Employment Type:

Full time

Shift:

12 Hour Night Shift

Description:

Dubuque, located right on the Mississippi river, is known for its historic charm and has a cost of living approximately 12% below the U.S. average. The Dubuque Community School District is highly regarded, and the city offers private schools plus colleges like Loras College and Clarke University. Families enjoy cultural attractions such as the National Mississippi River Museum, arts festivals and an abundance of parks and trails.
As the region’s leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the tri‑state area. It holds Magnet designation (fifth consecutive cycle), CMS 5‑star quality rating and national recognition including Fortune/IBM Watson’s 100 Top Hospitals. It’s a Wellmark Blue Distinction Center+ for maternity and earns American Heart Association awards —Stroke Gold Plus, Mission: Lifeline NSTEMI and STEMI Gold. It recently celebrated 100 years of American Heart Association membership.

Position Title: RN
Department: Birth Center

Shift: 3rd shift

Hours: 6pm-6:30am

Full time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily night position; this position is also required to work every third weekend and every third holiday. Care for the laboring patient in addition to postpartum couplets and surgical patients. Will be cross trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP; Mandatory Reporter and BLS also required.  

POSITION PURPOSE:
Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

MINIMUM QUALIFICATIONS:

1. Associate degree in nursing required

2. Bachelor of Science in Nursing (BSN) preferred.

3. Current Iowa RN license, (current Illinois (IL) license if working in IL) required.

4. American Heart Association Basic Life Support (BLS) required.

5. Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.

6. High language, intermediate to high math, high critical thinking ability.

7. Basic computer skills required.

ESSENTIAL FUNCTIONS:
1. Conducts an initial assessment to gather data.

• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.

• Completes all areas of the admission assessment database within 24 hours of admission.

2. Identifies patient problems and develops them into an outcome/goal-based plan of care.

• Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care.

• Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.

• Determines nursing interventions to achieve those outcomes/goals.

• Prioritizes care needs for both mother and infant.

• Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).

3. Implements the outcome/goal-based plan of care

• Assigns and coordinates patient care based on acuity and team member competencies.

• Organizes and prioritizes care for mothers, newborns, and pediatric patients.

• Delegates tasks appropriately to other team members.

• Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.

• Coordinates implementation with Case Manager, Social Worker, and other disciplines.

• Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up.

• Uses nursing judgment to determine frequency and components of reassessment.

• Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress.

• Documents discharge instructions for mother, infant, and/or caregiver.

4. Evaluates patient progress and revises the plan as needed

• Evaluates maternal and pediatric response(s) to interventions.

• Updates the plan of care based on ongoing reassessments.

• Revises problem list and outcomes/goals as conditions change.

5. Evaluates patient progress and revises the outcome/goal-based plan as needed.

• Evaluates patient response(s) to interventions.

• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.

• Updates the problem list and outcomes/goals.

6. Communicates relevant clinical information to optimize outcomes

• Communicates maternal and pediatric status to physicians and team members.

• Reports progress toward outcomes/goals and changes in condition promptly.

• Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.

• Documents completely and accurately per policy.

7. Demonstrates clinical competence

• Utilizes Women & Children-specific policies and procedures to guide practice.

• Ensures medication safety following the “5 Rights.”

• Demonstrates competency in electronic health record systems.

• Processes and implements physician orders accurately.

• Maintains communication with leadership regarding admissions, acuity, and significant events.

• Completes assigned shift duties and resolves discrepancies.

8. Manages fetal and neonatal monitoring when applicable

• Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs.

• Responds appropriately to changes in maternal or neonatal condition.

• Provides interventions for obstetric or neonatal emergencies.

• Serves as a resource for other hospital services and participates in quality improvement initiatives.

9. Provides age-appropriate care based on principles of growth and development

• Collects, analyzes, and applies age-specific data for newborns, children, and adolescents.

• Performs tasks and uses equipment in an age-appropriate manner.

• Communicates effectively with patients and families at their developmental level.

10. Adheres to safety and infection control standards

• Attends required safety programs.

• Uses appropriate PPE consistently.

• Demonstrates emergency procedures for obstetric and pediatric emergencies.

• Maintains a safe environment for mothers, infants, and staff.

11. Maintains compliance with laws, regulations, and organizational standards

• Upholds Trinity Health’s Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.

2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.

3. Stand; Walk/Move About 76-100% of the time

4. Must possess the ability to comply with Trinity Health policies and procedures.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Employment Type:

Full time

Shift:

12 Hour Night Shift

Description:

Dubuque, located right on the Mississippi river, is known for its historic charm and has a cost of living approximately 12% below the U.S. average. The Dubuque Community School District is highly regarded, and the city offers private schools plus colleges like Loras College and Clarke University. Families enjoy cultural attractions such as the National Mississippi River Museum, arts festivals and an abundance of parks and trails.
As the region’s leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the tri‑state area. It holds Magnet designation (fifth consecutive cycle), CMS 5‑star quality rating and national recognition including Fortune/IBM Watson’s 100 Top Hospitals. It’s a Wellmark Blue Distinction Center+ for maternity and earns American Heart Association awards —Stroke Gold Plus, Mission: Lifeline NSTEMI and STEMI Gold. It recently celebrated 100 years of American Heart Association membership.

Full time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily night position; this position is also required to work every third weekend and every third holiday. Care for the laboring patient in addition to postpartum couplets and surgical patients. Will be cross trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP; Mandatory Reporter and BLS also required.  

POSITION PURPOSE:
Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

MINIMUM QUALIFICATIONS:

1. Associate degree in nursing required

2. Bachelor of Science in Nursing (BSN) preferred.

3. Current Iowa RN license, (current Illinois (IL) license if working in IL) required.

4. American Heart Association Basic Life Support (BLS) required.

5. Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.

6. High language, intermediate to high math, high critical thinking ability.

7. Basic computer skills required.

ESSENTIAL FUNCTIONS:
1. Conducts an initial assessment to gather data.

• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.

• Completes all areas of the admission assessment database within 24 hours of admission.

2. Identifies patient problems and develops them into an outcome/goal-based plan of care.

• Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care.

• Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.

• Determines nursing interventions to achieve those outcomes/goals.

• Prioritizes care needs for both mother and infant.

• Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).

3. Implements the outcome/goal-based plan of care

• Assigns and coordinates patient care based on acuity and team member competencies.

• Organizes and prioritizes care for mothers, newborns, and pediatric patients.

• Delegates tasks appropriately to other team members.

• Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.

• Coordinates implementation with Case Manager, Social Worker, and other disciplines.

• Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up.

• Uses nursing judgment to determine frequency and components of reassessment.

• Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress.

• Documents discharge instructions for mother, infant, and/or caregiver.

4. Evaluates patient progress and revises the plan as needed

• Evaluates maternal and pediatric response(s) to interventions.

• Updates the plan of care based on ongoing reassessments.

• Revises problem list and outcomes/goals as conditions change.

5. Evaluates patient progress and revises the outcome/goal-based plan as needed.

• Evaluates patient response(s) to interventions.

• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.

• Updates the problem list and outcomes/goals.

6. Communicates relevant clinical information to optimize outcomes

• Communicates maternal and pediatric status to physicians and team members.

• Reports progress toward outcomes/goals and changes in condition promptly.

• Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.

• Documents completely and accurately per policy.

7. Demonstrates clinical competence

• Utilizes Women & Children-specific policies and procedures to guide practice.

• Ensures medication safety following the “5 Rights.”

• Demonstrates competency in electronic health record systems.

• Processes and implements physician orders accurately.

• Maintains communication with leadership regarding admissions, acuity, and significant events.

• Completes assigned shift duties and resolves discrepancies.

8. Manages fetal and neonatal monitoring when applicable

• Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs.

• Responds appropriately to changes in maternal or neonatal condition.

• Provides interventions for obstetric or neonatal emergencies.

• Serves as a resource for other hospital services and participates in quality improvement initiatives.

9. Provides age-appropriate care based on principles of growth and development

• Collects, analyzes, and applies age-specific data for newborns, children, and adolescents.

• Performs tasks and uses equipment in an age-appropriate manner.

• Communicates effectively with patients and families at their developmental level.

10. Adheres to safety and infection control standards

• Attends required safety programs.

• Uses appropriate PPE consistently.

• Demonstrates emergency procedures for obstetric and pediatric emergencies.

• Maintains a safe environment for mothers, infants, and staff.

11. Maintains compliance with laws, regulations, and organizational standards

• Upholds Trinity Health’s Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.

2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.

3. Stand; Walk/Move About 76-100% of the time

4. Must possess the ability to comply with Trinity Health policies and procedures.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Description

Medical Associates Clinic is hiring a full-time Receptionist (5 Days per Week) to be a dynamic member of our registration and scheduling team. 

Pay and Benefits: $17+/hr. with full benefits package including:

• Pay raises at least annually
• Medical Associates top rated health insurance with most comprehensive provider network in the area with discounted premium rates for wellness program participation.
• 401k with Immediate Matching (50% on the dollar up to 7% of pay) and additional annual Profit Sharing
• Flexible Paid Time Off Program (24 days off/year)
• Save money on your taxes! Medical and Dependent Care Flex Spending Accounts
• Income security for your family! Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

This position will require a high attention to detail while working at a fast pace on the computer, phone, and with our patients. Ideal candidates have some experience with office administrative duties and are known for always providing above and beyond patient/customer service with a smile. Medical Associates provides an in-depth training program for all new employees helping you successfully learn our detailed computer, phone, scheduling and registration systems used on a daily basis. 

Primary schedule: Monday – Friday between the hours of 7:30am – 5:30pm, working 5 days/40 hours per week, full benefits eligible!

Location: Tri-State Occupational Health, 4155 Pennsylvania Ave or our Medical Associates Clinic location.

Essential Functions & Responsibilities:

• Demonstrate effective customer service skills by greeting customers in a polite, prompt, helpful manner, and provide any necessary instructions or directions.
• Communicate clearly with patients, peers, clinical staff, and physicians via telephone and in person.
• Perform a variety of clerical duties, which may include but not limited to: scheduling functions, insurance questions, accepting payments and balancing cash drawer.
• Check in patients for their appointments, this includes reviewing, updating or obtaining patient information making necessary account changes to ensure correct billing.
• Set up patients’ new insurance coverage or modify existing coverage records as needed. Collect Copay or other payments where applicable and perform accurate end of day balancing.
• Apply applicable department/provider scheduling protocols while directing patients to appropriate providers/specialties. 

Knowledge, Skills and Abilities:

Education: High school diploma or GED required.

Experience: From three months to one year of similar or related experience.

Interpersonal Skills: Courtesy, tact, and diplomacy are essential elements of the job. Work involves personal contact with others inside and/or outside the organization, generally regarding routine matters for purposes of giving or obtaining information which may require some discussions.

Other Skills: Ability to multi-task and work in a fast-paced environment. General computer knowledge with proficient keyboarding skills. Multi-line telephone system. Cash handling experience. Ability to work independently with limited direction, problem solving and resourcefulness. 

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Physical Aspects:

Reaching – Extending hand(s) and arm(s) in any direction.

Standing – Particularly for sustained periods of time.

Walking – Moving about on foot to accomplish tasks, particularly for long distances.

Lifting – Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

Fingering – Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.

Grasping – Applying pressure to an object with the fingers and palm.

Talking – Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.

Hearing – Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

Vision – 20 / 40 or better in the best eye with or without correction.

Repetitive Motions – Substantial movements (motions) of the wrists, hands and/or fingers.

Sedentary Work – Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Light Work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work.

Environmental Conditions:

None – The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work).

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Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.

Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster