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<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.

U.S. Renal Care

Dialysis Registered Nurse

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>

Dialysis Registered Nurse, Home Hemo & Peritoneal RN

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.<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; ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.&nbsp; Other duties and tasks may be assigned.</li><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.

Dialysis Registered Nurse - Peritoneal RN - We Will Train!

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>Responsible for directing and coordinating all nursing care based on established clinical nursing practice standards</li><li>Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes</li></ul>Essential Functions<ul><li>Ability to practice nursing as described by the following definition: “The diagnosis and treatment of human responses to actual or potential health alterations.” Ability to utilize the nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers, and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position. Involves discretion and independent action within prescribed limits.</li><li>Collects patient health data</li></ul><ul><li><ul><li>Determines the priority of data collection based on the patient’s immediate condition or needs.</li><li>Collects pertinent data using appropriate assessment techniques.</li><li>Involves the patient, significant others, and health care providers in data collection when appropriate.</li><li>Ensures that the data collection process is systematic and ongoing.</li><li>Documents relevant data in the medial record according to hospital standards.</li></ul></li></ul><ul><li>Analyzes the assessment data in determining diagnoses/patient problems.</li></ul><ul><li><ul><li>Derives diagnoses/patient problems from the assessment data.</li><li>Validates diagnoses/patient problems with the patient, significant other, and health care providers, when possible.&nbsp;</li><li>Documents diagnoses/patient problems in a manner that facilitates the determination of expected outcomes and plan.</li></ul></li></ul><ul><li>Identifies expected outcomes individualized to the patient.</li></ul><ul><li><ul><li>Derives outcomes from the diagnoses/patient problems.</li><li>Documents outcomes as measurable goals.</li><li>Formulates outcomes mutually with the patient and health care providers, when possible.</li><li>Ensures outcomes are realistic in relation to the patient’s present and potential capabilities.&nbsp;</li><li>Ensures outcomes are attainable in relation to resources available to the patient.</li><li>Ensures outcomes include a time estimate for attainment.</li><li>Ensures outcomes provide direction for continuity of care. Anticipates potential problems situations and intervenes to offset any adverse impact.</li></ul></li></ul><ul><li>Develops a plan of care that prescribes interventions to attain expected outcomes.</li></ul><ul><li><ul><li>Individualizes the plan to the patient’s condition or need.</li><li>Develops the plan with the patient, significant others, and health care providers, when appropriate.&nbsp;</li><li>Ensures the plan reflects current nursing practice.</li><li>Documents the plan.</li><li>Provides continuity of care in the plan.</li></ul></li></ul><ul><li>Implements the interventions identified in the plan of care.</li></ul><ul><li><ul><li>Establishes interventions that are consistent with the plan of care.</li><li>Implements interventions in a safe and appropriate manner.</li><li>Documents interventions.</li></ul></li></ul><ul><li>Evaluates the patient’s progress toward attainment of outcomes.</li></ul><ul><li><ul><li>Ensures evaluation is systematic and ongoing.</li><li>Documents patient’s responses to interventions.</li><li>Evaluates the effectiveness of interventions in relation to outcomes.</li><li>Utilizes ongoing assessment data to revise diagnoses/patient problems, outcomes, and the plan of care, as needed.&nbsp;</li><li>Documents revisions in diagnoses/patient problems, outcomes, and the plan of care.</li><li>Involves the patient, significant others, and health care providers in the evaluation process, when appropriate.</li></ul></li></ul><ul><li>Participates in quality-of-care activities as appropriate to include but not limited to:&nbsp;</li></ul><ul><li><ul><li>Identification of aspects of care important for quality monitoring.</li><li>Identification of indicators used to monitor quality and effectiveness of nursing care.</li><li>Collection of data to monitor quality and effectiveness of nursing care.</li><li>Analysis of quality data to identify opportunities for improving care.&nbsp;</li><li>Formulation of recommendations to improve nursing care or patient outcomes.</li><li>Implementation of activities to enhance the quality of nursing practice.</li><li>Utilizes the results of quality-of-care activities to initiate changes in practice.</li></ul></li></ul><ul><li>Other duties as assigned.</li></ul> QualificationsEducation<ul><li>Bachelor’s Degree preferred</li><li>Graduate of an accredited school of professional nursing</li></ul>Licenses/Certifications<ul><li>Licensure in the State of Ohio as a Registered Professional Nurse (RN)</li></ul>Experience<ul><li>Minimum of one year of hospital clinical experience preferred</li></ul>

St. Francis-Emory Healthcare

Registered Nurse, Med/Surg,FT nights

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

Dialysis Licensed Practical Nurse

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>

Dialysis Registered Nurse - Charge Must have Dialysis Experience

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!Benefits Day 1 Mileage Reimbursement Schedule-Monday-Friday and some weekends Key Responsibilities: • Provide individual and group counseling and therapy for Hospice patients, family members and community individuals who have suffered the loss of a significant person through grief. • Demonstrate contact of all clients within established time frames and provide appropriate documentation. Document at least two additional attempts to reach an assigned client before closing the case. • Demonstrate a willingness and ability to manage tasks and case loads assigned, from any departmental program, in an effective, productive and timely manner, meeting the standards that reflect expected productivity. • Demonstrate a willingness to provide counseling services such as on call crisis intervention, individual and group, on a flexible schedule as needed, including some week nights, weekends and at Rainbow Trails Camp. • Document all client contacts and care plans accurately according to department and organization policy in a timely manner. This includes establishing and maintaining all legally required files according to state, law, federal law and organization policy. As demonstrated by chart audits. Knowledge &amp; Skills: • Excellent communication; via phone, email, and in person. • Attention to detail &amp; ability to handle confidential information following HIPPA guidelines. • Demonstrate multi-tasking and organizational skills. • Must be flexible to work in other locations if needed. Required qualifications: • Master's degree (M. A.) in mental health counseling, social work, marriage and family therapy or psychology. • Valid Florida Drivers’ License with good record • Automobile Insurance • Clear level 2 background checkEducation/Training Requirements<ul><li>If hired after 5/26/2024, master's degree in counseling, social work, marriage and family therapy, or related field required.</li><li>If hired prior to 5/26/2024, bachelor's degree in counseling, social work, marriage and family therapy, or related field preferred.</li><li>Clear Level 2 background check</li></ul>Certificates/Licenses/Registration<ul><li>Must possess a valid Drivers' License, current auto insurance, and reliable transportation.</li><li>Professional Licensure as required by state where care is being provided.</li></ul>Position Specific Responsibilities (not all inclusive)Provide individual and group counseling and therapy for Hospice patients, family members and community individuals who have experienced the loss of a significant person through grief. Demonstrate contact of all clients within established time frames and provide appropriate documentation. Document at least two additional attempts to reach an assigned client before closing the case. Demonstrate a knowledge, understanding and compliance with the standards for counselors in clinical practice. Demonstrate a willingness and ability to manage tasks and case loads assigned, from any departmental program, in an effective, productive and timely manner, meeting the standards that reflect expected productivity. Demonstrate a willingness to provide counseling services such as on call crisis intervention, individual and group, on a flexible schedule as needed, including some week nights, weekends and at camp. Document all client contacts and care plans accurately according to department and organization policy in a timely manner. This includes establishing and maintaining all legally required files according to state, law, federal law and organization policy. As demonstrated by chart audits. Communicate, collaborate and consult with other departmental counselors, members of the Interdisciplinary Team, other organization staff and external customers with integrity and professionalism to ensure the best possible services are given to all customers internal and external. Attend and participate in department, staff and other meetings as requested by the organization and the Director. Make recommendations for the improvement of programs and activities within the department.Represent the company in a positive and professional manner at all times with others, e.g., co-workers, management, vendors, and customers. Consistently represents Chapters Health System with integrity and professionalism. Complete all job responsibilities in a thorough and complete manner, utilizing good judgment in all aspects of the job. Carry out duties and responsibilities in a manner that exemplifies excellent customer service. When unsure of a directed task or any part of job responsibilities, proactively seek the assistance of immediate supervisor. Assist with special projects, as requested. All other job duties as may be assigned.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.

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