Disease Management Nurse - Remote
00918 San Juan, Puerto Rico
Sharecare
Posted 17 days 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 .
**Job Summary:**
The Disease Management Nurse has the responsibility for supporting the goals and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered and active participants in their own healthcare management for their chronic condition. By providing health education and resources, reviewing the provider's plan of care with the member to ensure understanding and adoption, and utilizing motivation interviewing and behavior change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification of those who are at risk for increasing acuity, and for educating the participant about that risk and if necessary and with the participants permission contacting their Primary Care Provider according to the disease management program intervention guidelines.
A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate in the orientation and to take the pre and post tests to review competency during orientation. Yearly competency tests are required for all Sharecare clinicians.
**Start Date:** Monday, August 25th, 2025
**Training:** 8am - 4:30pm CT. _Due to the structured training schedule, new hires are unable to miss any days for the first 60 days of employment (8/25/2025 -10/25/2025). Unfortunately we are unable to make any exceptions._
**Available Shifts:**
+ Monday-Friday: 11am-7:30pmCT and every 4th Saturday from 8am-4:30pm CT
+ Monday-Friday:11:30am-8pm CT and every 4th Saturday from 8am-4:30pm CT
_***A compact nursing license is required for this position_
**Essential Job Functions:**
**Achievement of Clinical Objectives**
+ Reviews status of participant's preventive health exams as defined by the disease-specific Standards of Care guidelines to close any existing gaps in care.
+ Contacts participant by telephonic dialer system per Disease Management program design and call cadence for education, assessment, intervention, and behavioral goal setting.
+ Identifies educational needs of participant and facilitate educational opportunities (i.e., education materials; refer to employer or health plan specific vendors or other Sharecare programs as appropriate).
+ Reviews participant's functional status, formal and informal family support system, determining participant's desired outcome of care and needs for participant education.
+ Develops in collaboration with participant a care plan addressing their total healthcare needs.
+ Identifies participant barriers to accessing health care services and advises them of existing benefits and local resources available to help the participant to remove system barriers.
+ Makes referrals to dietician or coach colleagues to ensure continuity of care for participant.
+ Accepts warm transfer calls from non-RN colleagues for assessment and/or additional discussion with participant when necessary.
**Specific Skills/ Attributes:**
+ Advanced active listening skills.
+ Prior experience and proficiency with motivational interviewing and behavior change preferred.
+ Ability to thrive in a telephonic and omni-channel environment, while meeting quality and productivity metrics.
+ Ability to be self-directed, highly organized, and proactive.
+ Ability to proactively identify and assimilate quality improvement processes into practice.
+ Effective communication skills and ability to provide positive customer service to internal and external customers.
+ Proven success in influencing patient outcomes.
**Qualifications:**
This position requires a responsive, committed individual who recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member population and can identify and take action to facilitate system improvements.
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Current Registered Nurse multi-state compact license in the state in which they reside and able to obtain additional state licensure; BSN preferred.
+ Minimum of 3 years recent experience in a clinical setting.
+ Basic knowledge of physiology and chronic disease appropriate for an RN.
+ Language Skills: Ability to communicate with members, other members of the team, physicians, and plan representatives. Effective oral and written communication skills. Ability to read, analyze, and interpret common scientific and technical journals.
+ Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exits. Ability to interpret and organize data in an effective and useful manner; ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
+ Computer Skills: To perform this job successfully, an individual should have basic computer skills with the ability to learn and utilize new aspects of software as developed. Typing should be at a rate of 40 WPM minimum.
+ This position will be based in a home office which must satisfy all HIPAA requirements.
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 .
**Job Summary:**
The Disease Management Nurse has the responsibility for supporting the goals and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered and active participants in their own healthcare management for their chronic condition. By providing health education and resources, reviewing the provider's plan of care with the member to ensure understanding and adoption, and utilizing motivation interviewing and behavior change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification of those who are at risk for increasing acuity, and for educating the participant about that risk and if necessary and with the participants permission contacting their Primary Care Provider according to the disease management program intervention guidelines.
A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate in the orientation and to take the pre and post tests to review competency during orientation. Yearly competency tests are required for all Sharecare clinicians.
**Start Date:** Monday, August 25th, 2025
**Training:** 8am - 4:30pm CT. _Due to the structured training schedule, new hires are unable to miss any days for the first 60 days of employment (8/25/2025 -10/25/2025). Unfortunately we are unable to make any exceptions._
**Available Shifts:**
+ Monday-Friday: 11am-7:30pmCT and every 4th Saturday from 8am-4:30pm CT
+ Monday-Friday:11:30am-8pm CT and every 4th Saturday from 8am-4:30pm CT
_***A compact nursing license is required for this position_
**Essential Job Functions:**
**Achievement of Clinical Objectives**
+ Reviews status of participant's preventive health exams as defined by the disease-specific Standards of Care guidelines to close any existing gaps in care.
+ Contacts participant by telephonic dialer system per Disease Management program design and call cadence for education, assessment, intervention, and behavioral goal setting.
+ Identifies educational needs of participant and facilitate educational opportunities (i.e., education materials; refer to employer or health plan specific vendors or other Sharecare programs as appropriate).
+ Reviews participant's functional status, formal and informal family support system, determining participant's desired outcome of care and needs for participant education.
+ Develops in collaboration with participant a care plan addressing their total healthcare needs.
+ Identifies participant barriers to accessing health care services and advises them of existing benefits and local resources available to help the participant to remove system barriers.
+ Makes referrals to dietician or coach colleagues to ensure continuity of care for participant.
+ Accepts warm transfer calls from non-RN colleagues for assessment and/or additional discussion with participant when necessary.
**Specific Skills/ Attributes:**
+ Advanced active listening skills.
+ Prior experience and proficiency with motivational interviewing and behavior change preferred.
+ Ability to thrive in a telephonic and omni-channel environment, while meeting quality and productivity metrics.
+ Ability to be self-directed, highly organized, and proactive.
+ Ability to proactively identify and assimilate quality improvement processes into practice.
+ Effective communication skills and ability to provide positive customer service to internal and external customers.
+ Proven success in influencing patient outcomes.
**Qualifications:**
This position requires a responsive, committed individual who recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member population and can identify and take action to facilitate system improvements.
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Current Registered Nurse multi-state compact license in the state in which they reside and able to obtain additional state licensure; BSN preferred.
+ Minimum of 3 years recent experience in a clinical setting.
+ Basic knowledge of physiology and chronic disease appropriate for an RN.
+ Language Skills: Ability to communicate with members, other members of the team, physicians, and plan representatives. Effective oral and written communication skills. Ability to read, analyze, and interpret common scientific and technical journals.
+ Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exits. Ability to interpret and organize data in an effective and useful manner; ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
+ Computer Skills: To perform this job successfully, an individual should have basic computer skills with the ability to learn and utilize new aspects of software as developed. Typing should be at a rate of 40 WPM minimum.
+ This position will be based in a home office which must satisfy all HIPAA requirements.
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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0
Care Manager, Registered Nurse- Remote
00918 San Juan, Puerto Rico
Sharecare
Posted 17 days ago
Job Viewed
Job Description
**Job Description:**
**Job Summary:**
**Start Date:** **Monday September 8th, 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 September 8th, 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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1
General Duty-Transitional
00918 San Juan, Puerto Rico
SCI Shared Resources, LLC
Posted 17 days ago
Job Viewed
Job Description
Our associates celebrate lives. We celebrate our associates.
Consider the possibilities of joining a Great Place to Work!
Responsibilities vary day to day based on business needs but consist of driving, courier, general building maintenance, grounds keeping, and custodial. Flexibility to work in a team environment and help where needed. Exhibit courteous behaviors.
**JOB** **RESPONSIBILITIES**
+ Couriers' documents, flowers, or other items. Cleans interior and exterior of vehicles, restocks tissues/water as needed, refuels vehicles, identifies maintenance issues, and ensures vehicle is ready for use.
+ Grounds keeping responsibilities may include mowing the lawn, edging, removing debris, and clearing walkways. Watering of plants or lawns, adjusting sprinkler heads or timers, and replacing sprinkler heads. Properly maintains and stores equipment after each use.
+ Performs general facility maintenance that may include painting, unclogging plumbing, replacing light bulbs, or other minor repairs.
+ Custodial duties include cleaning and sanitizing surfaces, mopping, vacuuming, and emptying waste receptacles.
+ Additional responsibilities as assigned or requested, including loading or unloading caskets, those of Funeral Services Assistance
**Requirements**
Education & Licenses:
+ High School Diploma or equivalent
Experience & Knowledge:
+ At least one (1) year of general work experience
+ Current state-issued driver's license with an acceptable driving record
**Work conditions**
When considering the work environment associated with this job, the following factors may apply:
+ Environment - Professional attire is required when in contact with families
+ Postures - Frequent continuous period sitting or standing up to 6 hours per day; frequently climbing stairs to access buildings; frequently climbing on ladders
+ Physical Demands - Physical effort required to push, pull, or hold/carry various grounds-keeping equipment
+ Safety - courteously and safely drive company-owned vehicles; be aware of surroundings to promote safety; use personal protective devices as appropriate; safely use electrical equipment
+ Hours - May work beyond standard hours or schedule as business needs arise; limited local travel required
Postal Code: 00909
Category (Portal Searching): Operations
Job Location: US-PR - San Juan
Job Profile ID: P0003
Time Type: Full time
Location Name: OH Market Puerto Rico
Consider the possibilities of joining a Great Place to Work!
Responsibilities vary day to day based on business needs but consist of driving, courier, general building maintenance, grounds keeping, and custodial. Flexibility to work in a team environment and help where needed. Exhibit courteous behaviors.
**JOB** **RESPONSIBILITIES**
+ Couriers' documents, flowers, or other items. Cleans interior and exterior of vehicles, restocks tissues/water as needed, refuels vehicles, identifies maintenance issues, and ensures vehicle is ready for use.
+ Grounds keeping responsibilities may include mowing the lawn, edging, removing debris, and clearing walkways. Watering of plants or lawns, adjusting sprinkler heads or timers, and replacing sprinkler heads. Properly maintains and stores equipment after each use.
+ Performs general facility maintenance that may include painting, unclogging plumbing, replacing light bulbs, or other minor repairs.
+ Custodial duties include cleaning and sanitizing surfaces, mopping, vacuuming, and emptying waste receptacles.
+ Additional responsibilities as assigned or requested, including loading or unloading caskets, those of Funeral Services Assistance
**Requirements**
Education & Licenses:
+ High School Diploma or equivalent
Experience & Knowledge:
+ At least one (1) year of general work experience
+ Current state-issued driver's license with an acceptable driving record
**Work conditions**
When considering the work environment associated with this job, the following factors may apply:
+ Environment - Professional attire is required when in contact with families
+ Postures - Frequent continuous period sitting or standing up to 6 hours per day; frequently climbing stairs to access buildings; frequently climbing on ladders
+ Physical Demands - Physical effort required to push, pull, or hold/carry various grounds-keeping equipment
+ Safety - courteously and safely drive company-owned vehicles; be aware of surroundings to promote safety; use personal protective devices as appropriate; safely use electrical equipment
+ Hours - May work beyond standard hours or schedule as business needs arise; limited local travel required
Postal Code: 00909
Category (Portal Searching): Operations
Job Location: US-PR - San Juan
Job Profile ID: P0003
Time Type: Full time
Location Name: OH Market Puerto Rico
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2
Senior Consultant - Oracle Health - Inpatient Nursing & Ancillaries
00918 San Juan, Puerto Rico
Oracle
Posted 17 days ago
Job Viewed
Job Description
**Job Description**
**Senior Consultant** - **Oracle Health - INA**
**Location: United States**
**Travel: 50%**
**No visa sponsorship is available for this position. This person needs to be a US Citizen on US soil.**
We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives.
Our mission? **To create a human-centric healthcare experience powered by unified global data.**
It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care.
We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place.
We are looking for an experienced consultant to help design, configure, activate and support the implementation of Oracle Health Millennium solutions across Federal agencies including the Department of Defense, United States Coast Guard, Veterans Affairs and Indian Health Service. The Federal Consulting team is a group of hard-working, knowledgeable, passionate members who want to shape the electronic health records systems for active-duty service men and women, their beneficiaries, our Nation's Veteran's, American Indians, and Alaska Natives.
A Senior Consultant is an experienced consulting professional who has an understanding of solutions, industry best practices, multiple business processes or technology designs within a product/technology family. Operates independently to provide quality work products to an engagement. Performs varied and complex duties and tasks that need independent judgment, in order to implement Oracle products and technology to meet customer needs. Applies Oracle methodology, company procedures, and leading practices.
Operates independently to provide quality work products to an engagement. Performs varied and complex duties and tasks that need independent judgment, in order to implement Oracle products and technology to meet customer needs. Applies Oracle methodology, company procedures, and leading practices. Demonstrates expertise to deliver functional and technical solutions on moderately complex customer engagements. May act as the team lead on projects. Effectively consults with management of customer organizations. Participates in business development activities. Develops and configures detailed solutions for moderately complex projects.
5-7 years of overall experience in relevant functional or technical roles including knowledge and experience with the Oracle Health Millennium solutions. Undergraduate degree or equivalent experience. Product or technical expertise relevant to practice focus. Ability to communicate effectively and build rapport with team members and clients. Ability to travel as needed.
Career Level - IC3
**Responsibilities**
**Responsibilities:**
As a Senior Consultant, You will consult with clients on service line workflow, and guide them through interdependencies and design decision impacts. You will provide solution oversight, direction and expertise to stakeholders. You will drive client-specific solution configuration design to meet workflow requirements and make recommendations to clients. You will mitigate solution risks and issues. You will execute workflow and process improvement strategies. You will lead client meetings and events. You will drive internal team initiatives.
**Basic Qualifications:**
At least 8 years total combined related work experience and completed higher education, including:
At least 2 years healthcare information technology (HCIT) consulting, HCIT support and/or other client-facing or information technology (IT) solution work experience
At least 6 years additional work experience directly related to the duties of the job and/or completed higher education
**Expectations:**
Perform other responsibilities as assigned
Willing to travel up to 50% as needed
Willing to work additional or irregular hours as needed and allowed by local regulations
Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $71,200 to $158,200 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC3
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling +1 in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
**Senior Consultant** - **Oracle Health - INA**
**Location: United States**
**Travel: 50%**
**No visa sponsorship is available for this position. This person needs to be a US Citizen on US soil.**
We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives.
Our mission? **To create a human-centric healthcare experience powered by unified global data.**
It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care.
We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place.
We are looking for an experienced consultant to help design, configure, activate and support the implementation of Oracle Health Millennium solutions across Federal agencies including the Department of Defense, United States Coast Guard, Veterans Affairs and Indian Health Service. The Federal Consulting team is a group of hard-working, knowledgeable, passionate members who want to shape the electronic health records systems for active-duty service men and women, their beneficiaries, our Nation's Veteran's, American Indians, and Alaska Natives.
A Senior Consultant is an experienced consulting professional who has an understanding of solutions, industry best practices, multiple business processes or technology designs within a product/technology family. Operates independently to provide quality work products to an engagement. Performs varied and complex duties and tasks that need independent judgment, in order to implement Oracle products and technology to meet customer needs. Applies Oracle methodology, company procedures, and leading practices.
Operates independently to provide quality work products to an engagement. Performs varied and complex duties and tasks that need independent judgment, in order to implement Oracle products and technology to meet customer needs. Applies Oracle methodology, company procedures, and leading practices. Demonstrates expertise to deliver functional and technical solutions on moderately complex customer engagements. May act as the team lead on projects. Effectively consults with management of customer organizations. Participates in business development activities. Develops and configures detailed solutions for moderately complex projects.
5-7 years of overall experience in relevant functional or technical roles including knowledge and experience with the Oracle Health Millennium solutions. Undergraduate degree or equivalent experience. Product or technical expertise relevant to practice focus. Ability to communicate effectively and build rapport with team members and clients. Ability to travel as needed.
Career Level - IC3
**Responsibilities**
**Responsibilities:**
As a Senior Consultant, You will consult with clients on service line workflow, and guide them through interdependencies and design decision impacts. You will provide solution oversight, direction and expertise to stakeholders. You will drive client-specific solution configuration design to meet workflow requirements and make recommendations to clients. You will mitigate solution risks and issues. You will execute workflow and process improvement strategies. You will lead client meetings and events. You will drive internal team initiatives.
**Basic Qualifications:**
At least 8 years total combined related work experience and completed higher education, including:
At least 2 years healthcare information technology (HCIT) consulting, HCIT support and/or other client-facing or information technology (IT) solution work experience
At least 6 years additional work experience directly related to the duties of the job and/or completed higher education
**Expectations:**
Perform other responsibilities as assigned
Willing to travel up to 50% as needed
Willing to work additional or irregular hours as needed and allowed by local regulations
Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $71,200 to $158,200 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC3
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling +1 in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
View Now
3
Inpatient Registered Nurse - RN
00918 San Juan, Puerto Rico
Fresenius Medical Care North America
Posted 17 days ago
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
4
Outpatient Registered Nurse - RN
00705 Aibonito, Puerto Rico
Fresenius Medical Care North America
Posted 17 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).
**_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**
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).
**_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**
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5
Outpatient Registered Nurse - RN
00705 Aibonito, Puerto Rico
Fresenius Medical Care North America
Posted 17 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).
**_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**
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).
**_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
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