RN Clinical

About this role : As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.

Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members.

How you grow or advance : As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career.

By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise.

All new hires will begin at the appropriate CAP level based on prior experience and education.

Our culture : We believe our employees are our most important asset we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.

Our focus on diversity : We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition.

We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.

Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.

PRINCIPAL 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.

• As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
• Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients.

This includes delegation of appropriate tasks to direct patient care staff.

• Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.
• Adjusts or modify the treatment plan as indicated and notify supervisor as needed.
• Provides initial and ongoing education to patient and family.
• Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
• Initiates or assist with emergency response measures.
• Ensures correct laboratory collection, processing, and shipping procedures are performed.
• Collaborates with the Interdisciplinary Team on the patient care plan.
• Ensures patient awareness related to transplant and treatment modality options.
• Completes CAP requirements to either maintain or advance within the program.
• Makes referrals to Social Worker and Registered Dietitian as appropriate.
• Ensures patient awareness related to transplant and treatment modality options.

EDUCATION AND LICENSURE :

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND SKILLS :

• Qualities and traits : compassion, caring, support for colleagues, collaborative, reliable.
• Experience as a Registered Nurse (preferred but not required).
• Chronic / acute hemodialysis experience (preferred but not required).
• Successfully pass the Ishihara Color Blind Test.

PHYSICAL DEMANDS AND WORKING CONDITIONS :

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation.

Equipment aids and / or coworkers may provide assistance.

• This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases / materials.
• Day to day work includes desk work, computer work, interaction with patients, facility / hospital staff and physicians.
• The position may require travel to training sites or other facilities.
• May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

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

Position Summary

The Registered Nurse provides direct patient care. The Registered Nurse collaborates with patients, family / significant others, peers, physicians and other members of the interdisciplinary healthcare team in the delivery of healthcare services to patients.

The Registered Nurse assesses the patient’s needs, plans care, implements and evaluates the medical and nursing regimens in accordance with the hospital and nursing philosophy, policies / procedures and standards.

He or she demonstrates leadership skills and commitment to professional accountability and growth

Essential Functions and Responsibilities Includes the Following :

• Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
• Utilizes the nursing process to meet the age specific needs of the patient in all aspects of care : biophysical, psychosocial, education, safety / environment and discharge planning
• Utilizes appropriate steps in the decision making process to include recognition and priority setting related to patient care and unit-based issues.

Addresses issues with appropriate actions

• Collaborates and communicates with the interdisciplinary health care team
• Integrates patient rights and nursing ethics into work practice
• Adheres to infection control standards to reduce the risk of nosocomial infections to patient and staff.
• Adheres to the tenets of the Joint Commission National Patient Safety Goals
• Delegates activities to ancillary staff as it relates to the State Nurse Practice Act
• Adheres to the ANA Code of Nursing Ethics & Scope and Standards of Nursing Practice
• Supports, promotes, and practices within the WPH Professional Nursing Practice Model
• Sustains and advances the Magnet model
• Participates in the Performance Improvement initiatives
• Completes competency requirements
• Attends mandatory in-services
• Attends staff meetings as required / requested
• Utilizes cost containment practices
• Assumes Charge Nurse responsibility
• Performs other related duties as assigned

Education & Experience Requirements

• Graduate from an accredited school of nursing with current New York registration
• Baccalaureate in Nursing (BSN) required for all external RNs hired on or after January 1 st , 2018.
• All RNs hired on or after January 1 st 2016 but before January 1 st 2018, must have a minimum of a BSN or show evidence of enrollment and completion of BSN by January 1 st , 2020.
• All RNs hired before January 1 st 2016 must have BSN by January 1 st , 2022.
• Knowledge of current nursing, medical and health trends and practices in rendering of patient care.
• One year of acute care nursing experience preferred for areas other than medical surgical or step-down
• BLS certification (through American Heart Association) is required.

Current nurses will have 12 months to receive this certification (1 / 1 / 18). Current nurses on Mother / Baby will have until 1 / 1 / 19 to receive this certification.

All newly hired, inexperienced nurses must receive this certification within 12 months. All newly hired, experienced nurses must receive this certification within 6 months.

PALS certification (through American Heart Association) is required for all RNs working in the PACU, 5I Pediatrics, Emergency Department, Armonk Urgent Care and Ambulatory Surgery.

All newly hired, inexperienced nurses must receive this certification within 12 months. All newly hired, experienced nurses must receive this certification within 6 months.

• NRP certification is required for all RNs working in the Mother-Baby unit, Labor & Delivery and NICU. All newly hired nurses to the NICU, L&D and the Mother-Baby unit must receive this certification within 6 months.
• Successful completion of Department and Unit Orientation Program

Core Competencies

• Teamwork & Adaptability
• Acts as a Professional Role Model
• Assessment Skills
• Excellent Communication Skills (both verbal and written)
• Attention to Detail
• Planning & Organizing
• Sound Problem-Solving, Judgment and Decision-Making Skills
• Stress Tolerance

Physical / Mental Demands / Requirements & Work Environment

May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) data base and accessed through the hospital’s Intranet site (Employee Tools / SDS Access).

A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc.

• Position requires ability to move about freely at least 85 per cent of the time.
• Must be able to remain stationary for extended / prolonged periods
• Frequently moves / transports objects up to fifty (50) pounds and must be able to move patients of all weights with a minimum of one (1) assist or assistive device / equipment
• Must be able to work in environment with continuous interruptions
• Must be able to assess and respond to rapidly changing situational needs of patients, department and hospital
• Must be able to adapt in a high stress and fast-paced environment with multiple interruptions
• Must be able to detect sounds and respond to emergency sounds / signals at all times
• Must be able to constantly operate computer, equipment and other devices
• Position requires ability to concentrate on fine detail with interruptions and attend to tasks for more than sixty (60) minutes at a time.
• Individual must be able to understand and relate to theories behind several related concepts and remember multiple tasks given during the course of a day.

Primary Population Served

Check appropriate box(s) below :

• Neonatal (birth 28 days)
• Patients with exceptional communication needs
• Infant (29 days less than 1 year)
• Patients with developmental delays
• Pediatric (1 12 years)
• Patients at end of life
• Adolescent (13 17 years)
• Patients under isolation precautions
• Adult (18 64 years)
• Patients with cultural needs
• Geriatric (>

65 years)

â ’ All populations

• Bariatric Patients with weight related comorbidities
• Non-patient care population

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.

Salary Range : $80,477.87-$120,727.43

School Nurse

For more than 30 years, TheraCare has been dedicated to setting the standards for excellence for multi-service healthcare, developmental and educational programs.

Our philosophy reflects professionals working collaboratively with families, communities and children to maximize each child’s potential.

We are seeking dynamic School Nurses looking for a comprehensive and rewarding experience. In this role, you will effectively provide health services for students, families and staff and act as an advocate, liaison and consultant on health-related issues.

TheraCare offers :

• Competitive compensation
• Complimentary School Nurse Orientation
• Placement in school of your choice
• Work / life balance and autonomy - flexible schedules
• Weekly pay
• Professional development opportunities
• Opportunity for employee referral bonuses

Qualified candidates will possess a Nursing Degree, RN Licensure in the State of NY and at 1 year of experience working as a RN.

Successful candidates will have excellent attention to detail regarding document submission, possess excellent verbal and written communication skills, have the ability to liaise and collaborate with professionals in various disciplines and at different levels in order to best advocate for needs of children and be willing to travel to various settings for service provision

Description

Company : Oak Street Health

Title : Center Nurse

Location : 1048 Beach 20th Street Far Rockaway, NY 11691

Salary : $89,600 to $107,600*

Does not include additional forms of compensation including bonuses, overtime, etc.

Role Description

The purpose of a Center Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team.

At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery.

Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner.

Our Center Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes.

You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients.

Our Center Nurses report to the Practice Manager or Nurse Supervisor (where applicable).

Core Responsibilities :

Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner

Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations

Provide clinically competent triage and symptom management to patients who may or may not be physically present

Utilize standardized protocols for medication management, prescription refills and prior authorizations.

Conduct thorough and accurate reviews of patient medications and update as needed

Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings

Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels

Form relationships with patients and their caregivers to support preventative care and ED / hospital diversion where appropriate

Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are

Delegation of activities to other clinical care team members to support the needs of our patients

Participate in care team meetings to discuss patient care and clinic operations

Deliver an exceptional patient experience through service, responsiveness and respectful care

Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed

Performs other related duties as assigned

What we’re looking for

Required Qualifications :

Active Registered Nurse (RN) Licensure in good standing with the applicable state

BLS Certification

Electronic Medical Record (EMR) experience

Ability to maintain patient confidentiality and process information in a confidential manner

US work authorization

Ability to assess patients without face-to face interaction, strong communication and assessment skill

Strongly Preferred Qualifications :

Ability to collaborate and communicate with members of an interdisciplinary care team

Excellent computer skills with ability to read, interpret and analyze data from various computer systems

Effective problem solving and prioritization skills

2+ years of healthcare experience, working as an RN

Preferred Qualifications :

Ability to work independently

Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary - suggestion to add this as an optional data point for specific demographics, removing from our generic central posting)

Somebody who embodies being Oaky

What does being Oaky look like?

Radiating positive energy

Assuming good intentions

Creating an unmatched patient experience

Driving clinical excellence

Taking ownership and driving for results

Be relentlessly determined

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as :

Collaborative and energetic culture

High levels of responsibility and rapid advancement

Competitive benefits; including paid vacation / sick time, generous 401K match with immediate vesting, as well as health benefits

We are looking for a Full-Time Registered Nurse (RN) to join our team at Bayonne VNA, part of the LHC Group family, in Bayonne, NJ!

At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the?meaningful connections that come from it : for the whole patient, their families,?

each other, and the communities we serve it truly is all about helping people.?You can find a home for your career here.??

As a full-time Registered Nurse, you can expect :

• Flexibility for true work-life balance
• Opportunities for career growth
• The ability to build trusted nurse-patient relationships
• Employee-focused wellness and support programs

If you love nursing and want to strengthen your experience, this is a great opportunity for you.

• Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team.
• Makes the initial and or comprehensive nursing evaluation visit, determines primary focus of care, develops the plan of care within State specific guidelines, and submits accurate, complete, and timely documentation, per policy.
• Regularly evaluates and re-evaluates (as warranted by changes in condition but at least every 60 days) the patient's nursing needs.
• Performs patient comprehensive assessments at designated time points and develops the appropriate POC, in collaboration with physician orders.
• Ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source.
• Initiates, develops, implements and makes necessary revisions to the plan of care in collaboration with the physician and other health care professional's involved in care.
• Makes referrals to other disciplines, as indicated by patient's assessed need.
• Responds to outcome coordinator coder and Patient Care Manager requests for clarification to OASIS assessments on the same day that the request for more information is sent.
• Plots patient encounters for the episode and determines needed RN encounters based on patient's needs and regulations.
• Instructs and supervises the patient's family caregiver in the care of the patient and maintenance of a healthy environment for the patient.
• Actively participates in weekly case conferences.
• Maintains a current and accurate patient medication profile.
• After start of care (SOC) assessment, reports the status of the patient, assessed needs, and plan of care overview to the team leader on same day (or by next business day if after hours).
• Observes, records and reports to the physician and / or team leader the patient's signs and symptoms, response to treatment and changes in the patient's condition, as appropriate.

Ensures adequate Team Leader (TL) communication when physician follow-up is needed.

• Communicates changes in visit assignments, dates of scheduled visits, and schedule changes to scheduler and Patient Care Manger to ensure patient needs are met.
• Communicates timely and effectively with agency personnel and ordering physician as required to process orders and OASIS data sets, schedule home visits, and deliver services to patient as ordered by physician and in accordance with applicable laws and regulation.
• Facilitates hand-off communication to RN and PCM who will cover patients in their absence, prior to scheduled days off.
• Performs regular and supervisory visits according to the plan of care and submits complete visit notes within 24 hours of completion visit.
• Directly and / or indirectly supervises care provided by the home health aides and licensed practical vocational nurses, provides instruction as appropriate, and assigns tasks according to State and federal regulations.
• Participates in on-call rotation.
• Adheres to and participates in the agency's Episode Management process.
• Assists in the orientation of new agency personnel as assigned.
• Completes LHC required learning courses, additional assignments per DON request, as well as any state specific required

training per state regulation practice act requirements.

Participates in the performance improvement plan and process to ensure positive patient outcomes.

License Requirements

• Current RN licensure in state of practice.
• Current CPR certification required.
• Current Drivers License, vehicle insurance, and access to a dependable vehicle or public transportation.

Equal Opportunity Employer vets, disability.

Must be fully vaccinated or be willing to complete full vaccination by date of hire and proof of vaccination will be required.

Bayonne VNA, a part of LHC Group, is the preferred post-acute care partner for hospitals, physicians and families nationwide.

From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home.

Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home.

More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose : It's all about helping people.