Registered Nurse (RN) – Gastroenterology – Sign-On & Retention Bonus

Overview

Resolution Think, LLC, through its joint venture partner Cognito Systems, LLC, is seeking a Registered Nurse (RN) for the Gastroenterology clinic at Carl R. Darnall Army Medical Center (CRDAMC), Fort Hood, TX, near Killeen. You will support high-quality patient care by:

• Assessing patients.
• Administering medications and treatments.
• Assisting with endoscopy and other GI procedures.
• Monitoring patients before, during and after procedures.
• Coordinating referrals.
• Documenting care accurately in the electronic health record.

The ideal candidate has recent hands-on nursing experience, sound clinical judgment and strong communication skills, and works well with physicians, providers and multidisciplinary teams. This opportunity suits a dependable RN who values patient-centered care, professionalism, continuity of care, and service in a mission-focused military treatment facility.

This position offers a sign-on bonus and a retention bonus.

Location: Fort Hood, TX; Carl R. Darnall Army Medical Center

Schedule: Monday through Friday, 8-hour shifts during outpatient clinic hours between 0700 and 1800. The schedule may change based on clinic needs. You may float to other clinical areas that match your credentials and qualifications.

Benefits: Resolution Think Full-Time Employees

We value our team and offer a comprehensive benefits package that supports both your professional and personal well-being:

• Sign-On and Retention Bonuses
• 80 hours of Paid Time Off (PTO) + 56 hours of Sick Leave annually
• 11 Paid Federal Holidays per year
• Tuition Reimbursement and Professional Development Support
• 401(k) Retirement Plan with Company Match
• Medical, Dental, and Vision Insurance
• Voluntary Benefit Options through MetLife
• Pet Insurance Discounts
• Employee Discount Program through LifeMart
• Employee Assistance Program (EAP)

Essential Functions and Job Responsibilities

• Coordinate patient care with a wide range of healthcare professionals to achieve the best outcomes for clinical care, quality and cost-effectiveness.
• Follow standards of care and all established MTF policies, procedures and guidelines.
• Perform physical exams and health histories.
• Provide health promotion, counseling and education.
• Administer medications, wound care and other personalized interventions.
• Direct and supervise care provided by other healthcare staff, and make patient care assignments based on each person’s scope of practice and skill level.
• Recognize adverse signs and symptoms and respond quickly in emergencies.
• Communicate and collaborate with the healthcare team, patients and families on care plans, actions and education.
• Make referral appointments and arrange specialty care as appropriate.
• Conduct research to improve practice and patient outcomes.
• Perform independent, comprehensive telephone and clinical triage, and coordinate care across multidisciplinary locations.
• Act as relief nurse, and triage and screen walk-in patients to judge how severe their condition is and whether they need a provider.
• Communicate with other providers about decisions and situations involving direct patient care.
• Screen patient charts and medical histories to determine health care needs.
• Complete psychosocial assessments to identify cultural practices, ability to understand and cooperate, expectations of care, and coping mechanisms.
• Carry out, or ensure completion of, orders from health care providers.
• Recognize and report abnormal test results, changes in symptoms and the need for follow-up.
• Assist providers with examinations and procedures.
• Educate and support patients undergoing high-risk, painful or stressful procedures.
• Monitor patients before, during and after procedures per CRDAMC guidelines, and assess them before they are released from the clinic.
• Prepare and administer oral, subcutaneous, intramuscular and intravenous medications.
• Complete thorough, accurate documentation of all patient care and procedures within established guidelines.
• Show patients how to take their prescribed medications correctly.
• Educate patients and make sure they understand instructions for health maintenance and self-care. Provide one-on-one orientation and education on acute and chronic illness, self-care, wellness, preventive health, normal development and physiology.
• Assess patients’ emotional, cognitive, social and motivational readiness to learn, and determine patient and family education needs.
• Interact with patients and families in stressful situations.
• Help patients follow their treatment plans by phone or in clinic.
• Coordinate referrals to services such as community health nursing, the health promotion center, social work, dietitian, clinical nurse specialist, chaplain and other ancillary services, as directed by the attending physician.
• With physician approval, perform nursing assessments and diagnoses, and develop and adjust the nursing plan of care, including nursing orders, as the patient’s condition changes.
• Coordinate prescription refills and, with physician approval, advise patients on medication side effects.
• Use tact and diplomacy when notifying patients of abnormal lab results per provider instructions, and explain next steps according to the physician’s advice and established protocols.

Gastroenterology-Specific Duties

• Provide specialized nursing care to gastrointestinal patients, including complex cases such as endoscopic retrograde cholangiopancreatography (ERCP) and biliary and pancreatic disorders.
• Apply knowledge of:
• EKG and rhythm tracings.
• Colonoscopy, endoscopic ultrasound, ERCP and upper endoscopy (EGD).
• Liver biopsy.
• Bravo wireless capsule pH probe placement.
• Advanced motility testing with solid-state and water-perfused catheter systems.
• Monitor patients after procedures, including their status and comfort, venous and arterial sites, telemetry and 12-lead EKG data, and their medical therapy.
• Assist physicians during endoscopy procedures by providing instruments and equipment.
• Perform nursing duties in the endoscopy procedure room, including pre-procedure preparation, monitoring vital signs and documenting procedural findings.
• Assist the anesthesiologist and gastroenterologist during procedures.
• Assist with patient check-in, booking and scheduling.

Minimum Requirements

• Citizenship: Must be a U.S. Citizen.
• Education: Associate Degree in Nursing (or higher) from a program accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
• Experience: At least 1 year of post-graduation, post-licensure clinical or inpatient experience within the last 2 years, providing direct care in multispecialty inpatient or outpatient settings. Experience must show recent hands-on skill in assessing, planning, implementing and evaluating nursing care across diverse medical and surgical specialties, including:
• Comprehensive assessments.
• Accurate documentation.
• Coordinating with multidisciplinary teams.
• Licensure: Current, full, active and unrestricted license to practice as a Registered Nurse (any U.S. state).
• Certifications: All must be from the American Heart Association or American Red Cross; online-only courses are not accepted.
• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS)
• Additional training: Moderate Sedation Administration, OSHA training, and continuing education units (CEUs) as required.
• Resumes must list work history with full dates (month, day, year), employer name and address, work status (FT, PT, PRN, travel) and hours worked per week.

Physical Demands / Additional Info

• TB screening required (two PPD skin tests or one QuantiFERON Gold test with negative results within the past 12 months).
• Must comply with DHA vaccination requirements, including Tdap, MMR, varicella, Hepatitis B and an annual flu shot (or titers showing immunity).
• Willing to complete a physical examination.
• Subject to a background/security investigation.
• Pre-employment drug screening.
• Random drug screening/testing: subject to random drug urinalysis within 2 hours of notification. Refusing will result in automatic termination.
• Required to wear PPE while performing services.
• Walking, long periods of standing, stretching, frequent crouching, bending, stooping, lifting up to 50 lbs, and lifting over 50 lbs with assistance.
• Exposure to infectious and contagious diseases; toxic, hazardous or irritating chemicals; carcinogenic materials; noxious fumes; flammable liquids; radiation; pathogenic bacteria; and electrical hazards.

EEO Statement:

We are an Equal Opportunity/Affirmative Action/Disability/Vets Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sexual orientation, gender, gender identity, national origin, disability, or protected Veteran status. As an Equal Employment Opportunity/Affirmative Action employer, Resolution Think is committed to providing equal employment opportunity to all job seekers.