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<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

U.S. Renal Care

Dialysis Acute Registered Nurse Shelbyville Acute

Duties and Responsibilities:<ul><li>The Licensed Practical Nurse reports pertinent observations in regard to individual patient care needs and makes suggestions regarding the medical treatment plan. Competently implements/instructs all care in the appropriate nursing practice to staff with oversight by the Registered Nurse.</li><li>Under the oversight of the RN, performs nursing Level of Care (LOC) and reviews patient histories to document all necessary information in the Electronic Medical Record on admitted patients.</li><li>Prepares patients for examination: height/weight, vitals, collect and process lab specimens including Urine Drug Screen (UDS), Urinalysis (UA), Chem Sticks, etc., following proper infection control procedures.</li><li>Utilizes safe and effective practices of medication management as defined by policy, including administration of medications.</li><li>Administers and monitors the effects of medications, ensures accurate medication is administered for controlled substances and conduct accurate med counts. Accurately and in a timely manner orders medication from the pharmacy as directed by physician order, to replenish stock, and/or refill patient medications.</li><li>Correctly enters, acknowledges, and implements physician orders.</li><li>Provides appropriate patient education as determined by patient assessments/needs and treatment plans, if applicable.</li><li>Monitors and/or performs diagnostic screening tests as ordered by the physician.</li><li>Monitors and/or performs withdrawal assessments and appropriately implement/instruct the necessary nursing interventions.</li><li>Accurately performs and/or reviews triage information including accurate and thorough Drug &amp;Alcohol history and contacts the physician for admission medical orders.</li><li>Accurately and thoroughly documents in the medical record utilizing approved medical record language and abbreviations adhering to the medical record policies and procedures.</li><li>Provides thorough and accurate patient information during shift exchange for end of shift report.</li><li>Works with administrative staff to schedules patient appointments related to their medical treatment.</li><li>Works a flexible schedule based upon service demands, which may include overtime.</li><li>Serves as a resource to treatment team members.</li><li>Attends multi-disciplinary treatment team meetings, as needed.</li><li>Maintains the quality control logs.</li><li>Notifies the RN in an appropriate and timely manner of changes in the patient’s medical condition.</li><li>Ensures the highest level of professionalism for self and staff and maintain a clean, organized work environment.</li><li>This job description reflects management’s assignment of essential functions and does not prescribe or restrict additional tasks or expectations that may be required or assigned.</li></ul>Physical Requirements:The physical and mental demands described here are representative of those that must be met to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Lifting: up to 50 pounds on occasion.</li><li>Standing: up to several hours at a time, this may include walking, climbing steps, and descending steps.</li><li>Walking: must be able to ambulate throughout the assigned facilities on campus or Caron properties.</li><li>Sitting: up to several hours at a time for data entry into the computer or medical record documentation.</li></ul>EDUCATION / EXPERIENCE QUALIFICATIONS:<ul><li>Current licensed as LPN in state in which hired to work required.</li><li>1-2 years’ experience working as a Licensed Practical Nurse preferred.</li><li>Previous hospital and/or substance use disorder treatment experience is preferred.</li><li>A working knowledge of addictions with age specific patient populations preferred.&nbsp;</li><li>Current CPR/First Aid training/certification required.</li><li>21 years of age or older is required.</li><li>2 years’ continuous sobriety preferred if in recovery.</li></ul>SKILLS, KNOWLEDGE AND ABILITIES:&nbsp;<ul><li>Able to demonstrate a working knowledge of use of an electronic medical record and charting.&nbsp;</li><li>Demonstrated knowledge of use of medical equipment.</li></ul>Competencies / Measurements:<ul><li>Knowledge of commonly used withdrawal and psychotropic medications and their side effects – Competency exam</li><li>Knowledge of chemical dependency symptoms, process and treatment modalities - Competency exam.</li><li>Ability to utilize medical equipment including EKG machine, glucometers, aerosol treatment machines, oxygen tanks, and suction machine - Annual training, proficiency demonstration</li><li>Administer medications correctly and document thoroughly - Quality control occurrence report.</li><li>Nursing documentation - Quality control of medical documentation according to predetermined standards.</li><li>Perform diagnostic screening tests such as identified waived testing - Proficiency demonstration.</li></ul>

Caron Treatment Centers

Licensed Practical Nurse (LPN)

Full time - evening or day shift!Duties and Responsibilities:<ul><li>Assume the charge nurse role if applicable and/or unit nurse role by:</li><li>Receiving and giving accurate and thorough shift reports</li><li>Keeping the physicians informed of patient’s conditions, change of conditions, LOC and triage information and needs</li><li>Correctly entering and taking off physician orders</li><li>Oversight of the care of patients by auxiliary personnel</li><li>Organizing and delegating patient care activities</li><li>Monitoring and/or performing diagnostic screening tests as ordered by physician</li><li>Providing thorough and accurate patient information during shift exchange for end of shift report</li><li>Assess individual patient care needs, initiate medical treatment plan and competently implement/instruct all care in the appropriate nursing practice to all staff.</li><li>Serve as a resource to treatment team members.</li><li>Perform nursing assessments, LOC, and review patient histories to document all necessary information in the Electronic Medical Record on all patients admitted to Caron.</li><li>Prepare patients for examinations: height/weight, vitals, collect and process lab specimens including UDS, UA, Chem Sticks, etc. following proper infection control procedures.</li><li>Utilize safe and effective practices of medication management as defined by policy including the oversight of self-administration observation of medication.</li><li>Administer and monitor the effects of medications, ensure accurate medication is ordered and administered for controlled substances and conduct accurate med counts.</li><li>Provide appropriate patient education as determined by patient assessments/needs and treatment plans.</li><li>Conduct 14-day, 25-day and PRN meetings with patients for assigned units when in unit nurse role.</li><li>Monitor and/or perform withdrawal assessments and appropriately implement/instruct the necessary nursing interventions.</li><li>Accurately and thoroughly document in the medical record utilizing approved medical record language and abbreviations adhering to the medical record policies and procedures.</li><li>Schedule all patient appointments related to their medical treatment.</li><li>Work a flexible schedule based upon service demands and work mandatory overtime as needed.</li><li>Attend all mandatory trainings as identified by Caron policies.</li><li>Attend multi-disciplinary treatment team meetings when in unit nurse role.</li><li>Maintain the quality control logs.</li><li>Provide support services for patient care issues to staff at other Caron facilities.</li><li>Maintain adequate staffing for each shift.</li><li>Ensure the highest level of professionalism for self and staff and maintain a clean and organized work environment.</li><li>Complete yearly training requirements and mentor new employees.</li><li>This job description reflects management’s assignment of essential functions and does not prescribe or restrict the tasks that may be assigned.</li></ul>Physical Requirements:The physical and mental demands described here are representative of those that must be met to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Lifting: up to 50 pounds on occasion.</li><li>Standing: up to several hours at a time, this may include walking, climbing steps, and descending steps.</li><li>Walking: must be able to ambulate throughout the assigned facilities on campus or Caron properties.</li><li>Sitting: up to several hours at a time for data entry into the computer or medical record documentation.</li></ul>EDUCATION/EXPERIENCE QUALIFICATIONS:<ul><li>Currently licensed as RN in Pennsylvania.</li><li>Current Certified Addiction Registered Nurse (CARN) certification preferred.</li><li>1-3 years’ experience working as an RN preferably in ER, acute care or mental health setting</li><li>Current CPR/First Aid training/certification.</li><li>21 years of age or older is required</li><li>Requires a current, valid, unrestricted driver’s license</li><li>Two years continuous sobriety preferred if in recovery.</li><li>Previous hospital/chemical dependency rehabilitation treatment program experience desired.</li><li>Possess a working knowledge of addictions with age specific patient populations preferred.</li><li>Working knowledge of electronic medical record and charting.</li></ul>#IND102

Registered Nurse

<h4>How you'll change lives</h4>As a Dietitian at U.S. Renal Care, you will be an integral part of an interdisciplinary team, providing excellent care for patients living with kidney disease. U.S. Renal care dietitians work under the supervision of a RDN Regional Manager. <h4>What you'll be doing</h4>Patient Nutrition. Using the most current, science-based practices, you will recommend therapeutic diets based on patient nutritional needs, preferences, and changes in treatment, in consultation with the patient's physician. You will review lab results and provide appropriate education for nutritional interventions on such topics as fluid and sodium, potassium, and CKD-Mineral and Bone Disorder management. You will also conduct patient assessments and care planning activities, as well as participating in monthly interdisciplinary patient care conferences. Teamwork. You will collaborate with the Medical Director, physician/advanced practice provider, facility administrator, social worker, nurse, and patient care technician to maintain positive relationships with area hospitals, skilled nursing facilities, agencies, vendors, and the community.Safety &amp; Quality. You will help with clinical and operational processes, with a focus on improving patient health and achieving target goals for patient outcomes. You will also help maintain a productive quality assurance program and participate in monthly Quality Assessment and Performance Improvement (QAPI) activities.

Dialysis Registered Dietitian

Dialysis Registered Nurse - Floater

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

Dialysis Patient Care Technician - PRN (CCHT)

Dialysis Patient Care Technician

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!The Registered Nurse (RN) provides quality nursing care via nursing process, patient and family education, and documentation.Supervisory Responsibilities:&nbsp; The RN is responsible for supervising LPNs, CNAs, Unit Secretaries, and Volunteers.Experience Requirements&nbsp; The RN must have at least one year of staff nurse experience in a comparable setting/unit. Hospice and/or palliative care experience is strongly preferred.&nbsp;Education Requirements: The RN must have at least a Diploma or Associates degree in Nursing from an accredited nursing&nbsp; program.Required Certificates and/or Licenses: The RN must have licensure from the governing body for practice for the District of Columbia, State of Maryland, and/or the Commonwealth of Virginia, based on the state/jurisdiction of practice; or licensure from compact state. Healthcare Provider BLS (CPR) is required to practice in State of Maryland and the District of Columbia. Essential Duties and Responsibilities:Quality Provision of Services:&nbsp;&nbsp;&nbsp;&nbsp; <ul><li>Provides quality nursing care to patients by initiating and maintaining the nursing process.</li><li>Provides patient and family education to maintain quality care, to decrease patient and family anxiety.</li><li>Documents in appropriate chart and forms in an accurate and timely manner to provide a written record of assessments, plan of care and to assure the availability of information to team members.</li><li>Keeps knowledge base and skill levels current to assure quality patient care and professional growth.</li><li>Responsible for the order, receipt, storage and maintaining adequate pharmaceuticals inventory and stock materials necessary in the CPPC. Ensure all supplies are ordered through approved Capital Caring Health Vendors eg. Medline.</li></ul>Organizational/Regulatory Compliance: <ul><li>Provides procedural support to applicable staff as needed; maintains a sterile environment as appropriate.</li><li>Assures that all procedural instrumentation is cleaned or disposed of as per policy.</li><li>Participates in the Compliance and Performance Improvement program to maintain or improve the quality of patient care.</li></ul>People/Communications:<ul><li>Participates as a member of the interdisciplinary team to develop and implement a patient directed individualized plan of care and to assure the availability of information to team members.</li><li>Provides direction and supervision to LPNs, CNAs, Unit Secretaries, and Volunteers to maintain quality care and to maintain a safe working environment.</li><li>Trains, assists, and evaluates staff in department as appropriate to maintain the effective functioning.</li><li>Ensures that there is an initial consult on all new scheduled patients and a subsequent visit is deemed necessary.</li><li>Participates in patient follow up, particularly after procedures have been performed or significant changes in medical management have been initiated.</li></ul>This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Chapters Health System

Registered Nurse Inpatient Unit (PRN)- Capital Caring Health

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The RN, Hospice House is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.Qualifications: • Current license as RN in the state providing care, current active single-state out-of-state nurse license, or current active multistate/compact nurse license • Minimum one (1) year in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate. New grads may be considered in IPU only. • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system preferred • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Flexible schedule to meet the needs of Hospice House patients • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 3/31/2023- Intermittent Driver – Valid driver’s license and automobile insurance per Company policy. Ability to travel off-site to meet business needs Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices. • Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals. • Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness. • Attends patient deaths; prepares body for transport; oversees disposal of medications. • Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff. • Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses). • Performs other duties as assigned.Some locations may require:<ul><li>Cross training to field (home/facility/admission) positions of equal licensure/certification and scope when hospice house census calls for flexible staffing.</li></ul> Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Registered Nurse Days - In Patient Unit - Sign on Bonus

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients.&nbsp; The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.What you'll be doingPatient care. &nbsp;You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. &nbsp;You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. &nbsp;You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings. PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

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