106 Crittenton Hospital Medical Center jobs in Rochester Hills

Job Description

Job Description

Under the general supervision of the Site Director, the Clinical Specialist – Crisis Services will provide therapeutic support, crisis intervention, clinical assessments, and evidence-based therapeutic interventions. This Clinician also delivers a person centered and goal-oriented approach to individuals experiencing acute mental health crises.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Conducts electronic case reviews.
• Authorizes treatment plans.
• Provides consultations utilizing medical necessity criteria.
• Evaluates clinical appropriateness.
• Monitors provider treatment plans to ensure quality and effectiveness of service.
• Performs data gathering, documentation and analysis for desired outcomes.
• Advocates for clients to ensure treatment needs are met.
• Follows guidelines of the integrated care case management program with respect to identifying and assessing clients, developing and managing the treatment plans, and facilitating complex care arrangements.
• Performs initial and ongoing review of client’s clinical status and functioning (behavioral and physical).
• Communicates with medical and behavioral providers regarding treatment planning.
• Communicates with medical and behavioral providers regarding clinical and psychosocial needs.
• Engages the client and providers in identifying short-term and long-term goals consistent with the clinical situation and client’s strengths.
• Manages client care through the MHWIN system.
• Enters data and reports into written formats and electronic databases.
• Monitors client’s compliance with services.
• Participates in schedule shift reporting, multidisciplinary meetings, supervision, unit staff meetings and case consultation.
• Assists clients by performing triage services and responding to urgent matters in an appropriate timeframe.
• Communicates with outside partnerships such as Hospitals, Inpatient Psychiatric facilities, Outpatient Mental Health Clinics, and Partial Hospitalization Programs regarding Crisis Residential Services and bed availability.
• Conducts comprehensive Behavioral Health Assessments for each individual and/or Pre-admission review as needed.
• Completes all documentation including Behavioral Health Assessments, group and individual therapy progress notes and non-billable notes within a 24-hour timeframe.
• Performs related duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES (KSA’s)

• Knowledge of DWIHN policies, procedures and operations.
• Knowledge of the DWIHN provider network.
• Knowledge of medical and behavioral health practices and terminology.
• Knowledge of MDHHS policies, rules, regulations and procedures.
• Knowledge of Crisis Service Operations.
• Knowledge of Customer Service practices and principles.

• Knowledge of the DSM-IV Statistical Manual.

• Knowledge of and ability to use screening and assessment tools for behavioral health services.
• Knowledge of and ability to use treatment planning, case management and continuing care for behavioral health services.
• Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBA requirements and the Mental Health Code.
• Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
• Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to a severely mentally ill (SMI) adult population.
• Knowledge of the identification and treatment of co-occurring mental health and substance use disorders.
• Knowledge of Pre-Admission Review (PAR) Screening.
• Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
• Computer skills
• Time management skills
• Organizational skills
• Critical thinking skills
• Decision Making skills.
• Customer Service skills
• Listening skills
• Relationship building skills.
• Teamwork skills
• Training skills
• Ability to communicate orally.
• Ability to communicate in writing.
• Ability to work effectively with others.
• Ability to work with an ethnically, linguistically, culturally, economically, and socially diverse population.
• Judgement/Reasoning ability.

REQUIRED EDUCATION:

A Master’s Degree in Social Work, Psychology, Counseling, Nursing (a Bachelor’s Degree will be accepted), the Human Services, the Social Services, or a related field.

REQUIRED EXPERIENCE:

Three (3) years of professional clinical experience in a behavioral healthcare or a community mental health setting.

REQUIRED LICENSE(S):

A Valid State of Michigan clinical licensure: RN, LMSW, LMHC, LPC, LLP or PhD.

(A limited license will be accepted).

A valid State of Michigan Driver’s License with a safe and acceptable driving record.

WORKING CONDITIONS :

This position will work in the DWIHN Crisis Care Center. This position will be required to work with persons who may suffer from mental health or substance abuse crises.

Crisis Care Operations is a 24/7 unit. Candidates must be able to work a flexible schedule.

This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed. Management retains the discretion to add or change the position at any time.

Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.

The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer

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.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for driving the FMS culture through values and customer service standards.

• Accountable for outstanding customer service to all external and internal customers.

• Develops and maintains effective relationships through effective and timely communication.

• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

• 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.

• Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.

• Evaluate vascular access for patency and report any unusual findings to nurse supervisor.

• Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.

• Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.

• Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.

• Perform administration of Heparin as delegated or as allowed by state law.

• 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 and report any unusual findings to nurse supervisor.

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

• Discontinue dialysis treatment according to established procedures

• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.

• Obtain Hemostasis and apply appropriate dressings.

• Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.

• 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; Sodium (Na) modeling; 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 nurse supervisor.

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

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

MAINTENANCE/TECHNICAL:

• 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.

• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).

• Initiate Solution Delivery System (SDS) system.

• 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.

CLERICAL & ADMINISTRATIVE:

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

• Enters all treatment data into the designated clinical application accurately and in a timely manner.

• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.

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

• Prepare 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.

OTHER:

• Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

• May assist HT RN on Home Visit as directed

• Reinforces PD / HHD education under supervision of qualified HT RN

• Schedules and contacts patients regarding appointments

• Weigh patient and obtain vital signs

• Collect treatment records and review for completion. Notify RN of incomplete / missing records.

• Cleaning and prepping treatment room; prep charts

• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)

• Clerical duties as assigned (faxing mailing to physician offices etc.)

• Obtain home hemo water sampling as directed by the HT RN

• Set-up of the home hemo machine and PD Cycler.

• Assist with exit site care when directed by HT RN.

• Warm dialysate solution when directed by the HT RN

• Draw dialysate solution for testing as directed by the HT RN

• Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)

• Assembles/breaks down charts/thins charts

• Maintains logs as directed and applicable

• Inventory of Home Program

• Maintains par levels of home department supplies

• Files home patient packing slips/invoices

• Inventory for Patients

• Assists patient with supply management and contacting customer service

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 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

• Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.

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

EXPERIENCE AND REQUIRED SKILLS

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

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

Fresenius Medical Care 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.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for driving the FMS culture through values and customer service standards.

• Accountable for outstanding customer service to all external and internal customers.

• Develops and maintains effective relationships through effective and timely communication.

• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

• 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.

• Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.

• Evaluate vascular access for patency and report any unusual findings to nurse supervisor.

• Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.

• Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.

• Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.

• Perform administration of Heparin as delegated or as allowed by state law.

• 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 and report any unusual findings to nurse supervisor.

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

• Discontinue dialysis treatment according to established procedures

• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.

• Obtain Hemostasis and apply appropriate dressings.

• Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.

• 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; Sodium (Na) modeling; 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 nurse supervisor.

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

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

MAINTENANCE/TECHNICAL:

• 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.

• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).

• Initiate Solution Delivery System (SDS) system.

• 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.

CLERICAL & ADMINISTRATIVE:

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

• Enters all treatment data into the designated clinical application accurately and in a timely manner.

• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.

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

• Prepare 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.

OTHER:

• Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

• May assist HT RN on Home Visit as directed

• Reinforces PD / HHD education under supervision of qualified HT RN

• Schedules and contacts patients regarding appointments

• Weigh patient and obtain vital signs

• Collect treatment records and review for completion. Notify RN of incomplete / missing records.

• Cleaning and prepping treatment room; prep charts

• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)

• Clerical duties as assigned (faxing mailing to physician offices etc.)

• Obtain home hemo water sampling as directed by the HT RN

• Set-up of the home hemo machine and PD Cycler.

• Assist with exit site care when directed by HT RN.

• Warm dialysate solution when directed by the HT RN

• Draw dialysate solution for testing as directed by the HT RN

• Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)

• Assembles/breaks down charts/thins charts

• Maintains logs as directed and applicable

• Inventory of Home Program

• Maintains par levels of home department supplies

• Files home patient packing slips/invoices

• Inventory for Patients

• Assists patient with supply management and contacting customer service

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 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

• Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.

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

EXPERIENCE AND REQUIRED SKILLS

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

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

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

EOE, disability/veterans

Posting Date

09/25/ E Warren AveSte 100,Detroit,Michigan, ,United States of America

No On Call

Dialysis Experience Required

Must have a Current CCHT

The PCT willwork on-site at DaVita Skilled Nursing Facility dialysis dens.

Approximately 10% of all dialysis patients reside in a SNF and are transported to dialysis three times a week placing a significant burden on patients and adding significant avoidable costs to the health care system. DSD Services teammates will have access to all the capabilities and resources DaVita has to offer, and will work to quickly leverage these to develop the infrastructure and rapidly grow the new service line. Ideal teammates will have significant experience within DaVita, get energized by a start-up type environment and improving the lives of patients, and have a track record of finding ways to GSD. Teammates must be comfortable working autonomously and have demonstrated the ability to collaborate with cross-functional resources across the Village.

This DaVita SNF Dialysis den is located within Omni Continuing Care 5201 Conner Avenue Detroit, MI 48213.

What you can expect:

In this role, you take responsibility for the complete ongoing care of each patient to ensure their dialysis treatment stays on track.PCTs will work in conjunction with dialysis RNs to provide dialysis care.

Patient Care: Spending the majority of your day in direct one-on-one patient care to provide safe, comfortable and hygienic dialysis treatment.

Complexity: DSD Dialysis care is a complex but fulfilling service line. Meeting and/or exceeding clinical outcomes are the goals and multitasking is an expectation to meet the needs of the service, the patients and our SNF partners.

Autonomy and Critical Thinking: Provide comprehensive patient care in an independent setting. Plan to be on your toes at all times. You use your mind constantly. You apply your "core" skills to monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup. There's a lot to track and manage and the joy comes in witnessing how your care impacts patients' lives.

Some details about this position:

• Your training will include a combination of classroom and hands-on learning, through DaVita's award-winning training programs

• May be asked to support other local SNF dens

You must have:

• High school diploma or equivalent

• MUST BE CCHT certified

• Basic computer skills and proficiency in MS Word and Outlook'

You might also have (a.k.a. nice-to-haves):

• Training/Teaching/Healthcare Education background

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most including:

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

• Support for you and your family: family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

• Paid training

• Reimbursement for your Certified Hemodialysis Technician (CHT) license

• Preceptor University: Learn how to become teach future DaVita teammates clinical procedures and policies

• Opportunity to grow personally and professionally . DaVita is committed to providing robust development opportunities including:

  • DSSL & SPARK - Gives clinical teammates the chance to develop into supervisory and leadership skills

  • Bridge to Your Dreams: Offers high-performing patient care technicians (PCTs) a path to becoming a registered nurse through fully funded tuition and career coaching.

  • 100+ CEU courses at no cost

  • Gateway: A web-based application available to teammates for career planning, learning and training, and recognition. It allows you to access new courses and CE credits and explore career paths on your own time. It also has a newsfeed to keep you up to date on Village news and functions as a social platform to connect you to teammates

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives.

Ready to make a difference in the lives of patients? Take the first step and apply now.

#LI-KP1

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Concentric is currently seeking candidates in Certified Nursing Assistant (CNA/ LNA) profession with focus in Certified Nursing Assistant (Patient Care) for a 1 week contract in the Detroit, MI area. Concentric is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and our consultative approach has helped us become a premier leader in the staffing industry.

Minimum Requirements:

• 1 year full time Certified Nursing Assistant (Patient Care) experience within the last 2 years.
• Current state and/or national license may be required.
  Concentric offers industry leading benefits including:
  
  • Competitive salary
  • Medical
  • Voluntary Dental
  • Voluntary Vision
  • Basic Life Insurance Employer Paid 15K
  • Voluntary Life Insurance
  • Voluntary Short Term Disability
  • Voluntary Pet Care Insurance
  
  Concentric is dedicated to being with you every step of the way and we will we provide you with all the tools needed to be successful.

**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.
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).
**DUTIES / ACTIVITIES:**
CUSTOMER SERVICE:
+ Responsible for driving the FMS culture through values and customer service standards.
+ Accountable for outstanding customer service to all external and internal customers.
+ Develops and maintains effective relationships through effective and timely communication.
+ Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.
**PRINCIPAL RESPONSIBILITIES AND DUTIES**
PATIENT CARE:
+ 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.
+ Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
+ Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
+ Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.
+ Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
+ Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
+ Perform administration of Heparin as delegated or as allowed by state law.
+ 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 and report any unusual findings to nurse supervisor.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures
+ Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
+ 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; Sodium (Na) modeling; 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 nurse supervisor.
+ Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse 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 nurse supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
MAINTENANCE/TECHNICAL:
+ 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.
+ Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
+ 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.
CLERICAL & ADMINISTRATIVE:
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application accurately and in a timely manner.
+ Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare 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.
OTHER:
+ Perform additional duties as assigned.
**ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):**
Assisting the HT RN:
+ May assist HT RN on Home Visit as directed
+ Reinforces PD / HHD education under supervision of qualified HT RN
+ Schedules and contacts patients regarding appointments
+ Weigh patient and obtain vital signs
+ Collect treatment records and review for completion. Notify RN of incomplete / missing records.
+ Cleaning and prepping treatment room; prep charts
+ Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
+ Clerical duties as assigned (faxing mailing to physician offices etc.)
+ Obtain home hemo water sampling as directed by the HT RN
+ Set-up of the home hemo machine and PD Cycler.
+ Assist with exit site care when directed by HT RN.
+ Warm dialysate solution when directed by the HT RN
+ Draw dialysate solution for testing as directed by the HT RN
+ Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)
+ Assembles/breaks down charts/thins charts
+ Maintains logs as directed and applicable
+ Inventory of Home Program
+ Maintains par levels of home department supplies
+ Files home patient packing slips/invoices
+ Inventory for Patients
+ Assists patient with supply management and contacting customer service
**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 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**
+ Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
+ All appropriate state licensure education and training (if any) required.
**EXPERIENCE AND REQUIRED SKILLS**
+ Previous patient care experience in a hospital setting or related facility preferred.
+ Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.
**Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**

Description
Hours are 8am - 4:30pm
This will shift monthly and they will take turns. Customer is open to ones education.
Will coordinate the schedule for the clinical staff.
Will verify insurance information and obtain the necessary authorizations and referral forms.
Will process the orders in the computer system along with maintaining a current status on orders to be processed.
File customer orders.
Will discharge patients promptly and courteously and file medical records.
Will prep all doc's for imaging as well.
Keep in mind that patients are of all ages and this location specializes in Prosthetic, Orthopedics and Mastectomies.
Patients are very sick "so to speak" and at times can be hard to handle.
Be courteous.
Most have Medicaid with 6-7 different HMO plans.
This person will need to differentiate between them all along with other benefit packages.
Patient walk in environment.
They do have scheduled appointments but a lot of walk ins.
Average, 30 per day.
50/50 phone work, answering, scheduling, verification, ordering, VS clerical duties.
Skills
Customer service, Data entry, Call center, Customer support, receptionist secretarial, receptionist & csr, front desk, front desk administration, verifying insurance, healthcare industry, healthcare csr
Pay and Benefits
The pay range for this position is $18.00 - $20.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Dearborn,MI.
Application Deadline
This position is anticipated to close on Oct 1, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Description

Job Description

Patient Care Tech (PCT)- Contingent
Midnight Shift: 7am-7:30pm
Unit: Medical Surgical Department

Shift Differential


WHO WE ARE:
In 2004, in an ambitious push to bring hospitality back to the hospital, a small group of top Metro-Detroit surgeons decided to create their own surgical hospital; one that provided patients with the best possible care in a small, easy-to-manage environment that truly embraces the best patient experience. Our highly skilled surgeons and staff play a key role in our success rates and becoming the premier center of choice with 30 surgical beds, 26 rehabilitation beds, and 6 operating rooms.

WHAT WE ARE LOOKING FOR:

Role/Position Definition: Responsible for the provision of direct care to patients under the direction of a Registered Nurse and/or Licensed Practical Nurse. Assists in the assessment and monitoring of patients’ conditions and therapeutic needs. Responsible for the provision of direct care to patients to assist with all Activities of Daily Living (ADL) including elimination, nutritional needs, mobility and emotional support. In addition, accurate completion of vital sign flow sheets, charges for supplies and other duties deemed within their scope of practice.

Qualifications/Position Requirements:

1. Education/Experience

1. Completion of a Nurse Aide or Patient Care Technician training program preferred.
2. 2+ years of experience as a Nurse Aide strongly preferred.

1. 2+ years of inpatient experience providing care in a hospital setting preferred.

1. Licensure/Certification

1. Current unrestricted Nurse Aide License from the State of Michigan preferred.
2. Current Basic Life Support Certification for Healthcare Providers, from the American Heart Association, required.

1. Knowledge, Skills, and Abilities

1. Knowledge of BLS protocols in code situations, pain management, wound care, and performance of patient assessments.
2. Knowledge of medical terminology.
3. Requires immediate judgment and response; occasionally in response to disasters or emergencies, actual events or drills.

1. Requires high-level visual and auditory acuity for timely response and patient care assessment activities.

1. Requires effective listening and language skills adequate for high-level written and interpersonal communication.
2. Must possess customer service skills and be able to demonstrate at all times.
3. Must be able to follow directions, answer call lights, and multi-task.

1. Ability to assist in actives of daily living and measure/record vital signs.
2. Ability to move quickly in response to physician and patient needs.
3. Ability to recognize and process confidential and sensitive information appropriately.

Duties & Responsibilities:

1. Transfers patients using appropriate assistive devices and help from others. Assists patient with safe transfer techniques using proper body mechanics.
2. Answers call lights promptly and in person and places the call light in reach of the patient taking into account their disability, making alternative arrangements that meet the patient’s limitations.
3. Assists in meeting patient’s dietary needs by aiding with feeding when necessary.
4. Keeps patient dry at all times. Meets patient’s elimination needs promptly with attention to maintaining skin integrity. Changes and/or empties ostomy, Foley bag, rectal bag and others as per policy and records output.
5. Assists in keeping nursing area and hospital free of hazards including electrical, physical, and mechanical. Responsible for helping maintaining patients’ rooms cleanliness/neatness and keeps patients’; rooms free of hazards.
6. Provides input regarding the development, monitoring and updating of individualized care plans.
7. Walking rounds done at least every hour on assigned patients.
8. Creates and maintains a positive atmosphere of customer service, including continuous quality improvement, team work, mutual respect, professionalism and accountability.
9. Attends and participates in all appropriate departmental/SCMC meetings and training and development opportunities.

1. Follows established policies and procedures, including but not limited to:
   1. SCMC employment policies and procedures
   2. Infection control/safety policies and procedures
   3. Federal, state, and local regulations

1. Demonstrate the knowledge and skill necessary to provide the care for patients appropriate to the age of the patient served including but not limited to, principles of growth, development and psychological needs.
2. Performs/assists patients with activities of daily living skills including bathing, dressing, oral hygiene, peri-care, application of prosthesis/orthotic, and/or assistive devices, with the goal of patient independence. Accurately documents all care provided and patient’s response in EMR prior to the end of the shift.
3. Accurately measures and records temperature, pulse, respirations and blood pressure, pulse oximetry, oral intake and outputs. Accurately notes and records bowel movements and assists with the tracking of bowel and bladder training programs. Notifies nurses of any abnormal findings. Documents any findings in EMR.
4. Provides for the patient’s mobility needs completely as prescribed by written orders and/or care plan. Transfers patients from bed to and from wheelchair, stretcher, toilets/commodes using appropriate assistive devices and help from others. Assists patient with safe transfer techniques.
5. Conducts daily environmental rounds and reports findings to the RN/LPN.
6. Monitors inventory and maintains appropriate levels of supplies and equipment. Makes ordering recommendations.
7. Assists with wound care at the direction of the RN/LPN on duty
8. Performs all other duties as assigned.