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Registered Nurse - RN

Fresenius Medical Care Gardendale AL, 35071

PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advanc...

Posted 3 days ago

PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 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. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 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 Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. * Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. * Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. * Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. * Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. * Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. * Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. * Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record * Initiates or assists with emergency response measures. * Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. * Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. * Promotes infection control, equipment and environmental safety. * Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. * 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. * Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. * Checks availability of adequate emergency equipment and supplies as assigned. * Assists with medication tracking and inventory as assigned. * Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. * Participates in all required staff meetings as scheduled. * Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. * 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 and 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 and 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 as a Team Leader or designated Nurse in charge, after the following: * Successful completion of all FKC education and training requirements for new employees plus * Must have a minimum of 9 months experience as an RN plus * Successful completion of 3 months experience in chronic hemodialysis. EDUCATION: * Graduate of an accredited School of Nursing. * Current appropriate state licensure. * 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 within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. * Minimum of 9 months experience as a Registered Nurse (preferred). * Chronic hemodialysis experience (preferred). * Successful completion of FKC Education and Training requirements for new employees. * Successful completion and maintenance of CPR BLS Certification. * Meet all conditions of employment including Ishihara's Color Blindness Test. * Successful completion of all annual required education/training/competencies. * Successful completion of on-going training and education as assigned or required. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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Outpatient Registered Nurse - RN

Fresenius Medical Care Gardendale AL, 35071

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of qu...

Posted 3 days ago

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and 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. up 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. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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PRN Weekends Home Infusion Nurse - Birmingham, Alabama

Unitedhealth Group Inc. Birmingham AL, 35202

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for ...

Posted Yesterday

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody - only those who want to positively impact the health of patients in their own environment. Ready for a new path? Join us and start doing your life's best work.(sm) UnitedHealth Group is seeking talented individuals for our Home Infusion Per Diem RN opportunities. We are delivering specialized infusion therapy services in patient homes and ambulatory infusion suites. Our elite team of Infusion Nurses is growing and we want YOU to join this dynamic and exciting group. Enjoy a flexible PRN opportunity while providing compassionate and highly skilled care to patients. We are now BriovaRx Infusion Services, and we recently joined Optum, part of the UnitedHealth Group family of companies. Benefits include: * Competitive compensation * Mileage reimbursement * One - to - one patient care and teaching * The satisfaction that comes with knowing your care allows a patient to heal at home! The Home Infusion Per Diem RN fills an integral role in the clinical operations of the organization, working collaboratively with a multi - disciplinary team to ensure infusion therapy can be safely and effectively administered to each home-based patient. * Per diem RNs will be asked to provide schedule availability on a regular basis, and expected to work those days indicated as available unless otherwise called off duty * Primary Responsibilities: * Travel to provide skilled nursing care for infusion patients in their home or an ambulatory infusion suite * Teach patients and their care givers to achieve the highest level of independence possible in self - care and monitoring of their infusion therapy * Assess the patients' condition and response to therapy, taking action as needed to facilitate achievement of treatment goals * Collaborate with physicians and pharmacists on the patient plan of care and treatment, communicating status changes and implementing new orders as received * Establish trust and build therapeutically effective relationships with patients and their families Required Qualifications: * Active and unrestricted licensure as a Registered Nurse (RN) in the state(s) of practice and others as requested. * One (1) years of experience working as an RN in a clinical care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, emergency department, intensive care unit, post - anesthesia care unit, or similar setting). * Proficient with Microsoft Office. * Willing and able to work independently in home or alternate - site settings. * Access to reliable transportation that will enable travel to customer and/or patient sites. Preferred Qualifications: * Experience administering infusion therapy in a home or alternate-site setting. * Knowledge of the Infusion Nursing Society (INS) standards of practice, policies and procedures. * Knowledgeable of HIPAA patient privacy and data security requirements, OSHA employee protection regulations, and The Joint Commission's accreditation standards for home health and home infusion pharmacy (or other relevant accrediting organizations). Careers with BriovaRx Infusion Services. If you choose a career with BriovaRx Infusion Services, you'll join a team that is dedicated not only to delivering the latest in home infusion therapy, but also providing that care in a patient-first approach that offers better outcomes. As part of the Optum and UnitedHealth Group family of businesses, we strive to help our patients feel comfortable in their regimen so they can receive the treatment they need while maintaining the lifestyle they prefer. At BriovaRx Infusion Services, you'll join a team that inspires you to do better every day, resulting in your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: RN, Home Infusion, IV, Infusion Therapy, Infusion, ER, ICU, Critical Care, PACU, Acute Care, Home Health

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Treatment Nurse - Weekends

North Hill Nursing And Rehabilitation Center, LLC Birmingham AL, 35202

Part-time position with competitive wages and excellent benefit package. DUTIES JOB KNOWLEDGE AND ROLE RESPONSIBILITIES: ...

Posted 2 days ago

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Licensed Practical Nurse (Part Time)

Genesis Healthcare LLC Gardendale AL, 35071

Come join our week end warriors, part time Saturdays and Sundays nights only, 6:30p-7:00a. Genesis is the nation's leading ...

Posted 7 days ago

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Outpatient Registered Nurse - RN

Fresenius Medical Care Fairfield AL, 35064

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of qu...

Posted 3 days ago

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and 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. up 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. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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Outpatient Registered Nurse - RN

Fresenius Medical Care Birmingham AL, 35202

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of qu...

Posted 3 days ago

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and 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. up 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. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

B

Registered Nurse - Home Health Paid Per Visit

Brookdale Senior Living Birmingham AL, 35202

PRN Registered Nurse - Home Health Paid Per VisitPRN Registered Nurse - Home Health Paid Per Visit Birmingham, AL Job #:p...

Posted 4 days ago

PRN Registered Nurse - Home Health Paid Per VisitPRN Registered Nurse - Home Health Paid Per Visit Birmingham, AL Job #:prnRNPPVbirAL7246310 A career with Brookdale Healthcare Services has never been so rewarding! Brookdale Home Health is ranked among the Top Ten largest home heath companies in the country. Many of our agencies carry a five-star rating and are recognized by Decision Health as Home Care Elite agencies. We own and operate more than 80+ agencies nationwide, serving approximately 17,000 patients throughout our Brookdale Home Health Division. Brookdale. Bringing new life to senior living. Brookdale Healthcare Services is looking for a Home Health RN to provide services in the Birmingham area. Join a dynamic team of health care providers focused on health, wellness and prevention for all our patients. Your responsibilities: * Evaluate patient and home health environment to determine required services and involve the patient and patient's family in developing the plan of care * Develop the POC based on findings from evaluation visit * Serve as the patient's advocate and maintain ongoing communication with physician, referral sources, caregivers and facility management to facilitate coordination of care * Responsible for timely completion and synchronization of OASIS visits within the patient home via device (EMR) * Provide direct supervision of nursing clinical care team members (LPN's/LVN's & HHA's) Required skills and qualifications: * Graduate of an accredited school of professional nursing * One year of previous related experience * Licensed as an registered nurse in the state of practice * Travel is required; must have a reliable car w/current insurance coverage and a current driver's license * Experience with Electronic Medical Records (EMR) devices preferred but not required If you're a Brookdale associate, please consider referring someone through the Good People Program! Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace.

C

Home Chronic Care Nurse Pract Supervisor- AL

Cigna Birmingham AL, 35202

Alegis Care, a division of CareAllies, is a premier home based healthcare provider and medical services company. We are an innovat...

Posted 1 week ago

Alegis Care, a division of CareAllies, is a premier home based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous growth nationwide. At Alegis Care, our focus is delivering comprehensive care at home to improve outcomes and reduce total healthcare costs. We are a group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers. A main focus of our practice is: * Comprehensive Health Risk Assessments (HRA): health plans contract with Alegis Care to conduct in-home comprehensive health assessments in order to ensure patient's medical well –being and to provide accurate data for HCC (Hierarchical Condition Categories) coding, STAR ratings and reimbursement. * Complex Care Program (CCP): health plans look to us to conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort to improve clinical outcomes. Our team collaborates with the patients' primary care physicians (PCPs), and our visits serve as an adjunct to the care delivered by the PCP. Chronic Care Management (CCM): Alegis Care contracts with and receives referrals from health plans to assume primary care of chronically ill patients with high admission rates and multiple emergency department visits in an effort to improve clinical outcomes. Nurse practitioners work alongside physicians delivering care in the patient's home. For the most part, the nurse practitioners attend to acute visit needs and see patients post hospital or nursing home discharge. The Nurse Practitioner Supervisor delivers clinical services in the home and provides administrative oversight of a dedicated Team of Nurse Practitioners to achieve quality medical care and outcomes for patients in the home in a cost-effective manner. Supervisor Role and Responsibilities * Supervises a Team of Nurse Practitioners within an identified geography or market. Manages a caseload of chronic care patients and can complete health risk assessments as needed. Manages a field based panel of patients according to NP Program responsibilities outlined in the NP job descriptions (see attached). * Tracks, monitors and manages to specific transition of care parameters for the NP Team. * Regularly meets face to face with direct reports and rides along to home visits to monitor and provide feedback on the quality of the NP assessment and care delivery. * Conducts regular Team meetings * Provides a clinical escalation pathway for the NP with access to a Medical Director for further clinical consultation. * Monitors and reports key clinical and productivity indicators for the NP Team to ensure quality of care and service delivery. Other duties * Manages on call schedules and coverage for the NP Team. * Participates in quality processes such as medical documentation audits, and other quality projects at the direction of department Clinical Manager * Provides direct management of the NP Team including recruiting, training, time and attendance, and quarterly performance check-ins. Acts as the NP liaison between the NP Team and clinical and operational departments Required Knowledge, Skills, Abilities and Certifications * NP candidates must be board certified by the ANCC or AANP or geriatrics, and have current RN and NP licensure in the state of practice. (active and unrestricted RN and NP licenses) * Excellent clinical assessment and analytical skills with the ability to recognize conditions, characteristics, and behaviors that place seniors and families at risk. * Ability to perform comprehensive physical exams, assess, identify, diagnose, treat, and document acute and chronic disease. * Experience with electronic medical records is required along with a proficiency with various computer based applications such as Microsoft Office and excel. * Must have a valid State driver's license * Current BLS certification; ACLS preferred * Highly motivated, self-directed professional with strong organizational skills and comfortable working independently. Preferred Knowledge, Skills, Abilities and Certifications * Five years of clinical experience in geriatric, adult, or family medicine * Excellent verbal and written communication skills * Experience with postpartum, pediatric and adolescent health * Effective leadership and interpersonal skills with the ability to facilitate problem resolution with a professional demeanor in difficult situations

A

Infusion Nurse RN, Per Diem – Accredo

Accredo Health Birmingham AL, 35202

POSITION SUMMARY The primary function of the Infusion Nurse RN is to provide essential in-home IV Infusion medical treatment, r...

Posted 6 days ago

POSITION SUMMARY The primary function of the Infusion Nurse RN is to provide essential in-home IV Infusion medical treatment, response management and follow up care to our clients after receiving a physician order for nursing services. In addition, within an assigned geographical territory, the Infusion Nurse RN will administer and monitor patients in the home during treatment and provide the necessary education on treatment regimen, condition management and treatment self-administration when appropriate. This is a multi-faceted role of nurse, trainer and coordinator and the individual must be calm, professional with the ability and willingness to work with a wide range of personality types in a variety of environments. ESSENTIAL FUNCTIONS * Provide patient clinical coordination in a variety of environments including home, infusion suites, hospitals and doctor offices * Train patients in the self-administration of treatments, and how to quickly recognize and respond to symptoms of adverse physical reactions to treatments * Coordinate with pharmacists to address changes in patient condition or drug management issues * Collaborate and confer with TRC (Therapeutic Resource Center) staff regarding patient status and treatment needs * Document all interactions and communication with patients, plan of treatment (POT), assessment, treatments, patient responses/reactions to treatment, status of disease process and training activities in a timely manner using company issued tools * Complete training for new/specialty infusion therapies QUALIFICATIONS * High School Diploma or GED required Registered Nursing License required * College Degree preferred or 6-8 years of relevant experience required. * 1-2 Years of relevant experience with Bachelor's Degree. * Valid, unrestricted driver's license in state of relevance. * General PC knowledge including Microsoft Office, Internet and email * Home internet access is required * Strong venous access skills must be able to access peripheral veins * Availability to work weekend hours if needed, and flexibility to work alternate shifts on short notice * Ability to lift and perform repetitive motions; Critical care experience preferred * Previous home infusion experience a strongly preferred ABOUT THE DEPARTMENT A leading provider of specialty pharmacy services, Accredo improves care for patients through behavioral and clinical expertise. Accredo offers a broad range of healthcare products and services for individuals with chronic health conditions, such as growth hormone deficiencies, hepatitis C, hemophilia, oncology, multiple sclerosis and rheumatoid arthritis. It also provides comprehensive patient management services, including clinical care management programs, counseling, education, outcomes measurement, social services and reimbursement services. ABOUT EXPRESS SCRIPTS Advance your career with the company that makes it easier for people to choose better health. Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine ranked as one of the 'Most Admired Companies' in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services. We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan. Express Scripts is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation. Express Scripts is a VEVRAA Federal Contractor.

Registered Nurse - RN

Outpatient Registered Nurse - RN

PRN Weekends Home Infusion Nurse - Birmingham, Alabama

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Treatment Nurse - Weekends

Licensed Practical Nurse (Part Time)

Outpatient Registered Nurse - RN

Outpatient Registered Nurse - RN

Registered Nurse - Home Health Paid Per Visit

Home Chronic Care Nurse Pract Supervisor- AL

Infusion Nurse RN, Per Diem – Accredo

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Registered Nurse - RN

Outpatient Registered Nurse - RN

PRN Weekends Home Infusion Nurse - Birmingham, Alabama

Boost your job search productivity with our free Chrome Extension!

Treatment Nurse - Weekends

Licensed Practical Nurse (Part Time)

Outpatient Registered Nurse - RN

Outpatient Registered Nurse - RN

Registered Nurse - Home Health Paid Per Visit

Home Chronic Care Nurse Pract Supervisor- AL

Infusion Nurse RN, Per Diem – Accredo

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