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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 available Day 1 Mileage reimbursement Schedule: 430p-1230a or 1230a-830a 5x/week Role: The Field Care Advisor Nurse provides after-hours field visits to patients, families, and community partners. Establishes and maintains positive relationships with team members, patients/families, and referral resources.Qualifications:<ul><li>Current license as RN in the state where the employee will be working</li><li>Minimum of one (1) year nursing experience; hospice or hospital experience preferred</li><li>Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system</li><li>Ability to effectively communicate in English (verbal and written); bi-lingual in Spanish preferred</li><li>Mobile Driver - Valid driver’s license and automobile insurance per Company policy</li><li>Reliable transportation to meet patients’ needs</li><li>Excellent critical decision making and problem-solving skills</li><li>Excellent clinical and assessment skills</li><li>Ability to use equipment with visual and auditory mechanisms</li><li>Excellent time management skills with the ability to prioritize demands to meet patient service standards and deadlines</li><li>Ability to effectively handle stressful situations professionally and calmly with exceptional customer service</li><li>Strong patient service skills<ul><li>Information seeking / probing skills</li><li>Accurate knowledge transfer</li><li>Listening, understanding, and responding</li></ul></li><li>Able to navigate in a fast-paced environment utilizing interpersonal skills during patient visits</li><li>Ability to work in a cooperative team environment&nbsp;</li><li>Able to exhibit a sense of urgency in daily work activities</li><li>Skilled in computer operations; proficiency in MS Office software applications, on-line research and proven data entry and navigation skills</li><li>Available to work shifts to accommodate extended hours of operation as scheduled</li><li>Ability to perform sedentary work with frequent interruptions</li><li>Ability to manage the emotional stress of working with and caring for terminally ill patients and their families</li><li>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 accommodations</li><li>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 10/1/2023</li></ul>Some locations may require:<ul><li>Completes clinical admissions for all Company services including, but not limited to:<ul><li>Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner&nbsp;</li><li>Identifies admission objections, concerns or other entry barriers and provides responses</li><li>Educates patient/family on admission requirements and addresses immediate needs</li><li>Completes informed consents and initial assessment according to regulations and Company policy</li><li>Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs</li><li>Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort</li><li>Obtains Physician orders</li><li>Completes documentation per Company policy</li></ul></li></ul><ul><li>Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.</li><li>Communicates frequently with Admissions to ensure timely follow-up.&nbsp; When assignment is complete, informs Admissions and prepares for next assignment.</li><li>Provides all necessary clinical communication timely using SBAR.</li><li>Discusses any potential needs with after-hours staff.</li><li>Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.</li><li>Obtains medical record information for the referral.</li><li>Develops strong relationships with case managers, physicians, etc. at facilities.</li><li>Works with Professional Relations Representatives (PRRs) to provide education on all available services.</li><li>Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.</li></ul>Competencies:<ul><li>Satisfactorily complete competency requirements for this position.</li></ul>Responsibilities of all employees:<ul><li>Represent the Company professionally at all times through care delivered and/or services provided to all clients.</li><li>Comply with all state, federal and local government regulations, maintaining a strong position against fraud and abuse.</li><li>Comply with Company policies, procedures and standard practices.</li><li>Observe the Company's health, safety and security practices.</li><li>Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.</li><li>Use resources in a fiscally responsible manner.</li><li>Promote the Company through participation in community and professional organizations.</li><li>Participate proactively in improving performance at the organizational, departmental and individual levels.</li><li>Improve own professional knowledge and skill level.</li><li>Advance electronic media skills.</li><li>Support Company research and educational activities.</li><li>Share expertise with coworkers both formally and informally.</li><li>Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.</li></ul>Job Responsibilities:<ul><li>Makes after-hours visits to patients in their home, assisted living facility, nursing home, or hospital, anywhere within the assigned affiliate(s) territory.&nbsp; Provides compassionate customer service to patients and families.</li><li>Assesses patient/family and identifies immediate needs and appropriate nursing interventions by phone and/or during visit.</li><li>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.</li><li>Demonstrates clinical skills regarding case management, application of company policy and procedure, physical assessment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships.</li><li>Prioritizes, consults, refers, and collaborates with other professionals to promote quality and continuity of patient/family care.</li><li>Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process, and safety practices.</li><li>Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals.</li><li>Attends patient deaths; prepares body for transport; oversees disposal of medications; and provides bereavement support.</li><li>Completes documentation per policy and procedure.</li><li>Perform other duties as assigned.</li></ul>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, After Hours-Field Nurse-Hope Healthcare

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!As requested by clinical staff, the Respiratory Therapist provides respiratory therapy services to optimize pulmonary function and symptom control for patients. In addition to the Respiratory Therapist responsibilities, the Respiratory Therapist Preceptor plans, coordinates and carries out educational opportunities for new Respiratory Therapists. S/he orients the Respiratory Therapists to their role within the interdisciplinary team; evaluates job performance using competency checklist to ensure each new Respiratory Therapist has successfully acquired knowledge and skills essential to providing patient care.Qualifications:• Bachelor’s degree or an equivalent combination of education and experience • Current Florida Registered Respiratory Therapist (RRT) license• Minimum of two (2) years of respiratory therapy experience • Ability to work as needed and participate in on call schedule• Ability to work unsupervised in the field, exercising some discretion and independent judgment• Well-developed interpersonal skills: ability to problem solve with staff, while maintaining excellent working relationships• Able to communicate clearly in English (written and verbal)• Mobile Driver - Valid driver’s license and automobile insurance per Company policy• Ability to physically access any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) in any area the Company serves• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling, lift 50 pounds) of the job with or without reasonable accommodationCompetencies:• Satisfactory complete competency requirements for this position.Responsibilities of all employees: • Represent the Company professionally 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 Company 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 Company through participation in community and professional organizations.• Participate pro-actively 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 Performance Improvement activities as appropriate for the position.Job Responsibilities:• Conducts respiratory evaluation of patients as requested by clinical staff.• Determines the need for utilization of respiratory equipment and supplies including BIPAP, CPAP, liquid oxygen, oxygen concentrators, nebulizers, oral and intermittent suction, continuous pulse oximetry and ventilators.• Makes recommendations for respiratory treatments and care based on patient assessment to clinical and medical staff.• Provides routine follow-up and monitoring.• Evaluates treatment effectiveness, patient compliance and safety issues, and recommend changes.• Provides education on respiratory therapy to clinical staff, medical staff and patient/caregiver education regarding respiratory equipment use and maintenance, respiratory medications and treatments, energy conservation, home safety and oxygen safety.• Prepares and maintains required documentation for each assigned patient. Completes documentation in a timely manner and distributes to the appropriate parties.• Performs other duties as 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.

Respiratory Therapist-Tampa/Per Diem

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>

U.S. Renal Care

Dialysis Licensed Practical Nurse - LPN Chronic In-center

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.

St. Francis-Emory Healthcare

Registered Nurse Telemetry, FT nights

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

Dialysis Licensed Vocational Nurse - LVN Chronic In-center

<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 **$10,000.00 Sign-on Bonus**

Dialysis Registered Nurse

Coverage area includes: Lone Tree and Aurora, CO and Ogden, Layton, and Logan, UT.&nbsp; Candidate should live close to major airport.The Home Therapy Registered Nurse -- Traveler, as qualified by federal and state regulations, travels to various U.S. Renal Care locations to provide patient training and ongoing support for all patients choosing a home dialysis modality. This position provides nursing relief/support for assigned programs on a temporary or short-term basis.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.GROWTH· Participate in and support corporate initiatives that promote improved care and increase growth of the home department.· Understand vendor product delivery methods and associated fees. Teach patients the importance of proper and timely order placement. Ensure patients receive all supplies in timely manner to not disrupt care.· Assist with clinic and patient supply inventory, ensuring usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. · May assist with equipment management including equipment tracking and retrieval as needed.· Perform duties as assigned to meet the patient care or operational needs of the program.OUTCOMES· May assist with improving patient 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. May assist in obtaining data for the continuous quality improvement activities.· 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.· May complete and document monthly review of patient medication profiles as directed. Administer medications as ordered by the physician.· Provide patient education and follow up as needed.· Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals.OPERATIONALREADINESSOPERATIONALREADINESS (cont.)· 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.· Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.· 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.· May conduct home visits to assess the patient's home environment per policy and as needed to improve care.· Inform (Direct Supervisor) and program Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy.· 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. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.· May assist with developing and implementing the patient plan of care with the interdisciplinary team.· Participate in infection control monitoring, implementation, and recording as requested.· Use personal protective equipment as necessary.· Be familiar with emergency equipment and all emergency operational procedures. 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.· Communicate on-call system to patients and ensure patients have access to nursing support at all times. Teach patients the importance of timely communication.· May perform on call nursing services, nights and weekends, on a rotational basis as needed or assigned.· Flexible with staffing locations and hours to accommodate patient and USRC home program needs.· Regular and reliable attendance is required for the position.Home Hemodialysis Only:· May 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.· May assist with ensuring required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results.PARTNERSHIPS· 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.· Maintain a positive/collaborative working relationship with physicians, state agencies and the community.· Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.· Respond effectively to inquiries or concerns.STAFF DEVELOPMENT/ RETENTION· Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.· May delegate tasks to competent licensed and unlicensed staff per applicable state practice act.· Assist with staff training as requested.· Lead staff in team concepts and promote a team effort.

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