Outpatient Registered Nurse - RN

Fresenius Medical Care Galveston , TX 77550

Posted 2 months 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

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

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Registered Nurse RN Inpatient Case Manager Healthcare Wellmed Houston TX

Unitedhealth Group

Posted 4 days ago

VIEW JOBS 1/14/2022 12:00:00 AM 2022-04-14T00:00 **$5,000 Sign-on Bonus for External Candidates Only** Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) Inpatient Services Case Manager performs onsite review or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing facility. Actively implements a plan of care utilizing approved clinical guidelines to transition and provide continuity of care for members to an appropriate lower level of care in collaboration with the hospitals/physician team, acute or skilled facility staff, ambulatory care team, and the member and/or family/caregiver. The case manager is responsible for coordinating the care from admission through discharge. The Case Manager participates in Patient Care Conferences to review clinical status, update/finalize transition discharge needs, and identify members at risk for readmission. Full-Time Field Base Position: This position requires 50% to 75% traveling around the Houston, TX and counties areas supporting WellMed Patients. Must have reliable transportation and available to work flexible shifts. Rotating on-calls required. The Case Manager may perform telephonic and/or face-to-face assessments. Primary Responsibilities: Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for members Independently serves as the clinical liaison with hospital, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced-based criteria within our documentation system Performs expedited, standard, concurrent, and retrospective onsite or telephonic clinical reviews at in network and/or out of network facilities. The Case Manager documents medical necessity and appropriate level of care utilizing national recognized clinical guidelines for all authorizations Interacts and effectively communicates with facility staff, members and their families and/or designated representative to assess discharge needs, formulate discharge plan and provide health plan benefit information Identifies member's level of risk by utilizing the Population Stratification tools and communicates during transition process the member's transition discharge plan with the ICT Conducts a transition discharge assessment onsite and/or telephonically to identify member needs at time of transition to a lower level of care Manages assigned case load in an efficient and effective manner utilizing time management skills Demonstrates exemplary knowledge of utilization management and care coordination processes as a foundation for transition planning activities Independently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in department huddles Enters timely and accurate documentation into designated care management applications to comply with documentation requirements and achieve audit scores of 90% or better on a monthly basis Adheres to organizational and departmental policies and procedures Takes on-call assignment as directed The Case Manager will also maintain current licensure to work in State of employment and maintain hospital credentialing as indicated Decision-making is based on regulatory requirements, policy and procedures and current clinical guidelines Maintains current knowledge of health plan benefits and provider network including inclusions and exclusions in contract terms Refers cases to UM Medical Director as appropriate for review for cases not meeting medical necessity criteria or for complex case situations Monitors for any quality concerns regarding member care and reports as per policy and procedure Performs all other related duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree in Nursing and/or, Associate's degree in Nursing combined with 4+ years of experience above the required years of experience Current, unrestricted RN TX or Compact license Case Management Certification (CCM) or ability to obtain CCM within 12 months after the first year of employment 3+ years of diverse clinical experience in caring for the acutely ill patients with multiple disease conditions 2+ years of managed care and/ or case management experience Knowledge of utilization management, quality improvement, and discharge planning Proven ability to read, analyze and interpret information in medical records, and health plan documents Demonstrated ability to problem solve and identify community resources Proven planning, organizing, conflict resolution, negotiating and interpersonal skills Knowledgeable in Microsoft Office applications including Outlook, Word, and Excel Proven ability to utilize critical thinking skills, nursing judgement, and decision-making skills Demonstrated ability to prioritize, plan, and handle multiple tasks/demands simultaneously Frequently required to stand, walk or sit for prolonged periods Reliable transportation Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance Preferred Qualifications: Experience working with psychiatric and geriatric patient populations Bilingual (English / Spanish) language proficiency To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm) **PLEASE NOTE** The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a Sign On Bonus. 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: WellMed, Healthcare, Bilingual, Registered Nurse, RN, Inpatient/Outpatient Case Manager, CM, Complex Care, Utilization Management, Skilled Nurse Facility, SNF, Houston, Galveston, Harris, Fort Sam, Beaumont, Texas, TX Unitedhealth Group Galveston TX

Outpatient Registered Nurse - RN

Fresenius Medical Care