18 Palomar Health jobs in Poway

ECM Lead Care Manager (Hybrid)

San Diego, CA 

This position is full-time and remote (Must be available for in-person interactions as needed)

We are seeking a full-time ECM Lead Care Manager who lives in San Diego and works remotely assisting patients with education and assessment of their ongoing care management.  The focus of assistance is in enhancing the quality of patient management, maximizing patient satisfaction, promoting cost-effectiveness, and increasing the efficacy of addressing healthcare disparities. We are looking for empathetic professionals that are enthusiastic about this population with a focus of care from that person's perspective.

Compensation and Benefits for ECM Lead Care Manager

Compensation: $60,000 - $70,000 annually 

3 weeks (2 weeks + 6-7 federal holidays) paid time away and 401K

Medical, Dental, and Vision benefits.

Responsibilities for ECM Lead Care Manager

Assistant patients with various financial and economic needs

Update team with important issues to patient needs that assist with overall health

Stay up to date with knowledge in this space

Qualifications for ECM Lead Care Manager

Bachelor's Degree (preferred) Associates Degree (required)

1+ Years in outpatient Behavioral Health field and/or Social Support field

2+ Years in direct care management position conducting biopsychosocial assessments and care plan development (preferred)

Understanding of how to navigate the Federal and State programs. Must possess a good understanding of disability, food stamps, and IHSS

Comfortable managing more than 80 patients

Bilingual (preferred)

For more healthcare opportunities, go to:

#MASC105

Job Title: Registered Nurse

A skilled and compassionate Registered Nurse is needed to join our healthcare team. As a key member of our staff, you will be responsible for delivering high-quality patient care and working collaboratively with other healthcare professionals to achieve optimal outcomes.

• Assessment and Planning: Conduct thorough assessments of patients to identify their physical, emotional, and social needs.
• Nursing Care: Develop and implement individualized care plans that address the unique needs of each patient.
• Collaboration and Communication: Work effectively with other healthcare professionals to ensure seamless communication and coordination of care.
• Patient Education: Provide education and support to patients and their families to promote health and well-being.

To be considered for this role, applicants must possess:

• Education: Bachelor of Science in Nursing (BSN) degree or equivalent.
• Experience: At least one year of experience in a related nursing specialty.
• Licensure/Certification: Current RN license in good standing and Basic Life Support (BLS) certification.

We offer a competitive compensation package, including:

• Salary: A salary that reflects your skills and experience.
• Benefits: Comprehensive benefits package, including medical, dental, and vision insurance, as well as retirement savings plan.

In addition to a fulfilling career, we offer:

• Professional Growth: Opportunities for professional development and advancement.
• Collaborative Environment: A supportive and collaborative work environment that promotes teamwork and open communication.

We are seeking a highly skilled and dedicated Licensed Vocational Nurse (LVN) to join our team in a clinic setting. The successful candidate will provide high-quality patient care under the supervision of a physician or registered nurse, adhering to established standards and practices.

The LVN will perform various lab procedures when necessary, in accordance with their competency. They will also be responsible for meeting the expectations of our organization's competencies: Leader of Self, Leader of Others, or Leader of Leaders.

• Provide basic patient care duties, including obtaining vital signs, weighing patients, and collecting specimens.
• Assist provider(s) in examination and treatment of patients, as well as with procedures.
• Answer phone calls, record messages, and assist provider(s) with patient-related communications.
• Schedule test appointments, results, and pre-certification, as needed.
• Document any relevant patient information.
• Assist provider(s) with medication refills and administer medications/immunizations according to orders.
• Clean and restock exam rooms, clean equipment, and maintain sterile technique.
• Perform routine clerical duties, including locating patient charts, filing, and completing routine forms.

To be considered for this role, applicants must possess:

• Current LVN License in the state of employment or compact.
• Basic Life Support (BLS) certification.

Key Responsibilities:

• Apply the nursing process to deliver high-quality patient care, meeting expectations and adhering to relevant competencies.
• Provide skilled nursing services using evidence-based practices, addressing complex psychological, emotional, cultural, and social needs of patients and their families.
• Administer medications and treatments, monitoring for side effects and treatment effectiveness in accordance with established protocols.
• Document patient history, symptoms, medication, and provided care accurately and comprehensively.
• Assess learning needs and provide education to patients, family members, and caregivers; identify issues and resources.

• Bachelor's degree in Nursing (BSN) or higher, preferred
• 1 year of experience in a related nursing specialty, preferably in an acute care setting
• Current Basic Life Support (BLS) certification
• RN license in the state of employment or compact licensure

The successful candidate will enjoy a dynamic work environment, collaborating with a multidisciplinary team to deliver exceptional patient care. Opportunities for professional growth and development are available through our residency program, competency validation, and continuing education initiatives.

• New hires attend New Nurses Orientation within the first 30 days of employment
• Preceptored by a designated trained staff member to ensure a smooth onboarding process
• All newly licensed RNs participate in a residency program or specific orientation

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).   
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.   
• Monitor patients’ response to dialysis therapy. 
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.   
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Obtain Hemostasis and apply appropriate dressings.   
• Evaluate the patient prior to discharge.
• Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification   
• Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.   
• Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.   
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification   
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.   
• Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.   
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.   
• Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.   
• Monitors patients performing self-care under the supervision of RN.

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.  
• Enters all treatment data into the designated clinical application in an accurate and timely manner.   
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.   
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.   
• Ensure collection of lab specimens by appropriate lab courier.

INFECTION CONTROL:

• Assists in collecting  information for infection control audits.   
• Supports staff and patient Adherence to infection control practices.   
• Follows infection control Policies and Procedures   
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care 
• Reinforces all education and care related matters as it relates to the new patient     as allowed by state law
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.   
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists with coordination of transition to patient’s modality choice.   
• Assists with supply ordering and inventory for TCU   

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

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

individuals with disabilities to perform the essential functions.

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

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

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.   
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials   
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.
• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
• All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS :

• Previous patient care experience in a hospital setting or a related facility preferred.
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Hourly Rate: $24.00 - $30.00

Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
 

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.

Serve as a role model and set an example for nursing staff and other members of the health care Team Serve as a resource and support system to staff in problem solving and determine appropriate interventions In collaboration with the Administrator, d Director, Patient Care, Hospice, Patient, Case Manager, Healthcare, Service