Occupational Health Registered Nurse

INSIGHT Surgical Hospital•Coldwater, MI

About The Position

The Occupational Health Registered Nurse provides and coordinates services that protect the health and safety of Insight Coldwater Hospital 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, organizational policy, and physician-approved standing orders and protocols. A designated physician provides medical direction, consultation, and escalation support. The role includes occupational health assessments, immunization and testing coordination, exposure and injury response, case management, fitness-for-duty and return-to-work coordination, respiratory protection support, medical surveillance, confidential recordkeeping, compliance tracking, data analysis, workforce education, wellbeing support, and development of policies and workflows. The RN collaborates with clinical and administrative partners and escalates matters requiring medical diagnosis, prescribing, treatment changes, or medical clearance to the designated physician or authorized provider.

Requirements

Associate degree in nursing from an accredited nursing program.
Three years of professional RN experience in a clinical setting.
Current, unrestricted Registered Nurse license in the State of Michigan.
Current Basic Life Support certification.
Competency validation for assigned immunization, testing, exposure management, and respiratory-protection duties before independent performance.
Skills in 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.
Ability to work independently and collaborate across departments.
Working knowledge of CDC guidance, applicable OSHA and MIOSHA requirements, infection prevention, and employee medical-record confidentiality.

Nice To Haves

Bachelor of Science in Nursing.
Experience with occupational health records or software, workers compensation case coordination, hazard surveillance, quality improvement, policy development, and healthcare regulatory readiness.
Two years of experience in occupational health, employee health, infection prevention, emergency nursing, ambulatory care, case management, or a closely related setting.
Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S).
Relevant training for specialized surveillance testing when assigned.

Responsibilities

Provides evidence-based occupational health nursing assessment, planning, intervention, and evaluation; escalates matters 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 after-hours referral process for urgent exposures.
Completes post-offer, pre-placement, and job-related periodic or episodic health assessments under approved protocols.
Administers or coordinates immunizations and immunity testing under authorized orders and organizational requirements, documenting consent, contraindications, declinations, adverse events, and follow-up.
Coordinates tuberculosis risk assessment, symptom review, indicated testing, annual education, and exposure follow-up using current recommendations and applicable requirements.
Provides immediate nursing assessment after sharps injuries and other infectious exposures; coordinates source evaluation, testing, provider evaluation, counseling, and follow-up under current guidance.
Works with Infection Prevention and the designated physician to assess communicable disease exposures and illness and implement approved testing, monitoring, work restriction, and return-to-work protocols.
Assesses 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 treating providers, Human Resources, department leadership, and the workers compensation administrator; tracks appointments and restrictions 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.
Supports respiratory protection by coordinating confidential medical evaluation and confirming clearance before fit testing or required use; conducts or coordinates fit testing when trained and tracks clearance, fit, training, and follow-up.
Collaborates with Safety, Infection Prevention, Pharmacy, and department leaders to identify workplace hazards, recommend prevention measures, review injuries and exposures, and support safer work practices.
Coordinates risk-based medical surveillance for identified workplace exposures and arranges indicated testing and provider review; performs specialized testing only when trained, validated, and authorized.
Maintains complete, timely, confidential occupational health records separate from general personnel records and applies access, disclosure, employee access, and retention requirements.
Maintains screening, vaccination, exposure, injury, and respiratory-protection tracking systems; identifies overdue requirements, arranges follow-up, and reports compliance status while limiting unnecessary disclosure.
Collects and analyzes aggregate occupational health data and reports measures and improvement opportunities to CR-RISQ and appropriate committees.
Provides education on exposure reporting, infection prevention, immunizations, respiratory protection, injury prevention, and assigned occupational hazards; evaluates understanding and reinforces prompt reporting and access to care.
Supports workforce wellbeing through education and referrals, and collaborates with leaders on workplace factors contributing to fatigue, distress, or burnout.
Develops and reviews occupational health policies, workflows, and emergency preparedness processes; supports regulatory readiness and 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; 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.