22 Nursing jobs in Madisonville

KEY BENEFITS:
•   Flexible Spending Account

•   Paid Orientation

•   Health Savings Account

•   Flexible Schedule

•   Profit sharing

•   Employee Assistance Program

•   Retirement Plan

•   Health Insurance, Vision Insurance, Dental Insurance, Life Insurance, Tuition Reimbursement program, Paid Time Off

CERTIFIED NURSE ASSISTANT

Shifts: 7a-7p, 7p-7a

Join the PruittHealth family, where the health and safety of our workforce is our top priority!

We're not only committed to your career, we're committed to the health and safety of all our partners. Now is a great time to make a change and join one of the leading providers of post-acute care.

PruittHealth will help you conquer your career goals. At PruittHealth, we are searching for Certified Nurse Assistants who are committed to serving our residents with care and compassion, and in return, we are committed to supporting your nursing career through annual merit increases, career growth programs, preceptorship, and more.

Investing in Our Employee-Partners with Benefits

●   CNA Ladder Program – It pays to learn! Receive training and certifications, increased pay, training at Disney World!

•  Advance pay option

•  Annual merit increases

•  Relocation opportunities

•  Paid onboarding & orientation

•  Preceptorship Program & hands-on training

•  24 / 7 direct hotline support

•  Nurse Career Growth Program

•  Employee Referral Bonus Program

•  Access to PruittHealth Foundation & PruittHealth University resources

•  Comprehensive health plans

Responsibilities

●   Commitment to caring for patients and partners

●   Proactive, collaborative team member in a long-term care environment

●   Respect and professionalism towards your colleagues in the workplace at all times

Active, current, unrestricted Certified Nurse Assistant (CNA) certification in state of practice

Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.

We are eager to connect with you! Apply Now to get started at PruittHealth!

As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.

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8/21/2025 (8:00 PM EDT)

25-05001

Nurse Aide State Registered I

Pay Grade09

Salary

$17.96 Hourly

Locality Premium - $.23 per hour

Employment Type

EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 40.0 HR/WK

Click here for more details on state employment.

Hiring Agency

General Government Cabinet | Department of Veterans Affairs

Location

926 Veterans Drive
Hanson, KY 42413 USA

Description

The Joseph "Eddie" Ballard Western Kentucky Veterans Center is a 156-bed long-term care facility located inbeautiful Hanson, Kentucky that is committed to serving Kentucky's Veterans by fostering independence,preserving dignity and providing compassionate care.

We are looking for a self-motivated, energetic Nurse Aide State Registered I, who possesses the skills anddesires to care for Kentucky's Veterans. The ideal candidate will work within a team-centered environment.

We offer flexible scheduling, holiday, weekend and shift premiums.

Responsibilities include but are not limited to the following:

• Assists residents with personal hygiene such as bathing, dressing, grooming, dental, oral and nail care
• Assists residents with medical appointments and transports
• Assists residents with bowel and bladder functions.
• Performing total physical care, assisting with meals, assisting with medical appointments and transports, aswell as helping to meet the physical and psychosocial needs of our Veterans.

The ideal candidate will work within a team-centered environment to meet our commitment to serving Kentucky'sVeterans by fostering Independence, preserving Dignity, and providing Compassionate Care.

This agency is prohibited from hiring employees with convictions identified in 906 KAR 1:190. A fingerprint-supported national background check will be conducted prior to an offer of employment.

***This position, in Hopkins county has an approved Locality Premium of 6.23 in compliance with 101 KAR 2:034Section 9(1).***

Minimum Requirements

EDUCATION: (See Special Requirements)

EXPERIENCE, TRAINING, OR SKILLS: NONE

Substitute EDUCATION for EXPERIENCE: NONE

Substitute EXPERIENCE for EDUCATION: NONE

SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): Must possess current registration with the Kentucky Nurse Aide Registry as administered by the Cabinet for Health and Family Services and Kentucky Board of Nursing. Must maintain any required licensure(s), certification(s), or other credentials for the length of employment in this job classification. Employing agency is responsible for ensuring employee possesses and maintains required licensure(s), certification(s) or other credentials.

Working Conditions

May be exposed to infectious waste, diseases, and conditions that require the following of safety procedures. May occasionally encounter unpredictable patient/resident behavior.

Probationary Period

This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.

If you have questions about this advertisement, please contact Meagan Shannon at or .

An Equal Opportunity Employer M/F/D

Join our Team

We are looking for compassionate, caring people to join our talented staff of health care professionals as we continue to grow to be the preferred, regional health care partner in our community.

Benefits

We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer:

• Flexible schedules for work-life balance
• Paid time off accrues on day one for part and full time employees
• Get up to 50% of earned wages with Payactiv - access to the money you worked for, but haven't been paid yet
• Earn While You Learn - Deaconess offers tuition reimbursement for many healthcare opportunities, STEP UP program will pay your normal wages for time spent in enrolled class hours for up to 18 hours per week for approved programs. Educational Assistance up to $5.250.00 per calendar year while enrolled in undergraduate or graduate classes.
• Tuition.io - Deaconess offers access to a full suite of tools to help manage and educate with student loans and expenses. One on one student loan coaching via email, chat or calls.
• Tuition reimbursement
• Outstanding Referral Programs
• Pet Insurance Available
• Medical Premium Assistance of up to 20% is available for eligible full time employees.
• Wellness Incentives for full & part-time employee to reduce cost of insurance premium by $3.93 (and 11.30 for spouse, if applicable)
• Onsite children's care centers (Infant through Pre-K) at Midtown and Eastside Evansville, Indiana and Henderson, Kentucky. Subject to availability.
• Deaconess RN on Call is available for employees 24/7/365 to speak to an RN
• Automatic enrollment in a 401K plan at 3% pre-tax contribution with an outstanding employer matching program
• Competitive pay, shift and weekend incentives, yearly opportunities for pay increases and bonuses
• Career advancement opportunities

Job Summary

Will be responsible for providing direct or indirect care, under the supervision of a physician based on their scope of training to patients who present with urgent, emergent or potential health problems, as well as preventive care. Services provided by the Clinical Office Assistant will include, but are not limited to, general patient care, assistance with procedures, documentation of activities and patient/family education. The Clinical Office Assistant will provide care utilizing established principles and ethical standards as well as policies and procedures established by Deaconess.

Education and Experience

• Graduation certificate from an accredited Medical Assistant program or graduation from an accredited nursing program required.
• Experience preferred but not required.

Certificates, Licenses, Registrations

Current certification/license from one of the below:

• Certified Medical Assistant- American Association of Medical Assistants
• Registered Medical Assistant- American Medical Technologist
• Certified Clinical Medical Assistant- National Health career Association
• National Certified Medical Assistant- National Center for Competency Testing
• Nationally Registered Certified Medical Assistant- National Association for Health Professionals
• Registered Medical Assistant- American Allied Health
• Certified Medical Assistant Clinical- American Medical Certification Association
• Active LPN license in state of employment
• Active RN license in state of employment
• CPR provider certification required.

Other key words: Clinic, RN, LPN, CMA, RMA, CCMA, Registered Nurse, Licensed Practical Nurse, Clinic Medical Assistant, Registered Medical Assistant, Certified Clinical Medical Assistant, Outpatient, Office, Provider's Office, Dixon, Dixon Clinic, Kentucky

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Join our Team

We are looking for compassionate, caring people to join our talented staff of health care professionals as we continue to grow to be the preferred, regional health care partner in our community.

Benefits

We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer:

* Flexible schedules for work-life balance


* Paid time off accrues on day one for part and full time employees


* Get up to 50% of earned wages with Payactiv - access to the money you worked for, but haven't been paid yet


* Earn While You Learn - Deaconess offers tuition reimbursement for many healthcare opportunities, STEP UP program will pay your normal wages for time spent in enrolled class hours for up to 18 hours per week for approved programs. Educational Assistance up to $5.250.00 per calendar year while enrolled in undergraduate or graduate classes.


* Tuition.io - Deaconess offers access to a full suite of tools to help manage and educate with student loans and expenses. One on one student loan coaching via email, chat or calls.


* Tuition reimbursement


* Outstanding Referral Programs


* Pet Insurance Available


* Medical Premium Assistance of up to 20% is available for eligible full time employees.


* Wellness Incentives for full & part-time employee to reduce cost of insurance premium by $3.93 (and 11.30 for spouse, if applicable)


* Onsite children's care centers (Infant through Pre-K) at Midtown and Eastside Evansville, Indiana and Henderson, Kentucky. Subject to availability.


* Deaconess RN on Call is available for employees 24/7/365 to speak to an RN


* Automatic enrollment in a 401K plan at 3% pre-tax contribution with an outstanding employer matching program


* Competitive pay, shift and weekend incentives, yearly opportunities for pay increases and bonuses


* Career advancement opportunities



Job Summary

Will be responsible for providing direct or indirect care, under the supervision of a physician based on their scope of training to patients who present with urgent, emergent or potential health problems, as well as preventive care. Services provided by the Clinical Office Assistant will include, but are not limited to, general patient care, assistance with procedures, documentation of activities and patient/family education. The Clinical Office Assistant will provide care utilizing established principles and ethical standards as well as policies and procedures established by Deaconess.

Education and Experience

* Graduation certificate from an accredited Medical Assistant program or graduation from an accredited nursing program required.


* Experience preferred but not required.



Certificates, Licenses, Registrations

Current certification/license from one of the below:

* Certified Medical Assistant- American Association of Medical Assistants


* Registered Medical Assistant- American Medical Technologist


* Certified Clinical Medical Assistant- National Health career Association


* National Certified Medical Assistant- National Center for Competency Testing


* Nationally Registered Certified Medical Assistant- National Association for Health Professionals


* Registered Medical Assistant- American Allied Health


* Certified Medical Assistant Clinical- American Medical Certification Association


* Active LPN license in state of employment


* Active RN license in state of employment


* CPR provider certification required.



Other key words: Clinic, RN, LPN, CMA, RMA, CCMA, Registered Nurse, Licensed Practical Nurse, Clinic Medical Assistant, Registered Medical Assistant, Certified Clinical Medical Assistant, Outpatient, Office, Provider's Office, Dixon, Dixon Clinic, Kentucky

PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of 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. Employees hired into this position will be required to obtain their nursing license and registration within the time frame outlined in state specific regulations or within 90 days from hire date whichever comes sooner.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

STAFF RELATED:

* 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.



PATIENT RELATED:

Education:

* 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.



Dialysis Treatment:

* 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.



Laboratory-related:

* 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.

General duties:

* 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.

MAINTENANCE/TECHNICAL:

* 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.



MEDICAL RECORDS & DOCUMENTATION:

General

* 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.

Daily

* 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.



Monthly

* 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. Annually


* Completes initial and annual Nursing History and Assessment physical.


* Ensures completion of Annual Standing Order Review with each physician as required.



OTHER:

* As a condition of continued employment you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes you must notify your supervisor immediately.


* Capable of working in a challenging environment which requires the ability to handle demanding situations multitasking and remaining flexible to changing needs.


* Maintain regular and punctual attendance.


* Perform other related duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

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.



SUPERVISION:

* None



EDUCATION:

* Graduate of an accredited School of Nursing.


* Current appropriate state Temporary Permit.


* Must meet the practice requirements in the state in which he or she is employed.



EXPERIENCE AND REQUIRED SKILLS:

* 0 - 1 year's related experience.

PURPOSE AND SCOPE:

Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

QUALITY:

* Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools.
* Assists with implementing quality goals and develops facility specific action plans to achieve quality standards.
* Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed.
* Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives.
* Responsible for aggressively addressing and acting on adverse events and action thresholds.
* Ensures all Quality policies and procedures are communicated to and implemented by the facility staff.
* Maintains integrity of medical records and other administrative and operational records.
* Complies with all data collections and auditing activities.
* Maintains facility environmental integrity, including safety.

PATIENT RELATED:

* Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge.
* May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure.
* Ensures patients and patient's families are educated regarding post procedure care of vascular access.
* Acts as a resource for the staff to address patient concerns and questions.
* Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently.
* As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure.
* Identifies and communicates patient related issues to the Facility Manager.
* Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge.
* Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician.
* Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed.
* Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations.

PHYSICIANS:

* Ensures regular and effective communication with all physicians on an as needed basis.
* Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings.
* Attends and participates in CQI meetings with physicians, reporting on assigned topics.
* Works with the physicians and staff to ensure possession of all necessary instruments and equipment.

MAINTENANCE/TECHNICAL

* Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers.
* Ensures the inspection of all facility equipment on a regular basis. Report any malfunctions or maintenance issues immediately.
* Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility.
* Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times.
* Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies.

ADMINISTRATIVE:

* Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies.
* Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement.
* Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required.
* Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law.
* Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law.
* Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis.
* Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff.
* Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified.
* Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines.
* Coordinates the collection and forwarding of all vendor invoices to the accounting department.
* Acts as the Facility Manager in the absence of the manager or at the direction of management.
* Ensure nurses' progress notes are accurate and complete.
* Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills.
* Complies with HIPPA policies and standards regarding patient information and medical records.
* Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

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.
* Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.
* The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
* The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
* May be exposed to infectious and contagious diseases/materials.

SUPERVISION:

* May be responsible for the direct supervision of various levels of direct patient care staff.

EDUCATION:

* Bachelor's Degree preferred; Advanced Degree desirable
* Graduate of an accredited School of Nursing (R.N.).
* Current appropriate state licensure and ACLS certification.

EXPERIENCE AND REQUIRED SKILLS:

* 6 - 8 years' related experience.
* 3+ years' supervisory or project/program management experience preferred.
* Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience.
* Minimum of three years of Interventional Radiology, scrub experience preferred.
* Supervisory or management experience within a medical or vascular access environment preferred.
* Proficiency with the Microsoft office suite is necessary. Experience with Medical database software.
* Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.
* Good communication skills - verbal and written.
* Certified in CPR or successfully complete course in CPR certification

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

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

Responsibilities

At Baptist Health Deaconess Home Care, we strive to embody our mission of delivering hope and healing to those we serve. We are looking for a compassionate and skilled Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) to join our team and help embody this mission. As an LPN you will deliver direct patient care based on approved treatment plans while adhering to clinical protocols and guidelines.

* Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient care according to the treatment plan and patient care guidelines.
* Conduct patient visits as specified by the physician's treatment plan, ensuring compliance with federal, state, and county regulations.
* Make skilled observations of patients' physical and mental conditions, documenting care provided accurately.
* Report any changes in patient condition to supervisors and the attending physician in a timely manner.
* Provide patient education to patients and caregivers, fostering understanding of care plans and health management.
* Demonstrate sensitivity to the needs, customs, and feelings of patients and their families.
* Participate in case conferences and in-services or special case orientations.
* Complete and submit all required documentation accurately and promptly.

Your benefits include:

* Competitive annual bonus structure to reward commitment and performance.
* Generous vacation policy, including paid holidays and personal days.
* Comprehensive medical, dental, and vision insurance plans.
* Tuition reimbursement for continued education and professional growth.
* Participation in the Fidelity 401(K) plan.

Qualifications

* Graduate of an accredited practical nursing program and licensed to practice in the respective state.
* Current CPR or BLS certification with hands-on demonstration is required and must be maintained throughout employment.
* Minimum of one year of nursing experience; one year of home care or hospital nursing experience preferred.
* Excellent clinical skills and strong written and verbal communication abilities.
* Ability to work effectively within a multi-disciplinary team and build interpersonal relationships.
* Strong organizational and time management skills.
* Valid Driver's license and compliant auto liability insurance coverage as per organizational policy.
* Experience with electronic health records (EHR) systems, such as HomeCare HomeBase, is a plus.

At CommonSpirit Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities.

Overview

Baptist Health Deaconess Home Care is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.

**PURPOSE AND SCOPE:**

Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance.

**PRINCIPAL DUTIES AND RESPONSIBILITIES:**

QUALITY:

+ Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools.

+ Assists with implementing quality goals and develops facility specific action plans to achieve quality standards.

+ Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed.

+ Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives.

+ Responsible for aggressively addressing and acting on adverse events and action thresholds.

+ Ensures all Quality policies and procedures are communicated to and implemented by the facility staff.

+ Maintains integrity of medical records and other administrative and operational records.

+ Complies with all data collections and auditing activities.

+ Maintains facility environmental integrity, including safety.

PATIENT RELATED:

+ Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge.

+ May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure.

+ Ensures patients and patient's families are educated regarding post procedure care of vascular access.

+ Acts as a resource for the staff to address patient concerns and questions.

+ Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently.

+ As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure.

+ Identifies and communicates patient related issues to the Facility Manager.

+ Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge.

+ Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician.

+ Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed.

+ Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations.

PHYSICIANS:

+ Ensures regular and effective communication with all physicians on an as needed basis.

+ Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings.

+ Attends and participates in CQI meetings with physicians, reporting on assigned topics.

+ Works with the physicians and staff to ensure possession of all necessary instruments and equipment.

MAINTENANCE/TECHNICAL

+ Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers.

+ Ensures the inspection of all facility equipment on a regular basis. Report any malfunctions or maintenance issues immediately.

+ Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility.

+ Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times.

+ Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies.

ADMINISTRATIVE:

+ Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies.

+ Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement.

+ Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required.

+ Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law.

+ Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law.

+ Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis.

+ Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff.

+ Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified.

+ Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines.

+ Coordinates the collection and forwarding of all vendor invoices to the accounting department.

+ Acts as the Facility Manager in the absence of the manager or at the direction of management.

+ Ensure nurses' progress notes are accurate and complete.

+ Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills.

+ Complies with HIPPA policies and standards regarding patient information and medical records.

+ Other duties as assigned.

**Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.**

**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.

+ Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.

+ The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.

+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

+ May be exposed to infectious and contagious diseases/materials.

**SUPERVISION:**

+ May be responsible for the direct supervision of various levels of direct patient care staff.

**EDUCATION** **:**

+ Bachelor's Degree preferred; Advanced Degree desirable

+ Graduate of an accredited School of Nursing (R.N.).

+ Current appropriate state licensure and ACLS certification.

**EXPERIENCE AND REQUIRED SKILLS:**

+ 6 - 8 years' related experience.

+ 3+ years' supervisory or project/program management experience preferred.

+ Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience.

+ Minimum of three years of Interventional Radiology, scrub experience preferred.

+ Supervisory or management experience within a medical or vascular access environment preferred.

+ Proficiency with the Microsoft office suite is necessary. Experience with Medical database software.

+ Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.

+ Good communication skills - verbal and written.

+ Certified in CPR or successfully complete course in CPR certification

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

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

**EOE, disability/veterans**

**PURPOSE AND SCOPE:**

Functions as part of the hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of 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. Employees hired into this position will be required to obtain their nursing license and registration within the time frame outlined in state specific regulations or within 90 days from hire date whichever comes sooner.

**PRINCIPAL DUTIES AND RESPONSIBILITIES:**

**STAFF RELATED:**

+ 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.

**PATIENT RELATED:**

Education:

+ 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.

Dialysis Treatment:

+ 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.

Laboratory-related:

+ 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.

General duties:

+ 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.

**MAINTENANCE/TECHNICAL:**

+ 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.

**MEDICAL RECORDS & DOCUMENTATION:**

General

+ 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.

Daily

+ 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.

Monthly

+ 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. Annually

+ Completes initial and annual Nursing History and Assessment physical.

+ Ensures completion of Annual Standing Order Review with each physician as required.

**OTHER:**

+ As a condition of continued employment you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes you must notify your supervisor immediately.

+ Capable of working in a challenging environment which requires the ability to handle demanding situations multitasking and remaining flexible to changing needs.

+ Maintain regular and punctual attendance.

+ Perform other related duties as assigned.

_Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._

**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.

**SUPERVISION:**

+ None

**EDUCATION** **:**

+ Graduate of an accredited School of Nursing.

+ Current appropriate state Temporary Permit.

+ Must meet the practice requirements in the state in which he or she is employed.

**EXPERIENCE AND REQUIRED SKILLS:**

+ 0 - 1 year's related experience.

**EOE, disability/veterans**