Description This PRN Registered Nurse position provides general and specialized direct and indirect patient care through the application of sound Nursing Practice to patients in an alcohol, drug rehabilitation center. HIRING HOURLY RATE: $28.39 Please note - no benefits are associated with PRN positions and continuation of employment in this position is contingent upon availability of funding from services, program and agency earnings. OPEN UNTIL FILLED - APPLICATION REVIEW BEGINS IMMEDIATELY, 9/1/24 Duties and Responsibilities Duties include, but are not limited to the following: * Responsible for nursing assessment and development of nursing plan of care * Responsible for total nursing care of patients and supervision of ancillary staff * Responsible for patient admissions and discharges (along with patient education) * Visit each patient throughout the shift and instruct ancillary staff in the needs of patients * Interact with staff, patients, families, and physicians, nurse practitioners to provide optimum care for each patient * Note any changes in patient's mental status, physical status, monitor signs and symptoms of withdrawal status during a shift and communicate same to appropriate staff * Document all pertinent information in resident's electronic medical record daily and follow up with other staff to insure accuracy of care * Respect rights and privacy of each patient while fulfilling responsibilities for their care * Administer medications according to established procedures and in a timely manner * Encourage patient participation in unit meetings and groups * Encourage staff interaction with patients during waking hours * Keep Nursing Manager informed regarding performance of personnel assigned to the unit * Assume a leadership role and demonstrate this role to unit personnel by example * Perform all duties assigned in an effective, timely, and professional manner * Assume all duties as assigned by supervisor * We are seeking an individual who can work Minimum Education/Qualifications: * Must be licensed by the state of South Carolina and in good standing with a current active license * Excellent customer service skills * A valid SC driver's license * BCLS certification in all areas * One-year work OR clinical experience in medical/surgical or substance abuse as a Registered Nurse and experience in electronic medical record charting and medication management is preferred Minimum Qualifications Must be licensed by the state of South Carolina and in good standing with a current active licenseClosing Date/Time:
Mar 21, 2024
Temporary
Description This PRN Registered Nurse position provides general and specialized direct and indirect patient care through the application of sound Nursing Practice to patients in an alcohol, drug rehabilitation center. HIRING HOURLY RATE: $28.39 Please note - no benefits are associated with PRN positions and continuation of employment in this position is contingent upon availability of funding from services, program and agency earnings. OPEN UNTIL FILLED - APPLICATION REVIEW BEGINS IMMEDIATELY, 9/1/24 Duties and Responsibilities Duties include, but are not limited to the following: * Responsible for nursing assessment and development of nursing plan of care * Responsible for total nursing care of patients and supervision of ancillary staff * Responsible for patient admissions and discharges (along with patient education) * Visit each patient throughout the shift and instruct ancillary staff in the needs of patients * Interact with staff, patients, families, and physicians, nurse practitioners to provide optimum care for each patient * Note any changes in patient's mental status, physical status, monitor signs and symptoms of withdrawal status during a shift and communicate same to appropriate staff * Document all pertinent information in resident's electronic medical record daily and follow up with other staff to insure accuracy of care * Respect rights and privacy of each patient while fulfilling responsibilities for their care * Administer medications according to established procedures and in a timely manner * Encourage patient participation in unit meetings and groups * Encourage staff interaction with patients during waking hours * Keep Nursing Manager informed regarding performance of personnel assigned to the unit * Assume a leadership role and demonstrate this role to unit personnel by example * Perform all duties assigned in an effective, timely, and professional manner * Assume all duties as assigned by supervisor * We are seeking an individual who can work Minimum Education/Qualifications: * Must be licensed by the state of South Carolina and in good standing with a current active license * Excellent customer service skills * A valid SC driver's license * BCLS certification in all areas * One-year work OR clinical experience in medical/surgical or substance abuse as a Registered Nurse and experience in electronic medical record charting and medication management is preferred Minimum Qualifications Must be licensed by the state of South Carolina and in good standing with a current active licenseClosing Date/Time:
State of Missouri
Warrensburg, Missouri, United States
The Missouri Veterans Home is looking for a PRN Registered Nurse to help us grow our nursing assistants. If you hold a CNA Instructor Certification and have a passion for teaching in a rewarding environment, we have the job for you. Apply today! Hourly Wage: $32.61 Qualifications: Licensure as a Registered Nurse in Missouri - in good standing 1+ year of experience as a registered nurse Certified Nursing Aide Instructor Certification Examples of Work: Instruct the Certified Nursing Aide classes held at the Home Adhere to infection control procedures as trained and train others in these procedures Participate in in-service and continuing education presentations Evaluate the skills and abilities of CNA student trainees and provide constructive feedback Follow established policies and procedures. Document all nursing assessments, interventions and evaluations No Benefits Provided At the Missouri Veterans Commission, we value diversity because we believe in the power of our differences. MVC strives for an inclusive work environment where equal and equitable opportunities exist for all employees. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, genetic information, national origin, pregnancy, race, religion, sex, sexual orientation, gender identity, veteran status, uniformed service member, or any other status protected by federal, state or local law .
Apr 27, 2024
Part Time
The Missouri Veterans Home is looking for a PRN Registered Nurse to help us grow our nursing assistants. If you hold a CNA Instructor Certification and have a passion for teaching in a rewarding environment, we have the job for you. Apply today! Hourly Wage: $32.61 Qualifications: Licensure as a Registered Nurse in Missouri - in good standing 1+ year of experience as a registered nurse Certified Nursing Aide Instructor Certification Examples of Work: Instruct the Certified Nursing Aide classes held at the Home Adhere to infection control procedures as trained and train others in these procedures Participate in in-service and continuing education presentations Evaluate the skills and abilities of CNA student trainees and provide constructive feedback Follow established policies and procedures. Document all nursing assessments, interventions and evaluations No Benefits Provided At the Missouri Veterans Commission, we value diversity because we believe in the power of our differences. MVC strives for an inclusive work environment where equal and equitable opportunities exist for all employees. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, genetic information, national origin, pregnancy, race, religion, sex, sexual orientation, gender identity, veteran status, uniformed service member, or any other status protected by federal, state or local law .
PRN - Registered Nurse Job Location: Fulton State Hospital 600 East Fifth Street Fulton, MO 65251 Salary: $52.75/ hour- while working between 7am-3pm Monday- Friday $58.66/ hour- while working between 3pm-7am Monday- Friday at 7pm $63.55/hour- while working Friday at 7pm-Monday at 7am $67.77/hour- while working on the State observed holiday Why you'll love this position: Forensic psychiatric nursing is exciting and challenging while making a difference in the lives of others. Nurses have the opportunity to use best practice and evidence based treatments while working with patients who live with mental illness. Join a team that will challenge you to utilize all of your nursing skills and be a member of a recovery oriented, trauma-informed treatment team. What you’ll do: Assess and evaluate patient’s mental and physical condition in order to assure quality psychiatric and medical care is provided. Teach living skills, medication therapy, symptom management and other health maintenance needs to patients. Assign, supervise, train and evaluate work of Forensic Rehab Specialist. Assure development and maintain correctness of the nursing care plan, progress notes, flow sheets and other required documentation is completed. Responds to, participates in and directs crisis interventions. Assures safety of patients, staff and the general public. Supervise and /or administration of medications and treatments in compliance with the doctor's orders. Assure a safe, clean and therapeutic environment. Ability to work assigned schedule which may include a variety of shifts, weekends, holidays and/or required overtime. All you need for success: Minimum Qualifications 0-3 years of experience as a registered nurse. Licensure as a Registered Nurse ( A recent graduate of an accredited nursing program may practice as a graduate nurse until results of first licensure examination are received or until 90 days after graduation, whichever occurs first. ) If you have questions about this position please contact: Eva See, RN Recruitment and Retention Officer Eva.See@dmh.mo.gov Fulton State Hospital 600 East 5th Street Fulton, MO 65251 Telephone: 573-592-2244 The State of Missouri is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Apr 27, 2024
Part Time
PRN - Registered Nurse Job Location: Fulton State Hospital 600 East Fifth Street Fulton, MO 65251 Salary: $52.75/ hour- while working between 7am-3pm Monday- Friday $58.66/ hour- while working between 3pm-7am Monday- Friday at 7pm $63.55/hour- while working Friday at 7pm-Monday at 7am $67.77/hour- while working on the State observed holiday Why you'll love this position: Forensic psychiatric nursing is exciting and challenging while making a difference in the lives of others. Nurses have the opportunity to use best practice and evidence based treatments while working with patients who live with mental illness. Join a team that will challenge you to utilize all of your nursing skills and be a member of a recovery oriented, trauma-informed treatment team. What you’ll do: Assess and evaluate patient’s mental and physical condition in order to assure quality psychiatric and medical care is provided. Teach living skills, medication therapy, symptom management and other health maintenance needs to patients. Assign, supervise, train and evaluate work of Forensic Rehab Specialist. Assure development and maintain correctness of the nursing care plan, progress notes, flow sheets and other required documentation is completed. Responds to, participates in and directs crisis interventions. Assures safety of patients, staff and the general public. Supervise and /or administration of medications and treatments in compliance with the doctor's orders. Assure a safe, clean and therapeutic environment. Ability to work assigned schedule which may include a variety of shifts, weekends, holidays and/or required overtime. All you need for success: Minimum Qualifications 0-3 years of experience as a registered nurse. Licensure as a Registered Nurse ( A recent graduate of an accredited nursing program may practice as a graduate nurse until results of first licensure examination are received or until 90 days after graduation, whichever occurs first. ) If you have questions about this position please contact: Eva See, RN Recruitment and Retention Officer Eva.See@dmh.mo.gov Fulton State Hospital 600 East 5th Street Fulton, MO 65251 Telephone: 573-592-2244 The State of Missouri is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
State of Missouri
Kansas City, Missouri, United States
Position(s): REGISTERED NURSE/REGISTERED NURSE SENIOR (various shifts) Salary: $2471.66 (Semi Monthly) Job Location: The job is located at Center for Behavioral Medicine (CBM) 1000 E. 24 th Street, KCMO 64108 . PRN and Full Time Positions Available. This is a Joint Commission Accredited behavioral health facility. Why you’ll love this position: The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining our team, YOU can make a difference in the lives of those impacted by a mental illness or developmental disability so they have the opportunity to pursue their dreams, live their lives to the fullest, and be a valued member of their communities. What you’ll do: • Provide nursing services for a 25 bed forensic inpatient unit. • Assigns, supervises, and evaluates the work of other Registered Nurses, Licensed Practical Nurses, direct care, and/or other staff in the care and treatment of clients on a unit or comparable living area. • Serve as a nursing team leader responsible for defining and implementing the nursing care plan for assigned clients and for supervision of nursing team members. • Complete nursing assessments and develop nursing diagnoses and care plans. • Participate in developing individualized treatment plans as a member of an interdisciplinary treatment team. • Train and evaluate nursing staff, direct care staff, and nursing students. • Administer medications and treatments as prescribed by a physician; conduct rounds with and informs physicians of client status, and receives instruction for further care and treatment. • Performs assigned duties independently according to instructions and established nursing standards and procedures. All you need for success: Minimum Qualifications A Master's degree in Nursing from an accredited college or university; and , One or more years of professional experience as a Registered Nurse. OR A Bachelor's degree in Nursing from an accredited college or university; and , Two or more years of professional experience as a Registered Nurse. OR An Associate's degree in Nursing from an accredited college or university or a Diploma in Nursing; and , Three or more years of professional experience as a Registered Nurse. Preferred Qualifications • Must have a valid Missouri nursing license. • Prior supervisory and psychiatric nursing experience • Proven Leadership and management skills. • Ability to establish and maintain effective working relationships with residents, staff, supervisors, and the general public. If you have questions about this position please contact: Human Resources (816) 512-7404. Submit your resume to cbm.hr@dmh.mo.gov The State of Missouri is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Apr 28, 2024
Full Time
Position(s): REGISTERED NURSE/REGISTERED NURSE SENIOR (various shifts) Salary: $2471.66 (Semi Monthly) Job Location: The job is located at Center for Behavioral Medicine (CBM) 1000 E. 24 th Street, KCMO 64108 . PRN and Full Time Positions Available. This is a Joint Commission Accredited behavioral health facility. Why you’ll love this position: The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining our team, YOU can make a difference in the lives of those impacted by a mental illness or developmental disability so they have the opportunity to pursue their dreams, live their lives to the fullest, and be a valued member of their communities. What you’ll do: • Provide nursing services for a 25 bed forensic inpatient unit. • Assigns, supervises, and evaluates the work of other Registered Nurses, Licensed Practical Nurses, direct care, and/or other staff in the care and treatment of clients on a unit or comparable living area. • Serve as a nursing team leader responsible for defining and implementing the nursing care plan for assigned clients and for supervision of nursing team members. • Complete nursing assessments and develop nursing diagnoses and care plans. • Participate in developing individualized treatment plans as a member of an interdisciplinary treatment team. • Train and evaluate nursing staff, direct care staff, and nursing students. • Administer medications and treatments as prescribed by a physician; conduct rounds with and informs physicians of client status, and receives instruction for further care and treatment. • Performs assigned duties independently according to instructions and established nursing standards and procedures. All you need for success: Minimum Qualifications A Master's degree in Nursing from an accredited college or university; and , One or more years of professional experience as a Registered Nurse. OR A Bachelor's degree in Nursing from an accredited college or university; and , Two or more years of professional experience as a Registered Nurse. OR An Associate's degree in Nursing from an accredited college or university or a Diploma in Nursing; and , Three or more years of professional experience as a Registered Nurse. Preferred Qualifications • Must have a valid Missouri nursing license. • Prior supervisory and psychiatric nursing experience • Proven Leadership and management skills. • Ability to establish and maintain effective working relationships with residents, staff, supervisors, and the general public. If you have questions about this position please contact: Human Resources (816) 512-7404. Submit your resume to cbm.hr@dmh.mo.gov The State of Missouri is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
State of Missouri
Kansas City, Missouri, United States
REGISTERED NURSE Southeast Missouri Mental Health Center offers competitive salary with shift and security differential, an hourly PRN rate, flexible scheduling options, weekend options, and continuing education opportunities. Graduate nurses are welcome to apply! Southeast Missouri Mental Health Center is a 350+ bed hospital, located in Farmington, Missouri. Website: https://dmh.mo.gov/smmhc/ Essential Job Duties: Assess, observe, evaluate, and record patient’s mental and physical condition and provides treatment staff with information on which to make treatment decisions Develop and maintain nursing treatment plan, progress notes, flow sheets, and other required documentation Interact with patients as a part of the treatment plan, including social, recreational, and treatment activities in order to provide continuing treatment and rehabilitation Intermittent physical activity including: Walking (100-500 feet; may require rapid response) Standing (15-30 minutes in session) Sitting (15-30 minutes in session) Lifting (35 pounds) Hearing (evaluating potentially dangerous situations; taking blood pressures) Seeing (written instructions, patient behaviors) Speaking (in order to communicate with patients and staff) Make quick decisions and respond promptly and appropriately Demonstrate good manual dexterity Proper use of the telephone or any other equipment employee’s use for duty purposes Transcribe medical orders. Administers medications and treatments in compliance with physician orders Assigns, supervises, trains, and evaluates work of ward staff Attends work according to facility policies Physical Requirements: Intermittent physical activity including: Walking (100-500 feet; may require rapid response) Standing (15-30 minutes in session) Sitting (15-30 minutes in session) Lifting (35 pounds) Hearing (evaluating potentially dangerous situations; taking blood pressures) Seeing (written instructions, patient behaviors) Speaking (in order to communicate with patients and staff) Minimum Qualifications: Possession of a current license to practice as a Registered Nurse in the State of Missouri or in accordance with Missouri’s Nurse License Compact A graduate of an accredited nursing program may practice as a graduate nurse until he/she has received the results of the first licensure examination taken by the nurse of until ninety (90) days after graduation, whichever first occurs.) Excellent State of Missouri Benefit Package Including : Affordable health, vision, and dental insurance Paid Basic Life Insurance (amount equivalent to annual salary) Cafeteria Plan Deferred Compensation MOSERS Retirement (Members contribute 4% of pay. State contributes 19.45% of pay.) Tuition Reimbursement 12 paid holidays per year 10 hours of annual leave accrued per month 10 hours of sick leave accrued per month For more details please contact: Southeast Missouri Mental Health Center - Human Resources 1010 W. Columbia St. Farmington, MO 63640 (573) 218-6800 An Equal Opportunity/Affirmative Action Employer
May 04, 2024
Full Time
REGISTERED NURSE Southeast Missouri Mental Health Center offers competitive salary with shift and security differential, an hourly PRN rate, flexible scheduling options, weekend options, and continuing education opportunities. Graduate nurses are welcome to apply! Southeast Missouri Mental Health Center is a 350+ bed hospital, located in Farmington, Missouri. Website: https://dmh.mo.gov/smmhc/ Essential Job Duties: Assess, observe, evaluate, and record patient’s mental and physical condition and provides treatment staff with information on which to make treatment decisions Develop and maintain nursing treatment plan, progress notes, flow sheets, and other required documentation Interact with patients as a part of the treatment plan, including social, recreational, and treatment activities in order to provide continuing treatment and rehabilitation Intermittent physical activity including: Walking (100-500 feet; may require rapid response) Standing (15-30 minutes in session) Sitting (15-30 minutes in session) Lifting (35 pounds) Hearing (evaluating potentially dangerous situations; taking blood pressures) Seeing (written instructions, patient behaviors) Speaking (in order to communicate with patients and staff) Make quick decisions and respond promptly and appropriately Demonstrate good manual dexterity Proper use of the telephone or any other equipment employee’s use for duty purposes Transcribe medical orders. Administers medications and treatments in compliance with physician orders Assigns, supervises, trains, and evaluates work of ward staff Attends work according to facility policies Physical Requirements: Intermittent physical activity including: Walking (100-500 feet; may require rapid response) Standing (15-30 minutes in session) Sitting (15-30 minutes in session) Lifting (35 pounds) Hearing (evaluating potentially dangerous situations; taking blood pressures) Seeing (written instructions, patient behaviors) Speaking (in order to communicate with patients and staff) Minimum Qualifications: Possession of a current license to practice as a Registered Nurse in the State of Missouri or in accordance with Missouri’s Nurse License Compact A graduate of an accredited nursing program may practice as a graduate nurse until he/she has received the results of the first licensure examination taken by the nurse of until ninety (90) days after graduation, whichever first occurs.) Excellent State of Missouri Benefit Package Including : Affordable health, vision, and dental insurance Paid Basic Life Insurance (amount equivalent to annual salary) Cafeteria Plan Deferred Compensation MOSERS Retirement (Members contribute 4% of pay. State contributes 19.45% of pay.) Tuition Reimbursement 12 paid holidays per year 10 hours of annual leave accrued per month 10 hours of sick leave accrued per month For more details please contact: Southeast Missouri Mental Health Center - Human Resources 1010 W. Columbia St. Farmington, MO 63640 (573) 218-6800 An Equal Opportunity/Affirmative Action Employer
State of Missouri
Farmington, Missouri, United States
REGISTERED NURSE Southeast Missouri Mental Health Center offers competitive salary with shift and security differential, an hourly PRN rate, flexible scheduling options, weekend options, and continuing education opportunities. Graduate nurses are welcome to apply! Southeast Missouri Mental Health Center is a 350+ bed hospital, located in Farmington, Missouri. Website: https://dmh.mo.gov/smmhc/ Essential Job Duties: Assess, observe, evaluate, and record patient’s mental and physical condition and provides treatment staff with information on which to make treatment decisions Develop and maintain nursing treatment plan, progress notes, flow sheets, and other required documentation Interact with patients as a part of the treatment plan, including social, recreational, and treatment activities in order to provide continuing treatment and rehabilitation Intermittent physical activity including: Walking (100-500 feet; may require rapid response) Standing (15-30 minutes in session) Sitting (15-30 minutes in session) Lifting (35 pounds) Hearing (evaluating potentially dangerous situations; taking blood pressures) Seeing (written instructions, patient behaviors) Speaking (in order to communicate with patients and staff) Make quick decisions and respond promptly and appropriately Demonstrate good manual dexterity Proper use of the telephone or any other equipment employee’s use for duty purposes Transcribe medical orders. Administers medications and treatments in compliance with physician orders Assigns, supervises, trains, and evaluates work of ward staff Attends work according to facility policies Physical Requirements: Intermittent physical activity including: Walking (100-500 feet; may require rapid response) Standing (15-30 minutes in session) Sitting (15-30 minutes in session) Lifting (35 pounds) Hearing (evaluating potentially dangerous situations; taking blood pressures) Seeing (written instructions, patient behaviors) Speaking (in order to communicate with patients and staff) Minimum Qualifications: Possession of a current license to practice as a Registered Nurse in the State of Missouri or in accordance with Missouri’s Nurse License Compact A graduate of an accredited nursing program may practice as a graduate nurse until he/she has received the results of the first licensure examination taken by the nurse of until ninety (90) days after graduation, whichever first occurs.) Excellent State of Missouri Benefit Package Including : Affordable health, vision, and dental insurance Paid Basic Life Insurance (amount equivalent to annual salary) Cafeteria Plan Deferred Compensation MOSERS Retirement (Members contribute 4% of pay. State contributes 19.45% of pay.) Tuition Reimbursement 13 paid holidays per year 10 hours of annual leave accrued per month 10 hours of sick leave accrued per month For more details please contact: Southeast Missouri Mental Health Center - Human Resources 1010 W. Columbia St. Farmington, MO 63640 (573) 218-6800 An Equal Opportunity/Affirmative Action Employer
Apr 28, 2024
Full Time
REGISTERED NURSE Southeast Missouri Mental Health Center offers competitive salary with shift and security differential, an hourly PRN rate, flexible scheduling options, weekend options, and continuing education opportunities. Graduate nurses are welcome to apply! Southeast Missouri Mental Health Center is a 350+ bed hospital, located in Farmington, Missouri. Website: https://dmh.mo.gov/smmhc/ Essential Job Duties: Assess, observe, evaluate, and record patient’s mental and physical condition and provides treatment staff with information on which to make treatment decisions Develop and maintain nursing treatment plan, progress notes, flow sheets, and other required documentation Interact with patients as a part of the treatment plan, including social, recreational, and treatment activities in order to provide continuing treatment and rehabilitation Intermittent physical activity including: Walking (100-500 feet; may require rapid response) Standing (15-30 minutes in session) Sitting (15-30 minutes in session) Lifting (35 pounds) Hearing (evaluating potentially dangerous situations; taking blood pressures) Seeing (written instructions, patient behaviors) Speaking (in order to communicate with patients and staff) Make quick decisions and respond promptly and appropriately Demonstrate good manual dexterity Proper use of the telephone or any other equipment employee’s use for duty purposes Transcribe medical orders. Administers medications and treatments in compliance with physician orders Assigns, supervises, trains, and evaluates work of ward staff Attends work according to facility policies Physical Requirements: Intermittent physical activity including: Walking (100-500 feet; may require rapid response) Standing (15-30 minutes in session) Sitting (15-30 minutes in session) Lifting (35 pounds) Hearing (evaluating potentially dangerous situations; taking blood pressures) Seeing (written instructions, patient behaviors) Speaking (in order to communicate with patients and staff) Minimum Qualifications: Possession of a current license to practice as a Registered Nurse in the State of Missouri or in accordance with Missouri’s Nurse License Compact A graduate of an accredited nursing program may practice as a graduate nurse until he/she has received the results of the first licensure examination taken by the nurse of until ninety (90) days after graduation, whichever first occurs.) Excellent State of Missouri Benefit Package Including : Affordable health, vision, and dental insurance Paid Basic Life Insurance (amount equivalent to annual salary) Cafeteria Plan Deferred Compensation MOSERS Retirement (Members contribute 4% of pay. State contributes 19.45% of pay.) Tuition Reimbursement 13 paid holidays per year 10 hours of annual leave accrued per month 10 hours of sick leave accrued per month For more details please contact: Southeast Missouri Mental Health Center - Human Resources 1010 W. Columbia St. Farmington, MO 63640 (573) 218-6800 An Equal Opportunity/Affirmative Action Employer
State of Missouri
Kansas City, Missouri, United States
Assistant Chief Nurse Executive Center for Behavioral Medicine (CBM), a modern 65 bed, Medicare Certified (CMS) and Joint Commission Accredited (TJC) Forensic Psychiatric Facility operated by the Missouri Department of Mental Health, Division of Behavioral Health, provides inpatient psychiatric treatment to individuals adjudicated as Incompetent to Stand Trial or Permanently Incompetent to Stand Trial. The successful candidate for this position will provide: Directs and supervise the work of Registered Nurses and other staff on the units. evaluates the nursing services in a multi-ward unit or program, Leadership, direction, planning, analysis and coordination of the Nursing Department. As an integral executive team member, the ACNE will be responsible for strategic nursing initiatives, department staffing, fiscal accountability, and monitoring of nursing department standards, policies and procedures, and must possess the following; What you’ll do: Directs and supervises the unit managers. Develop system for timely and effective communication with the unit staff. Work with Unit managers to resolve interdisciplinary team issues. Demonstrates regular and predictable attendance, arrive to work on time, minimize unscheduled absences. Working with hospital and nursing leadership to secure accreditation from TJC and certification from CMS/DHSS Performance Improvement methodologies (preference will be given to those familiar with CQI Plus and Lean) The development and management of nursing schedules, acuity systems, and nursing budgets (including overtime and PRN). Effective strategies for the recruitment and retention of professional nurses and para-professional nursing technicians Evidence Based Practice in the treatment and rehabilitation of clinical populations with Serious and Persistent Mental Illness (SPMI) as well as Intellectual Disabilities The ideal candidate will possess personal and professional commitment to the treatment of individuals with an SPMI, including values consistent with Trauma Informed Care, Recovery Based Practice, Advocacy and Stigma-Reduction, Client Choice and Empowerment. Requirements: Candidates must be currently licensed as a Registered Nurse in Missouri. A Master’s Degree in nursing. Three (3) or more years of high level nursing management experience, preferably in a psychiatric setting. We offer a competitive salary and generous benefit package with opportunities for professional growth working with an experienced management team. Why you’ll love this position: The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining our team, YOU can make a difference in the lives of those impacted by a mental illness or developmental disability so they have the opportunity to pursue their dreams, live their lives to the fullest, and be a valued member of their communities.
May 04, 2024
Full Time
Assistant Chief Nurse Executive Center for Behavioral Medicine (CBM), a modern 65 bed, Medicare Certified (CMS) and Joint Commission Accredited (TJC) Forensic Psychiatric Facility operated by the Missouri Department of Mental Health, Division of Behavioral Health, provides inpatient psychiatric treatment to individuals adjudicated as Incompetent to Stand Trial or Permanently Incompetent to Stand Trial. The successful candidate for this position will provide: Directs and supervise the work of Registered Nurses and other staff on the units. evaluates the nursing services in a multi-ward unit or program, Leadership, direction, planning, analysis and coordination of the Nursing Department. As an integral executive team member, the ACNE will be responsible for strategic nursing initiatives, department staffing, fiscal accountability, and monitoring of nursing department standards, policies and procedures, and must possess the following; What you’ll do: Directs and supervises the unit managers. Develop system for timely and effective communication with the unit staff. Work with Unit managers to resolve interdisciplinary team issues. Demonstrates regular and predictable attendance, arrive to work on time, minimize unscheduled absences. Working with hospital and nursing leadership to secure accreditation from TJC and certification from CMS/DHSS Performance Improvement methodologies (preference will be given to those familiar with CQI Plus and Lean) The development and management of nursing schedules, acuity systems, and nursing budgets (including overtime and PRN). Effective strategies for the recruitment and retention of professional nurses and para-professional nursing technicians Evidence Based Practice in the treatment and rehabilitation of clinical populations with Serious and Persistent Mental Illness (SPMI) as well as Intellectual Disabilities The ideal candidate will possess personal and professional commitment to the treatment of individuals with an SPMI, including values consistent with Trauma Informed Care, Recovery Based Practice, Advocacy and Stigma-Reduction, Client Choice and Empowerment. Requirements: Candidates must be currently licensed as a Registered Nurse in Missouri. A Master’s Degree in nursing. Three (3) or more years of high level nursing management experience, preferably in a psychiatric setting. We offer a competitive salary and generous benefit package with opportunities for professional growth working with an experienced management team. Why you’ll love this position: The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining our team, YOU can make a difference in the lives of those impacted by a mental illness or developmental disability so they have the opportunity to pursue their dreams, live their lives to the fullest, and be a valued member of their communities.
CAREER DESCRIPTION COMPREHENSIVE CARE LICENSED VOCATIONAL NURSE Correctional Health Services (CHS) In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 28, 2024 - 4.25% increase Effective June 27, 2025 - 4.00% increase Please note we have a One Day Hiring Event for this position on Friday, January 19, 2024 from 8:30 am- 12:00 pm at our County Administration North building: 400 W. Civic Center Dr., Santa Ana, CA 92701. Applicants are strongly encouraged to apply online but will also be able to apply in person. Please feel free to share this opportunity with anyone who may be interested. Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. Premium Pay In addition to the hourly salary, eligible applicants may receive premium pay for the items listed below. Bilingual pay: Qualified employees who meet the criteria found ( page 18 ) shall receive an additional seventy $0.70 cents per hour for all hours paid. Night Shift Differential pay: Employees assigned to a night shift shall be paid a night shift differential for each hour actually worked on the assigned night shift. Pay rate is determined by assigned shift hours found here (page 15). Nurse Hiring Incentive: Upon completion of new employee probation, eligible employees shall receive a one-time lump sum incentive of $1,000, within 2 pay periods. Nurse Retention: Upon completion of 10,400 service hours (approximately 5 years of service) in a Nurse classification, you will receive 3% of your annual base salary as a one-time lump sum payment. Jail Supplement pay: An employee in this classification who is assigned to work in an adult or juvenile correctional or institutional facility shall receive an additional $1.50 per hour for all paid hours. Call-Back pay: An employee in this classification who returns to work because of an agency/department request shall be eligible for Call-Back pay as detailed here (page 17). Other Additional Premium Pays This recruitment is open to the public and will remain open for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met. Applicants are encouraged to apply immediately. This list will be used to fill current and future Comprehensive Care Licensed Vocational Nurse positions within the Health Care Agency, Correctional Health Services. This eligible list may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. THE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Strategy and Special Projects, Mental Health and Recovery Services, Correctional Health Services, Medical Health Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. CORRECTIONAL HEALTH SERVICES The Correctional Health Services (CHS) program is comprised of two separate entities. One is for the adult inmates and the other is for the juveniles. The CHS program provides medical, dental, nursing, infection control, health education, and pharmaceutical services at a community standard of care and provides mental health services including 24-hour emergency triage and crisis intervention, suicide prevention, treatment beds, individual and group therapy, substance use counseling, medication assessment and discharge planning to all adult inmates in the County's five (5) correctional facilities. The Juvenile Health Services program has two clinics - Juvenile Hall Health Clinic and Orangewood Family Health Clinic. THE OPPORTUNITY This Comprehensive Care Licensed Vocational Nurse (CCLVN) position is in the Adult Correctional Health Services division, which is responsible for basic and emergency medical services for approximately 6,000 inmates per day, and over 60,000 inmates per year. The CCLVN responsibilities include but are not limited to: Administration of regular and PRN ( Pro Re Nata) medication Use of electronic health records (EHR) to accurately enter and document patient data, administer medications including insulin Prepare and collect lab specimens, including blood, urine, saliva, stool and nasal/pharyngeal samples Perform EKG (electrocardiogram), visual acuity, vital signs, PPD (tuberculosis test) placement, blood glucose testing, basic wound care, ambulatory clinic procedures and screening exams Perform skills of an emergency first responder Recognize normal vs. abnormal findings and report such findings to on duty registered nurses Conduct and maintain inventory, adequate stock of medication, and supplies for assigned work area Maintain assigned work area daily and ensure that work areas are inspection ready at all times Assist onsite and telemedicine/telepsychiatry providers Participate in conferences, committee meetings, staff development and education programs to increase or maintain professional competency May perform other job-related duties as needed *The initial vacancies will be for the night shift CHS is a 24 hour, 7 days a week operation. Incumbents must be able to work days, weekends, evenings or night shifts, and holidays. Nursing staff work six (6), twelve (12) hour shifts, and one eight (8) hour shift per two (2) week pay period. Days off are every other weekend and rotating week days. DESIRABLE QUALIFICATIONS The ideal candidate will have experience in an acute care, correctional setting, and/or other similar institutional type of setting and will demonstrate the following competencies: Clinical Experience Caring for clients with medical and mental health diagnose Working in an acute urgent care or ambulatory clinic type of setting Gathering clinical nursing data accurately (e.g. vital signs, health history) Knowledge of HIPAA (Health Insurance Portability and Accountability Act) guidelines Proper dosage and common side effects of a large number of medications given for medical and mental health diagnosis Performing or assisting in wound care Following sterile instrument processing protocols Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, and other healthcare related systems (Electronic Health Records) Communication and Collaboration Effectively explaining the treatments or procedures to inmates Evaluating the effectiveness of client's prescribed medication(s) in collaboration with the interdisciplinary team Collaborating with coworkers in a team dynamic setting to complete tasks Effectively assess and escalate inmate medical information to Registered Nurses Adaptability and Compassion Working effectively and maintaining a positive attitude in a changing and stressful environment, and ability to make adjustments as necessary Developing resiliency by maintaining energy, tenacity and compassionate care to fulfill correctional nursing responsibilities Critical Thinking and Safety Reducing liability risks by complying with Federal and State laws and mandated standards in accordance with Title 15, Title 22, and National Commission on Correctional Health Care (NCCHC) Standards. Being aware of any environmental hazards while working inside secured facilities Being alert and aware of personal safety and security while providing care and/or treatment to unstable or unpredictable clients Analyzing and evaluating emergent health needs and referring to registered nurse or clinician SPECIAL QUALIFICATIONS/REQUIREMENTS Incumbents must NOT have felony convictions or be on any form of probation Must be able to pass and maintain background investigation to the satisfaction of the Orange County Sheriff-Coroner. Background screening includes; completing of a Personal History Form, interview with a background investigator, fingerprinting and may include a polygraph test. Some of the areas considered in the background screening include prior convictions, traffic violations, drug use and credit problems, employment history, professional references and education verification (i.e. degree, license, or official transcripts. Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Evaluation Services (N.A.C.E.S.) Correctional Health Services are a 24 hour, 7 days a week facilities; incumbents must be able to work on weekends, evenings or night shift, and holidays MINIMUM QUALIFICATIONS Click here to learn more about the minimum qualifications for the CCLVN classification, including physical, mental and environmental conditions. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step in the recruitment process. All applicants will be notified via e-mail of their status in the process. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Based on the Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List : HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses, and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. The COVID-19 pandemic continues to evolve, and laws, regulations, and policies regarding COVID-19 are subject to change. The County of Orange is required to comply with all applicable State or County Public Health Orders, some of which require vaccination or testing as follows: Workers, who provide services in certain Health Care Facilities or in a correctional facility or detention center where health care is provided, will be required to provide proof that they are fully vaccinated and boosted in accordance with applicable state orders . (Workers may be exempt from this requirement based on religious beliefs or a qualifying medical reason) In addition, depending on assignment and COVID-19 Community Level, workers in certain high-risk settings may be required to wear masks regardless of vaccination status. The position for which you are applying may be required to adhere to any applicable State or County Public Health Orders. You will receive notification of any requirement as it applies to a position. EMAIL NOTIFICATION Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, contact Gazala Yerunkarat (714) 834-3205 or gyerunkar@ochca.com . Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: Continuous
Apr 22, 2024
Full Time
CAREER DESCRIPTION COMPREHENSIVE CARE LICENSED VOCATIONAL NURSE Correctional Health Services (CHS) In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates: Effective June 28, 2024 - 4.25% increase Effective June 27, 2025 - 4.00% increase Please note we have a One Day Hiring Event for this position on Friday, January 19, 2024 from 8:30 am- 12:00 pm at our County Administration North building: 400 W. Civic Center Dr., Santa Ana, CA 92701. Applicants are strongly encouraged to apply online but will also be able to apply in person. Please feel free to share this opportunity with anyone who may be interested. Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. Premium Pay In addition to the hourly salary, eligible applicants may receive premium pay for the items listed below. Bilingual pay: Qualified employees who meet the criteria found ( page 18 ) shall receive an additional seventy $0.70 cents per hour for all hours paid. Night Shift Differential pay: Employees assigned to a night shift shall be paid a night shift differential for each hour actually worked on the assigned night shift. Pay rate is determined by assigned shift hours found here (page 15). Nurse Hiring Incentive: Upon completion of new employee probation, eligible employees shall receive a one-time lump sum incentive of $1,000, within 2 pay periods. Nurse Retention: Upon completion of 10,400 service hours (approximately 5 years of service) in a Nurse classification, you will receive 3% of your annual base salary as a one-time lump sum payment. Jail Supplement pay: An employee in this classification who is assigned to work in an adult or juvenile correctional or institutional facility shall receive an additional $1.50 per hour for all paid hours. Call-Back pay: An employee in this classification who returns to work because of an agency/department request shall be eligible for Call-Back pay as detailed here (page 17). Other Additional Premium Pays This recruitment is open to the public and will remain open for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met. Applicants are encouraged to apply immediately. This list will be used to fill current and future Comprehensive Care Licensed Vocational Nurse positions within the Health Care Agency, Correctional Health Services. This eligible list may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. THE AGENCY The County of Orange , Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Strategy and Special Projects, Mental Health and Recovery Services, Correctional Health Services, Medical Health Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. CORRECTIONAL HEALTH SERVICES The Correctional Health Services (CHS) program is comprised of two separate entities. One is for the adult inmates and the other is for the juveniles. The CHS program provides medical, dental, nursing, infection control, health education, and pharmaceutical services at a community standard of care and provides mental health services including 24-hour emergency triage and crisis intervention, suicide prevention, treatment beds, individual and group therapy, substance use counseling, medication assessment and discharge planning to all adult inmates in the County's five (5) correctional facilities. The Juvenile Health Services program has two clinics - Juvenile Hall Health Clinic and Orangewood Family Health Clinic. THE OPPORTUNITY This Comprehensive Care Licensed Vocational Nurse (CCLVN) position is in the Adult Correctional Health Services division, which is responsible for basic and emergency medical services for approximately 6,000 inmates per day, and over 60,000 inmates per year. The CCLVN responsibilities include but are not limited to: Administration of regular and PRN ( Pro Re Nata) medication Use of electronic health records (EHR) to accurately enter and document patient data, administer medications including insulin Prepare and collect lab specimens, including blood, urine, saliva, stool and nasal/pharyngeal samples Perform EKG (electrocardiogram), visual acuity, vital signs, PPD (tuberculosis test) placement, blood glucose testing, basic wound care, ambulatory clinic procedures and screening exams Perform skills of an emergency first responder Recognize normal vs. abnormal findings and report such findings to on duty registered nurses Conduct and maintain inventory, adequate stock of medication, and supplies for assigned work area Maintain assigned work area daily and ensure that work areas are inspection ready at all times Assist onsite and telemedicine/telepsychiatry providers Participate in conferences, committee meetings, staff development and education programs to increase or maintain professional competency May perform other job-related duties as needed *The initial vacancies will be for the night shift CHS is a 24 hour, 7 days a week operation. Incumbents must be able to work days, weekends, evenings or night shifts, and holidays. Nursing staff work six (6), twelve (12) hour shifts, and one eight (8) hour shift per two (2) week pay period. Days off are every other weekend and rotating week days. DESIRABLE QUALIFICATIONS The ideal candidate will have experience in an acute care, correctional setting, and/or other similar institutional type of setting and will demonstrate the following competencies: Clinical Experience Caring for clients with medical and mental health diagnose Working in an acute urgent care or ambulatory clinic type of setting Gathering clinical nursing data accurately (e.g. vital signs, health history) Knowledge of HIPAA (Health Insurance Portability and Accountability Act) guidelines Proper dosage and common side effects of a large number of medications given for medical and mental health diagnosis Performing or assisting in wound care Following sterile instrument processing protocols Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, and other healthcare related systems (Electronic Health Records) Communication and Collaboration Effectively explaining the treatments or procedures to inmates Evaluating the effectiveness of client's prescribed medication(s) in collaboration with the interdisciplinary team Collaborating with coworkers in a team dynamic setting to complete tasks Effectively assess and escalate inmate medical information to Registered Nurses Adaptability and Compassion Working effectively and maintaining a positive attitude in a changing and stressful environment, and ability to make adjustments as necessary Developing resiliency by maintaining energy, tenacity and compassionate care to fulfill correctional nursing responsibilities Critical Thinking and Safety Reducing liability risks by complying with Federal and State laws and mandated standards in accordance with Title 15, Title 22, and National Commission on Correctional Health Care (NCCHC) Standards. Being aware of any environmental hazards while working inside secured facilities Being alert and aware of personal safety and security while providing care and/or treatment to unstable or unpredictable clients Analyzing and evaluating emergent health needs and referring to registered nurse or clinician SPECIAL QUALIFICATIONS/REQUIREMENTS Incumbents must NOT have felony convictions or be on any form of probation Must be able to pass and maintain background investigation to the satisfaction of the Orange County Sheriff-Coroner. Background screening includes; completing of a Personal History Form, interview with a background investigator, fingerprinting and may include a polygraph test. Some of the areas considered in the background screening include prior convictions, traffic violations, drug use and credit problems, employment history, professional references and education verification (i.e. degree, license, or official transcripts. Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Evaluation Services (N.A.C.E.S.) Correctional Health Services are a 24 hour, 7 days a week facilities; incumbents must be able to work on weekends, evenings or night shift, and holidays MINIMUM QUALIFICATIONS Click here to learn more about the minimum qualifications for the CCLVN classification, including physical, mental and environmental conditions. RECRUITMENT PROCESS Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step in the recruitment process. All applicants will be notified via e-mail of their status in the process. Application Screening (Refer/Non-Refer) Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step. Based on the Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List : HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Veterans Employment Preference The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses, and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here to review the policy. ADDITIONAL INFORMATION Please see below for important information regarding COVID-19 related requirements. The COVID-19 pandemic continues to evolve, and laws, regulations, and policies regarding COVID-19 are subject to change. The County of Orange is required to comply with all applicable State or County Public Health Orders, some of which require vaccination or testing as follows: Workers, who provide services in certain Health Care Facilities or in a correctional facility or detention center where health care is provided, will be required to provide proof that they are fully vaccinated and boosted in accordance with applicable state orders . (Workers may be exempt from this requirement based on religious beliefs or a qualifying medical reason) In addition, depending on assignment and COVID-19 Community Level, workers in certain high-risk settings may be required to wear masks regardless of vaccination status. The position for which you are applying may be required to adhere to any applicable State or County Public Health Orders. You will receive notification of any requirement as it applies to a position. EMAIL NOTIFICATION Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, contact Gazala Yerunkarat (714) 834-3205 or gyerunkar@ochca.com . Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Non-Management Benefits In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits. http://www.ocers.org/active-member-information Click here for information about benefits offered to County of Orange employees. Closing Date/Time: Continuous