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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

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; 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

<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

Please note this position is working in Caron's Women's units.Caron is one of the leading treatment centers in the US and is recognized for high-quality, evidence-based methods and thought leadership in addiction medicine. Mentored by respected experts in the field and ranked among Newsweek’s Best Treatment Centers in PA five years in a row, Caron has built a culture that supports and sustains trauma-informed, resilient staff at all levels of the organization and values personal and professional growth. We invest in our employees, providing financial plans, generous Paid Time Off programs, paid holidays, 401K employer match, tuition reimbursement, employee assistance programs, and benchmarking to ensure ongoing competitive compensation. Full-Time employee benefits also include comprehensive medical, dental, and vision benefit packages with wellness plan reduced insurance premiums and company-paid life and disability insurance. Apply today to begin a rewarding career with us.DUTIES AND RESPONSIBILITES:&nbsp;<ul><li>Oversees coordination of a patient’s care while in residential services, including the integration of family sessions, school expectations, communication with referral sources, assessment of patient progress and communication to the clinical team regarding special treatment needs and procedures. &nbsp;</li><li>Completes initial patient assessments such as psychosocial assessment, gathering patient goals and completing family assessments.&nbsp;&nbsp;</li><li>Utilize the multi-disciplinary treatment team to determine appropriate level of care and to identify behavioral health needs that can be treated in Caron’s continuum as well as those that require external placement.</li><li>Facilitates group therapy and individual counseling.</li><li>Work&nbsp;with the Family Therapist to assess family dynamics and recommend the family education program and ongoing family therapy. Develops a comprehensive continuing care plan that includes input from the clinical referents, internal referents, multi-disciplinary treatment teams, family, and patient.&nbsp;&nbsp;</li><li>Works within the ethical constraints of the certified addiction counselor and other professional or organizational ethical standards as they apply to the position.&nbsp;</li><li>Document treatment plans, progress notes, treatment plan updates, case consultations, telephone calls and discharge summaries in the patient electronic health record in accordance with Caron policies and procedures.&nbsp;</li><li>Completes necessary utilization review information.&nbsp;&nbsp;</li><li>This position will work on units throughout Core and Signature programs based on census and staff coverage needs.</li><li>This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the duties or tasks that may be required or assigned.&nbsp;</li></ul>&nbsp;PHYSICAL REQUIREMENTS:&nbsp;&nbsp;The physical and mental demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.&nbsp;&nbsp;<ul><li>Must be able to work extended hours and travel as needed</li><li>Must be able to deliver presentations that may be both multiple times and for lengthy time periods&nbsp;</li><li>Must be able to lift up to 20 lbs.&nbsp;</li><li>Must be able to move throughout Caron properties&nbsp;&nbsp;</li><li>Must be able to ascend and descend stairs&nbsp;</li><li>This is a safety sensitive position&nbsp;</li></ul>&nbsp;EDUCATION / EXPERIENCE QUALIFICATIONS:&nbsp;&nbsp;<ul><li>Master’s degree in chemical dependency, psychology, social work, counseling or other related field which includes a practicum in a health or human services agency, preferably in a drug and alcohol setting OR bachelor's degree in chemical dependency, psychology, social work, counseling or other related field and 1 year of clinical experience (a minimum of 1,820 hours) in a health or human service agency, preferably in a drug and alcohol setting.</li><li>Preferred Specialty Training (i.e., MI, DBT, MBSR, CPT, CBT, EMDR, Trauma and Rainbow Advocacy)&nbsp;</li><li>Experience in lifespan developmental issues for their respective populations&nbsp;</li><li>Experience in facilitating group therapy preferred&nbsp;</li><li>Must possess a valid PA driver’s license and must comply with ACT 33 of Pennsylvania law to work with youth populations, when applicable&nbsp;</li><li>If in recovery, two years of uninterrupted sobriety preferred&nbsp;</li></ul>&nbsp;KNOWLEDGE, SKILLS AND ABILITIES:&nbsp;&nbsp;<ul><li>Must possess a basic understanding of addiction and addiction interaction disorders.</li><li>Ability to work with individuals and family members from various socioeconomic, cultural, ethnic, educational, and other diversified backgrounds utilizing counseling skills.&nbsp;</li><li>Ability to assess the psychosocial functioning and needs of individuals and their family members, and to formulate and implement a treatment plan, identifying the individual’s problems, strengths, weaknesses, coping skills, and assistance needed&nbsp;</li><li>Ability to implement treatment modalities in working with individuals, families, and groups to achieve treatment goals. This requires judgment and skill in utilizing supportive, problem solving, or crisis intervention techniques.&nbsp;</li><li>Ability to establish and maintain effective working relationships and communicate with patients, staff, and representatives of community agencies.&nbsp;</li><li>Fundamental knowledge of mental health diagnoses, disabilities, and treatment procedures to include common medications and their effects/side effects.&nbsp;</li><li>Must possess the willingness and capacity for growth, both personally and professionally.&nbsp;</li><li>Must have the ability to be objective, empathetic while addressing the individual needs of the respective patients, referrals, and family members.&nbsp;</li><li>Must be computer literate and able to work with most Microsoft applications along with network components.&nbsp;</li><li>Must have fluid communication skills and the ability to document insights and observations in a clinical record.&nbsp;</li><li>Must possess a high degree of professionalism and be able to keep confidential information and treat sensitive clinical information ethically.&nbsp;&nbsp;</li><li>Must be able to keep all clinical work within the guidelines of licensure, accreditation and Caron standards throughout his/her work.&nbsp;</li><li>Must be thoroughly familiar and be able to demonstrate knowledge of the principles and programs of the various 12 step fellowships.&nbsp;</li><li>Must possess effective written and verbal communication skills.&nbsp;</li></ul>#IND102

Caron Treatment Centers

Addictions Therapist

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 Schedule: Days-Monday-Friday This position offers you the opportunity to provide specialized care for all people with complex needs related to life-changing illness. Hope offers diverse opportunities across our service areas throughout SW Florida. You can make a long lasting and positive impact while providing compassionate care, reliable expertise and life-changing inspiration. • Key Responsibilities o Demonstrates the ability to administer quality primary care in a professional manner which supports the patient and families. o Provide documentation in the patient record that meets criteria for good medical practice and addresses legal mandates. o Provide on-call coverage for patient / families on a rotation basis (not applicable to all positions). o Communicate successfully with other Hope Healthcare services. • Knowledge &amp; Skills o Adult Health, Primary Care and / or Geriatrics o Hospice or Palliative Care (preferable) o Practices within the standards of the American Nurses Association for: Scope and Standards of Practice, Code of Ethics for Nursing, Nursing’s Social Policy Statement and Specialty Nursing Standards • Required qualifications o Advanced Nursing Degree, Master’s level from accredited nursing school. Specialty in Adult Health, Primary Care, and Geriatrics preferred. o Current unrestricted APRN license, Florida. o Certification in Hospice and Palliative nursing preferred. o Must possess / be eligible for Medicare license (Medicaid preferred) as a participating provider. o DEA license required. o Must possess a valid driver’s license in the state of Florida, current automobile insurance, and reliable transportation.Certifications/Licenses/Registration:Must possess a valid driver’s license in the state of Florida, current automobile insurance, and reliable transportation. A current license to practice Advanced Nursing in the State of Florida is required. Credentialing through ANCC as a NP is preferred. Certification in Hospice and Palliative nursing is preferred.Experience RequirementsKnowledge of the principles and practices of primary medical care and palliative medicine. Certification in Hospice and Palliative nursing is preferred.Position Specific Responsibilities (not all inclusive)Provide medical care for patients assigned in person, and by telephone communication with staff nurses. Provide documentation in the patient record that meets criteria for good medical practice, addresses legal mandates, and adequately supports billing codes. Communicate successfully with other Hope HealthCare Services employees, the public, and community physicians in a manner that represents Hope’s culture of a collaborative and positive work environment. Assist the Medical Director in maintaining 24 hour, 7 day per week medical coverage for PACE patients in Hope Hospice facilities and services (if applicable). Provide on-call coverage for Hope Palliative Care patients/families on a rotation basis (if applicable). Participate in Hope PACE medical staff meetings and complete any mandatory continuing medical education activities as directed by the administration, in addition to CME needed to maintain certification. Participate in any Quality Assurance activities approved by the administration as appropriate to your job setting. Follow federal and state laws regarding medication prescription.Represent the company in a positive and professional manner at all times with others, e.g., co-workers, management, vendors, and customers. Consistently represents Hope 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.

Chapters Health System

Nurse Practitioner-PACE Program

Dialysis Registered Charge Nurse

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>

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