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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 - Floater

Dialysis Registered Nurse up to $10,000 SIGN-ON BONUS

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 - LVN Floater

Title: Counselor - RSCC Internal Applicants Only
Employee Classification:&nbsp;
Institution:&nbsp;Roane State Community College
Department: Student Services
Campus Location: Roane State Community College
Job Summary
To provide personal counseling for Roane State students. This position provides coordinated counseling services, programs, consultations, and activities for Roane State students, staff and faculty. The counselor will also contribute to campus-wide initiatives as a content area expert for mental health related topics and offer consultation services to faculty and staff for students of concern while protecting the confidentiality of clients. This in person position will primarily be based at the Oak Ridge and Knox County campuses but will also be expected travel to other sites. 
Job Duties
1. Counsel students with personal or academic issues individually or in groups, which may include some career decision making, vocational goal-seeking, and/or career life planning.
2. Plan, develop and implement workshops, and seminars, and other outreach on campuses as requested, including regular travel to other campuses.
3. Provide consultation and support to staff, faculty, and academic programs.
4. Develop and maintain relationships with community agencies.
5. Provide short-term crisis intervention and referrals, which may include some evening and weekend work.
6. Provide support for academic advising and retention programs.
7. Perform counseling-related administrative duties.&nbsp;
Minimum Qualifications
Master’s degree in counseling, mental health, or a closely related field. 
Preferred Qualifications
Licensed or license eligible. Two years’ experience in higher education counseling, working with adults, and/or working with college students in a counseling environment. 
Knowledge, Skills, and Abilities
Excellent communication and organizational skills.

Motlow State Community College


      Counselor - RSCC Internal Applicants Only
    

SUMMARYThe 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.

Dialysis Registered Nurse, Home Hemo & Peritoneal RN - Floater

Dialysis Registered Nurse

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 &nbsp;advanced nursing practice in their home state and in additional &nbsp;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. &nbsp;Must hold and maintain Basic Life Support certificate from an approved organization by date of hire. Additionally, all eligible NPs must currently hold, or obtain, Advanced Certification in Hospice and Palliative Nursing (ACHPN) within 3 &nbsp;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.

Chapters Health System

Per Diem - Nurse Practitioner

DescriptionAt. St. Francis-Emory Healthcare, we recognize that our patients deserve qualified, engaged, and competent nurses. And we know that our nurses deserve a working environment that is safe, leaders who are visible and supportive, and opportunities to grow and develop. We have a positive, hopeful, and resilient leadership team that is solely focused on taking care of the heart of St. Francis – the people who work here. If you feel that your skills and compassion fit with our vision for person-centered care and evidence-based practice, and you would like to belong to a hospital family that only the best are invited to join, we invite you to apply today. Under the direction of the Clinical Coordinator and/or Nursing Unit Director, perform nursing patient care duties for the assigned unit or department. Plan, provide, and evaluate total nursing care in accordance with the established patient care philosophy. Facilitate individualized, goal-directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Relate effectively with other shifts for continuity of care, maintain satisfactory relations with other departments and nursing units; and participate in all phases of education. FLSA: Non-exempt EEO: □ 01 Officials and Managers □ 02 Professionals X 03 Technicians □ 04 Sales Workers □ 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service WorkersQualifications <ul><li>Minimum Education X Associates degree in Nursing - Required X Bachelors degree in Nursing - Preferred Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Certifications: Basic Life Support (BLS)-Required ACLS within 6 months of hire Licenses: Valid licensure in the State of Georgia as a Registered Nurse (RN) or multi state/compact RN license Minimum Work Experience:Six (6) months of experience as a Registered Nurse (RN) in a direct patient care setting unless entering into the Nurse Residency Program</li></ul>

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