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The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li> Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.</li><li> Demonstrate effective use of supplies and staff labor hours.</li><li> Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician.</li><li> Assist physician during patient rounds and transcribe and implement physician orders timely.</li><li> Assist with the implementation of anemia management and medication protocols as requested.</li><li> Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements.</li><li> Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.</li><li> May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations.</li><li> Responds to all emergencies in clinic.</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> Maintain collaborative working relationship with Medical Director and physicians.</li><li> Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities.</li><li> Assist in orientation of new staff as a preceptor or in assigning a preceptor.</li><li> Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated.</li><li>Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff</li></ul>

U.S. Renal Care

Dialysis Registered Nurse - Charge

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The RN, Hospice House is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.Qualifications: • Current license as RN in the state providing care, current active single-state out-of-state nurse license, or current active multistate/compact nurse license • Minimum one (1) year in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate. New grads may be considered in IPU only. • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system preferred • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Flexible schedule to meet the needs of Hospice House patients • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 3/31/2023- Intermittent Driver – Valid driver’s license and automobile insurance per Company policy. Ability to travel off-site to meet business needs Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices. • Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals. • Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness. • Attends patient deaths; prepares body for transport; oversees disposal of medications. • Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff. • Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses). • Performs other duties as assigned.Some locations may require:<ul><li>Cross training to field (home/facility/admission) positions of equal licensure/certification and scope when hospice house census calls for flexible staffing.</li></ul> Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Chapters Health System

RN, Hospice House - GSH

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Job Profile Summary The Resource Nights &amp; Weekend (ReNW) Nurse Practitioner (NP) is an active member of Chapters Health System’s Medical Staff and provides fully remote virtual serious illness care management to patients and families throughout our continuum of care. This continuum may include but is not limited to home-based, facility-based, and inpatient adult and pediatric hospice; palliative care; PACE, and additional service lines and programs offered or supported by Chapters Health System.Experience Requirements:Must have a minimum of 3 years of recent clinical experience, including substantial experience in hospice, palliative care, and/or acute inpatient care.Education Requirements:Must hold a Masters or Doctors degree in Nursing from an accredited Family or Adult Nurse Practitioner Program.Certificates and/or Licenses:The ReNW NP must hold national certification, licensure, and prescriptive authority from the appropriate governing body for advanced nursing practice in their home state and in additional state(s) where care is provided. Licensure and prescriptive authority must be obtained and maintained for all required jurisdictions. Applications for required licenses must be submitted within 60 days of the date of hire and/or receiving notification. Must hold and maintain Basic Life Support certificate from an approved organization and compact RN license in their home stateby date of hire. Additionally, all eligible NPs must currently hold, or obtain, Advanced Certification in Hospice and Palliative Nursing (ACHPN) within 3 years of the date of hire. NPs who are not eligible to obtain the certification within 3 years of hire will have 6 months from date in which they meet criteria to apply for the exam. Schedule:Shifts may vary and can include nights, evenings, weekends, and/or holidays based on the needs of the business.Essential Duties and Responsibilities:Quality Provision of Services:<ul><li>Provides fully remote virtual serious illness care management to patients and families throughout our continuum of care; This continuum may include but is not limited to home-based, facility-based, and inpatient adult and pediatric hospice; palliative care; PACE, and additional service lines and programs offered or supported by Chapters Health System. </li><li>Consults with medical staff, and/or other members of the IDT as indicated to ensure optimal patient care in an effective and efficient manner.</li><li>Performs virtual assessment of patient/family/caregiver needs. </li><li>Identifies, manages, orders, and prescribes medication and equipment as appropriate. </li><li>Adjusts and supports the plan of care in accordance with Chapters policies and procedures and within the guidelines of the corresponding nurse practice act.</li><li>Assesses the caregiver’s ability to meet the patient’s immediate needs and confidence in the patient’s plan of care. </li><li>Provides education to increase the caregiver’s confidence as necessary and appropriate.</li><li>Supports staff by answering clinical questions, entering orders and prescriptions, and supporting the clinical needs of patients and families.</li><li>Maintains access to all electronic medical records (EMR), electronic prescribing systems, and other required websites and applications. </li><li>Documents all interactions as appropriate in the corresponding EMR in a timely manner.</li><li>Communicates and collaborates with the primary team to ensure continuity of care.</li><li>Supports with discharge planning including prescribing medications, entering discharge orders and instructions, etc.</li><li>Participates in Quality Assurance/Performance Improvement (QAPI) activities as needed, including regular medical record reviews and medical peer reviews. Seeks to continually improve the care practices of Chapters to assure compliance with regulatory and accreditation standards.</li><li>Keeps knowledge base and skill levels current to assure quality patient care and professional growth. </li></ul>2.Organization/Regulatory Compliance:<ul><li>Maintains current knowledge of the latest research and trends in Hospice and Palliative Medicine. </li><li>Maintains continuing education as required for licensure and to ensure specialty level expertise in end-of-life care. </li><li>Obtains &amp; maintains hospital/facility credentialing as required. </li><li>Participates in departmental and medical staff activities as requested. </li></ul>3.People/Communications:<ul><li>Communicates and collaborates with team members, patients/families/caregivers, partnering providers and staff as required &amp; appropriate within HIPAA guidelines to help provide comfort &amp; deliver upon Chapters core values. </li><li>Provides patient and family education as needed to maintain quality care, to decrease patient and family anxiety, to facilitate the patient living with the highest quality care, and to assure both the patient and the family have the skills to care for the patient.</li><li>Participates as a member of the interdisciplinary team to develop by implementing a patient-directed individualized plan of care and assures the availability of information to team members. Provides teaching to staff as required. </li><li>Functions as a role model in providing exceptional customer service to patients and families through effective and timely communication. Supports organizational changes. </li><li>Demonstrates flexibility in providing coverage and/or availability,</li></ul>4.Financial Stewardship:Achieves expected productivity standards as defined by the organization and in alignment with best practices/the Chapters model. If /when Telemedicine billing is accepted, implements time-based billing procedures using the electronic medical record system software and other appropriate methods to capture timely billing (weekly for home and nursing home; daily for inpatient and clinic charges).The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.Overall Skills:&nbsp;The ability to work both independently and as part of a team; demonstrate excellent interpersonal and collaborative skills; demonstrate organizational skills with the ability to delegate and follow up; manage multiple tasks and stressful situations with a positive attitude; demonstrate a strong work ethic and attention to detail.Physical/Mental/Emotional Skills:The ability to see, hear, grasp, lift, speak, sit and walk or otherwise perform essential functions with or without reasonable accommodations; demonstrate the mental and emotional ability to work with death/dying; demonstrate the maturity, customer service skills, and flexibility to work with individuals under stress; work in a fast paced and quickly changing environment; work under pressure and deadlines; effectively recognize and appreciate the diversity in the workplace; develop coping mechanisms in order to care for patients who are terminally ill and to work in a stressful environment; provide care for highly emotional patients/families.Technological Skills:The ability to learn and efficiently use patient health information systems and software required for the provision of care; demonstrate technical competency in the use of computer telephony systems and computer applications used in the organization; demonstrate proficiency with the use of all Microsoft Office programs, specifically Word, Excel, and PowerPoint.Reasoning Ability:The ability to apply common sense understanding to carry out instructions furnished in written or oral form and expert, advanced clinical judgment to problem solve.Physical Demands:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, speak, and hear. The employee is required to use hands to finger, handle, or feel; reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.Work Environment:The work environment characteristics are representative of those an employee would normally encounter while performing in an office environment. Employees are required to maintain a HIPAA compliant, temperature controlled, noise-free work environment at all times. They must maintain reliable HIPPA compliant high-speed (100mb) internet with hardwired backup copiers, fax, scanner, shredder, etc. Patient privacy must be protected at all times, which includes, but is not limited to using headsets for all verbal communication, utilizing company approved devices, websites, and applications, and other HIPAA guidelines. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Nurse Practitioner ( Per Diem) Resource Evening Nights & Weekends

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>The Registered Nurse (RN) provides safe, effective, and compassionate patient care using the nursing process of assessment, planning, intervention, and evaluation in an acute care hospital setting. The RN collaborates with the interdisciplinary team, patients, and families to achieve optimal patient outcomes, ensuring care is delivered in accordance with standards of professional nursing practice, hospital policies, and regulatory requirements.</li></ul>Essential Functions<ul><li>Performs comprehensive assessments and reassessments to determine nursing care needs</li><li>Develops, implements, and evaluates individualized plans of care</li><li>Administers medications and treatments in accordance with policy and physician orders</li><li>Documents assessments, interventions, outcomes, and patient education timely and accurately</li><li>Provides direct care including ADLs, hygiene, nutrition, and mobility support</li><li>Monitors patient conditions and communicates significant changes to the care team</li><li>Collaborates with interdisciplinary team for care coordination, discharge planning, and referrals</li><li>Provides emotional and psychosocial support to patients and families</li><li>Ensures patient safety through adherence to infection control and fall prevention protocols</li><li>Supervises and delegates tasks appropriately to licensed and unlicensed staff</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Proficient in clinical assessment, documentation, and patient care planning</li><li>Knowledge of medical terminology, pharmacology, and nursing best practices</li><li>Strong interpersonal, communication, and organizational skills</li><li>Ability to function effectively in high-stress situations with diverse patient populations</li><li>Familiarity with electronic medical records (EMR) and clinical documentation systems</li><li>Ability to lift up to 50 lbs and perform extended standing, walking, and physical activity</li><li>Demonstrates professional integrity, accountability, and a commitment to continuing education</li></ul> QualificationsEducation<ul><li>Associates degree in Nursing required</li><li>Bachelor of Science in Nursing (BSN) preferred</li></ul>Licenses/Certifications<ul><li>Current state RN license or compact state equivalent required</li><li>Basic Life Support (BLS) required in the timeframe required by facility policy</li><li>Advanced Cardiovascular Life Support (ACLS) required in the timeframe required by facility policy</li><li>Crisis Prevention Intervention (CPI) may be required in the timeframe required by facility policy</li><li>Specialty certification (e.g., RN-BC, CMSRN) preferred</li></ul>Experience<ul><li>Minimum of 6 months of Medical/Surgical nursing experience in an acute care setting preferred</li><li>Demonstrated critical thinking, decision-making, and effective prioritization in a fast-paced environment</li></ul>

St. Francis-Emory Healthcare

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryThe Registered Nurse (RN) – Medical/Surgical provides safe, effective, and compassionate patient care using the nursing process of assessment, planning, intervention, and evaluation in an acute care hospital setting. The RN collaborates with the interdisciplinary team, patients, and families to achieve optimal patient outcomes, ensuring care is delivered in accordance with standards of professional nursing practice, hospital policies, and regulatory requirements.Essential Functions<ul><li>Performs comprehensive assessments and reassessments to determine nursing care needs</li><li>Develops, implements, and evaluates individualized plans of care</li><li>Administers medications and treatments in accordance with policy and physician orders</li><li>Documents assessments, interventions, outcomes, and patient education timely and accurately</li><li>Provides direct care including ADLs, hygiene, nutrition, and mobility support</li><li>Monitors patient conditions and communicates significant changes to the care team</li><li>Collaborates with interdisciplinary team for care coordination, discharge planning, and referrals</li><li>Provides emotional and psychosocial support to patients and families</li><li>Ensures patient safety through adherence to infection control and fall prevention protocols</li><li>Supervises and delegates tasks appropriately to licensed and unlicensed staff</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Proficient in clinical assessment, documentation, and patient care planning</li><li>Knowledge of medical terminology, pharmacology, and nursing best practices</li><li>Strong interpersonal, communication, and organizational skills</li><li>Ability to function effectively in high-stress situations with diverse patient populations</li><li>Familiarity with electronic medical records (EMR) and clinical documentation systems</li><li>Ability to lift up to 50 lbs and perform extended standing, walking, and physical activity</li><li>Demonstrates professional integrity, accountability, and a commitment to continuing education</li></ul> QualificationsEducation<ul><li>Associate degree in Nursing required</li><li>Bachelor of Science in Nursing (BSN) preferred</li></ul>License/Certification<ul><li>Current state RN license or compact state equivalent required</li><li>Basic Life Support (BLS) required per facility policy</li><li>Advanced Cardiovascular Life Support (ACLS) required per facility policy</li><li>Crisis Prevention Intervention (CPI) required per facility policy</li><li>Specialty certification (e.g., RN-BC, CMSRN) preferred</li></ul>Experience<ul><li>Minimum of 6 months of Medical/Surgical nursing experience in an acute care setting preferred</li></ul>Demonstrated critical thinking, decision-making, and effective prioritization in a fast-paced environment.

<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

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.&nbsp;</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.

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