22 Healthcare jobs in Brownwood

Company Description

At Kinder Hearts Hospice, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing life changing services to our patients, their families, and our entire community. We strive to help you balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits.

Job Description

The registered nurse plans, organizes and directs home health care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

Qualifications

Current RN license.

Additional Information

401K with matching opportunities, Dental, Vision and Medical Insurance. Other benefits include: Disability insurance, flexible spending account, health savings account, life insurance, mileage reimbursement, paid sick and vacation time and tuition reimbursement.

Find your joy here, at COMMUNITY, a Sonida Senior Living community! We offer a comprehensive benefit package to include competitive wage/salary, health and dental insurance, 401k with company match and so much more!

The Waterford at Baytown, a premier retirement community in Baytown, TX provides quality care to residents in an INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE community.

What we offer you:

* Cutting edge technology to enhance the lives of our residents and make your job easier and more effective.
* SafelyYou - AI video technology that detects and prevent falls
* Advanced EHR Technologies - automated care assessments eliminating busy work, helping you deliver better care
* Sage - Improve call light response time and improvement to service and care
* Microsoft Power BI - one stop for all data needs


* Company support for educational and learning opportunities
* Paid referral programs for Team Member and Resident referrals


* Medical, dental, vision, and life/disability insurances*
* 401k retirement savings offering a discretionary match determined each year based on company performance
* Employee Assistance Program
* Dependent Care and FSA saving accounts
* PTO available day one
* Paid Training
* Benefit eligibility dependent on employment status

Eligibility based on location

Nursing Aid Responsibilities include:

* Assists with instrumental activities of daily living, assistance with medication, treatments, and other care while encouraging self-care and independence
* Escorts residents both within the building and outside, as needed
* Assists with setting up, serving meals and cleaning up afterwards
* May assist with the planning and executing of activities for residents on a regularly scheduled basis
* Treat residents with dignity and respect at all times

Qualifications:

* High school graduate or GED preferred.
* Preferred knowledge and experience in nursing or senior living, home health, or similar.

Ultrasound Technologist I

At Houston Methodist, the Ultrasound Technologist I position completes a variety of routine diagnostic ultrasound procedures to include common and special ultrasound exams of moderate complexity. This position provides direct assistance to physicians with all diagnostic and special ultrasound procedures. This Ultrasound Technologist I position delivers exceptional patient care and adheres to ultrasound exam standards and guidelines established by governing agencies to ensure optimal patient safety and customer service. This position is a member of the direct patient care team.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
• INTEGRITY: We are honest and ethical in all we say and do.
• COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
• ACCOUNTABILITY: We hold ourselves accountable for all our actions.
• RESPECT: We treat every individual as a person of worth, dignity, and value.
• EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
• Practices the Caring and Serving Model
• Delivers personalized service using HM Service Standards
• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
• Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

• Promotes a positive work environment and contributes to a dynamic, team focused work unit that actively helps one another to achieve optimal department results. Collaborates with all members of the patient care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.
• Uses peer-to-peer accountability towards department goals for retention and employee engagement.
• Communicates effectively with others to facilitate providing the highest quality service during every customer and patient encounter.

SERVICE ESSENTIAL FUNCTIONS

• Performs diagnostic ultrasound procedures to include common and special ultrasound exams. Ultrasound exams use high-frequency sound waves to capture images.
• Proactively assesses, identifies and responds to the needs of the patient for adjustment or intervention to optimize patient care, image quality and patient experience. This includes: positioning, physiology, procedure preparation, and technical factors. Modifies technical factors to achieve desired imaging results and recognizes complications and limitations associated with certain procedures.
• Provides direct assistance to physicians during diagnostic or special procedures, including assisting with sterile technique.
• Provides accurate explanations and instructions to patients and family members at an appropriate level utilizing verbal and non-verbal skills, terminology and language.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Follows safety standards and conducts all imaging procedures accordingly. Maintains proper sterile techniques for procedures, regularly practices aseptic techniques, and ensures compliance with infection control procedures. Complies with job role, department and hospital safety standards, practices and policies.
• Reports near misses and inputs errors promptly into appropriate hospital patient safety reporting system to improve processes and identify trends. Contributes to identification of corrective actions and improvement activities, and contributes to meeting department and hospital targets for quality and safety.
• Performs daily imaging equipment quality control (QC) ensuring all imaging equipment is in safe working order prior to use. Reports any malfunctions to management and regularly practices preventive maintenance procedures; calls for service if needed.
• Utilizes critical thinking skills to observe and proactively address patient reactions (i.e. medications) or potential outcomes and obtains assistance, as appropriate.

FINANCE ESSENTIAL FUNCTIONS

• Provides accurate and complete documentation of patient procedures. Enters charges at the time service is delivered.
• Uses resources efficiently; does not waste supplies. Self-motivated to independently manage time effectively and prioritize daily tasks.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Participates in department projects or shared governance activities. Assumes responsibility for growth and development by participating in in-services programs and continuing education.
• Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development as a Technologist.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

EDUCATION

• Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.

WORK EXPERIENCE

• None

License/Certification

LICENSES AND CERTIFICATIONS - REQUIRED

• BLS - Basic Life Support or Instructor (AHA) AND
• Must have one of the following certifications:
• RDMS-OB - Registered Diagnostic Medical Sonographer - OB/GYN (ARDMS);
• RDMS-AB - Registered Diagnostic Medical Sonographer - Abdomen (ARDMS);
• RDMS-BR - Registered Diagnostic Medical Sonographer - Breast (ARDMS);
• ARRT-SON - Radiologic Technologist - Sonography (ARRT);
• RCS - Registered Cardiac Sonographer (CCI)
• NOTE: If functioning solely as a Breast Ultrasound Tech then either one of the above credentials or American Registry for Diagnostic Sonography (ARDMS- BR), or Breast (BR) credential earned prior to June 30, 2010 will be accepted as referenced in American College of Radiology guidelines; must obtain American Registry for Diagnostic Sonography- Breast (ARDMS- BR) registry by the end of the month following 18 months of hire/transfer date if does not already have

KSA/ Supplemental Data

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Possesses basic computer knowledge; operates multiple computer systems to include, Hospital / Radiology Information Systems and Office software to maintain patient and exam documents.
• Exhibits strong interpersonal and team player skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workers.
• Adapts to multiple ongoing priorities with minimal supervision including, organizing work flow and actively participating in problem-solving.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No
• Scrubs Yes
• Business professional No
• Other (department approved) Yes

Accreditation Specialist

At Houston Methodist, the Accreditation Specialist position is responsible for collaborating with medical staff and leadership to provide a global and unified perspective and understanding of accreditation, regulatory and disease-specific certification requirements and activities. The position serves the hospital as a resource, mentor, and educator for regulatory, accreditation and certification programs; works across the hospital to assess, measure, and report ongoing compliance with standards, promote evidence-based best practices, and standardize common survey processes.

Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

Provide personalized care and service by consistently demonstrating our I CARE values:

• Integrity: We are honest and ethical in all we say and do.
• Compassion: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
• Accountability: We hold ourselves accountable for all our actions.
• Respect: We treat every individual as a person of worth, dignity, and value.
• Excellence: We strive to be the best at what we do and a model for others to emulate.

Practices the Caring and Serving Model

Delivers personalized service using HM Service Standards

Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Collaborates and effectively communicates with a wide variety of disciplines within the hospital to evaluate, improve, and sustain regulatory and accreditation readiness. Fosters cooperation among departments and disciplines to achieve and sustain ongoing accreditation and regulatory compliance.

In partnership with hospital leadership, establishes a process to conduct a proactive review of regulatory, accreditation and certification to assess vulnerabilities to compliance with standards.

Collaborates with hospital leadership to assign teams to develop corrective action in response to survey findings and facilitate development and implementation of the corrective action processes.

Supports and participates in hospital pre-survey, on-site survey, and post-survey activities for accreditation, regulatory and disease-specific certification programs. Coordinates and participates in internal surveys using ISO 9001 process audit tools and techniques to assess and evaluate ongoing survey readiness.

Communicates survey findings to hospital leadership. Provides support and guidance for survey follow-up including review and feedback related to corrective action plans.

Provides education and training related to regulatory, accreditation, and disease-specific certification requirements.

Functions as a liaison with accreditation and regulatory agencies, such as serving as first point of contact and updating hospital profile information.

Facilitates resolution of survey nonconformities through monitoring the progress of corrective action plans on an ongoing basis. Conducts internal surveys with hospital survey teams to review and evaluate the implementation, effectiveness and sustainability of survey corrective action plans; provides reports from the surveys to hospital leadership and Accreditation and Regulatory department on the status of survey findings' resolution and progress.

Participates in the development, review and evaluation of an ongoing regulatory and accreditation program that promotes continual improvement of compliance with standard requirements, including ISO 9001 Quality Management.

Conducts ongoing monitoring, measurement and analysis of survey data and trends; communicates aggregate results and analysis to appropriate hospital department staff and leadership.

Participates in annual budget preparation, expense projections and justifications.

Utilizes efficient and cost-effective work practices with department resources and supplies; provides recommendations to reduce expenses.

Remains current with regulatory, accreditation and certification changes through available resources such as conferences or internet-based learning, reviewing and researching specific program materials, and/or reviewing professional journals.

Communicates innovative and best practices to hospital quality and patient safety departments and leadership.

Enhances continual improvement activities by acquiring, utilizing and teaching performance improvement concepts and techniques, such as ISO 9001 and LEAN.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Bachelor's degree in nursing or other field relevant to the healthcare industry.

Three years of experience in a hospital setting, preferably in patient care or quality.

One year of experience in one or more of the following: healthcare quality, accreditation or regulatory activities in a healthcare setting; performance improvement; patient safety; infection prevention and control; and/or health information management.

Licenses and certifications - required: N/A

Licenses and certifications - preferred:

• CPHQ - Certified Professional in Healthcare Quality (NAHQ) OR
• Certified Quality Technician-ASQ OR
• HACP - Healthcare Accreditation Certification Program (CIHQ) OR
• Health ServicesCSHA - Certification Specialist in Healthcare Accreditation OR
• RN - Registered Nurse - Texas State Licensure -- For RNs, Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency)

Knowledge, skills, and abilities:

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Demonstrated knowledge of regulatory and accreditation requirements (such as Centers for Medicare/Medicaid Services/CMS, The Joint Commission, DNVGL NIAHO/ISO 9001 and/or State requirements)
• Working knowledge of quality/performance improvement concepts, tools and techniques; process mapping and flow chart diagrams
• Computer proficiency with intermediate level skills for document, spreadsheet and graphic software (Microsoft Office Word, Excel and PowerPoint)
• Ability to collect qualitative and quantitative data and information; analyze and solve problems
• Strong interpersonal skills and demonstrated ability to work with multidisciplinary groups and teams
• Strong writing and presentation skills; ability to articulate information in a manner that is easily understood
• Ability to demonstrate flexibility in work and assignments; adapt to change
• Self-directed and able to work with minimal supervision; initiative to identify and utilize available internal and external resources
• Proven time management skills and ability to meet deadlines and work under pressure; strong organizational skills with ability to work with multiple projects and tasks
• Ability to discreetly handle sensitive issues in a professional and confidential manner

Work attire: Business professional

On-call: No

Travel: May require travel within the Houston Metropolitan area and outside Houston Metropolitan area

Houston Methodist Baytown Hospital, located 35 miles east of Houston, is the area's only full-service hospital offering specialized medical care for patients at every stage in life. This 230-licensed bed hospital with 15 operating rooms and over 1,700 employees, brings Medical Center excellence and quality care close to East Harris and surrounding counties.

Join Our Team as Director of Nursing (DON)

Lead with Compassion. Inspire with Excellence.

We are seeking a dedicated and experienced Director of Nursing (DON) to join our team. In this key leadership role, you will help shape the care experience for our residents while guiding and supporting our nursing staff with professionalism, integrity, and clinical excellence.
Your Impact as Director of Nursing

In this role, you will:

• Ensure Compliance : Oversee all nursing services in accordance with company, state, and federal guidelines
• Lead the Team : Manage recruitment, onboarding, scheduling, and performance of nursing staff
• Support Direct Care : Step in to assist on the floor when needed to maintain consistent, high-quality care
• Review Payroll : Approve payroll submissions to ensure accuracy and compliance
• Maintain Records : Monitor resident records for accuracy and appropriate documentation
• Develop Care Plans : Collaborate with physicians and interdisciplinary teams to create individualized care plans
• Provide Resources : Ensure nursing staff have timely access to equipment and necessary supplies
• Coach and Mentor : Lead, mentor, and support nursing staff to improve performance and outcomes

What Makes You a Great Fit

We're looking for someone who:

• Holds a current Registered Nurse (RN) license in good standing with the State of Texas
• Has proven leadership experience in long-term care or geriatric nursing
• Possesses strong clinical skills and a restorative care approach
• Demonstrates knowledge of nursing home regulations and compliance standards
• Excels in organization, communication, and problem-solving

Benefits (Full-Time)

• Comprehensive Coverage : Health, Dental, and Vision Insurance
• Extra Protection : AD&D, Short-Term Disability, Cardiac, Cancer, Critical Illness, Hospital Confinement
• Life Insurance : Whole and Term Policies
• Professional Growth : Tuition Reimbursement
• Time to Recharge : Paid Time Off
• Retirement Planning : Immediate 401(k) eligibility
• Unwavering Support : Exceptional corporate resources

Equal Opportunity Employer

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

At Tenaris , you will join a global network of professionals working together toward a common goal: shape the future of energy through advanced tubular products and services .

If you want to become part of a diverse team that values results, analytical approach to problem solving and teamwork, Tenaris is the place for you.

Laboratory Shift Leader - Baytown, Tx

LOCATION: Baytown - Texas - USA

DEPARTMENT: QUALITY

Purpose:

This role oversees operations in Metrology, Product Release & Certification, Optical Analysis, Order Dressing, and Licensee Quality Representation (LQR) to ensure compliance with product specifications, customer requirements, and Tenaris quality standards. Coordinates schedules, assigns responsibilities and looks for opportunities of process improvements.

Main Responsibilities:

• Oversees the product release process by reviewing key documentation and test results (including product test certificates, lab data, and threading validation). Ensures product readiness in line with customer deadlines while minimizing delays and resource bottlenecks.
• Manages the metrology lab, ensuring all measurement tools and inspection gauges are calibrated according to established intervals. Maintains calibration records and works with external calibration vendors and the procurement team to manage contracts and scope of services.
• Reviews product specifications to determine appropriate inspection tolerances and testing frequencies. Updates this information in the internal system and ensures work order instructions match the latest requirements.
• Coordinates the qualification of new product types, training and certifying inspectors and equipment operators, and managing implementation of new tolerance standards. Submits and tracks technical deviations or exceptions when necessary.
• Oversees the optical analysis lab, supporting defect identification, microstructure evaluation, and failure investigations. Prepares detailed reports with conclusions, coordinates with the metallurgy team, and ensures all lab equipment is functional and properly maintained.
• Monitors Process indicators like productivity, utilization, charge to thousand, interruptions, rejections. Optimizes plant's performance and promotes the compliance of inspection plans and basic preventive maintenance.
• Ensures adherence to company policies, industry regulations, and quality standards such as ISO, API, and internal quality systems.
• To comply with HSE procedures, report any incident or observation, perform inspections and participate in the investigation process. Implement the preventive/corrective actions. Keep updated the risk analysis and the environmental aspect assessment.
• Complies with the energy and other supplies consumption target/goals, carrying out the required actions that aim to reduce the use of them.
• Complies with Tenaris policies, procedures and management standards, and ensures adherence with all laws and regulations that apply to the area of responsibility.
• Proactively motivates, coaches, communicates with and develops his/her staff and manages HR related activities in line with Human Resources norms and procedures. Protects from damage, theft or misuse the facilities, equipment and other physical resources assigned to his/her area.

Preferred Knowledge, Skills, and Abilities:

• Skilled in root cause analysis to identify issues and support effective problem-solving.
• Experienced in calibration of measuring tools and inspection equipment, ensuring accuracy and traceability.
• Familiar with applying API and ISO standards in quality inspections and manufacturing processes.
• Strong attention to detail with the ability to verify information using data and evidence.
• Follows up on open items promptly to ensure timely resolution and avoid delays.
• Works well with internal teams and external partners to manage daily tasks and customer needs.
• Adapts quickly to changing priorities and responds effectively to urgent situations.
• Able to organize and prioritize team tasks, handling multiple responsibilities at once.

If your experience and knowledge match our requirements, please apply

Tenaris is an equal opportunity employer, valuing diversity in employment.

We thank all candidates for their interest, however, only those that match the criteria required for the desired profile will be contacted.

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Location:

At Houston Methodist, the Senior Medical Assistant Certified (Sr. MA) position is responsible for functioning as an expert and demonstrates highly competent knowledge in the more technical and advances examinations and treatments necessary to communicate appropriately and carry out delegated medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality support of patient care and services. This position oversees appropriate scope of practice (i.e. Hand Hygiene Validator, EMR super-user). The Sr. MA position assists with patient examinations, procedures, diagnostic studies, treatment, and dressing changes. This position also performs general administrative duties in accordance with CLIA, HIPAA, NCQA and government standards, as well as company policies and procedures. The Sr. MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also be required to schedule patient appointments, ensure medical necessity compliance, and verify eligibility for care. Other duties for the Sr. MA position include independently and expertly performing the duties and responsibilities of preceptor and clinical resource to Medical Assistants, training and orienting others as appropriate.
**PEOPLE ESSENTIAL FUNCTIONS**
+ Role models and promotes a positive work environment that actively assists interprofessional care team to achieve optimal department results. Makes contributions to the work effort as a whole, by leading and initiating problem resolution within the work unit. Facilitates teamwork by anticipating the need for assistance and responding positively to requests for assistance.
+ Collaborates with all members of the interprofessional health care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner. Teaches peers to critically think by verbally expressing rationale for decisions and follows up consistently. Facilitates open, professional, communication to achieve mutual understanding, role modeling by example.
+ Independently executes the duties and responsibilities of preceptor, serves as a clinical resource in the department, using advanced skills and competencies, guiding and mentoring colleagues' though processes in order to provide optimal patient care. Provides structured feedback with examples.
**SERVICE ESSENTIAL FUNCTIONS**
+ Provides care to patients visiting the clinic under the direct supervision of a Physician, Registered Nurse, or clinic leadership procedures. Complete pre-visit planning workflow prior to visit whenever possible, including completing and/or requesting appropriate documentation. In collaboration with the provider team, anticipates the needs of the specific patient population.
+ Communicates with patient, obtains and documents vital signs (i.e., pulse rate, temperature, blood pressure, weight, and height), chief complaint(s), preforms medication(s) review, discusses/reviews medical and social history (as appropriate). Documents, in patient's electronic medical record (EMR). care administered, all diagnostic measurements, treatments and procedures in accordance with established policies and procedures.
+ Follow-up with patient as appropriate to ensure compliance with recommendations, medications, lab/x-ray results, special visits, PCP visits, dieticians, diabetes educators, etc. Ensures patient utilization and activation of MyChart.
+ Provides care coordination with hospital, ED, consulting physicians and/or community resources whenever appropriate to including handling patient inquiries.
+ Role models behaviors and skills, through peer-to-peer accountability, towards improving department score for patient satisfaction.
**QUALITY/SAFETY ESSENTIAL FUNCTIONS**
+ Reports observations, conditions and problems of patients to the physician and/or nurse. Recognizes abnormal clinical findings and reports them appropriately. Provides for the privacy of patients and families, keeping the safety of the patient in mind.
+ Accurately performs routine tests on patients such as EKG, rapid strep, urinalysis, and urine pregnancy tests.
+ Sterilizing instruments and equipment; prepare, clean and maintain exam and treatment rooms, as well as supplies and equipment.
**FINANCE ESSENTIAL FUNCTIONS**
+ Uses resources efficiently; does not waste supplies. Responsible for stocking exam rooms, taking inventory, and ordering supplies.
+ Self-motivated to independently manage time effectively and prioritize daily tasks, minimizing incidental overtime. Role models effective time management and coordinates colleagues to meet the overall demands of the department.
**GROWTH/INNOVATION ESSENTIAL FUNCTIONS**
+ Develops skills of team members and continually assists with improving skills, performance and outcomes. Actively participates in professional development and the development of ongoing educational activities at a department-based level.
+ Offers innovative solutions through participation in performance improvement activities.
+ Completes and updates My Development plan on an on-going basis.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
**EDUCATION**
+ High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
**WORK EXPERIENCE**
+ Five years medical assistant experience with highly complex, chronic disease management or in a specialty discipline
**LICENSES AND CERTIFICATIONS - REQUIRED**
+ Certified Medical Assistant through AAMA, NAHP, NCCT. NHA or Registered Medical Assistant or EMT **AND**
+ BLS - Basic Life Support or Instructor (AHA)
**LICENSES AND CERTIFICATIONS - PREFERRED**
+ CPT - Phlebotomy Technician Certification
**KNOWLEDGE, SKILLS, AND ABILITIES**
+ Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
+ Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
+ Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
+ Knowledge of medical practice and care of patients and ability to assist with examinations, diagnostic and treatment procedures, knowledge of medical equipment and instruments
+ Skill in developing and maintaining clinical quality assurance to maintain accurate medical records
+ Demonstrate a learning attitude toward solving problems, using good reasoning and judgment
+ Provide safe patient-centered, compassionate and competent care
+ Proficient in computer skills for documentation and work-related purposes
+ Completes required continuous training and education, including department-specific requirements. Maintain current certifications
+ Ability to establish and maintain effective working relationships with patients, medical staff, coworkers and the public
+ Ability to work with peers in a team situation
+ Possess an understanding of the patient population as it relates to the clinical disease process
+ Proficient in computer skills for documentation and work-related purpose
+ Demonstrates advanced assessment competences appropriate for level of practice
**SUPPLEMENTAL REQUIREMENTS**
**WORK ATTIRE**
+ Uniform Yes
+ Scrubs Yes
+ Business professional No
+ Other (department approved) Yes
**ON-CALL***
_*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._
+ On Call* No
**TRAVEL***
_**Travel specifications may vary by department**_
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
**Company Profile:**
With more than 40 locations throughout the Greater Houston area, Houston Methodist Primary Care Group brings quality, compassionate care to for the entire family, to the communities where our patients work and live. As part of the Houston Methodist health system - one of the nation's leading health systems - the Primary Care Group offers efficient access to world-class specialty care and hospital services from a network comprised of the nation's leading hospitals and health care professionals.
Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Senior Medical Assistant Certified (Sr. MA) position is responsible for functioning as an expert and demonstrates highly competent knowledge in the more technical and advances examinations and treatments necessary to communicate appropriately and carry out delegated medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality support of patient care and services. This position oversees appropriate scope of practice (i.e. Hand Hygiene Validator, EMR super-user). The Sr. MA position assists with patient examinations, procedures, diagnostic studies, treatment, and dressing changes. This position also performs general administrative duties in accordance with CLIA, HIPAA, NCQA and government standards, as well as company policies and procedures. The Sr. MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also be required to schedule patient appointments, ensure medical necessity compliance, and verify eligibility for care. Other duties for the Sr. MA position include independently and expertly performing the duties and responsibilities of preceptor and clinical resource to Medical Assistants, training and orienting others as appropriate.
**PEOPLE ESSENTIAL FUNCTIONS**
+ Role models and promotes a positive work environment that actively assists interprofessional care team to achieve optimal department results. Makes contributions to the work effort as a whole, by leading and initiating problem resolution within the work unit. Facilitates teamwork by anticipating the need for assistance and responding positively to requests for assistance.
+ Collaborates with all members of the interprofessional health care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner. Teaches peers to critically think by verbally expressing rationale for decisions and follows up consistently. Facilitates open, professional, communication to achieve mutual understanding, role modeling by example.
+ Independently executes the duties and responsibilities of preceptor, serves as a clinical resource in the department, using advanced skills and competencies, guiding and mentoring colleagues' though processes in order to provide optimal patient care. Provides structured feedback with examples.
**SERVICE ESSENTIAL FUNCTIONS**
+ Provides care to patients visiting the clinic under the direct supervision of a Physician, Registered Nurse, or clinic leadership procedures. Complete pre-visit planning workflow prior to visit whenever possible, including completing and/or requesting appropriate documentation. In collaboration with the provider team, anticipates the needs of the specific patient population.
+ Communicates with patient, obtains and documents vital signs (i.e., pulse rate, temperature, blood pressure, weight, and height), chief complaint(s), preforms medication(s) review, discusses/reviews medical and social history (as appropriate). Documents, in patient's electronic medical record (EMR). care administered, all diagnostic measurements, treatments and procedures in accordance with established policies and procedures.
+ Follow-up with patient as appropriate to ensure compliance with recommendations, medications, lab/x-ray results, special visits, PCP visits, dieticians, diabetes educators, etc. Ensures patient utilization and activation of MyChart.
+ Provides care coordination with hospital, ED, consulting physicians and/or community resources whenever appropriate to including handling patient inquiries.
+ Role models behaviors and skills, through peer-to-peer accountability, towards improving department score for patient satisfaction.
**QUALITY/SAFETY ESSENTIAL FUNCTIONS**
+ Reports observations, conditions and problems of patients to the physician and/or nurse. Recognizes abnormal clinical findings and reports them appropriately. Provides for the privacy of patients and families, keeping the safety of the patient in mind.
+ Accurately performs routine tests on patients such as EKG, rapid strep, urinalysis, and urine pregnancy tests.
+ Sterilizing instruments and equipment; prepare, clean and maintain exam and treatment rooms, as well as supplies and equipment.
**FINANCE ESSENTIAL FUNCTIONS**
+ Uses resources efficiently; does not waste supplies. Responsible for stocking exam rooms, taking inventory, and ordering supplies.
+ Self-motivated to independently manage time effectively and prioritize daily tasks, minimizing incidental overtime. Role models effective time management and coordinates colleagues to meet the overall demands of the department.
**GROWTH/INNOVATION ESSENTIAL FUNCTIONS**
+ Develops skills of team members and continually assists with improving skills, performance and outcomes. Actively participates in professional development and the development of ongoing educational activities at a department-based level.
+ Offers innovative solutions through participation in performance improvement activities.
+ Completes and updates My Development plan on an on-going basis.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
**EDUCATION**
+ High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
**WORK EXPERIENCE**
+ Five years medical assistant experience with highly complex, chronic disease management or in a specialty discipline
**LICENSES AND CERTIFICATIONS - REQUIRED**
+ Certified Medical Assistant through AAMA, NAHP, NCCT. NHA or Registered Medical Assistant or EMT **AND**
+ BLS - Basic Life Support or Instructor (AHA)
**LICENSES AND CERTIFICATIONS - PREFERRED**
+ CPT - Phlebotomy Technician Certification
**KNOWLEDGE, SKILLS, AND ABILITIES**
+ Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
+ Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
+ Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
+ Knowledge of medical practice and care of patients and ability to assist with examinations, diagnostic and treatment procedures, knowledge of medical equipment and instruments
+ Skill in developing and maintaining clinical quality assurance to maintain accurate medical records
+ Demonstrate a learning attitude toward solving problems, using good reasoning and judgment
+ Provide safe patient-centered, compassionate and competent care
+ Proficient in computer skills for documentation and work-related purposes
+ Completes required continuous training and education, including department-specific requirements. Maintain current certifications
+ Ability to establish and maintain effective working relationships with patients, medical staff, coworkers and the public
+ Ability to work with peers in a team situation
+ Possess an understanding of the patient population as it relates to the clinical disease process
+ Proficient in computer skills for documentation and work-related purpose
+ Demonstrates advanced assessment competences appropriate for level of practice
**SUPPLEMENTAL REQUIREMENTS**
**WORK ATTIRE**
+ Uniform Yes
+ Scrubs Yes
+ Business professional No
+ Other (department approved) Yes
**ON-CALL***
_*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._
+ On Call* No
**TRAVEL***
_**Travel specifications may vary by department**_
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
**Company Profile:**
With more than 40 locations throughout the Greater Houston area, Houston Methodist Primary Care Group brings quality, compassionate care to for the entire family, to the communities where our patients work and live. As part of the Houston Methodist health system - one of the nation's leading health systems - the Primary Care Group offers efficient access to world-class specialty care and hospital services from a network comprised of the nation's leading hospitals and health care professionals.
Houston Methodist is an Equal Opportunity Employer.

**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. Assists patients in performing self-care as applicable
**Staff Related**
+ Participates in the recruitment process for new clinical staff
+ Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.
+ Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.
+ Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's.
+ Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
+ Provides developmental support to applicable clinical and facility staff.
**Education/Communication:**
+ Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations.
+ Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.
+ Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives
+ Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.
+ Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.
+ Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
+ Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
**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, 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 with facility QAI infection control audits.
+ Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices.
+ Reinforces new hire employee adherence to infection control Policies and Procedures
+ Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice.
+ Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards.
+ Under the direction of the Education Dept. participates in education response to internal and external facility surveys.
+ 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:**
+ High School diploma or G.E.D. required. Bachelor's degree preferred
+ Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
+ Attendance and active participation in all applicable preceptor training programs as established by education leadership
+ Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ At least five years patient care experience in a hospital setting or a related facility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**