maintain associates’ administrative/medical records according to standards of confidentiality as required by OSHA, professional ethics codes, ADA, HIPAA, etc. Retains these records in accordance with the Company Retention Policy.
- Maintains current awareness of applicable federal, state and local health, industrial hygiene and safety regulations. Be prepared to assist with any OSHA audits.
- Maintain the OSHA 300 log, and OSHA 300A at year end. Compile OSHA DART report monthly. Post the OSHA 300A in the plant as required by OSHA annually. Communicate OSHA and Workers’ Compensation statistics with appropriate individuals including plant management.
- Provide annual training in hearing conservation, bloodborne pathogens, health effects of lead and lead monitoring, drug and alcohol effects and may assist EHS Manager with other plant health and safety education training programs to employees and first responders.
- Administers and directs all in-house immunization programs such as Influenza and Hepatitis B
- Maintain adequate amounts of Health Clinic supplies such as routine OTC meds and bandaging, for emergency use and ensure that all medical supplies & equipment are current, in good working order and calibrated, if indicated.
- Provides health education and promotion programs to address population health needs such as smoking cessation, exercise and fitness, proper lifting techniques, nutrition, weight control, hypertension and stress management.
- A graduate of an accredited school of nursing. Current unencumbered Registered Nurse Licensure.
- A minimum of 3-5 years of experience as an RN is preferred and experience in Occupational Health nursing in a manufacturing environment is highly desirable.
- Basic understanding of federal and state regulations applicable to occupational and Environmental Health and Safety.
- Current BLS certification. ACLS and Basic Life Support Certification often required.
- Ability to talk in front of large groups of people
- Frequent walking is required as visiting employees and work areas on the plant floor are regular aspects of the job duties.
11. Occupational Health Nurse
Overview: The Research Nurse manages and coordinates all aspects of conducting clinical trials related to patient care, both clinically and administrative/regulatory. They are generally required to have in-depth knowledge of protocol requirements and ensures that studies are properly conducted in conformance with the protocol guidelines, departmental standards and good clinical practices as set forth by federal regulations and international guidelines. Generally, this position is an 8-5pm, Monday through Friday type job however, some off-hour schedules depending on the study, might be required. Many times, the Research Nurse is working with investigational medications, or effectiveness studies on proven medications and providing the clinical arm of the study, including the screening of applicants.
- Reviews studies for clinical and operational feasibility, along with the Investigator and Director of Research.
- Screens, consents, enrolls and follows study subjects and oversees the same by non-RN clinical research coordinators, ensuring protocol compliance and close monitoring while subjects are on study.
- Responsible for all data and source documentation, adverse experience reporting, and will assist Regulatory Specialist in the maintenance of complete regulatory files.
- Responsible for following departmental policies and assuring proper billing for research subjects.
- Assists as needed in preparing the study for submission and ensures all regulatory documents are completed.
- Ensures that randomization procedures and blinding procedures, as applicable, are followed as per protocol guidelines.
- Ensures eligible patients are enrolled and that consent process is appropriate and in compliance with all standards.
- Responsible for quality data entry into sponsor’s database (electronic data capture systems or paper CRFs) and query resolution.
- Prepares, mixes and administers investigational products, as applicable.
- Ensures proper study drug administration, compliance and accountability, including receipt, storage and dispensing.
- Bachelors of Science in Nursing strongly desired
- Many times requires an NP or Masters Degree depending on the trials/research
- Graduation from an accredited School of Nursing.
- Many times Human Subjects Protection Training or GCP (good clinical practice) training highly desirable.
- Specialty certification such as CCRC (Certified Clinical Research Coordinator) is preferred.
Other Skills and Abilities:
- Excellent clinical and functional skills.
- Organized and detail oriented.
- Strong leadership skills.
- Strong communication and team building skills a must.
- Willing to travel between offices.
- Clinical search experience generally preferred.
Can you think of any more interesting, lesser-known nursing jobs out there to explore? We would love to hear from you in the comments below!!
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