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Licensed Practical Nurse LPN

Brookdale Senior Living Birmingham AL, 35202

Full Time Licensed Practical Nurse LPNFull Time, Part Time, PRN Licensed Practical Nurse LPN All Shifts Available Galleria W...

Posted 1 week ago

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Licensed Practical Nurse (Lpn) - SNF - Full Time

Noland Health Birmingham AL, 35202

3p-11p Summary of Duties Licensed Practical Nurse – LPN will be responsible for providing direct care to residents as needed...

Posted 2 weeks ago

3p-11p Summary of Duties Licensed Practical Nurse – LPN will be responsible for providing direct care to residents as needed in accordance with care plan, policies and procedures, and nursing standards of care. Essential Job Functions * Admit, transfer, and discharge residents as required and inform staff. * Check residents on a regular basis to observe and evaluate physical and emotional status. * Direct Nursing/Resident Care Assistants in the performance of their responsibility and report any concerns to the Resident Care Coordinator. * Document according to policies and procedures and regulations. * Chart nurse's notes in an informative, descriptive, and legible manner that reflects the care provided to the resident and the resident's responses to care and intervention. * Report all discrepancies, problems, and issues regarding resident care to the Resident Care Coordinator. * Transcribe and/or check physician orders to ensure orders have been executed. * Administer and document medication administration per physician's orders. * Complete assessments on all assigned residents on each shift. * Report residents' condition and shift occurrences to oncoming staff. * Communicate with physicians, residents, families and nursing staff all pertinent information, clinical data regarding residents' condition, and possible change in condition. * Provide direct care to residents as needed in accordance with the care plan, policies and procedures, and nursing standards of care. * Perform other duties including special projects, as assigned. Education and Experience Currently licensed as a Licensed Practical Nurse – LPN by the State of Alabama. One (1) year experience in a health care facility preferred. Must possess CPR certification within thirty (30) days of employment. Physical Requirements for Essential Job Functions * Must be able to move about intermittently throughout the workday. * Must be able to reach, bend, and/or stoop intermittently throughout the work day. * Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. * Must be able to push, pull, or move a minimum of 100 pounds utilizing proper body mechanics and assistance. * Must be able to walk/stand 75% of the day. * Must be able to cope with the mental and emotional stress of the position. Nurse Nursing Licensed Practical Nurse LPN

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Nurse Supervisor (Pool)

Healthsouth Corporation Pelham AL, 35124

The Nurse Supervisor is responsible for assisting in the development and implementation of patient care programs, policies, and pr...

Posted 4 days ago

The Nurse Supervisor is responsible for assisting in the development and implementation of patient care programs, policies, and procedures that describe how patients' needs for nursing care, treatment, and services are assessed, evaluated, and met. This position will support cultural diversity by ensuring that the delivery of quality, equitable and culturally competent patient-centered care is provided; promoting and maintaining an inclusive work environment and culture that is respectful and accepting of diversity; and ensuring that cultural diversity and sensitivity training is part of new employee orientation on an on-going basis to meet the needs of the patient population served in the hospital. Job Code: 100374 License or Certification: * Current RN licensure appropriate to state regulations (unrestricted) * BLS certification with ACLS certification to be obtained within one year of hire or entry in to position * CRRN certification to be obtained within a year of meeting the eligibility requirement to sit for the examination Education, Training and Years of Experience: * Bachelor's Degree in Nursing or related field preferred * Two years recent (within the last 5 years) experience in an inpatient hospital setting * Served in leadership roles such as charge nurse or lead capacity where they had responsibility for interim reporting, issue resolution, setting direction and had accountability for results Physical Requirements: * Good visual acuity and ability to communicate. * Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 30 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements. Skills and Abilities: * Ability to speak, read, write, and communicate effectively. * Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner. * Ability to work independently without supervision. * Ability to manage multiple competing demands while maintaining a calm, professional demeanor. Environmental Conditions: * Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure. * Exposure or potential exposure to blood and body fluids may be required. * Handicapped accessible. * May work under stressful circumstances at times. Proficiency or Productivity Standards: * Meets established attendance standards. * Adheres to hospital/department dress code including wearing ID badge. * May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines. * May be required to work on religious and/or legal holidays on scheduled days/shifts. * Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster. * May be required to stay after workday to assist after a disaster situation until relief arrives. * May be required to perform other duties as assigned by supervisor.

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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 4 days ago

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Registered Nurse RN

Brookdale Senior Living Birmingham AL, 35202

Full Time Registered Nurse RNFull Time, Part Time, PRN Registered Nurse RN All Shifts Available Per Diem RN Weekdays and Weeken...

Posted 1 week ago

Full Time Registered Nurse RNFull Time, Part Time, PRN Registered Nurse RN All Shifts Available Per Diem RN Weekdays and Weekends Galleria Woods AL 3850 Galleria Woods Drive Birmingham, AL 35244-1098 Job#:BSL7245313 Brookdale. Bringing new life to senior living. As a nurse at our senior living community you'll ensure our residents receive the best possible care by coordinating with physicians and other healthcare personnel. This position gives you the opportunity to bond with seniors who will put their trust in you. It's a chance to make deep connections while utilizing your nursing skills. You'll get to know our entire population as you make the rounds and administer prescribed medications and treatments. We offer a family-friendly schedule, opportunities for advancement and a supportive work environment. Forget the 12-hour shifts and rapid hospital pace. Make the change. Your responsibilities: * Implement and coordinate the delivery of care in collaboration with physician and resource health care personnel * Utilize the nursing process (assessment, planning, implementation, and evaluation) in applying nursing knowledge * Document all pertinent information regarding nursing care, care plans and observations * Maintain a working knowledge of facility infection control procedures * Provide functional direction and assistance to LPN's and CNA's, and complete new staff orientation as assigned * Make rounds on a timely basis to ensure continuity of care Required skills and qualifications: * Graduate of an accredited school * Current registered nurse in the state of practice * One year of nursing experience, including long-term care experience * Flexible schedule, including availability to work evenings, weekends and holidays as needed * Must enjoy working with the senior population 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. Brookdale offers a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, educational reimbursement. All associates, age 21 and older, are eligible to participate in the 401(k) retirement savings plan.

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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 6 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.

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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 5 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 3 days ago

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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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 1 week 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.

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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 5 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

Licensed Practical Nurse LPN

Licensed Practical Nurse (Lpn) - SNF - Full Time

Nurse Supervisor (Pool)

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Treatment Nurse - Weekends

Registered Nurse RN

Registered Nurse - Home Health Paid Per Visit

Outpatient Registered Nurse - RN

PRN Weekends Home Infusion Nurse - Birmingham, Alabama

Infusion Nurse RN, Per Diem – Accredo

Outpatient Registered Nurse - RN

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Licensed Practical Nurse LPN

Licensed Practical Nurse (Lpn) - SNF - Full Time

Nurse Supervisor (Pool)

Boost your job search productivity with our free Chrome Extension!

Treatment Nurse - Weekends

Registered Nurse RN

Registered Nurse - Home Health Paid Per Visit

Outpatient Registered Nurse - RN

PRN Weekends Home Infusion Nurse - Birmingham, Alabama

Infusion Nurse RN, Per Diem – Accredo

Outpatient Registered Nurse - RN

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