9 Local Healthcare Providers jobs in Biscoe

Our client, a leading provider of community mental health services, is seeking a compassionate and skilled Clinical Social Worker to join their dedicated team. This role is crucial in providing essential support and therapeutic interventions to individuals and families facing mental health challenges. You will be responsible for conducting comprehensive psychosocial assessments, developing individualized treatment plans, and providing evidence-based therapy. This includes individual, group, and family counseling. Key duties involve crisis intervention, case management, and advocacy for clients to access necessary resources and services. You will collaborate closely with a multidisciplinary team, including psychiatrists, psychologists, and other healthcare professionals, to ensure integrated and comprehensive care. The ideal candidate will possess a Master's degree in Social Work (MSW) and relevant licensure (e.g., LCSW, LMSW). Proven experience in mental health counseling, a strong understanding of therapeutic modalities, and excellent interpersonal and communication skills are essential. This position requires a commitment to ethical practice and client confidentiality. This role offers a hybrid work model, blending remote teletherapy sessions with essential in-person client meetings and team collaborations at our facility in Raleigh, North Carolina, US .

Our client is a leading organization dedicated to providing comprehensive community and social care services. We are seeking a compassionate and dedicated Community Support Specialist to join our team, working in a hybrid capacity that combines in-office responsibilities with remote flexibility. This role is based in Raleigh, North Carolina, US and focuses on delivering vital support to individuals and families within the community. As a Community Support Specialist, you will be responsible for assessing client needs, developing individualized support plans, and connecting clients with appropriate resources and services. This includes providing emotional support, practical assistance, and advocacy to help clients navigate challenges and achieve their goals. You will work collaboratively with a multidisciplinary team of social workers, counselors, and healthcare professionals to ensure integrated and holistic care. A significant part of your role will involve conducting outreach activities, building strong relationships with community partners, and facilitating group support sessions. You will also maintain accurate client records, document progress, and ensure adherence to all ethical and legal guidelines. The ideal candidate will possess excellent interpersonal and communication skills, with a genuine passion for helping others. Experience in social work, counseling, or a related field is highly desirable. You should be adept at crisis intervention, problem-solving, and empowering individuals to build resilience and independence. This position requires a commitment to fostering a supportive and inclusive environment for all clients. You will be expected to spend some time in the office for team meetings, training, and direct client interaction, while also having the flexibility to manage certain tasks remotely. We are looking for a proactive and empathetic individual who is dedicated to making a positive difference in the lives of those we serve.

Key Responsibilities:

• Conduct client assessments and develop personalized support plans.
• Provide direct support, counseling, and advocacy to clients and their families.
• Connect clients with community resources, services, and benefits.
• Facilitate group support sessions and educational workshops.
• Collaborate with a multidisciplinary team to ensure coordinated care.
• Maintain accurate and confidential client records and case notes.
• Conduct community outreach and build partnerships with local organizations.
• Respond to client needs and emergencies in a timely and effective manner.
• Monitor client progress and adjust support plans as necessary.
• Adhere to all professional ethical standards and agency policies.

Qualifications:

• Bachelor's degree in Social Work, Psychology, Sociology, or a related human services field.
• 2+ years of experience in direct client support, case management, or community services.
• Strong understanding of community resources and social service systems.
• Excellent active listening, empathy, and communication skills.
• Experience in crisis intervention and de-escalation techniques.
• Ability to develop and maintain effective therapeutic relationships.
• Proficiency in case management software and electronic health records.
• Ability to work independently and collaboratively in a team setting.
• Valid driver's license and reliable transportation.
• Commitment to client advocacy and empowerment.

Our client, a respected provider of comprehensive community and social care services, is seeking a dedicated and compassionate Senior Clinical Social Worker to join their expanding mental health services team. This role is situated at their main community center in **Raleigh, North Carolina, US**, and operates on a hybrid schedule, combining essential in-person client services with remote administrative and support duties. You will be responsible for providing advanced clinical assessment, diagnosis, and therapeutic intervention to individuals, families, and groups facing a range of mental health challenges. Your duties will include developing and implementing individualized treatment plans, conducting psychotherapy using evidence-based practices, providing crisis intervention, and coordinating care with other healthcare professionals and community resources. You will also play a role in clinical supervision of junior staff and contributing to program development and evaluation. The ideal candidate possesses a Master's degree in Social Work (MSW) from an accredited program and holds a valid Licensed Clinical Social Worker (LCSW) or equivalent license in North Carolina. A minimum of 5 years of post-MSW clinical experience in mental health settings is required. Demonstrated expertise in various therapeutic modalities (e.g., CBT, DBT, trauma-informed care), strong diagnostic skills, and experience with crisis management are essential. Excellent interpersonal, communication, and advocacy skills are necessary to effectively engage with clients from diverse backgrounds and collaborate with multidisciplinary teams. You must be proficient in electronic health records (EHR) systems and comfortable navigating both in-person and virtual client interaction platforms. This position offers a rewarding opportunity to make a significant impact on the well-being of the community, working within a supportive and mission-driven organization that values professional growth and client-centered care.

Key Responsibilities:

• Conduct comprehensive psychosocial assessments and diagnostic evaluations.
• Provide individual, family, and group therapy using evidence-based practices.
• Develop and implement individualized treatment plans tailored to client needs.
• Offer crisis intervention and support services to clients in acute distress.
• Coordinate care with physicians, psychiatrists, and other community service providers.
• Provide clinical supervision and mentorship to junior social workers and interns.
• Maintain accurate and timely client records in compliance with agency policies and regulations.
• Participate in case conferences, treatment team meetings, and program development initiatives.
• Advocate for client needs within the healthcare system and community.

Description

UNC Hospice is actively seeking a skilled and compassionate Clinical Nurse to join our team. In this role, you will have the opportunity to provide high-quality, compassionate healthcare services to our patients. UNC Health is committed to supporting teammates from recruitment to retirement. Our UNC Health for Me framework includes ways that we welcome, engage, develop, care for, include, and value our teammates. Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

The Clinical Nurse, Hospice is responsible for organizing and overseeing the patient care plan from start of care to discharge, managing medication, supply and DME needs as well as coordinating specialized services that may be needed to meet the patient care needs (Social Worker, Chaplain, Hospice Aide, PT, OT, Dietary, etc.). They present the patient at Interdisciplinary team meetings, update all disciplines on the patient's clinical status and care plan needs. They constantly evaluate and update the care plan to meet all the patient's needs in a holistic manner. Patient visits are made to the patient's home or, where they call home. It can be a house, apartment, Assisted Living Facility, or Skilled Nursing Facility.

This position qualifies for a commitment incentive up to $20,000. More information can be found here: Education--Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.

2. Evaluation of care--Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care

3. Implementation--Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.

4. Leadership--With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all

5. Patient Assessment--Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs

6. Planning--Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.

7. Research--Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability

Other Information

Other information:

Education Requirements:

● Graduation from a school of professional nursing.

Licensure/Certification Requirements:

● Licensed to practice as a Registered Nurse in the state of North Carolina.

Professional Experience Requirements:

● One (1) year of nursing experience caring for acute and chronically ill patients or an equivalent combination of education and experience.

Knowledge/Skills/and Abilities Requirements:

Job Details

Legal Employer: STATE

Entity: UNC Medical Center

Organization Unit: Hospice Services

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $3.88 - 47.91 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.

**Description**

UNC Hospice is actively seeking a skilled and compassionate Clinical Nurse to join our team. In this role, you will have the opportunity to provide high-quality, compassionate healthcare services to our patients. UNC Health is committed to supporting teammates from recruitment to retirement. Our UNC Health for Me framework includes ways that we welcome, engage, develop, care for, include, and value our teammates. Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

The Clinical Nurse, Hospice is responsible for organizing and overseeing the patient care plan from start of care to discharge, managing medication, supply and DME needs as well as coordinating specialized services that may be needed to meet the patient care needs (Social Worker, Chaplain, Hospice Aide, PT, OT, Dietary, etc.). They present the patient at Interdisciplinary team meetings, update all disciplines on the patient's clinical status and care plan needs. They constantly evaluate and update the care plan to meet all the patient's needs in a holistic manner. Patient visits are made to the patient's home or, where they call home. It can be a house, apartment, Assisted Living Facility, or Skilled Nursing Facility.

This position qualifies for a commitment incentive up to $20,000. More information can be found here: Education--Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.

2. Evaluation of care--Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care

3. Implementation--Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.

4. Leadership--With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all

5. Patient Assessment--Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs

6. Planning--Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.

7. Research--Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability

**Other Information**

Other information:

**Education Requirements:**

● Graduation from a school of professional nursing.

**Licensure/Certification Requirements:**

● Licensed to practice as a Registered Nurse in the state of North Carolina.

**Professional Experience Requirements:**

● One (1) year of nursing experience caring for acute and chronically ill patients or an equivalent combination of education and experience.

**Knowledge/Skills/and Abilities Requirements:**

**Job Details**

Legal Employer: STATE

Entity: UNC Medical Center

Organization Unit: Hospice Services

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $3.88 - 47.91 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Hospice is actively seeking a skilled and compassionate Clinical Nurse to join our team. In this role, you will have the opportunity to provide high-quality, compassionate healthcare services to our patients. UNC Health is committed to supporting teammates from recruitment to retirement. Our UNC Health for Me framework includes ways that we welcome, engage, develop, care for, include, and value our teammates. Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

The Clinical Nurse, Hospice is responsible for organizing and overseeing the patient care plan from start of care to discharge, managing medication, supply and DME needs as well as coordinating specialized services that may be needed to meet the patient care needs (Social Worker, Chaplain, Hospice Aide, PT, OT, Dietary, etc.). They present the patient at Interdisciplinary team meetings, update all disciplines on the patient's clinical status and care plan needs. They constantly evaluate and update the care plan to meet all the patient's needs in a holistic manner. Patient visits are made to the patient's home or, where they call home. It can be a house, apartment, Assisted Living Facility, or Skilled Nursing Facility.

This position qualifies for a commitment incentive up to $20,000. More information can be found here: Education-Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of care-Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care
3. Implementation-Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership-With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all
5. Patient Assessment-Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs
6. Planning-Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research-Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability

Other Information

Other information:
Education Requirements:
• Graduation from a school of professional nursing.
Licensure/Certification Requirements:
• Licensed to practice as a Registered Nurse in the state of North Carolina.
Professional Experience Requirements:
• One (1) year of nursing experience caring for acute and chronically ill patients or an equivalent combination of education and experience.
Knowledge/Skills/and Abilities Requirements:

Job Details

Legal Employer: STATE

Entity: UNC Medical Center

Organization Unit: Hospice Services

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $3.88 - 47.91 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.

**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.
+ 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.
+ Provides developmental support to applicable clinical and facility staff.
Education/Communication:
+ Participates in implementing educational programs for PCT staff including contests and other team-based programs.
+ Assists in monitoring processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
+ 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.
+ 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.
+ 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 have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare Services (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ At least two years previous patient care experience in a hospital setting or a related facility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**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:**
**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 law.
+ 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
+ Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
+ Perform water dialysate collection and processing for testing as directed by the HT RN
+ Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)
+ 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
**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:

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

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

individuals with disabilities to perform the essential functions.

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

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

accommodations can be made.

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

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

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

EDUCATION AND LICENSES:

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

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

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

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

EXPERIENCE AND REQUIRED SKILLS :

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

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

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

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

EOE, disability/veterans