RN Full-time

PURPOSE AND SCOPE:

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

· Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.

· Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.

· Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.

· Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.

· Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.

· Initiates or assists with emergency response measures.

· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

· Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

· Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.

· Ensures patient awareness related to transplant and treatment modality options.

· Required to complete CAP requirements to advance.

· Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

· This position requires frequent, prolonged periods of standing and the employee must be able to bend over.

· The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.

· The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

· May be exposed to infectious and contagious diseases/materials.

· Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.

· The position may require travel to training sites or other facilities.

· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

SUPERVISION:

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:

· Successful completion of all FKC education and training requirements for new employees.

· Must have a minimum of 9 months experience as a RN.

· Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

EDUCATION and LICENSURE:

· Graduate of an accredited School of Nursing.

· Current appropriate state licensure.

· Current or successful completion of CPR BLS Certification.

· Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

· Chronic/acute hemodialysis experience (preferred).

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Full-time
Madison Health & Rehabilitation

Registered Nurse (RN)- Day Shift Weekends

New Pay scale Rotation every other weekend POSITION PURPOSE: Organizes and directs assigned unit duties to provide quality nursing care to residents. ESSENTIAL FUNCTIONS OF POSITION: • Responsible during the shift for the total nursing care of residents in the assigned unit. • Assumes responsibility for compliance with Federal, State, Local, and company regulations. • Explains procedures and treatments and care plan to resident. • Administers prescribed medications and treatments in accordance with approved nursing techniques. • Transcribes physician's orders. • Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care. • Receives /gives report from/to nurse he /s he is relieving/coming on and records sufficient infonnation and implements appropriate follow-up action as necessary • Follows established procedures for charting and reporting all reports of incident/accidents for res idents and employees. • Conducts frequent rounds to evaluate effectiveness of care delivery. • Prepares equipment and a ids Physician during treatment and exami nation of resident. • Maintains awareness of comfort and safety needs ofr esident. • Observes resident, records significant conditions and reactions, and notifies supervisor or Physic ian of resident ' s condition and reaction to drugs, treatments, and significant incidents . • Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from nonnal and assess condition of resident. • Responds to emergency situations based upon nursing standards, policies, procedures, and protocol. • Assists in completion of the care plans (acute and long term) and is involved in the care conferen ce as deemed necessary. • Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse. • Ensures that documentation i·s reflective of the care plan and that the approaches on the care plan are being followed. • Assures that assigned CNAs are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care. • Monitors that CNA documentation is completed daily . • Takes report from CNAs to facilitate accurate documentation in resident medical record. • Follows company policy and procedure in the event a restraint must be utilized. • Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met. • Identifies residents at risk for nutritional problems and implements preventative measures. • Records new/changed diet orders. Forwards information to the Dietary Department. • Makes beds, bathes and feeds resident, when necessary. • Assures documentation is accurately completed for admission, discharge and transfer. • Supervises and evaluates implementation of the "Resident's Rights". • Participates in department or unit quality improvement activities. • Follows facility procedure requesting supplies and charges for items ordered through Central Supply. • Participates and attends periodic in-services and staff meetings. • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Current State of LVN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required. #Topaz123
RN Full-time
Madison Health & Rehabilitation

Registered Nurse (RN)- Night Shift

New Pay scale POSITION PURPOSE: Organizes and directs assigned unit duties to provide quality nursing care to residents. ESSENTIAL FUNCTIONS OF POSITION: • Responsible during the shift for the total nursing care of residents in the assigned unit. • Assumes responsibility for compliance with Federal, State, Local, and company regulations. • Explains procedures and treatments and care plan to resident. • Administers prescribed medications and treatments in accordance with approved nursing techniques. • Transcribes physician's orders. • Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care. • Receives /gives report from/to nurse he /s he is relieving/coming on and records sufficient infonnation and implements appropriate follow-up action as necessary • Follows established procedures for charting and reporting all reports of incident/accidents for res idents and employees. • Conducts frequent rounds to evaluate effectiveness of care delivery. • Prepares equipment and a ids Physician during treatment and exami nation of resident. • Maintains awareness of comfort and safety needs ofr esident. • Observes resident, records significant conditions and reactions, and notifies supervisor or Physic ian of resident ' s condition and reaction to drugs, treatments, and significant incidents . • Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from nonnal and assess condition of resident. • Responds to emergency situations based upon nursing standards, policies, procedures, and protocol. • Assists in completion of the care plans (acute and long term) and is involved in the care conferen ce as deemed necessary. • Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse. • Ensures that documentation i·s reflective of the care plan and that the approaches on the care plan are being followed. • Assures that assigned CNAs are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care. • Monitors that CNA documentation is completed daily . • Takes report from CNAs to facilitate accurate documentation in resident medical record. • Follows company policy and procedure in the event a restraint must be utilized. • Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met. • Identifies residents at risk for nutritional problems and implements preventative measures. • Records new/changed diet orders. Forwards information to the Dietary Department. • Makes beds, bathes and feeds resident, when necessary. • Assures documentation is accurately completed for admission, discharge and transfer. • Supervises and evaluates implementation of the "Resident's Rights". • Participates in department or unit quality improvement activities. • Follows facility procedure requesting supplies and charges for items ordered through Central Supply. • Participates and attends periodic in-services and staff meetings. • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Current State of LVN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required. #Topaz123
RN Full-time
Monogram Health

Care Manager - Registered Nurse

Position: Care Manager – Registered Nurse Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes. Your Impact: As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. Roles and Responsibilities Work closely with patients’ medical providers to develop and continually adapt care plan Perform in-home care management visits to execute care management plan Monitor biometric data and follow approved protocols for any necessary interventions Inventory and reconcile medications and coordinate with pharmacists and prescribers Perform patient health assessments and surveys as required Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities Encourage medication and treatment adherence through frequent contact with patients Engage family and social support groups in the education and care of patients Serve as the primary point of contact and be the first call when patients have questions (business hours) Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities Obtain vital signs when visiting patient and escalate any concerns to the provider Initiate patient relationships through enrolment and onboarding processes Perform post-op and hospital discharge visits to help patients through vulnerable transitions Review and document patient updates and progress in care management platform Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements Frequent local travel to perform in-home visits Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding Infrequent domestic travel may be required, primarily to Brentwood, TN for training Self-starter with the ability to work independently with minimal supervision Ability to show empathy and quickly build relationships with patients and physicians Graduate of an accredited School of Nursing Currently licensed as a Registered Nurse in the State of the posted location 2+ years previous experience working in care management and/or with CKD/ESRD patients Ability to take call remotely on some nights and weekends Excellent verbal communication skills both in person and on the phone Familiarity with Microsoft Office and mobile phone and web-based applications Benefits Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts About Monogram Health Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
RN Full-time
Kenwood Health Center, LLC

Registered Nurse 7p-7a Full and Part Time

POSITION PURPOSE: Work with physicians, implementing orders for medications, treatments and special tests. Supervise LPNs, LVNs and CNAs, providing them support in order that they may provide total nursing care for residents. ESSENTIAL FUNCTIONS OF POSITION: • Utilize the nursing process to assess resident care plans, implement interventions, and evaluate outcomes related to nursing care. • Interview applicants, recommend hires; participate in counseling to extent permitted by law • Initiate and lead team conferences to develop individualized nursing care plans; assess and document resident's condition and nursing needs; assign team members who have the capabilities and qualifications to meet resident's needs • Implement physicians' orders; administer medications, start IVs, perform treatments, procedures and special tests and document treatment as required by company policy and local/state/federal rules and regulations • Ensure supplies are used economically and equipment is clean and maintained in a safe manner • Coordinate nursing care of residents scheduled for therapy or procedures by other departments • Report and record observations and reactions regarding residents • Assist or institute emergency measures for sudden adverse developments • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Must be skilled in directing, motivating and training staff and able to work as a member of a team; able to communicate effectively with residents, family members and all levels of the organization and maintain confidentiality. Should be a graduate of an accredited RN School of Nursing with valid RN state license, and a minimum of 2 years nursing experience; or equivalent combination of education and experience.
RN Full-time
UMC Health Systems

Registered Nurse (RN) Clinical Documentation Specialist (M-F 8a-5p)

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. Full-Time Monday-Friday 8am-5pm Not fully remote. The Clinical Documentation Specialist (CDS) provides concurrent review of the clinical content in the active patient medical record and queries the medical staff to obtain specific and complete documentation that supports the severity of patient illness and risk of mortality. The CDS conducts initial and extended stay reviews on all selected admissions and identifies opportunities for improvement, education, and increased Registered professional nurse who assesses, implements or delegates, plans, and evaluates total nursing care and functions in accordance with established philosophy. Relates effectively with other shifts/departments for optimal continuity of care. Qualifications: -Graduation from an accredited School of Nursing -Valid Texas RN License/Eligible Compact License -Must maintain a current BLS certification from American Heart Association -Minimum of 5 years of acute care experience. CDI Certification required within 2 years of eligibility. -BSN required or must be obtained within 3 years of hire Skills and Abilities: Critical thinking Strong clinical skills Excellent written and verbal communication Knowledge of Medicare reimbursement procedures and rules Fundamental knowledge of coding practices UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. *Request for accommodations in the hire process should be directed to UMC Human Resources.​*