Hospital - Advanced Care RN III (Nights, Part-time)

About the Role

The Advanced Care RN III is an advanced licensed clinician functioning at the proficient level, providing professional direct patient care to a diverse population and serving as an expert in the specialty. This role involves conducting nursing assessments, assisting with exams and treatment, maintaining medical records, and coaching and mentoring department staff in clinical and professional practice areas. The RN III models compassionate communication, assumes leadership responsibilities, and contributes at the bedside, unit, service line, and institutional levels.

Responsibilities

• Identifies staff development opportunities for colleagues' professional growth and provides coaching to meet identified goals.
• Acts as a model and coaches staff in effective verbal, nonverbal, and written communication, including active listening and teaching.
• Provides oversight for student/new employee preceptorships.
• Collaborates to foster healthy relationships in the work environment, such as conflict mitigation.
• Advocates for a balanced workload, promotes positive behaviors, and encourages peer-to-peer accountability.
• Improves nurse satisfaction by serving as a role model and mentor, facilitating teamwork with RNs, non-licensed, and interprofessional staff.
• Provides recommendations to improve department scores for turnover/retention.
• Leads patient and family-centered care standards and mentors others regarding specialty populations.
• Develops, updates, and communicates a plan of care, including discharge, in partnership with the patient, family, and interprofessional health care team using the nursing process.
• Prioritizes care based on the patient's needs, abilities, and preferences; advocates on the patient/family's behalf to identify and resolve clinical and ethical concerns.
• Develops appropriate resources and supports unit practices and guidelines.
• Develops and implements effective patient teaching strategies based on learning needs; uses appropriate resources and plans for care after discharge.
• Consistently evaluates the patient's comprehension and adapts teaching methods accordingly.
• Drives department activities to improve patient satisfaction through peer-to-peer accountability.
• Models the standards of care related to the nursing process and provides care as the staff nurse leader to complex patients.
• Leads the interprofessional health care team in implementing the plan of care.
• Anticipates, prevents, and recognizes early declines in patient condition and emergent situations.
• Manages the assignment of complex patients and other unit demands.
• Proactively responds to situations such as Rapid Response/CERTs and emergency codes.
• Models standards related to regulatory requirements and professional practice.
• Role models highly developed assessment, clinical documentation, leadership, and analytical skills.
• Integrates and contributes to professional practice standards, policies, procedures, and protocols.
• Leads improvements in patient safety-related processes at the unit or service line level.
• Contributes to the development of service line and hospital standards and guidelines.
• Leads and identifies opportunities for practice changes and performance improvement.
• Investigates and incorporates evidence-based practices presented to shared governance and leadership.
• Leads initiatives to improve quality and safety scores through peer-to-peer accountability.
• Reports near misses and identifies solutions by collaborating with the interprofessional team.
• Role models situational awareness, using teachable moments to improve safety.
• Audits the plan of care and other areas as needed.
• Models independent time management and prioritization of daily tasks, minimizing incidental overtime.
• Collaborates with the interprofessional health care team to facilitate patient throughput efficiently to meet organizational goals.
• Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and minimizing incidental overtime.
• Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes.
• Serves as the clinical resource and develops/disseminates informational/educational resources and programs to improve quality and professional practice.
• Supports change initiatives and adapts to unexpected changes.
• Fosters identification and implementation of innovative solutions to improve patient care or unit operations, such as reducing hospital readmissions.
• Leads and/or participates in unit projects and shared governance activities.
• Performs other job-related duties as assigned.

Requirements

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
• Sufficient proficiency in speaking, reading, and writing the English language to perform essential job functions, especially activities impacting patient or employee safety or security.
• Ability to effectively communicate with patients, physicians, family members, and co-workers in a manner consistent with a customer service focus and application of positive language principles.
• Demonstrates expertise in operating the electronic medical record.
• Acts as an effective change agent.
• Uses therapeutic communication to establish relationships with patients, families, and the interprofessional team to collaborate on the plan of care.
• Strong assessment, organizational, and problem-solving skills as evidenced by the capacity to prioritize multiple tasks and role components.
• Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team, and patients and their families.
• Demonstrates proficient time management skills.
• Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act.
• Working knowledge of Microsoft Office applications.
• Ability to serve as a preceptor and mentor by fostering a teaching environment.
• Position eligible for preceptor premium pay with completion of preceptor education and leader approval.

Qualifications

• Current Texas Board of Nursing (or Compact State) RN license; or a Temporary Texas RN License (Permanent TX license within 90 days upon hire).
• American Heart Association Basic Life Support (BLS) certification, within 7 days of hire.
• Bachelor's degree in Nursing.
• Two (2) years of nursing experience in a healthcare environment.

About Us

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery, and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio advances knowledge, social mobility, and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education, and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America’s Best Employers for Company Culture.

Benefits

• Medical: UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and dependents receive discounted copays and coinsurance when using UT Health Physicians.
• Life Insurance: Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional coverage.
• Dental: Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, including two PPOs and one dental HMO plan.
• Vision: Fully insured Vision Care benefits are offered by Superior Vision Services, with two plan options providing standard or enhanced vision benefits.
• Disability: Employees can enroll in Disability Insurance, which provides income if a non-work-related illness or injury prevents working.
• Flexible Spending Accounts (FSAs): Employees can set aside pre-tax earnings for qualifying dependent day care expenses or out-of-pocket health care expenses.
• Retirement: Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). Voluntary retirement programs are also available.
• Time Off:
  • Paid Time Off (PTO): 128 to 208 hours (16 to 26 days) based on years of service, given at the start of each fiscal year.
  • Extended Illness Bank: 8 hours (1 day) accrued per month for illness or injury after one day of PTO is used.
  • Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
  • Holidays: 12 set paid holidays each year.
• Discounts: Employees enjoy discounts on services, tickets, and gym memberships.