Occupational Health RN: Protecting & Enabling Safe Work

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

Job summary

The Occupational Health Registered Nurse at Insight Coldwater Hospital provides and coordinates services that protect the health and safety of employees and other covered workforce members. The RN applies the nursing process to prevent occupational injury and illness, assess workplace health risks, coordinate screening and immunization, manage exposure follow-up, and support safe return to work.

The RN reports administratively to the Director of CR-RISQ and practices within Michigan RN scope,

Qualifications

• Education: Associate degree in nursing from an accredited program.
• Skills: Occupational health assessment and triage; injury and exposure follow-up; immunization and medication administration; confidential documentation; case coordination; staff education; data tracking and trend analysis; sound clinical judgment; and clear written and verbal communication.
• Years of Experience: Three years of professional RN experience in a clinical setting.
• License: Current, unrestricted Registered Nurse license in the State of Michigan.
• Certification: Current Basic Life Support certification. Completion of competency validation for assigned immunization, testing, exposure management, and respiratory-protection duties before independent performance.

Responsibilities

• Provides evidence-based occupational health nursing assessment, planning, intervention, and evaluation; escalates conditions requiring medical diagnosis, prescribing, treatment changes, or medical clearance to the designated physician or authorized provider.
• Coordinates physician-approved standing orders, referral criteria, exposure pathways, and clinical consultation. Maintains an established after-hours referral process so urgent exposures receive prompt evaluation when the RN is unavailable.
• Completes post-offer, pre-placement and job-related periodic or episodic health assessments; reviews essential job functions, occupational risks, health history, immunization status, and screening needs under approved protocols.
• Administers or coordinates immunizations and immunity testing using current CDC and ACIP recommendations, authorized orders, and organizational requirements. Documents consent, contraindications, declinations, adverse events, and follow-up.
• Coordinates baseline tuberculosis risk assessment, symptom review, and indicated testing; provides annual education and exposure follow-up. Uses current CDC recommendations and applicable state requirements to determine follow-up rather than routinely repeating annual tests for all personnel.
• Provides immediate nursing assessment after sharps injuries, blood or body-fluid exposures, and other infectious exposures. Coordinates source evaluation, ordered baseline testing, prompt provider evaluation for post-exposure prophylaxis, counseling, and follow-up under current guidance; does not delay urgent referral while awaiting source results.
• Works with Infection Prevention and the designated physician to assess communicable disease exposures and illness, identify affected personnel, and implement approved testing, monitoring, work restriction, and return-to-work protocols.
• Assess work-related injury and illness; provides first aid and nursing care within competency, initiates emergency response when needed, arranges medical referral, and monitors follow-up and recovery.
• Coordinates occupational injury case management with the treating provider, Human Resources, department leadership, and the workers compensation administrator. Tracks appointments and restrictions and supports continuity of care without determining claim eligibility or benefits.
• Coordinates fitness-for-duty and return-to-work processes using essential job functions and authorized provider documentation. Communicates necessary functional restrictions to authorized leaders and Human Resources; refers medical clearance and employment or accommodation decisions to the responsible provider and employer.
• Supports workforce wellbeing through education and referral to appropriate health, behavioral health, and employee assistance resources. Identifies workplace factors contributing to fatigue, distress, or burnout and collaborates with leaders on system improvements.
• Develops and reviews occupational health policies, workflows, and emergency preparedness processes using current evidence and applicable requirements. Supports regulatory readiness and collaborates on assigned OSHA and MIOSHA documentation and reporting.
• Maintains safe vaccine and medication storage, temperature monitoring, supply inventory, infection prevention, and equipment quality checks. Performs testing and clinical procedures under authorized orders and applicable quality requirements.
• Maintains RN licensure, continuing education, and competency in assigned occupational health services. Seeks consultation when a concern exceeds authority, knowledge, or resources and communicates program needs to the Director of CR-RISQ.
• Performs other related duties within RN licensure, demonstrated competency, and organizational policy as assigned.

Skills

Occupational health

Injury follow-up

Immunization

Confidential records

Case coordination

Staff education

Data analytics

Education

Associate degree in nursing

Bachelor of Science in Nursing

Tools

Occupational health records software

Job description

The Occupational Health Registered Nurse at Insight Coldwater Hospital provides and coordinates services that protect the health and safety of employees and other covered workforce members. The RN applies the nursing process to prevent occupational injury and illness, assess workplace health risks, coordinate screening and immunization, manage exposure follow-up, and support safe return to work.

The RN reports administratively to the Director of CR-RISQ and practices within Michigan RN scope,