Inpatient Registered Nurse - RN
00918 San Juan, Puerto Rico
Fresenius Medical Care North America
Posted today
Job Viewed
Job Description
**PURPOSE AND SCOPE:**
The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.
+ Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT.
+ Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.
+ Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated.
+ Delivers safe, effective care in a timely an efficient manner.
+ Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.
+ Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.
+ Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed.
+ Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed.
+ Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.
+ Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
+ Performs all required pre-treatment dialysis machine alarm testing.
+ If applicable, initiates Solution Delivery System.
+ Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.
+ Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies.
+ Completes and documents ongoing participation in QAI activities.
+ Participates in staff meetings as scheduled.
+ Participates in staff training and orientation as assigned.
+ Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.
+ Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis
+ Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
+ Assist with various projects as assigned by direct supervisor.
+ Other duties as assigned.
**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.
+ Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events.
+ Position requires on call rotation including night, day, weekend, and holidays.
+ There is potential for exposure to potentially infectious material and contagious diseases/material.
+ Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet.
**SUPERVISION:**
+ Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT.
**EDUCATION:**
+ Current appropriate state licensure.
+ Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services).
+ Must meet the practice requirements in the state in which employed.
+ Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ One year RN experience required and required nursing skills.
+ Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.
+ Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.
+ Demonstrated strong assessment skills related to the critically ill patient.
+ ICU experience preferred but not required.
+ Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation.
+ BLS CPR Recognition.
+ ACLS CPR Recognition preferred, but not required.
+ Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.
+ Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff).
+ Successful completion of Nurses Technical Training.
**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**
The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.
+ Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT.
+ Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.
+ Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated.
+ Delivers safe, effective care in a timely an efficient manner.
+ Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.
+ Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.
+ Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed.
+ Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed.
+ Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.
+ Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
+ Performs all required pre-treatment dialysis machine alarm testing.
+ If applicable, initiates Solution Delivery System.
+ Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.
+ Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies.
+ Completes and documents ongoing participation in QAI activities.
+ Participates in staff meetings as scheduled.
+ Participates in staff training and orientation as assigned.
+ Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.
+ Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis
+ Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
+ Assist with various projects as assigned by direct supervisor.
+ Other duties as assigned.
**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.
+ Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events.
+ Position requires on call rotation including night, day, weekend, and holidays.
+ There is potential for exposure to potentially infectious material and contagious diseases/material.
+ Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet.
**SUPERVISION:**
+ Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT.
**EDUCATION:**
+ Current appropriate state licensure.
+ Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services).
+ Must meet the practice requirements in the state in which employed.
+ Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ One year RN experience required and required nursing skills.
+ Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.
+ Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.
+ Demonstrated strong assessment skills related to the critically ill patient.
+ ICU experience preferred but not required.
+ Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation.
+ BLS CPR Recognition.
+ ACLS CPR Recognition preferred, but not required.
+ Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.
+ Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff).
+ Successful completion of Nurses Technical Training.
**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**
View Now
0
Outpatient Registered Nurse - RN
00612 Arecibo, Puerto Rico
Fresenius Medical Care North America
Posted 15 days ago
Job Viewed
Job Description
**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
+ Performs additional duties as assigned.
**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.
+ 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
+ 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.
+ 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 accommodation can be made.
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND SKILLS** :
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
+ Performs additional duties as assigned.
**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.
+ 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
+ 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.
+ 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 accommodation can be made.
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND SKILLS** :
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
View Now
1
Outpatient Registered Nurse - RN
00694 Vega Baja, Puerto Rico
Fresenius Medical Care North America
Posted 15 days ago
Job Viewed
Job Description
**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
+ Performs additional duties as assigned.
**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.
+ 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
+ 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.
+ 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 accommodation can be made.
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND SKILLS** :
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
+ Performs additional duties as assigned.
**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.
+ 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
+ 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.
+ 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 accommodation can be made.
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND SKILLS** :
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
View Now
2
Care Manager, Registered Nurse- Remote
00918 San Juan, Puerto Rico
Sharecare
Posted 1 day ago
Job Viewed
Job Description
**Job Description:**
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes.
The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan.
**Start Date:** Monday December 1, 2025
**Salary:** $85,000 annually, plus comprehensive benefits package
**Essential Job Functions:**
+ Engage telephonically with members, caregivers, and providers to develop a comprehensive plan of care, identify key strategic interventions, and address the members needs at various stages along the care continuum.
+ Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.
+ Assess the member's ongoing care needs and progress towards goals throughout the plan duration and make revisions as needed to address changes in the member's condition, lack of progress toward goals of the care plan, preference changes, and transitions in care settings. Coordinates plan of care with goals of member stabilization, decreased admissions, medication management, behavior change and ability to self-manage.
+ Coordinate patient education in support of standards of care guidelines and related health issues using the most appropriate modality for the member.
+ Identify relevant benefit and community resources, evaluates Social determinants of Health and facilitates referrals based on member need.
+ Assist the member in coordination of any additional tests, images and consults with specialists.
+ Perform medication reconciliation at the onset of care plan, after changes in health status, and every thirty days during the life cycle of the care plan, assessing for efficacy and drug interactions/side effects.
+ Facilitate and monitor the transition of care which involves moving the member from one healthcare practitioner to another as their healthcare needs change. Implements and oversees the agreed upon plan of care as well as coordinates member follow-up post discharge.
+ Utilize established documentation standards to maintain quality of care plan documentation to include member progress toward their established state of being and barriers to achievement of care plan objectives and outcomes.
+ Abide by Value Based Care Management Program Description and Guidelines.
+ Meet productivity and quality metrics as outlined by leadership for each year.
+ Complete mandatory training and annual competency testing.
+ Actively participate in team huddles and contribute to clinical learning.
+ Remain current on clinical knowledge via self-directed learning.
**Specific Skills/ Attributes:**
+ Strong motivational interviewing and case management skills.
+ Ability to be self-directed, highly organized, multi-task capable, and proficient in problem solving skills.
+ Ability to meet established deadlines.
+ Exceptional oral, written, and presentation skills.
+ Ability to effectively communicate and provide positive customer service to internal and external customers, meeting the expectations for service excellence.
+ Successfully partner with all levels of administrative and professional personnel.
+ Demonstrate resilience and effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads.
+ Success with engaging members. Outstanding customer service skills and ability to adapt approach to various personalities.
+ Ability to extrapolate information from a variety of sources including medical records to create concise records that accurately depict the medical "story" of the member.
+ Proficiency with data analysis and ability to organize data in support of reporting needs.
+ Ability to proactively identify and assimilate quality improvement processes into practice.
+ Experience with medically oriented care plan documentation.
+ Experience working effectively within a matrix organizational design.
**Qualifications:**
+ Current multi-state compact Registered Nurse licensure in state of residence is required, with ability to obtain additional licenses without restriction. BSN preferred.
+ Training in motivational interviewing preferred.
+ Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred.
+ Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications.
+ Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies.
+ This position will be based from a home office which must satisfy all HIPAA requirements and minimum internet connectivity requirements.
+ Ability to communicate with members, other members of the team, physicians, and plan representatives.
+ Ability to read, analyze, and interpret common scientific and technical journals. Ability to effectively present information to audiences with a variety of knowledge/skill levels
**_Note:_** _The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs._
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes.
The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan.
**Start Date:** Monday December 1, 2025
**Salary:** $85,000 annually, plus comprehensive benefits package
**Essential Job Functions:**
+ Engage telephonically with members, caregivers, and providers to develop a comprehensive plan of care, identify key strategic interventions, and address the members needs at various stages along the care continuum.
+ Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.
+ Assess the member's ongoing care needs and progress towards goals throughout the plan duration and make revisions as needed to address changes in the member's condition, lack of progress toward goals of the care plan, preference changes, and transitions in care settings. Coordinates plan of care with goals of member stabilization, decreased admissions, medication management, behavior change and ability to self-manage.
+ Coordinate patient education in support of standards of care guidelines and related health issues using the most appropriate modality for the member.
+ Identify relevant benefit and community resources, evaluates Social determinants of Health and facilitates referrals based on member need.
+ Assist the member in coordination of any additional tests, images and consults with specialists.
+ Perform medication reconciliation at the onset of care plan, after changes in health status, and every thirty days during the life cycle of the care plan, assessing for efficacy and drug interactions/side effects.
+ Facilitate and monitor the transition of care which involves moving the member from one healthcare practitioner to another as their healthcare needs change. Implements and oversees the agreed upon plan of care as well as coordinates member follow-up post discharge.
+ Utilize established documentation standards to maintain quality of care plan documentation to include member progress toward their established state of being and barriers to achievement of care plan objectives and outcomes.
+ Abide by Value Based Care Management Program Description and Guidelines.
+ Meet productivity and quality metrics as outlined by leadership for each year.
+ Complete mandatory training and annual competency testing.
+ Actively participate in team huddles and contribute to clinical learning.
+ Remain current on clinical knowledge via self-directed learning.
**Specific Skills/ Attributes:**
+ Strong motivational interviewing and case management skills.
+ Ability to be self-directed, highly organized, multi-task capable, and proficient in problem solving skills.
+ Ability to meet established deadlines.
+ Exceptional oral, written, and presentation skills.
+ Ability to effectively communicate and provide positive customer service to internal and external customers, meeting the expectations for service excellence.
+ Successfully partner with all levels of administrative and professional personnel.
+ Demonstrate resilience and effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads.
+ Success with engaging members. Outstanding customer service skills and ability to adapt approach to various personalities.
+ Ability to extrapolate information from a variety of sources including medical records to create concise records that accurately depict the medical "story" of the member.
+ Proficiency with data analysis and ability to organize data in support of reporting needs.
+ Ability to proactively identify and assimilate quality improvement processes into practice.
+ Experience with medically oriented care plan documentation.
+ Experience working effectively within a matrix organizational design.
**Qualifications:**
+ Current multi-state compact Registered Nurse licensure in state of residence is required, with ability to obtain additional licenses without restriction. BSN preferred.
+ Training in motivational interviewing preferred.
+ Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred.
+ Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications.
+ Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies.
+ This position will be based from a home office which must satisfy all HIPAA requirements and minimum internet connectivity requirements.
+ Ability to communicate with members, other members of the team, physicians, and plan representatives.
+ Ability to read, analyze, and interpret common scientific and technical journals. Ability to effectively present information to audiences with a variety of knowledge/skill levels
**_Note:_** _The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs._
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
View Now
3
Care Manager, Registered Nurse- Remote
00918 San Juan, Puerto Rico
Sharecare
Posted 15 days ago
Job Viewed
Job Description
**Job Description:**
**Job Summary:**
**Start Date:** **Monday October 27, 2025**
**Salary:** **$85,000 annually, plus comprehensive benefits package**
The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes.
The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan.
**Essential Job Functions:**
+ Engage telephonically with members, caregivers, and providers to develop a comprehensive plan of care, identify key strategic interventions, and address the members needs at various stages along the care continuum.
+ Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.
+ Assess the member's ongoing care needs and progress towards goals throughout the plan duration and make revisions as needed to address changes in the member's condition, lack of progress toward goals of the care plan, preference changes, and transitions in care settings. Coordinates plan of care with goals of member stabilization, decreased admissions, medication management, behavior change and ability to self-manage.
+ Coordinate patient education in support of standards of care guidelines and related health issues using the most appropriate modality for the member.
+ Identify relevant benefit and community resources, evaluates Social determinants of Health and facilitates referrals based on member need.
+ Assist the member in coordination of any additional tests, images and consults with specialists.
+ Perform medication reconciliation at the onset of care plan, after changes in health status, and every thirty days during the life cycle of the care plan, assessing for efficacy and drug interactions/side effects.
+ Facilitate and monitor the transition of care which involves moving the member from one healthcare practitioner to another as their healthcare needs change. Implements and oversees the agreed upon plan of care as well as coordinates member follow-up post discharge.
+ Utilize established documentation standards to maintain quality of care plan documentation to include member progress toward their established state of being and barriers to achievement of care plan objectives and outcomes.
+ Abide by Value Based Care Management Program Description and Guidelines.
+ Meet productivity and quality metrics as outlined by leadership for each year.
+ Complete mandatory training and annual competency testing.
+ Actively participate in team huddles and contribute to clinical learning.
+ Remain current on clinical knowledge via self-directed learning.
**Specific Skills/ Attributes:**
+ Strong motivational interviewing and case management skills.
+ Ability to be self-directed, highly organized, multi-task capable, and proficient in problem solving skills.
+ Ability to meet established deadlines.
+ Exceptional oral, written, and presentation skills.
+ Ability to effectively communicate and provide positive customer service to internal and external customers, meeting the expectations for service excellence.
+ Successfully partner with all levels of administrative and professional personnel.
+ Demonstrate resilience and effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads.
+ Success with engaging members. Outstanding customer service skills and ability to adapt approach to various personalities.
+ Ability to extrapolate information from a variety of sources including medical records to create concise records that accurately depict the medical "story" of the member.
+ Proficiency with data analysis and ability to organize data in support of reporting needs.
+ Ability to proactively identify and assimilate quality improvement processes into practice.
+ Experience with medically oriented care plan documentation.
+ Experience working effectively within a matrix organizational design.
**Qualifications:**
+ Current multi-state compact Registered Nurse licensure in state of residence is required, with ability to obtain additional licenses without restriction. BSN preferred.
+ Training in motivational interviewing preferred.
+ Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred.
+ Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications.
+ Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies.
+ This position will be based from a home office which must satisfy all HIPAA requirements and minimum internet connectivity requirements.
+ Ability to communicate with members, other members of the team, physicians, and plan representatives.
+ Ability to read, analyze, and interpret common scientific and technical journals. Ability to effectively present information to audiences with a variety of knowledge/skill levels
**_Note:_** _The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs._
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
**Job Summary:**
**Start Date:** **Monday October 27, 2025**
**Salary:** **$85,000 annually, plus comprehensive benefits package**
The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes.
The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan.
**Essential Job Functions:**
+ Engage telephonically with members, caregivers, and providers to develop a comprehensive plan of care, identify key strategic interventions, and address the members needs at various stages along the care continuum.
+ Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.
+ Assess the member's ongoing care needs and progress towards goals throughout the plan duration and make revisions as needed to address changes in the member's condition, lack of progress toward goals of the care plan, preference changes, and transitions in care settings. Coordinates plan of care with goals of member stabilization, decreased admissions, medication management, behavior change and ability to self-manage.
+ Coordinate patient education in support of standards of care guidelines and related health issues using the most appropriate modality for the member.
+ Identify relevant benefit and community resources, evaluates Social determinants of Health and facilitates referrals based on member need.
+ Assist the member in coordination of any additional tests, images and consults with specialists.
+ Perform medication reconciliation at the onset of care plan, after changes in health status, and every thirty days during the life cycle of the care plan, assessing for efficacy and drug interactions/side effects.
+ Facilitate and monitor the transition of care which involves moving the member from one healthcare practitioner to another as their healthcare needs change. Implements and oversees the agreed upon plan of care as well as coordinates member follow-up post discharge.
+ Utilize established documentation standards to maintain quality of care plan documentation to include member progress toward their established state of being and barriers to achievement of care plan objectives and outcomes.
+ Abide by Value Based Care Management Program Description and Guidelines.
+ Meet productivity and quality metrics as outlined by leadership for each year.
+ Complete mandatory training and annual competency testing.
+ Actively participate in team huddles and contribute to clinical learning.
+ Remain current on clinical knowledge via self-directed learning.
**Specific Skills/ Attributes:**
+ Strong motivational interviewing and case management skills.
+ Ability to be self-directed, highly organized, multi-task capable, and proficient in problem solving skills.
+ Ability to meet established deadlines.
+ Exceptional oral, written, and presentation skills.
+ Ability to effectively communicate and provide positive customer service to internal and external customers, meeting the expectations for service excellence.
+ Successfully partner with all levels of administrative and professional personnel.
+ Demonstrate resilience and effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads.
+ Success with engaging members. Outstanding customer service skills and ability to adapt approach to various personalities.
+ Ability to extrapolate information from a variety of sources including medical records to create concise records that accurately depict the medical "story" of the member.
+ Proficiency with data analysis and ability to organize data in support of reporting needs.
+ Ability to proactively identify and assimilate quality improvement processes into practice.
+ Experience with medically oriented care plan documentation.
+ Experience working effectively within a matrix organizational design.
**Qualifications:**
+ Current multi-state compact Registered Nurse licensure in state of residence is required, with ability to obtain additional licenses without restriction. BSN preferred.
+ Training in motivational interviewing preferred.
+ Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred.
+ Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications.
+ Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies.
+ This position will be based from a home office which must satisfy all HIPAA requirements and minimum internet connectivity requirements.
+ Ability to communicate with members, other members of the team, physicians, and plan representatives.
+ Ability to read, analyze, and interpret common scientific and technical journals. Ability to effectively present information to audiences with a variety of knowledge/skill levels
**_Note:_** _The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs._
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
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