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The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.&nbsp; This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.&nbsp;<ul><li>A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient’s home.</li><li>We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds.&nbsp; </li><li>Work Schedule – Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility.</li><li>Competitive on-call pay when placed in on-call rotation. </li><li>Holidays – Home Training Nurses rarely work on a holiday. </li><li>We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program.</li><li>We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes.&nbsp;</li></ul> ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.&nbsp; Other duties and tasks may be assigned.<ul><li>Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.</li><li>Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.</li><li>Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.&nbsp; Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.</li><li>Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li>Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.&nbsp; Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.</li><li>Participate in infection control monitoring, implementation, and recording as requested.</li><li>Be familiar with emergency equipment and all emergency operational procedures.&nbsp; Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.</li><li>Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.</li><li>Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.&nbsp; Assist in obtaining data for the continuous quality improvement activities.</li><li>Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.</li><li>Complete and document monthly review of patient medication profiles.&nbsp; Administer medications as ordered by the physician.</li><li>Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.</li><li>Flexible with staffing locations and hours to accommodate patient and USRC home program needs.</li><li>Regular and reliable attendance is required for the position.</li></ul>Home Hemodialysis Only:<ul><li>Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.</li><li>Ensure required and appropriate water sampling is complete per policy and product requirements.&nbsp; Monitor and report water sample and culture results.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</li></ul>

U.S. Renal Care

Dialysis Registered Nurse, Home Hemo & Peritoneal RN

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

Dialysis Patient Care Technician

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li>Demonstrate effective use of supplies and staff labor hours.</li><li> May assist with billing log preparation and updates.</li><li>Perform duties as assigned to meet the patient care or operational needs of the clinic</li><li> Obtain blood samples for laboratory analysis as required to complete physician orders.</li><li> Complete and document monthly review of patient medication profiles.</li><li>Knowledge of and comply with applicable health care professionals practice act requirements.</li><li>Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations</li><li>Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports.</li><li>Report any significant information or change in patient condition to the Charge Nurse.</li><li> Report machine problems to Biomedical Technician and Administrator.</li><li> Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.</li><li>Assist with staff training as requested.</li></ul>

Dialysis Licensed Vocational Nurse

Seattle Orthopedic Surgery Center&nbsp;Seattle Orthopedic Surgery Center, a division of Proliance surgeons, has an immediate opening for an experienced circulatingOperating Room Registered Nurse for our busy 9 surgeon, 3 operating room surgery center. Orthopedic experience is preferred. We have a team approach and pride ourselves on working together to provide excellent care to all our patients. We are centrally located in the Wallingford neighborhood within walking distance to many restaurants and coffee shops. This role does not require nights, weekends, or holidays. &nbsp;Position Summary&nbsp;The Operating Room Registered Nurse (OR RN) in the ASC provides expert professional nursing care for the patient in all peri-operative phases. The Registered Nurse is directly responsible for coordinating care to various patient populations. The RN must demonstrate clear communication skills, must display a comprehensive and current knowledge of nursing theory and clinical practice.&nbsp;Key Duties and Responsibilities&nbsp;The key duties and responsibilities of the ORRNinclude, but are not limited to:&nbsp;<ul><li>Work with all members of the health care team to provide optimal care to the patient throughout their surgical experience</li><li>Maintain a friendly, positive and caring attitude with all patients, physicians and staff</li><li>Assist in patient education during all phases of their experience at the Center</li><li>Assist in assuring that equipment is functioning properly</li><li>Monitor use of all supplies. Assist with inventory control by proper count of supplies/time used.</li><li>Document appropriately the care that is given to the patient</li><li>Continuing education to meet State requirements and keep current with health care changes</li><li>Display professionalism at work and in the community as a representative of the Center</li><li>Take an active role on committees within the department</li><li>Identifies actual and potential risk to patients and others and takes action to minimize or eliminate risk and maximize safety.</li><li>Performs charge nurse responsibilities as staffing demands and as requested&nbsp;</li></ul>Education/Experience&nbsp;<ul><li>Graduation from an accredited school of nursing&nbsp;</li><li>Current State licensure, BLS, and ACLS certification&nbsp;</li><li>Two years of OR, Recovery Room, Intensive Care or Emergency Room experience is desired &nbsp;</li></ul>Knowledge, Skills, and Abilities&nbsp;<ul><li>Problem solving skills</li><li>Skill in using a computer</li><li>Knowledge of applicable specialties</li><li>Outpatient clinical organizational ability</li><li>Ability to remove oneself personally from given situations, remaining objective</li><li>Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with patients, physician and staff</li><li>Ability to multi-task</li><li>Skill in organizing and reporting information that is accurate and complete</li><li>Understanding of the need for and evidence of consistent respect for confidentiality/HIPAA </li><li>Ability to maintain composure in stressful situations</li><li>Skill in establishing and maintaining effective working relationships with all staff</li><li>Ability to prepare records in accordance with detailed instructions</li><li>Ability to communicate clearly</li><li>Consistency and timeliness in attendance&nbsp;</li></ul>Work Environment/Physical Demands&nbsp;The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.&nbsp;

Proliance Surgeons

OR RN (Operating Room Registered Nurse) - Per Diem

Position SummaryProliance Surgeons Everett Bone &amp; Joint is seeking a part-time to full-time Advanced Registered Nurse Practitioner (ARNP) to work with our fellowship trained Orthopedic and Spine surgeons. Our private, physician owned practice, currently consists of 8 fellowship trained surgeons and 3 physician assistants. Our primary office and ambulatory surgery center are located in Everett, Washington where we offer a full spectrum of orthopedic services including an AAAHC-certified outpatient ambulatory surgery center, a full-body MRI center and digital radiography. &nbsp;Everett Bone &amp; Joint is a division of Proliance Surgeons, a specialty physician practice of 150 physicians and over 100 care centers throughout the Puget Sound region. &nbsp;Learn more about us at proliancesurgeons.com/ebj.&nbsp;We are looking for an ARNP with clinical experience to join our orthopedic and spine team. The practice covers all subspecialties of orthopedics and is a very well-known and respected practice in Everett, WA and surrounding communities. A successful candidate will be a supportive partner with the physicians; one who exercises flexibility and adaptability to meet the needs of the practice. The ideal candidate would have several years’ experience in management of spine, back and neck care. The chosen ARNP will spend the majority of time working within the designated specialty but will also include opportunities for cross-coverage. We are a team oriented group focused on working together in order to ensure that our patients receive exceptional care.Key Duties and ResponsibilitiesThe key duties and responsibilities of the ARNP include, but are not limited to:<ul><li>Independent patient care (in clinic seeing post ops, pre-ops, new patients, established patients, and performing injections or other minor procedures/reductions, interpreting images, and reviewing labs) as well as inpatient consults, admissions, discharges, and ER evaluations.</li><li>Developing appropriate treatment plans</li><li>No primary ER or after-hours call responsibility&nbsp;</li></ul>Education/Experience<ul><li>Master’s degree of Nursing</li><li>Washington State Registered Nurse and Advanced Registered Nurse Practitioner License, Current</li><li>Current CPR and BLS from the American Heart Association</li><li>Two years prior experience in surgery a plus</li></ul>Knowledge, Skills and Abilities<ul><li>Advanced physical assessment and critical thinking skills required</li><li>Ability to listen, interact and communicate verbally and in writing</li><li>Comprehensive knowledge of surgical procedures, techniques, Standards of Care, instrumentation, equipment, and supplies as they directly correlate to the specialty</li><li>Superior customer service skills</li><li>Great interpersonal skills; demonstrating patience, composure and cooperation; working well with all patients, physicians and staff.</li><li>Advanced understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA)</li><li>Using time efficiently, with meticulous attention to detail, accuracy and completion</li><li>Ability to manage multiple factors for the best result.</li><li>Resourcefulness in addressing first level problems and tenacity to see things through to solution</li><li>Ability to remove oneself personally from given situations, remaining objective</li><li>Able to adapt to change, delays or unexpected events while maintaining a positive mindset</li><li>Clear oral and written communication</li><li>Ability to provide feedback to improve performance</li><li>Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision</li></ul>Work Environment/Physical DemandsThe work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

 Advanced Registered Nurse Practitioner (ARNP)

Position SummaryThe medical assistant acts as a patient care coordinator and advocate, maintains clinical supplies, proper documentation and an optimal patient flow and experience, following OSHA/WISHA other compliance and regulatory guidelines.Key Duties and ResponsibilitiesThe key duties and responsibilities of the Medical Assistant include, but are not limited to:<ul><li>Assist in providing direct patient care for office visit patients may involve:<ul><li>Arranging the exam room instruments and equipment and maintaining supplies</li><li>The disposal of contaminated supplies and sterilizing medical instruments</li><li>Positioning patients for exams and procedures</li><li>Collecting and preparing laboratory specimens</li><li>Obtaining vitals, patient history and chief complaints</li><li>Other patient care related duties as necessary</li></ul></li><li>Assist provider within clinic procedures may involve<ul><li>Preparing patient exam, dressing and/or procedural areas by using vigorous aseptic technique.</li><li>Holding patients in position for extended periods of time, manipulating body parts, using instruments to hold procedural or imaging areas immobile, or positioning patients on tables</li></ul></li><li>Handing provider instruments while standing for long periods of time</li><li>Report test results to patients as indicated by physician in a timely manner</li><li>Chart all vital information in electronic record as well as check to be sure all information related to medication, health history and reason for visit is obtained and documented</li><li>Perform phone triage, post-op calls and respond to voicemail messages directed to them preferably within same business day, but no later than 24 business hours, and perform action required. </li><li>Documents all encounters.</li><li>Maintain patient documentation for visit and communications in person or over the phone</li><li>Coordinate care and diagnostic testing at other facilities as indicated by physician</li><li>Assist provider in e-scribing, maintaining medication list</li><li>Assist provider in maintaining communication with referring doctors</li><li>Maintain equipment and ensure supplies are stocked and in place</li><li>Follow all other daily team duties and special tasks as assigned</li></ul>Education/Experience<ul><li>Graduate of an accredited Medical Assistant Program preferred, but not required.</li><li>Current Washington State Medical Assistant Certification preferred, but not required (see above)</li><li>1-2 years’ experience in a medical office preferred</li></ul>Knowledge, Skills and Abilities<ul><li>Basic knowledge of medical terminology and medications</li><li>Familiarity with or working knowledge of Electronic Medical Records a plus</li><li>Basic computer knowledge and skills, including data entry</li><li>Superior customer service skills</li><li>Impeccable integrity</li><li>Great interpersonal skills, demonstrating patience, compassion, empathy and the ability to work well with all types of people</li><li>Adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA) </li><li>Use time efficiently, with attention to quality, detail, accuracy and completion</li><li>Consistency, timeliness and dependability</li><li>Effective team membership, supporting and working with others to achieve common goals</li><li>Ability to adapt to continuous change/flexibility </li><li>Demonstrated ability to continuously learn</li><li>Self-motivated; able to work with increasing independence, overcome obstacles and challenges with little supervision</li><li>Clear oral and written communication skills</li><li>Demonstrated aptitude to organize and prioritize work </li><li>Critical thinking and problem-solving skills</li><li>Skilled in coping with fast paced often stressful situations with unpredictable circumstances in a professional, safe, and efficient manner </li><li>Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision</li></ul>Work Environment/Physical DemandsThe work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Medical Assistant

Position SummaryThe RN performs pre-surgical nursing assessments and provides education to the patient prior to admission at the Ambulatory Surgery Center.&nbsp; The RN assesses and evaluates the care needs of the patient, requests necessary pre-surgical clearances and diagnostics, and communicates the patient's plan of care to the ASC.Key Duties and ResponsibilitiesThe key duties and responsibilities of the RN include, but are not limited to:<ul><li>Work with all members of the health care team to provide optimal care to the patient throughout their surgical experience</li><li>Maintain a friendly, positive and caring attitude with all patients, physicians and staff</li><li>Assist in patient education during all phases of their experience at the Center</li><li>Assist in assuring that the proper supplies, instruments and equipment are available for the procedure</li><li>Assist in assuring that equipment is functioning properly</li><li>Monitor use of all supplies. Assist with inventory control by proper count of supplies/time used.</li><li>Document appropriately the care that is given to the patient</li><li>Continuing education to meet State requirements and keep current with health care changes.</li><li>Display professionalism at work and in the community as a representative of the Center</li><li>Take an active role on committees within the department</li><li>Identifies actual and potential risk to patients and others and takes action to minimize or eliminate risk and maximize safety</li><li>Performs charge nurse responsibilities as staffing demands and as requested</li></ul>Education/Experience<ul><li>Graduation from an accredited school of nursing</li><li>Current State licensure and CPR, ACLS and PALS accreditation</li><li>Two years of OR, Recovery Room, Intensive Care or Emergency Room experience is desired</li></ul>Knowledge, Skills and Abilities<ul><li>Problem solving skills</li><li>Skill in using a computer</li><li>Knowledge of applicable specialties</li><li>Outpatient clinical organizational ability</li><li>Ability to remove oneself personally from given situations, remaining objective</li><li>Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with patients, physician and staff</li><li>Ability to multi-task</li><li>Skill in organizing and reporting information that is accurate and complete</li><li>Understanding of the need for and evidence of consistent respect for confidentiality/HIPAA</li><li>Ability to maintain composure in stressful situations</li><li>Skill in establishing and maintaining effective working relationships with all staff</li><li>Ability to prepare records in accordance with detailed instructions</li><li>Ability to communicate clearly</li><li>Consistency and timeliness in attendance</li></ul>Work Environment/Physical DemandsThe work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.

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