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Fresenius Medical Care

Dialysis Clinical Manager Registered Nurse - RN

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL RESPONSIBILITIES AND DUTIES CLINIC OPERATIONS: Manages the operations of the clinic, including costs, processes, staffing, and quality standards. Provides leadership, coaching, and development plans for all direct reports. Partners with internal Human Resources, Quality, and Technical Services departments. Collaborates with or functions as the Home Therapies Program Manager to oversee the facility’s Home Therapies Program. Maintains integrity of medical and operations records and complies with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. Responsible for all required network reporting and on-site state or federal surveys. PATIENT CARE: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care. Acts as a resource for the patient and family to address concerns and questions. Accountable for timely completion of patient care assessments and care plans. Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments. Plans, coordinates, and validates patient eligibility for treatment. Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. STAFF: Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings. Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. Provides support for all clinical staff members at regular intervals and encourages professional growth. Maintains current knowledge regarding company benefits, policies, procedures, and processes. Completes employee evaluations and establishes annual goals. Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. Manages staff scheduling and payroll. PHYSICIANS: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. Responsible for strong physician relationships and ensures regular and effective communication. Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies. EDUCATION AND REQUIRED CREDENTIALS: Bachelor’s Degree or an equivalent combination of education and experience. Graduate of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE AND SKILLS: Required: 6+ years business operations experience in a healthcare facility. 12 months experience in clinical nursing. 6 months chronic or acute dialysis nursing experience. Successfully pass the Ishihara Color Blind Test. Preferred but not required: 3+ years supervisory or project/program management experience. Med/surg or ICU/CCU experience. PHYSICAL DEMANDS AND WORKING CONDITIONS: Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required. The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. 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. 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
RN Full-time
Salyersville Nursing and Rehabilitation Center

Registered Nurse

RN floor nurse - Same day pay available Position Purpose: Be in charge of a group of dedicated nurses, ensuring they are able to provide the highest quality of care for residents. Involved in hiring, orientation, monitoring skills and training. Working with doctors, obtaining medications, and maintaining accurate records of treatment. Essential Functions of Position: Supervise nursing unit including scheduling and directing nursing staff Coordinate effective use of personnel, supplies, equipment and facilities; obtain medications and medical records to provide safe, efficient and therapeutic care to residents Contact physicians as necessary and ensure physician interventions are timely and appropriate; ensure appropriate documentation of resident care Review staffing patterns and census of nursing units; reassign personnel when necessary to ensure residents needs and budgetary controls are met Investigate complaints and take necessary action to resolve problems 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 residents. Transcribes physician's orders to resident charts, medication*/*treatment cards and care plans as required. 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 fro m*/to nurse he*/ she is relieving /*coming on and records sufficient information and implements appropriate follow-up action as necessary Follows established procedures for charting and reporting all reports of incident/accidents for residents and employee Conducts frequent rounds to evaluate effectiveness of care delivery. Maintains awareness of comfort and safety need resident. Prepares equipment and aids Physician during treatment and examination of resident. Observes resident, records significant conditions and reactions, and notifies supervisor or Physician 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 normal 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 conference as deemed necessary. Participates, reports to DON I Administrator and conducts (as appropriate) investigations related to any alleged abuse. Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed. Assures that team is aware of the resident care plan, and ensure personnel refer to the care plan prior to administering care. Monitors that documentation is completed daily. Takes report from nursing staff to facilitate accurate documentation in resident medical record. Responsible for all other RN duties as required. Perform additional duties as assigned. EDUCATION / REQUIREMENTS: Current State Registered Nurse license 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 Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager LTACH

Overview The Clinical Nurse Manager is accountable for the supervision of nursing services to provide safe, effective and efficient nursing care. This position is an important part of the Management Team and the responsibilities for the position include: assigning, assessing, planning, implementing, and evaluating clinical care for the nursing unit(s). This position is evaluated on the basis of objective measurable criteria, including maximizing the personal abilities and competence of staff nurses, licensed practical nurses and other personnel assigned to the unit(s) for which the Clinical Nurse Manager is responsible. The Clinical Nurse Manager reports to the Nurse Manager or designee and supervises staff nurses, licensed practical nurses, nurse aides, nursing service clerks, monitor technicians, and others, as necessary, on the assigned unit(s). This position has frequent contact, not only with employees, but also with patients, patients’ families, visitors and medical staff. Responsibilities Develop, implement and evaluate unit(s) goals, objectives, policies, procedures, and standards of care, which contribute to the achievement of unit(s) objectives. Oversee and coordinate the activities and job duties of unit assigned personnel to achieve assigned objectives for quality results, customer/patient satisfaction, cost-effectiveness and compliance with fiscal budget. Incorporate total quality management concepts into hospital operations. Assign work to staff nurses, licensed practical nurses, nurse aides, unit clerk/monitor technicians and other necessary personnel to meet patient care objectives. Ensure continuity of patient care by planning staff assignments through evaluation of the competency, education and training of unit personnel compared to patient care needs. Develop effective communications between personnel, physicians and other employees to assure continuity, coordination and collaboration in delivering appropriate health care services. Maintain proficiency with respect to applicable technologies to permit informed recommendations regarding new services, products and equipment. Interview, select, evaluate, discipline and terminate personnel, or recommend such action, as necessary, consistent with hospital policies and procedures. Assure that assigned employees receive proper orientation and attend in-service training that is required for such employees to maintain proper licensure or certification. Maintain personnel records and related information as required. Develop work schedules for unit(s) assigned, including vacation, leaves of absence, call-in, call-off, and other time off requirements. Responsibly direct and supervise all employee relations activities in the hospital.. Attend management meetings and participate in formulating management and supervisory personnel policies and procedures. Apply advance knowledge with respect to clinical matters, serving as a role model and resource, including performing direct patient care as necessary. Direct, oversee, and assist in the delivery of patient care including, but not limited to, such functions as follows: Assist in cases of emergency. Train new, inexperienced and present assigned personnel by instruction and demonstration of safe or proper working procedures. Assist assigned personnel in the performance of a task when requested by such personnel. Assist assigned personnel in correcting, adjusting or controlling new equipment during installation or testing periods. Assist assigned personnel in meeting patient care requirements where undo delay would interrupt safe patient care, until other assistance is available. Fill in for assigned personnel to avoid interruption in safe patient care until additional assigned personnel are located and available for work. Perform or assist in the performance of clinical treatments, procedures, and total patient care which may require expert skills and judgment in accordance with established standards. Perform duties related to patient care not otherwise assigned. Qualifications Graduation from an approved school of nursing and maintain current non-limited license in assigned State. BS or MSN preferred; a minimum of two (2) years of relevant experience, five (5) years preferred, with demonstrated management potential and proficient clinical skills.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager (Tier 1

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager (Tier 1

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred