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USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.<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.</li></ul>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;&nbsp; &nbsp; 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>Salary / Compensation StatementCompensation for the role will depend on several factors, including a candidate's experience, qualifications and skills. U.S. Renal Care offers a comprehensive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits.

U.S. Renal Care

Dialysis Registered Nurse, Peritoneal RN

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.<ul><li>Current RN license in applicable state.&nbsp; License must be maintained as current and in good standing.&nbsp;</li><li>12 months of clinical experience in providing nursing care and 3 months of experience in the specific modality for which the nurse will provide home dialysis training, except in states with a more stringent requirement such as Texas, which requires at least 6 months experience in the specific home modality.</li><li>Previous experience in providing nursing care to patients on maintenance dialysis preferred.</li><li>CPR certification required prior to patient care assignment.</li><li>Confirmation of ability to distinguish all primary colors.</li><li>Must successfully complete the Home Therapy Nurse Orientation program and maintain annual demonstration of skills and competency applicable for the modality assigned.</li><li>Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.</li><li>Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.</li><li>Must meet any practice requirement(s) for the applicable state.&nbsp;&nbsp;</li><li>Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.</li></ul>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;&nbsp; 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>

Dialysis Registered Nurse, Home Hemo & Peritoneal RN - We Will Train!

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

Dialysis Registered Nurse - RN Chronic In-center

Dialysis Registered Nurse

<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

Current employees: Please apply through the employee portal to be considered for this opportunity.Pay Range:$28.69 - $37.38 HourlyDepartment:Health DepartmentJob Type:Regular RepresentedExemption Status:United States of America (Non-Exempt)Closing Date (Open Until Filled if No Date Specified): The Opportunity:The Multnomah County Health Department’s Primary Patient Care team is looking for a &nbsp;Licensed Practical Nurse who deeply desires to make a difference in their community.If you are comfortable in a fast-paced environment, desire a challenge in your career, are passionate about serving our community, and want to be a part of a team that values your expertise,please apply without delay.You will make a difference in the lives of those in our community while being a part of a team that is supportive and fun. The ideal candidate will be someone who is dependable, has great communication, is flexible, works well in a team, has a positive attitude and a commitment to serve the community. This position provides focused community and clinic health services towards the prevention of disease, the promotion of health, the reduction of disability, improving the client’s self-care, using professional judgment in focused/limited assessments, screening, contributing to care planning, intervention and provides health information/education to patients. We’re seeking a visionary and dynamic leader who is creative in problem solving and contributes new ideas and solutions to the organization to join our team inIntegrated Clinical ServicesThe Licensed Practical Nurse works within the health care team and provides focused community and clinic health services directed towards the prevention of disease, the promotion of health, the reduction of disability, improving the clients self-care, using professional judgment in focused/limited assessments, screening, contributing to care planning, intervention, and provides health information/education to patients. The Panel Manager role tracks the health of the population of patient's assigned to the provider panel. Manages team communication including phone messages, fax requests, and warm hand-offs, as needed. The Panel Manager is responsible for the team InBasket within the electronic health record system and delegates requests to appropriate staff, in addition to completing those requests that are within the scope of a LPN. The Panel Manager completes needed patient visits as noted on EPIC team schedule in addition to providing focused assessments to walk-in clients. Supports providers when staffing indicates the need. Create a work culture of respect, trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the County's attention conduct that interferes with providing a work environment free of illegal discrimination and harassment. The position provides services in many languages and utilizes interpreters via phone, tablet, or in-person.As a Licensed Practical Nurse, you will provide :Panel Management<ul><li>Tech-Savvy Efficiency: Leverages electronic reports and scheduling systems to proactively identify and address patient needs for preventive screenings, ensuring timely care and improved health outcomes.</li><li>Patient-Centric Preparation: Proactively conducts pre-visit activities such as chart reviews and team huddles, ensuring each patient encounter is well-prepared and personalized for optimal care.</li><li>Collaborative Chronic Disease Management: Partners with providers and the care team to actively monitor chronic disease and prevention reports, initiating timely follow-ups or referrals to optimize patient health and well-being.</li></ul>Team/Client Communication<ul><li>Communication Powerhouse: Seamlessly manages multiple communication channels (phone, email, in-person), ensuring clear and effective information flow across the care team and with patients, in any language utilizing interpreters if needed..</li><li>Organization &amp; Efficiency Expert: Masters both electronic and paper systems, expertly handling inboxes, scheduling, and follow-ups to keep the team running smoothly and patients well-informed.</li><li>Patient-Centric Advocate: Proactively participates in reminder calls, follows up on no-shows, and ensures patients receive critical information about referrals, treatments, and medications.</li><li>Detail-Oriented Documenter: Maintains accurate and comprehensive patient records, utilizing SOAP notes, EPIC phrases, and clear communication to support high-quality care and collaboration.</li></ul>Provider/Team Support<ul><li>Dynamic Clinical Support: Provides comprehensive clinical assistance to providers, performing a wide range of tasks from patient intake and vitals to administering medications and assisting with procedures.</li><li>Patient-Focused Care: Delivers compassionate and personalized care, performing focused assessments, providing patient education, and offering post-visit support to ensure optimal outcomes.</li><li>Skilled Multitasker:Juggles diverse responsibilities seamlessly, from performing diagnostic tests and administering treatments to completing documentation and assisting with referrals.</li><li>Team Player: Contributes to a collaborative care environment, communicating effectively with patients, providers, and colleagues to ensure exceptional patient experiences.</li></ul>Resource Management and Quality Assurance/Improvement<ul><li>Proactive Problem-Solver: Takes initiative to troubleshoot equipment issues, ensuring minimal downtime and smooth workflow, while effectively communicating solutions and necessary repairs.</li><li>Team-Oriented Collaborator: Provides valuable back-up support to colleagues, demonstrating flexibility and a willingness to go the extra mile to contribute to team success.</li><li>Quality-Driven Performer: Actively participates in quality control/assurance activities, showcasing a commitment to accuracy, efficiency, and continuous improvement.</li><li>Adaptable &amp; Eager Learner: Embraces new challenges, from process improvement projects to potential vaccine lead responsibilities, demonstrating a desire to grow and develop within the role.</li></ul>Diversity and Inclusion:At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees. We are proud to be an Equal Opportunity Employer. As a Health Department employee you will create a work culture of respect, trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the County's attention conduct that interferes with providing a work environment free of illegal discrimination and harassment.<h4>To Qualify:</h4>We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required.&nbsp; Please be clear and specific about how your background is relevant.&nbsp; For details about how we typically screen applications, review ouroverview of the selection process page.&nbsp;Minimum Qualifications/Transferable Skills*:<ul><li>An Associate's degree or a Bachelor's degree in nursing from an accredited nursing program</li><li>Possession of, or ability to obtain, an appropriate and valid license to practice as a Licensed Practical Nurse issued by the State of Oregon by the time of hire</li><li>A minimum one (1) year of nursing experience&nbsp;</li><li>BLS/CPR certification required</li></ul>Preferred Qualifications/Transferable Skills*: You do not need to have the following preferred qualifications/transferable skills to qualify.&nbsp; However, keep in mind we may consider some or all of the following when identifying the most qualified candidates.&nbsp; Please clearly explain in your application how you meet any of the following preferred qualifications/transferable skills.<ul><li>Experience providing services to diverse and vulnerable communities&nbsp;</li><li>Demonstrated experience in primary care</li><li>Experience with Medical Home, FQHC</li></ul>*Transferable skills: Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position.&nbsp; Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.<h4>Screening and Evaluation:</h4>The Application Packet:&nbsp;You must submit all requested items below. Failure to do so may be deemed as an incomplete application.&nbsp;1. An online application AND2. Resume demonstrating you meeting minimum qualifications; AND3. A cover letterthat expands on your resume, addressing why you are interested in this opportunity and provides specific examples to demonstrate how your experience and skills align with the descriptions in the “Overview” section of this job posting, and meet the minimum and preferred qualifications of this position.&nbsp;Note: The application, resume, and cover letter should clearly demonstrate your work experience/skills and how they relate to the descriptions provided in the ‘Overview’ and ‘To Qualify’ sections of this job posting.&nbsp; Please be thorough, as these materials will be used to determine your eligibility for an interview.The Selection Process:<ul><li>Initial review of minimum qualifications.</li><li>Evaluation of application materials to identify the most qualified candidates.</li><li>Consideration of top candidates in order of rank and score from the list of eligible candidates. This may include phone interviews, panel interviews, and/or additional exams to determine the best candidates for the position.</li><li>Professional reference checks.</li></ul><h4>Additional Information:</h4>Only apply once for this opportunity.Note: The eligible list created from this recruitment may be used to fill regular, full or part time, temporary, On Call and limited duration assignments.Multnomah County offers an exceptional benefits package, including employer-funded retirement savings; health and dental insurance at very low cost to full-time employees and their dependents; paid parental leave; wellness programs; a focus on work-life balance; and much more. Find more details on our benefits website.Our Commitment to Safety, Trust and Belonging:Multnomah County is committed to developing, nurturing and continually improving workforce equity by identifying and addressing the structural and policy barriers to equal employment opportunity faced by our employees and communities. County employees across the organization have stepped forward to develop a strategic plan and help create a workplace where everyone can reach their full potential. Learn more by reading our Workforce Equity Strategic Plan and exploring our Core Competencies for all County employees.Salary/Pay:Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.Serving the Public, Even During DisastersEveryday, Multnomah County staff work together to serve as a safety net for our communities. During a disaster, this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather, natural disaster, or other types of community emergency response. During these emergency responses, while typically there begins with a call for volunteers, county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information, please visit theDisaster Service Worker Informationpage.&nbsp;&nbsp; Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.Questions?Recruiter:Christopher BoganEmail:<a href="mailto:christopher.bogan@multco.us" target="_blank">christopher.bogan@multco.us</a>Phone:+1 (971) 4389901Application information may be used throughout the entire selection process. This process is subject to change without notice.Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.Job Profile:6303 - Licensed Community Practical Nurse

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