13 Gifford Health Care jobs in South Royalton

Overview
Sign-On/Retention incentives: up to $7,500*

The Behavioral Health Clinician provides high-quality behavioral healthcare as a collaborative primary care team member focused on short-term episodes of care, skill-based counseling, and coordination/outreach. This position works with a majority adult patient population.

We are offering a $,500 sign-on/retention bonus for this position. *The bonus is available for external hires only, and certain conditions apply.

This is a full-time, 40-hour/week benefitted position located at our Lebanon campus. Once oriented to the position, it will be a hybrid position, working three days a week in the office and two days a week remotely. We anticipate spending the first four to six months on-site while orienting to the position before moving to a hybrid schedule.

Responsibilities

As a licensed independent mental health clinician works with the Primary Care team to address the behavioral health needs of patients in primary care utilizing the Collaborative Care model of integrated care, which includes consults, short-term counseling, care coordination, outreach and data collection.

Partners with PCP teams to systematically screen and assess for opiate misuse and other substance use disorders. Conduct triage visits and/or initial evaluations to help clarify behavioral health concerns and develop an individualized, appropriate care plan.

Enrolls patients referred by the PCP into the collaborative care program, which includes both in person and telephone outreach visits for a short-term episode of care, up to 12 weeks duration.

Utilizes evidence-based clinical procedures to deliver care in a standardized format and measure patient's symptoms and response to treatment through questionnaires and survey tools.

Effectively maintains and manages a patient registry to track patients, monitor progress and report program focused metrics.

Provides limited face-to-face, short-term counseling including; problem-solving therapy, brief CBT, motivational interviewing or brief supportive therapy.

Proactively communicates with patients, primary care team members and the consulting psychiatrist to aid in effective, patient-centered, team-based care.

Assists patients in need of higher levels or care, specialty mental health or substance use services, outside of primary care, to connect with appropriate treatment resources.

Performs other duties as required or assigned.

Supports the department's educational and workforce development mission by providing supervision and learning opportunities for trainees in mental health fields. This may include supervising student internships and/or providing clinical supervision toward licensure for master's prepared clinicians.

Qualifications

• Master's degree in Social Work, Mental Health Counseling, Marriage & Family Counseling/Therapy, or Addiction Counseling from an accredited institution of higher education, including an internship meeting professional standards.
• Must be able to demonstrate that he or she has provided psychological services, on an inpatient, outpatient or consultative basis in the past 12 months

Required Licensure/Certifications

- Licensed or license-eligible as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Marriage and Family Therapist (LMFT), or Master Licensed Drug and Alcohol Counselor (MLADC) in the State of NH.

• Remote: Hybrid Remote
• Area of Interest: Allied Health
• Pay Range: 70,470.40/Yr. - 109,241.60/Yr. (Based on 40 hours per week, otherwise pro rata)
• FTE/Hours per pay period: 1.00 - 1.00 - 40 hrs/week
• Shift: Day
• Job ID: 33579

Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more: Benefits | DHMC and Clinics Careers

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Overview

Sign-On/Retention incentives: up to $7,500*

The Behavioral Health Clinician provides high-quality behavioral healthcare as a collaborative primary care team member focused on short-term episodes of care, skill-based counseling, and coordination/outreach. This position works with a majority adult patient population.

We are offering a $,500 sign-on/retention bonus for this position. *The bonus is available for external hires only, and certain conditions apply.

This is a full-time, 40-hour/week benefitted position located at our Lebanon campus. Once oriented to the position, it will be a hybrid position, working three days a week in the office and two days a week remotely. We anticipate spending the first four to six months on-site while orienting to the position before moving to a hybrid schedule.

Responsibilities

• As a licensed independent mental health clinician works with the Primary Care team to address the behavioral health needs of patients in primary care utilizing the Collaborative Care model of integrated care, which includes consults, short-term counseling, care coordination, outreach and data collection.

• Partners with PCP teams to systematically screen and assess for opiate misuse and other substance use disorders. Conduct triage visits and/or initial evaluations to help clarify behavioral health concerns and develop an individualized, appropriate care plan.

• Enrolls patients referred by the PCP into the collaborative care program, which includes both in person and telephone outreach visits for a short-term episode of care, up to 12 weeks duration.

• Utilizes evidence-based clinical procedures to deliver care in a standardized format and measure patient’s symptoms and response to treatment through questionnaires and survey tools.

• Effectively maintains and manages a patient registry to track patients, monitor progress and report program focused metrics.

• Provides limited face-to-face, short-term counseling including; problem-solving therapy, brief CBT, motivational interviewing or brief supportive therapy.

• Proactively communicates with patients, primary care team members and the consulting psychiatrist to aid in effective, patient-centered, team-based care.

• Assists patients in need of higher levels or care, specialty mental health or substance use services, outside of primary care, to connect with appropriate treatment resources.

• Performs other duties as required or assigned.

• Supports the department’s educational and workforce development mission by providing supervision and learning opportunities for trainees in mental health fields. This may include supervising student internships and/or providing clinical supervision toward licensure for master’s prepared clinicians.

Qualifications

• Master’s degree in Social Work, Mental Health Counseling, Marriage & Family Counseling/Therapy, or Addiction Counseling from an accredited institution of higher education, including an internship meeting professional standards.

• Must be able to demonstrate that he or she has provided psychological services, on an inpatient, outpatient or consultative basis in the past 12 months

Required Licensure/Certifications

• Licensed or license-eligible as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Marriage and Family Therapist (LMFT), or Master Licensed Drug and Alcohol Counselor (MLADC) in the State of NH.

• Remote:Hybrid Remote

• Area of Interest:Allied Health

• Pay Range:$70,470. 0/Yr. - 109,241.60/Yr. (Based on 40 hours per week, otherwise pro rata)

• FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week

• Shift:Day

• Job ID:33579

Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.

Overview

Sign-On/Retention incentives: up to $7,500*

The Behavioral Health Clinician provides high-quality behavioral healthcare as a collaborative primary care team member focused on short-term episodes of care, skill-based counseling, and coordination/outreach. This position works with a majority adult patient population.

We are offering a $7,500 sign-on/retention bonus for this position. *The bonus is available for external hires only, and certain conditions apply.

This is a full-time, 40-hour/week benefitted position located at our Lebanon campus. Once oriented to the position, it will be a hybrid position, working three days a week in the office and two days a week remotely. We anticipate spending the first four to six months on-site while orienting to the position before moving to a hybrid schedule.

Responsibilities

1. As a licensed independent mental health clinician works with the Primary Care team to address the behavioral health needs of patients in primary care utilizing the Collaborative Care model of integrated care, which includes consults, short-term counseling, care coordination, outreach and data collection.
2. Partners with PCP teams to systematically screen and assess for opiate misuse and other substance use disorders. Conduct triage visits and/or initial evaluations to help clarify behavioral health concerns and develop an individualized, appropriate care plan.
3. Enrolls patients referred by the PCP into the collaborative care program, which includes both in person and telephone outreach visits for a short-term episode of care, up to 12 weeks duration.
4. Utilizes evidence-based clinical procedures to deliver care in a standardized format and measure patient's symptoms and response to treatment through questionnaires and survey tools.
5. Effectively maintains and manages a patient registry to track patients, monitor progress and report program focused metrics.
6. Provides limited face-to-face, short-term counseling including; problem-solving therapy, brief CBT, motivational interviewing or brief supportive therapy.
7. Proactively communicates with patients, primary care team members and the consulting psychiatrist to aid in effective, patient-centered, team-based care.
8. Assists patients in need of higher levels or care, specialty mental health or substance use services, outside of primary care, to connect with appropriate treatment resources.
9. Performs other duties as required or assigned.
10. Supports the department's educational and workforce development mission by providing supervision and learning opportunities for trainees in mental health fields. This may include supervising student internships and/or providing clinical supervision toward licensure for master's prepared clinicians.

Qualifications

• Master's degree in Social Work, Mental Health Counseling, Marriage & Family Counseling/Therapy, or Addiction Counseling from an accredited institution of higher education, including an internship meeting professional standards.
• Must be able to demonstrate that he or she has provided psychological services, on an inpatient, outpatient or consultative basis in the past 12 months

Required Licensure/Certifications

• Licensed or license-eligible as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Marriage and Family Therapist (LMFT), or Master Licensed Drug and Alcohol Counselor (MLADC) in the State of NH.

**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:**
+ 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**

Overview
Schedules procedures and appointments using knowledge of information received from a variety of sources. Schedules patients for same-day inpatient procedures, and orders appropriate blood work. Schedules patients for lab testing, ancillaries, physician appointments, ICD and pacemaker appointments. Coordinates inpatient transfers and admissions. May input and edit master schedule.
Responsibilities
* Schedules patients for same-day inpatient procedures.
* Schedules patients for laboratory testing, ancillaries, physician appointments, ICD and pacemaker appointments, and outreach.
* Notifies patients of appointments, labs, testing, procedures and preparation.
* Notifies physicians, technicians, and nurses of special needs and situations of patients.
* Coordinates inpatient transfers and admissions.
* May input and edit the master schedule.
* Obtains and documents authorizations and pre-certifications prior to lab testing, physician appointments for outpatient and same-day procedures while notifying Clinic Administration concerning changes in patient insurance prior to the appointment or procedure day.
* Coordinates daily procedure and weekly schedules.
* Delivers day sheets, schedules, and procedures folders to physicians, nurses, labs and the same-day department. Processes laboratory day sheets from previous day.
* Obtains films, reports, and patient histories for procedures, testing, and physician appointments.
* Processes, uploads, and files reports.
* Notifies physicians of meetings, conferences, and patient procedure dates.
* Maintains logs, codes NNE reports, and runs monthly reports.
* Maintains an adequate stock of supplies, brochures, and forms.
* Monitors and keeps rotaries updated.
* Performs other duties as required or assigned.
Qualifications
* Associates degree with 1 year of experience working in a fast-paced hospital setting, or the equivalent in education and experience required.
* Familiarity with word processing techniques and medical terminology required.
* Must be detail oriented and possess the ability to organize, prioritize, and perform multiple tasks simultaneously.
* Excellent communication and interpersonal skills required.
Required Licensure/Certifications
- None
* Area of Interest:Secretarial/Clerical/Administrative
* Pay Range:$18.73/Hr. - $29.04/Hr.
* FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week
* Shift:Day
* Job ID:34000
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.

+ Brand new clinic
+ 3 months fully paid dialysis education to become nationally certified
+ Full-time full benefits including RN school program
+ Supportive experienced leadership
**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.
**ACKNOWLEDGEMENT:**
I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.
Employee Name (Please Print):
Employee Signature:
Date:
**ADDENDUM(S):**
**Home Therapies Program (Not Home Assist)**
This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN) and in compliance with state laws.
+ May assist HT RN on Home Visit as directed
+ Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law
+ Schedules and contacts patients regarding appointments
+ Weigh patient and obtain vital signs
+ Collect patient's treatment records and review for completion. Notify RN of incomplete / missing records.
+ Cleaning and prepping treatment room; preparing charts prior to clinic visit
+ 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.)
+ Set-up of the home hemodialysis machine and PD Cycler
+ Assist with exit site care when directed by HT RN
+ Warm dialysate solution when directed by the HT RN
+ Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
+ Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)
+ Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements
+ Maintains logs as directed and applicable
+ Support patient registration and use of connected health
+ Provide patient home support as indicated and permissible under state law and applicable regulations
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
Employee Name (Please Print):
Employee Signature:
Date:
**EOE, disability/veterans**

Overview

Patient Care Coordinator RN - General Surgery Clinic

40 hours per week

Administers an assigned nursing program or organizational unit with responsibility for planning, selecting, and/or devising the methods and policies/procedures to be used and for directing nursing supervisors and/or other personnel in the accomplishment of designated goals.

These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire.

* We have loan repayment up to $20,000.
* We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home.
* We offer generous tuition reimbursement.
* We have a very popular "earned time" plan.
* We have extensive CEU/Training programs.
* Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art.
* Our nurses serve as central figures in the success of our system through our shared governance nursing model.
* We offer a rigorous, research-focused environment.
* Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center.

Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that "quality of life" means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the "Upper Valley" of New Hampshire is a line on the ski mountain at the chair lift.

Read more about Dartmouth Health and why YOU should work here.

The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children's; 4 member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play.

Applicants are encouraged to visit our nursing career site to learn more and apply:

Please visit: Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.

Responsibilities

Obtains complete nursing history on patients by means of confidential interviews with patients and family within 24 hours of admission. Performs an analysis of the patient's behavior and physical condition, and makes recommendations of care. Determines patient goals with patient, family, and other team members based on present and potential capabilities and prescribe action to achieve goals. Documents continuing care needs and coordinates all appropriate resources to ensure continuity of care upon discharge. Refers patients/families with financial or social concerns to appropriate staff members. Provides for and encourages participation by patient and family in health promotion, maintenance and restoration via patient care conferences and team rounds. Acts as a main resource for unit specialty and teaches specialty skills to team members or at Hospital based classes. Provides in-service to keep them up to date with changes or need for certification to maximize the patient's health capabilities. Performs other duties as required or assigned.

Qualifications

* Graduate from an accredited Nursing Program required.
* Bachelor of Science Degree in Nursing (BSN) with 5 years of related experience required.
* Demonstrated leadership skills.

Required Licensure/Certifications

* Licensed Registered Nurse with NH eligibility
* Basic Life Support (BLS) Certificate required.

Overview

Patient Care Coordinator RN - General Surgery Clinic

40 hours per week

Administers an assigned nursing program or organizational unit with responsibility for planning, selecting, and/or devising the methods and policies/procedures to be used and for directing nursing supervisors and/or other personnel in the accomplishment of designated goals.

These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire.

• We have loan repayment up to $20,000.

• We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home.

• We offer generous tuition reimbursement.

• We have a very popular "earned time" plan.

• We have extensive CEU/Training programs.

• Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art.

• Our nurses serve as central figures in the success of our system through our shared governance nursing model.

• We offer a rigorous, research-focused environment.

• Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center.

Why are we so unique?We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that“quality of life”means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift.

Read more about Dartmouth Health and why YOU should work here.

The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; 4 member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play.

Applicants are encouraged to visit our nursing career site to learn more and apply:

Please visit:

Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.

Responsibilities

• Obtains complete nursing history on patients by means of confidential interviews with patients and family within 24 hours of admission.

• Performs an analysis of the patient's behavior and physical condition, and makes recommendations of care.

• Determines patient goals with patient, family, and other team members based on present and potential capabilities and prescribe action to achieve goals.

• Documents continuing care needs and coordinates all appropriate resources to ensure continuity of care upon discharge. Refers patients/families with financial or social concerns to appropriate staff members.

• Provides for and encourages participation by patient and family in health promotion, maintenance and restoration via patient care conferences and team rounds.

• Acts as a main resource for unit specialty and teaches specialty skills to team members or at Hospital based classes. Provides in-service to keep them up to date with changes or need for certification to maximize the patient's health capabilities.

• Performs other duties as required or assigned.

Qualifications

• Graduate from an accredited Nursing Program required.

• Bachelor of Science Degree in Nursing (BSN) with 5 years of related experience required.

• Demonstrated leadership skills.

Required Licensure/Certifications

• Licensed Registered Nurse with NH eligibility

• Basic Life Support (BLS) Certificate required.

• Area of Interest:Nursing

• Pay Range:$9.00/Hr. - 54.75/Hr.

• FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week

• Shift:Day

• Job ID:31165

Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.