59 Clinical Nurse jobs in Alda

Job Details
Neuro & Spine Intermediate ICU

Job Description

About Jefferson

Join the mission of Improving Lives as a Patient Care Tech II at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. Our work to improve lives is never done.

About Our Unit

This unit is located at Thomas Jefferson University Campus.

Awards & Recognition

Jefferson Einstein Hospital is Magnet Recognized. Jefferson is also recognized as the 2nd Best Hospital in the Philadelphia Metro area and the 3rd Best Hospital in Pennsylvania

Schedule Commitment

Schedules are available 6 weeks in advance. The work schedule commitment for this position requires the following:

• Must be able to work rotating shifts (day & night)

• Must be able to work three (3) twelve (12) hour shifts on a weekly basis

• Must be able to work every third(3rd) weekend

• Holiday commitment consists of 1 holiday per season

Responsibilities

Reporting to the Nurse Manager, Patient Care Tech IIs will provide direct bedside care to patients:

• Performs assigned nursing procedures for the comfort and well-being of the patient

• Maintains appropriate documentation on all assigned patients, including flow sheets

• Maintains advanced knowledge and experience with phlebotomy and lab specimen collection including T&S, Blood Cultures

• Assists physicians with examinations and tests as needed

• Other tasks include respiratory services, and rehabilitation services

Qualifications

To qualify as Patient Care Tech II, you must meet the following requirements for consideration:

• High School Diploma or equivalent required

• One of the following is required: PCT or related certification, Certified nursing assistant (CNA), EMT

• Minimum of 2 years nursing assistant, PCT or healthcare experience required.¿Certification and completion of advanced skills and knowledge training within six months of hire accepted in lieu of experience requirement

• AHA BLS required

Total Rewards

As a valued member of the team, you will be eligible to receive our total rewards package which includes:

• Comprehensive Medical, Dental, & Vision Plans

• Retirement Plans

• Tuition Reimbursement

• Voluntary benefits

• Health Coaching, Commuter Discounts, Day Care Services, etc.

Work Shift
Rotating (United States of America)

Worker Sub Type
Regular

Primary Location Address
111 S 11th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

**PURPOSE** **AND** **SCOPE:**
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
**PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:**
**Patient Related**
Education:
+ Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
Treatment:
+ Welcome assigned patients and inquire as to their wellbeing since their last treatment.
+ Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
+ Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
+ Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
+ Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
+ Monitor patients' response to dialysis therapy.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient prior to discharge.
+ Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
+ Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
+ Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
+ Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
+ Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
+ Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
+ Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
+ Perform and document any intervention for unusual patient status and document patients' response to intervention.
+ Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
+ Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
+ Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
+ Monitors patients performing self-care under the supervision of RN.
**Staff Related**
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
**Education/Communication:**
+ Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
+ Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
+ Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
**RECORD KEEPING:**
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
**INFECTION CONTROL:**
+ Assists in collecting information for infection control audits.
+ Supports staff and patient Adherence to infection control practices.
+ Follows infection control Policies and Procedures
+ Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
**TRANSITIONAL CARE UNIT:**
+ Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
+ Reinforces all education and care related matters as it relates to the new patient as allowed by state law
+ Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
+ Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
+ Sets and preforms a treatment on all machines used in the transitional care unit.
+ Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
+ Assists with coordination of transition to patient's modality choice.
+ Assists with supply ordering and inventory for TCU
**PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.
+ Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
**EDUCATION** **AND** **LICENSES:**
+ HighSchooldiplomaorG.E.D. required.
+ Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
+ Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**_EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity_**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.

• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.

• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment

• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).   

• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.   

• Monitor patients’ response to dialysis therapy. 

• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.   

• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure

• Obtain Hemostasis and apply appropriate dressings.   

• Evaluate the patient prior to discharge.

• Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification   

• Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.   

• Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.   

• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification   

• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.   

• Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.

• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.

• Perform and document any intervention for unusual patient status and document patients' response to intervention.

• Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.

• Obtain all prescribed laboratory testing and prepare specimens for collection.   

• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.   

• Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.   

• Monitors patients performing self-care under the supervision of RN.

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.

• Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.

• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).

• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.  

• Enters all treatment data into the designated clinical application in an accurate and timely manner.   

• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.

• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.   

• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.   

• Ensure collection of lab specimens by appropriate lab courier.

   

INFECTION CONTROL:

• Assists in collecting  information for infection control audits.   

• Supports staff and patient Adherence to infection control practices.   

• Follows infection control Policies and Procedures   

• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

   

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care 

• Reinforces all education and care related matters as it relates to the new patient     as allowed by state law

• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.   

• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.

• Sets and preforms a treatment on all machines used in the transitional care unit.

• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.

• Assists with coordination of transition to patient’s modality choice.   

• Assists with supply ordering and inventory for TCU   

PHYSICAL DEMANDS AND WORKING CONDITIONS:

< ul>

The physical demands and work environment characteristics described here are representative of those an employee

encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.   

• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials   

• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.

• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.

• All appropriate state licensure, education, and training (if any) required.

• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS :

• Previous patient care experience in a hospital setting or a related facility preferred.

• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

**PURPOSE AND SCOPE:**
Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
+ Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters.
+ Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department.
+ Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools.
+ Responsible for addressing and acting on adverse events and action thresholds.
+ Oversees facility's Home Therapies Program if applicable.
+ Accountable for compliance with all applicable federal, state and local laws and regulations.
+ Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff.
+ Maintains integrity of medical records and other FMS administrative and operational records.
+ Complies with all data collections and auditing activities.
+ Maintains facility environmental integrity, including safety.
+ Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals.
+ An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function.
+ Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s).
+ Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization.
+ Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
+ Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team.
+ Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems.
+ Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.
+ Provides technical guidance.
+ Performs other related duties as assigned. **PATIENT CARE:**
+ Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
+ Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime.
+ Acts as a resource for the patient to address patient concerns and questions.
+ Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility's Interdisciplinary Team to discuss patient care plans and to resolve patient problems.
+ Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
+ Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status.
+ Develops action plans for unexcused and missed treatments in collaboration with the Director.
+ Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains current knowledge of disease management software and systems as pertinent.
**STAFF:**
+ Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.
+ Participates in the recruitment and interview process, and decision to hire new personnel.
+ Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates.
+ Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives.
+ Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities
+ Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance.
+ Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.
+ Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth.
+ Completes timely employee evaluations and establishes annual goals for staff.
+ Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions.
+ Participates in Corporate and Business Unit specific employee recognition and satisfaction programs.
+ Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility.
+ Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving.
**PHYSICIANS:**
+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws.
+ Responsible for strong Director and physician relationships and facilitating staff relationships with physicians.
+ Ensures regular and effective communication with all physicians, through regular meetings with Directors.
+ Participates in Governing Body.
+ Schedules and coordinates CQI meetings with physicians.
**MAINTENANCE/TECHNICAL:**
+ Responsible for the integrity and safety of the facility water system.
+ Must be knowledgeable in the operation of all facility equipment and technology.
**ADMINISTRATIVE:**
+ Responsible for maintaining and updating all FMS manuals.
+ Accountable for completion of the Annual Standing Order Review and ICD coding.
+ Checks correspondence whether electronic, paper or voice mail, and responds as appropriate.
+ Directs information gathering as required supporting billing and collection activities.
+ Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies
+ Participates in the completion and interpretation of the Pl-17 inventory supply use analysis.
+ Reviews and approves facility payroll.
+ Reviews profit and loss statements with Director
+ Responsible for participating in all required Network reporting and on-site state or federal surveys.
+ Participates in the completion of the FMS Administrative Clinical Review.
**PHYSICAL DEMANDS AND WORKING CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
+ Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians
+ Position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
**SUPERVISION:**
+ Responsible for the direct supervision of various levels of staff as designated by region.
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Bachelor's Degree; Advanced Degree desirable or an equivalent combination of education and experience
+ Graduate of an accredited School of Nursing (RN).
+ Current appropriate state licensure.
**EXPERIENCE AND SKILLS:**
+ 6 - 8 years' related experience or an equivalent combination of education and experience.
+ 3+ years' supervisory or project/program management experience preferred.
+ Minimum of 12 months experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred.
+ Minimum of 6 months chronic or acute dialysis nursing experience is required.
+ Must be available as a full-time employee and provide on-call coverage when necessary.
+ Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.
+ Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients.
+ Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line.
**EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**

PURPOSE AND SCOPE:

Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety

 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
• Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters.
• Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department.
• Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools.
• Responsible for addressing and acting on adverse events and action thresholds.
• Oversees facility’s Home Therapies Program if applicable.
• Accountable for compliance with all applicable federal, state and local laws and regulations.
• Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff.
• Maintains integrity of medical records and other FMS administrative and operational records.
• Complies with all data collections and auditing activities.
• Maintains facility environmental integrity, including safety.
• Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals.
• An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function.
• Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s).
• Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization.
• Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
• Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team.
• Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems.
• Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.
• Provides technical guidance.
• Performs other related duties as assigned. PATIENT CARE:

• Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
• Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime.
• Acts as a resource for the patient to address patient concerns and questions.
• Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility’s Interdisciplinary Team to discuss patient care plans and to resolve patient problems.
• Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
• Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status.
• Develops action plans for unexcused and missed treatments in collaboration with the Director.
• Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company.   Maintains current knowledge of disease management software and systems as pertinent.

 

STAFF:

• Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.
• Participates in the recruitment and interview process, and decision to hire new personnel.
• Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates.
• Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives.
• Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities
• Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance.
• Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.
• Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth.
• Completes timely employee evaluations and establishes annual goals for staff.
• Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions.
• Participates in Corporate and Business Unit specific employee recognition and satisfaction programs.
• Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility.
• Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving.

 

PHYSICIANS:

• Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws.
• Responsible for strong Director and physician relationships and facilitating staff relationships with physicians.
• Ensures regular and effective communication with all physicians, through regular meetings with Directors.
• Participates in Governing Body.
• Schedules and coordinates CQI meetings with physicians.

 

MAINTENANCE/TECHNICAL:

• Responsible for the integrity and safety of the facility water system.
• Must be knowledgeable in the operation of all facility equipment and technology.

 

ADMINISTRATIVE:

• Responsible for maintaining and updating all FMS manuals.
• Accountable for completion of the Annual Standing Order Review and ICD coding.
• Checks correspondence whether electronic, paper or voice mail, and responds as appropriate.
• Directs information gathering as required supporting billing and collection activities.
• Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies
• Participates in the completion and interpretation of the Pl-17 inventory supply use analysis.
• Reviews and approves facility payroll.
• Reviews profit and loss statements with Director
• Responsible for participating in all required Network reporting and on-site state or federal surveys.
• Participates in the completion of the FMS Administrative Clinical Review.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment.  Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
• Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians
• Position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.

   

SUPERVISION:

• Responsible for the direct supervision of various levels of staff as designated by region.

 

EDUCATION AND REQUIRED CREDENTIALS:

• Bachelor’s Degree; Advanced Degree desirable or an equivalent combination of education and experience
• Graduate of an accredited School of Nursing (RN).
• Current appropriate state licensure.

   

EXPERIENCE AND SKILLS:   

• 6 – 8 years’ related experience or an equivalent combination of education and experience.
• 3+ years’ supervisory or project/program management experience preferred.
• Minimum of 12 months experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred.
• Minimum of 6 months chronic or acute dialysis nursing experience is required.
• Must be available as a full-time employee and provide on-call coverage when necessary.
• Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.
• Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients.
• Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line.

 

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

 

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

Job Details
Intermediate Surgical ICU 7SE: Patient Care Technician II

Job Description

About Jefferson

Join the mission of Improving Lives as a Patient Care Tech II at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. Our work to improve lives is never done.

About Our Unit

This unit is located at Thomas Jefferson University Campus.

Awards & Recognition

Jefferson Einstein Hospital is Magnet Recognized. Jefferson is also recognized as the 2nd Best Hospital in the Philadelphia Metro area and the 3rd Best Hospital in Pennsylvania

Schedule Commitment

Schedules are available 6 weeks in advance. The work schedule commitment for this position requires the following:

• Must be able to work rotating shifts (day & night)

• Must be able to work three (3) twelve (12) hour shifts on a weekly basis

• Must be able to work every third(3rd) weekend

• Holiday commitment consists of 1 holiday per season

Responsibilities

Reporting to the Nurse Manager, Patient Care Tech IIs will provide direct bedside care to patients:

• Performs assigned nursing procedures for the comfort and well-being of the patient

• Maintains appropriate documentation on all assigned patients, including flow sheets

• Maintains advanced knowledge and experience with phlebotomy and lab specimen collection including T&S, Blood Cultures

• Assists physicians with examinations and tests as needed

• Other tasks include respiratory services, and rehabilitation services

Qualifications

To qualify as Patient Care Tech II, you must meet the following requirements for consideration:

• High School Diploma or equivalent required

• One of the following is required: PCT or related certification, Certified nursing assistant (CNA), EMT

• Minimum of 2 years nursing assistant, PCT or healthcare experience required.¿Certification and completion of advanced skills and knowledge training within six months of hire accepted in lieu of experience requirement

• AHA BLS required

Total Rewards

As a valued member of the team, you will be eligible to receive our total rewards package which includes:

• Comprehensive Medical, Dental, & Vision Plans

• Retirement Plans

• Tuition Reimbursement

• Voluntary benefits

• Health Coaching, Commuter Discounts, Day Care Services, etc.

Work Shift
Rotating (United States of America)

Worker Sub Type
Regular

Primary Location Address
111 S 11th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

At Jefferson, we offer a comprehensive total rewards package designed to support the health and well-being of our colleagues and their families. It includes a wide range of benefits including competitive pay, health and retirement benefits, life and disability insurance, paid time off, educational benefits, financial and mental health resources and much more. Our diverse benefits offerings ensure you have the coverage and access to services you need to thrive both personally and professionally.

Job Details
ENT/ Neuro/ Trauma Patient Care Technician II

Job Description

About Jefferson

Join the mission of Improving Lives as a Patient Care Tech II at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. Our work to improve lives is never done.

About Our Unit

This unit is located at Thomas Jefferson University Campus.

Awards & Recognition

Jefferson Einstein Hospital is Magnet Recognized. Jefferson is also recognized as the 2nd Best Hospital in the Philadelphia Metro area and the 3rd Best Hospital in Pennsylvania

Schedule Commitment

Schedules are available 6 weeks in advance. The work schedule commitment for this position requires the following:

• Must be able to work rotating shifts (day & night)

• Must be able to work three (3) twelve (12) hour shifts on a weekly basis

• Must be able to work every third(3rd) weekend

• Holiday commitment consists of 1 holiday per season

Responsibilities

Reporting to the Nurse Manager, Patient Care Tech IIs will provide direct bedside care to patients:

• Performs assigned nursing procedures for the comfort and well-being of the patient

• Maintains appropriate documentation on all assigned patients, including flow sheets

• Maintains advanced knowledge and experience with phlebotomy and lab specimen collection including T&S, Blood Cultures

• Assists physicians with examinations and tests as needed

• Other tasks include respiratory services, and rehabilitation services

Qualifications

To qualify as Patient Care Tech II, you must meet the following requirements for consideration:

• High School Diploma or equivalent required

• One of the following is required: PCT or related certification, Certified nursing assistant (CNA), EMT

• Minimum of 2 years nursing assistant, PCT or healthcare experience required.¿Certification and completion of advanced skills and knowledge training within six months of hire accepted in lieu of experience requirement

• AHA BLS required

Total Rewards

As a valued member of the team, you will be eligible to receive our total rewards package which includes:

• Comprehensive Medical, Dental, & Vision Plans

• Retirement Plans

• Tuition Reimbursement

• Voluntary benefits

• Health Coaching, Commuter Discounts, Day Care Services, etc.

Work Shift
Rotating (United States of America)

Worker Sub Type
Regular

Primary Location Address
111 S 11th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Job Details
Neuro & Spine Intermediate ICU

Job Description

About Jefferson

Join the mission of Improving Lives as a Patient Care Tech II at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. Our work to improve lives is never done.

About Our Unit

This unit is located at Thomas Jefferson University Campus.

Awards & Recognition

Jefferson Einstein Hospital is Magnet Recognized. Jefferson is also recognized as the 2nd Best Hospital in the Philadelphia Metro area and the 3rd Best Hospital in Pennsylvania

Schedule Commitment

Schedules are available 6 weeks in advance. The work schedule commitment for this position requires the following:

• Must be able to work rotating shifts (day & night)

• Must be able to work three (3) twelve (12) hour shifts on a weekly basis

• Must be able to work every third(3rd) weekend

• Holiday commitment consists of 1 holiday per season

Responsibilities

Reporting to the Nurse Manager, Patient Care Tech IIs will provide direct bedside care to patients:

• Performs assigned nursing procedures for the comfort and well-being of the patient

• Maintains appropriate documentation on all assigned patients, including flow sheets

• Maintains advanced knowledge and experience with phlebotomy and lab specimen collection including T&S, Blood Cultures

• Assists physicians with examinations and tests as needed

• Other tasks include respiratory services, and rehabilitation services

Qualifications

To qualify as Patient Care Tech II, you must meet the following requirements for consideration:

• High School Diploma or equivalent required

• One of the following is required: PCT or related certification, Certified nursing assistant (CNA), EMT

• Minimum of 2 years nursing assistant, PCT or healthcare experience required.¿Certification and completion of advanced skills and knowledge training within six months of hire accepted in lieu of experience requirement

• AHA BLS required

Total Rewards

As a valued member of the team, you will be eligible to receive our total rewards package which includes:

• Comprehensive Medical, Dental, & Vision Plans

• Retirement Plans

• Tuition Reimbursement

• Voluntary benefits

• Health Coaching, Commuter Discounts, Day Care Services, etc.

Work Shift
Rotating (United States of America)

Worker Sub Type
Regular

Primary Location Address
111 S 11th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Bring Your Heart to the Heartland - RN Roles Now Open in Kenesaw, NE

Nursing isn't just a job - it's a calling. And if you're feeling the pull to care, connect, and grow, we've got a place for you right here in Kenesaw .

This is a town that surprises you. With its historic charm, vibrant downtown, and a community that shows up for each other, Kenesaw blends small-town warmth with just enough buzz to keep things interesting. It's the kind of place where your neighbors know your name and your coworkers feel like family.

We're hiring Registered Nurses for a variety of departments - and we mean variety. Whether your strength is stabilizing critical patients in the ICU or ER , supporting new families in labor & delivery , guiding recovery in med-surg , or helping patients stay on the move in orthopedics or rehab , we want your expertise and compassion.

And if you're just getting started, don't sweat it - new grads are absolutely welcome here . We've got mentorship programs, strong onboarding, and a team that remembers what it was like to be in your shoes. This is a place where you'll learn, grow, and be supported every step of the way.

You'll need an active RN license , a love for teamwork, and a calm confidence that shines through even on the busiest days. Whether you're a multitasking master or a calm voice in the chaos, your presence makes a difference - and we see that.

Expect a competitive salary , robust benefits , and real opportunities for advancement. Because in our view, supporting our nurses means more than just filling shifts - it means investing in your future.

If you're ready to build your nursing career in a place that feels like home, Kenesaw is waiting.

Let's do something meaningful together. Apply now and let's talk about where you shine.