Employee Health Registered Nurse

Insight Health Systems; Coldwater (MI); On-site; USD 70,000 - 90,000; Full time

Job summary

Insight Health Systems is seeking an Employee Health Registered Nurse to provide and coordinate occupational health services for employees. The RN will promote a safe workforce through health screenings, immunizations, exposure management, and confidential recordkeeping, reporting to the CR-RISQ Director per standing orders and protocols.

The role involves coordinating with physicians, reviewing immunization requirements, and maintaining strict documentation.

Qualifications

• Associate degree in nursing from an accredited program.
• Current, unrestricted RN license in Michigan.
• Three years of professional RN experience in a clinical setting.

Responsibilities

• Provides evidence‑based occupational health nursing services within RN scope and physician protocols; escalates when needed.
• Coordinates with medical director for standing orders and clinical pathways.
• Completes pre‑placement, post‑offer, transfer, and periodic health assessments.
• Assesses immunization status and coordinates vaccines and testing per CDC/ACIP guidance.
• Handles post‑exposure management including counseling and follow‑up per plan.
• Manages communicable-disease exposures with Infection Prevention and physician guidance.
• Provides first‑line nursing assessment and case coordination for work‑related injuries; follows workers' comp communications.
• Manages work‑status and fitness‑for‑duty processes with appropriate leadership and HR.
• Supports respiratory protection program and coordinates fit testing as needed.
• Maintains confidential employee health records and logs for immunizations and screenings.
• Produces aggregate health data trends for leadership review.
• Collaborates on exposure‑control plans, hazard assessments, and emergency preparedness.
• Develops workforce education on bloodborne pathogens, exposure reporting, and immunization.
• Reviews and improves employee health policies and procedures.
• Recognizes urgent conditions and initiates emergency response when indicated.
• Maintains PPE use and inventory controls according to policy.
• Maintains professional competence through continuing education.

Skills

Occupational health assessment

Immunization administration

Documentation and privacy

Case coordination

Staff education

Data tracking and trend analysis

Verbal and written communication

Independent work with collaboration

Education

Associate degree in nursing

Job description

Job Summary

The Employee Health Registered Nurse provides and coordinates occupational health services for employees and other covered workforce members. The RN promotes a safe and healthy workforce through pre-placement and periodic health screening, immunization, communicable disease and exposure management, work‑related injury and illness follow‑up, respiratory protection activities, education, surveillance, and confidential record management. The RN reports administratively to the Director of CR‑RISQ and practices under applicable law, organizational policy, and physician‑approved standing orders and clinical protocols. A designated physician provides medical direction, consultation, and escalation support.

*All duties listed below are essential unless noted otherwise*

Duties

• Provides evidence‑based occupational health nursing services within RN scope of practice, organizational policy, and physician‑approved protocols; promptly escalates findings or decisions that require diagnosis, prescribing, medical clearance, or physician judgment.
• Coordinates with the medical director or designated physician to maintain standing orders, clinical pathways, referral criteria, and timely consultation for complex or urgent cases.
• Completes post‑offer, pre‑placement, transfer, and periodic health assessments that are job‑related and consistent with policy, including review of immunization, tuberculosis, and other occupational health requirements.
• Assesses immunization status and administers or coordinates vaccines and testing in accordance with current CDC and ACIP recommendations, applicable requirements, informed consent, and physician‑approved orders; documents contraindications, declinations, and follow‑up needs.
• Provides immediate nursing assessment and coordinates time‑sensitive post‑exposure evaluation after needlesticks, sharps injuries, blood or body‑fluid exposures, and other potentially infectious exposures, including source‑patient processes, baseline testing, referral for post‑exposure prophylaxis, counseling, and follow‑up under the exposure‑control plan.
• Evaluates and manages reported communicable‑disease exposures and illnesses among healthcare personnel in collaboration with Infection Prevention and the physician; applies current guidance and organizational protocols for testing, monitoring, work restriction, and return to work.
• Provides first‑line nursing assessment and case coordination for work‑related injuries and illnesses; initiates appropriate first aid, referral, documentation, follow‑up, and workers' compensation communication without exceeding RN scope or making claim determinations.
• Coordinates work‑status and fitness‑for‑duty processes. Communicates only necessary functional limitations or restrictions to authorized leaders and Human Resources, based on provider or qualified clinician documentation; does not make employment or accommodation decisions.
• Supports the respiratory protection program by maintaining confidential medical‑evaluation information, confirming clearance before required use or fit testing, conducting or coordinating fit testing when trained and assigned, and referring concerns to the physician or other qualified PLHCP.
• Maintains complete, accurate, timely, and confidential employee health records in systems separate from general personnel records, with access and disclosure limited to authorized purposes and retention consistent with applicable requirements and policy.
• Maintains required logs, rosters, reminders, and follow‑up systems for immunizations, screening, exposures, injuries, respiratory protection, and other occupational‑health requirements; monitors overdue items and communicates compliance status without disclosing unnecessary medical information.
• Collects and analyzes aggregate, non‑identifiable occupational‑health data to identify trends, hazards, and improvement opportunities; reports meaningful measures to the Director of CR‑RISQ and appropriate committees.
• Collaborates with CR‑RISQ, Human Resources, Laboratory, Pharmacy, department leaders, and other partners on exposure‑control plans, hazard assessments, outbreak response, emergency preparedness, and workforce health initiatives.
• Develops and provides workforce education on bloodborne pathogens, exposure reporting, communicable disease prevention, immunization, respiratory protection, and other occupational health topics within assigned responsibility.
• Participates in review and improvement of employee‑health policies, procedures, forms, workflows, and emergency response processes using current regulatory and clinical guidance.
• Recognizes urgent or life‑threatening conditions, initiates emergency response and basic life support within training, and arranges prompt transfer for medical evaluation when indicated.
• Uses supplies, vaccines, medications, tests, and equipment safely; maintains required storage, temperature monitoring, infection‑control practices, quality checks, and inventory controls.
• Maintains professional competence through continuing education and review of current occupational health, infection‑prevention, regulatory, and nursing guidance; seeks consultation when a matter exceeds knowledge, authority, or scope.
• Performs other related duties within licensure, competency, and organizational policy as assigned.

Required Qualifications

Education

Associate degree in nursing from an accredited nursing program.

Skills

Occupational health assessment and triage; exposure and communicable‑disease follow‑up; immunization and medication administration; confidential documentation; case coordination; staff education; data tracking and basic trend analysis; sound clinical judgment; clear written and verbal communication; ability to work independently and collaborate across departments. Working knowledge of CDC guidance, OSHA healthcare standards, infection prevention, and employee medical‑record confidentiality.

Years of Experience

Three years of professional RN experience in a clinical setting.

License

Current, unrestricted license as a Registered Nurse in the State of Michigan.

Certification

Current Basic Life Support certification. Must complete organization‑required competency validation for assigned testing, immunization, exposure‑management, and respiratory‑protection duties.

Physical Requirements

Ability to perform nursing assessment and clinical procedures; communicate in person, by telephone, and electronically; use a computer for sustained periods; and move throughout the facility. Must be able to stand, walk, bend, reach, and use fine motor skills; occasionally lift or carry up to 25 pounds; and wear required respiratory and other protective equipment. Reasonable accommodations will be considered in accordance with applicable law.

Preferred Qualifications

Education

Bachelor of Science in Nursing.

Skills

Experience with occupational‑health software, electronic employee health records, quality improvement, policy development, and healthcare regulatory readiness.

Years of Experience

Two years in employee health, occupational health, infection prevention, emergency nursing, ambulatory care, case management, or a closely related setting.

License

N/A

Certification

Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse‑Specialist (COHN‑S).

Personal Protective Equipment

Uses gloves, gowns, eye and face protection, surgical masks, fit‑tested respirators, and other PPE based on anticipated exposure and organizational policy.

Physical Demands

Work includes office and clinical activity with potential exposure to blood, body fluids, infectious diseases, sharps, cleaning products, and other healthcare hazards. Requires frequent sitting and keyboard use; intermittent standing and walking; and occasional bending, reaching, lifting, and carrying. May require response to urgent occupational exposures during established coverage hours.