Emergency room nurse jobs in Guaynabo, PR

The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow analysis, end-to-end testing, remote or onsite training as well as go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with respect to the use of the company's products and serve as a consultant on behalf of customers and company personnel in compliance with the company's quality procedures. Assist with TAC Support. **Company Overview** At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier world, and we need passionate, driven people like you to help us get there. Our cutting-edge healthcare solutions span diagnostic imaging, enterprise imaging, endoscopic and surgical imaging, as well as in-vitro diagnostics. But we don't stop at healthcare; our Non-Destructive Testing (NDT) team harnesses advanced radiography solutions to keep transportation infrastructure, aerospace, and oil and gas assets safe and running smoothly. Ready to innovate, collaborate, and make a difference? Join us and bring your big ideas to life while working in a dynamic, flexible environment that fuels your creativity and drive. Our headquarters is in Lexington, Massachusetts, an inspiring healthcare research hub in a historic town. Fujifilm is globally headquartered in Tokyo with over 70,000 employees across four key business segments of healthcare, electronics, business innovation, and imaging. We are guided and united by our Group Purpose of "giving our world more smiles." Visit: *************************************************** **Job Description** **Duties and Responsibilities:** + Serve as consultant on behalf of customers and company personnel. + Makes appropriate contacts within HCUS and at the customer site to coordinate each training event. + Provides on-going support to resolve application related and image quality concerns on both a product and system level. + Works closely with Interpreting physicians, clinicians, and other professional staff to ensure the proper and efficient operation of Fujifilm products. + Provides and maintains documentation to support customer training. + Provides additional training and consultation at a charge, contributing to Professional Services revenue goals. + Works with HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training customers remotely or via a travel schedule consistent with the position's requirements and the needs of HCUS customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working relationships with all departments within HCUS (Service, Engineering, Integration, Customer Service, etc.). + Adheres to the Company's quality and regulatory compliance requirements and ensures that all job duties inherent in the position description are performed according to established policies and procedures. + Maintains a safe work environment. + Take corrective action, where appropriate. + Participates in professional organizations. + Provides telephone and remote clinical support for customers, sales, and field service via our ON-Call Technical Assistance Center (TAC). + All other functions and responsibilities that may be assigned by management. + Participates in professional organizations. + Comply with all applicable U.S. Food and Drug Administration (U.S. FDA) medical device regulatory requirements, applicable ISO 13485 standard requirements and all other applicable laws, regulations, and standards. + Comply with and pass all requirements for vendor credentialing as part of gaining access to hospitals and facilities to perform assigned job duties. **Qualifications:** Education/Certification Requirements: + (Associate's) Degree in computer science, engineering, or relevant healthcare field required. + Bachelor's degree in computer science, engineering, or relevant healthcare field preferred. + National certification through the American Registry of Radiologic Technology (ARRT) or American Registry of Diagnostic Medical Sonography (RDMS)(RVT)(RDCS)(RVTA). Professional Experience: + 2 to 10 years of progressive experience in medical technology, Computer science, PACS Administration or healthcare industry, experience in Cardiology or Radiology discipline preferred. + (CV) Registered in one or more of the following: + Registered Diagnostic Cardiac Sonographer RDCS experience in: + Transthoracic Echo + Transesophageal Echo + Stress Echo + Dobutamine Stress Echo + Pediatric Echo + Fetal Echo + ECG + (CV) Registered Vascular Technologist RVT experience in: + Non-invasive + (CV) Registered Nuclear Medicine Technologist experience in: + MPI + MUGA + PET + (CV) Registered Nurse Cardiac experience in: + Cath, Peripheral Angiography, Electrophysiology Lab experience + ECG + (Rad) Registered Radiology Technologist experienced in digital imaging. + Professional presence + Ability to prioritize and manage multiple functions. + Experience in related field. + Healthcare or software application or IT industry background a plus. + Medical imaging background. + Written and verbal communication skills. + Demonstrated ability to collaborate comfortably with end-users and clinical supervisors. + Demonstrated end-user computer skills. + Competence with Microsoft Office tools (Word, Excel, and PowerPoint). + Effective interpersonal skills. + Technical support experience with excellent troubleshooting skills. + Ability to identify workflow requirements to product features. + Ability to work in a fast-paced environment. Special Skills and Other Requirements: + Proven experience in the IT/Healthcare field. + Diagnostic and problem-solving skills. + Good communication ability. + Organizational and time-management skills. + Provide customers with quality products and services. + Understand and apply appropriate quality management system processes. + Promote Company standards of business conduct. + The above description is intended to include the general content of and requirements for the performance of this job. The position will perform other related duties and assignments as required. + To maintain this position, Clinical Consultant, MI - I must: Comply with all MI Clinical Consultant job duties as outlined. + All Clinical Consultants must complete company trainings and expenses within timely fashion. + Maintain Product Knowledge + Adhere to customer satisfaction. **Physical requirements:** The position requires the ability to perform the following physical demands and/or have the listed capabilities: + The ability to sit up 75-100% of applicable work time. + The ability to use your hands and fingers to feel and manipulate items, including keyboards, up to 100% of applicable work time. + The ability to stand, talk, and hear for 75% of applicable work time. + The ability to lift and carry up to ten pounds up to 20% of applicable work time. + The ability to walk long distances and utilize stairs. + Close Vision: The ability to see clearly at twenty inches or less. + Due to travel, ability to withstand change in air pressure. **Travel:** + Frequent(up to 75%) travel may be required based on business needs. **Salary and Benefits:** + $74,675 - $88,796.00 (salary depending on experience) + 8% MBO Bonus opportunity + Medical, Dental, Vision + Life Insurance + 401k + Paid Time Off *\#LI-Remote _In the event that COVID-19 vaccine mandates issued by the federal government, or by state or local government become effective and enforceable, the Company will require that the successful candidate hired for positions covered under relevant government vaccine mandate(s) be fully vaccinated against COVID-19, absent being granted an accommodation due to medical or sincerely held religious belief or other legally required exemption._ _Applicants to positions where vendor credentialing or other similar requirements exist to enter facilities will be required to comply with the credentialing requirements of the facilities, including complying with vaccine requirements._ _For all positions, the Company encourages vaccination against COVID-19 and requires that the successful candidate hired be willing to test for the COVID-19 virus periodically and wear a face covering indoors as required, absent being granted an accommodation due to medical or sincerely held religious belief or other legally required exemption._ _In compliance with the ADA Amendments Act, should you have a disability that requires assistance and/or reasonable accommodation with the job application process, please contact the Human Resources department via e-mail at_ _******************************_ _. Additionally, the affirmative program/plan is available for review upon formal request by employees and applicants for employment in the Human Resources office during regular office hours._ **EEO Information** Fujifilm is committed to providing equal opportunities in hiring, promotion and advancement, compensation, benefits, and training regardless of nationality, age, gender, sexual orientation or gender identity, race, ethnicity, religion, political creed, ideology, national, or social origin, disability, veteran status, etc. **ADA Information** If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to our HR Department (****************************** or ***************. **Job Locations** _US-Remote_ **Posted Date** _1 week ago_ _(12/1/2025 7:39 PM)_ **_Requisition ID_** _2025-36237_ **_Category_** _Customer Service/Support_ **_Company (Portal Searching)_** _FUJIFILM Healthcare Americas Corporation_

**Oracle Health Government Services** **Lead Clinical Consultant** .** Are you ready to take on a pivotal role in transforming healthcare systems? As a **Lead Clinical Consultant** , you will play a crucial part in shaping the clinical strategy for Post Go-Live (PGL) Readiness Methodology. This dynamic role involves leading our **Support Readiness Fundamentals** series, developing and delivering impactful content, and tailoring it to meet specific project and site needs. You will be at the heart of driving clinical excellence by providing critical expertise during onsite and virtual Readiness events, guiding teams, and ensuring smooth execution. Join us and help lead the way in driving the future of healthcare IT! **Key Responsibilities:** + **Support Readiness Fundamentals Owner** : Lead the design, development, and execution of the **Support Readiness Fundamentals** series, ensuring it aligns perfectly with both project objectives and specific site requirements. + **Site Readiness Leadership** : Offer your clinical expertise and leadership to site teams, ensuring smooth EHR sustainment after go-live. + **Risk & Issue Identification** : Collaborate closely with the Project Manager to proactively spot, document, and mitigate any risks or issues that may arise in post-go-live support. + **Clinical Stakeholder Engagement** : Act as the main clinical liaison, connecting informatics teams, healthcare providers, and leadership to ensure effective communication and alignment on key objectives. + **Drive Project Plan Success** : Partner with the Project Manager to ensure that all project deliverables are executed on time, effectively addressing clinical considerations and overcoming roadblocks. + **Strategic Informatics Planning** : Develop and implement strategic readiness plans that ensure smooth transitions across clinical teams during the EHR go-live process. + **Educate on Sustainment Processes** : Provide targeted training to informatics teams to ensure continued success and sustainability post-implementation. + **Lead Process Improvement** : Facilitate rapid process improvement and workflow adoption events, driving quick wins and enhancing efficiency. + **Adoption Support** : Work with informatics teams to assess and improve the adoption of new workflows by both end users and super users, ensuring long-term success. **Core Competencies & Skills:** + **Clinical Informatics & EHR Expertise** : Deep understanding of clinical workflows, Oracle Health/Cerner solutions, and EHR best practices. Skilled in troubleshooting, system optimization, and improving clinical efficiency. + **Project Leadership & Change Management** : Strong leadership skills in driving projects, identifying risks, and ensuring smooth adoption of new processes across teams. Proficient in managing large-scale EHR transitions. + **Stakeholder Engagement** : Build strong relationships and facilitate collaboration between clinical teams, IT departments, and leadership through clear, impactful communication. + **Adaptability & Problem-Solving** : Proactively assess workflows, propose strategic improvements, and adapt quickly to challenges. Excellent at finding creative solutions in dynamic environments. + **Analytical Expertise** : Use critical thinking and performance data to identify trends and opportunities for system and workflow improvements. **Qualifications:** + Bachelor's degree in Nursing, Healthcare Administration, Health Informatics, or a related field (required) + Master's degree in Health Informatics, Public Health, or Business Administration (preferred) + Registered Nurse (RN) or other clinical licensure (preferred) + 5+ years of experience in clinical informatics, healthcare IT, or EHR optimization (required) + Expert knowledge of Oracle Health/Cerner solutions, system build, implementation, and workflow alignment + Proven project management expertise with experience in clinical transformation initiatives + Strong collaboration and communication skills with a passion for driving adoption and improving clinical workflows Career Level - IC3 Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $79,100 to $158,200 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC3 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.

Our associates celebrate lives. We celebrate our associates. Consider the possibilities of joining a Great Place to Work! Responsibilities vary day to day based on business needs but consist of driving, courier, general building maintenance, grounds keeping, and custodial. Flexibility to work in a team environment and help where needed. Exhibit courteous and polite behaviors. JOB RESPONSIBILITIES * Couriers' documents, flowers, or other items. Cleans interior and exterior of vehicles, restocks tissues/water as needed, re-fuel vehicles, identify maintenance issues, and ensures vehicle is ready for use. * Grounds keeping responsibilities may include mowing law, edging, removing debris, and clears walkways. Watering of plants or lawns, adjusting sprinkler heads or timers, and replacing sprinkler heads. Properly maintains and stores equipment after each use. * Performs general facility maintenance that may include painting, unstopping plumbing, replacing light bulbs, or other minor repairs. * Custodial duties including cleaning and sanitizing surfaces, mopping, vacuuming, emptying waste receptacles. * Additional responsibilities as assigned or requested including loading or unloading caskets, those of Funeral Services Assistance Requirements Education & Licenses: * High School Diploma or equivalent Experience & Knowledge: * At least one (1) year general work experience * Current state issued driver's license with an acceptable driving record Work conditions When considering the work environment associated with this job, the following factors may apply: * Environment - Professional attire required when in contact with families * Postures - Frequent continuous period of time sitting or standing up to 6 hours per day; frequently climbing stairs to access buildings; climb on ladders * Physical Demands - Physical effort required to push, pull, or hold/carry various grounds keeping equipment * Safety - courteously and safely drive company owned vehicles; be aware of surroundings to promote safety; use personal protective devices as appropriate; safely use electrical equipment * Hours - May work beyond standard hours or schedule as business needs arise; limited local travel required Postal Code: 00909 Category (Portal Searching): Operations Job Location: US-PR - San Juan

**About the Role & Team** Every day at Disney Cruise Line we take pride in bringing the magic of Disney to life. We find joy in creating cherished memories and form genuine connections with our guests. We hold each other to the highest degree and always act responsibly while ensuring the safety of fellow crew and guests. United by our Disney values, we work toward excellence in all we do. As a part of our team, you can live and work in a diverse and inclusive environment amidst a professional and supportive community. If you are ready to create unforgettable experiences and grow as a person and as a professional, apply today! As a Charge Nurse you will provide onboard supervision of the nursing staff, administration of the ship's health center and provide direct and indirect patient care for both crew and guest! **You will report to:** + Chief Physician (Shore side) + Lead Physician (Shipboard) **Responsibilities :** **How You Will Make a Difference** + Provide inpatient, outpatient and ICU care onboard for guests and crew + Orients new medical staff and trains in areas such as EMR familiarity, shipboard emergency response, location of ACLS and AED equipment, AGE documentation and reporting, and equipment usage to include proper maintenance checks. Responsible for the overall administrative management of the health center including: + Build and maintain on-call schedule for nurses + Supervise Medical Assistant completion of end of cruise reports and distribute to appropriate parties + Is responsible for preparation of all necessary reports including AGE, Unfit for Duty, Referrals, etc. + Maintain an adequate stock of medications/medical supplies + Check and maintain all medical equipment. Advising accurate parties when repairs are necessary. + Provide training for Emergency Stretcher Team + Coordinate and implement onboard health education in conjunction with medical staff + Triage emergency calls, assessing and treating on scene and transferring patient to shipboard medical center for definitive care. + Assist with implementation of crew immunization programs. + Responsible to oversee and assist with Public Health reporting + Additional duties include equipment checks, medicines and inventory management, participation in drills, audits, inspections, and training of other crew members. + Technical skills are learned and practiced on board, such as X-rays acquisition, and performing a wide array of laboratory tests and other procedures **Basic Qualifications :** **What You Will Bring to the Team** + Active nursing license from STCW country. + Nursing degree from recognized college or university from STCW country + The ability to provide a letter of good standing prior to embarking from STCW country + 2 Years recent professional nursing experience in general and emergency medicine or trauma care or critical care + 1 year of experience in a nursing leadership position + 2 years Maritime Medical experience + Basic Life Support (BLS), Pediatric Advanced Life Support (PALS), Advanced Cardiovascular Life Support (ALCS) Certificates + Valid accredited BLS/PALS/ALS/ACLS certificates prior to joining a vessel + Digital literacy, experience with MS Office programs and experience with electronic health records **Preferred Qualifications:** **How You Will Stand Out** + Experience with Sea Care **Additional Information :** **This is a** **SHIPBOARD** **role:** **You must:** + Be genuinely interested in a career at sea and willing to live and work onboard a Disney Cruise Line vessel + Be willing to follow and perform safety role, emergency responsibilities and associated responsibilities as specified in the ship Assembly Plan + Be willing to uphold the general safety management responsibilities as specified in the Safety Management System in areas and operations under their control + Appreciative of working and living in a multicultural environment that has strict rules and regulation **Your Responsibilities:** + Have a valid passport and C1/D Seaman's visa (DCL will provide you with documents to obtain this) + Complete a pre-employment medical + Obtain a criminal background check + Bring approved work shoes ****Disney Cruise Line is a drug-free workplace. All new hires are required to undergo drug/alcohol testing within the first week onboard and throughout their contracts. Failure to pass the drug/alcohol testing will result in immediate termination.** **\#DCLMedical** **Job ID:** 1249132BR **Location:** United States **Job Posting Company:** "Disney Cruise Line" The Walt Disney Company and its Affiliated Companies are Equal Employment Opportunity employers and welcome all job seekers including individuals with disabilities and veterans with disabilities. If you have a disability and believe you need a reasonable accommodation in order to search for a job opening or apply for a position, email Candidate.Accommodations@Disney.com with your request. This email address is not for general employment inquiries or correspondence. We will only respond to those requests that are related to the accessibility of the online application system due to a disability.

Req ID: 5323 Company: Terumo Puerto Rico, LLC Department: EHS - TPR Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers with world-class products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo Corporation; one of the world's leading medical device manufacturers with $6+ billion in sales, 30,000+ employees worldwide and operations in more than 160 nations. Terumo Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. **Job Summary** The Occupational Health Nurse ensures the health, safety, and regulatory compliance of associates within a medical device manufacturing environment. This role manages occupational health programs, provides clinical evaluation and early intervention for workplace injuries and illnesses, and oversees medical surveillance and health screening initiatives. Responsible for accurate recordkeeping and adherence to local, state, and federal regulations, this position supports regulatory processes and non-occupational licensure requirements. The incumbent collaborates with associates, leadership, and cross-functional teams to promote return-to-work programs, maintain workplace wellness, and foster a safe and compliant work environment, supporting operations at TPR1 and TPR2 facilities. **Job Details/Responsibilities** Clinical Evaluation and Early Intervention -Provide & assess and care for associates reporting work-related or non-occupational symptoms, including coordinating with external medical providers and internal stakeholders to ensure timely intervention and continuity of care. Medical and Regulatory Records - Manage & maintain accurate electronic medical records and health documentation in the EHS platform, ensuring compliance with HIPAA, OSHA, FDA, and other applicable regulations. Track medical surveillance, vaccinations, screenings, and follow-up actions. Occupational Health Programs - Administer and document medical surveillance programs (e.g., respiratory protection, hearing conservation, vision and audiology testing, fleet safety) and preventive care initiatives, ensuring baseline and threshold changes are tracked and required follow-ups are completed. Case Management and Return-to-Work Processes - Actively participate in case management discussions, facilitate post-injury/illness follow-up, support safe return-to-work and job accommodations, and coordinate specialist evaluations and external providers. Actively work with the Medical cases Committee to ensure license management is appropriate. Health & Safety Initiatives - Serve as First Aid Team leader, coordinate emergency response and team meetings, support site EHS committee activities, training initiatives, ergonomic monitoring, and wellness programs to promote workplace health and safety culture. Regulatory Compliance and Reporting - Assist with OSHA injury and illness reporting, State Insurance Fund cases, and documentation of occupational exposure incidents (bloodborne pathogens, chemical exposure, ergonomic incidents) while ensuring adherence to federal, state, and local regulations. Operational Support and Collaboration - Collaborate with HR and other departments on non-occupational medical matters, fit-for-duty assessments, associate licensure requirements, lactation room compliance, and medical supply management to maintain operational readiness and workplace health standards. Other related duties may be assigned. **Job Responsibilities (continued)** **Working Conditions/Physical Requirements** **Knowledge, Skills and Abilities (KSA)** Experienced occupational health professional with proven ability to manage and administer occupational health programs within a medical device manufacturing or similar regulated environment. Strong understanding of OSHA, DOL, HIPAA, State Insurance Fund, SINOT, and other applicable occupational health and safety regulations. Skilled in using Microsoft Office applications (Word, Excel, PowerPoint, databases) and electronic health record or EHS systems to maintain accurate and compliant documentation. Demonstrated ability to plan, prioritize, and manage multiple responsibilities within a structured, document-controlled environment. Maintains high standards of confidentiality when handling sensitive and protected health information (PHI), fully compliant with legal and company requirements. Effective verbal and written communication in both Spanish and English; able to interact with associates, management, and external healthcare professionals in a clear and professional manner. Exercises sound clinical and professional judgment in resolving occupational health issues; works independently while collaborating effectively with cross-functional teams. Onsite position requiring presence at manufacturing facilities to provide direct occupational health support. **Qualifications/ Background Experiences** Registered Nurse (RN) with active professional licensure in the Commonwealth of Puerto Rico; board certification in Occupational Health Nursing (COHN/COHN-S) or equivalent preferred. Minimum of five (5) years of relevant experience in occupational health, employee wellness, or clinical nursing within a manufacturing or similarly regulated environment. Current First Aid, CPR, and AED certification required. Experience managing medical surveillance programs, case management, and regulatory compliance (OSHA, HIPAA, FDA, or equivalent) preferred. It is Terumo's policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As a Company, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. Final compensation packages may be higher or lower than what is listed, and will ultimately depend on factors including relevant experience, internal equity, skillset, knowledge, geography, education, business needs and market demand. We provide competitive and comprehensive benefit options which include: annual bonus, paid vacation, paid holidays, health, dental and vision benefits, 401(k), with matching contributions, tax advantage savings accounts, legal plan, voluntary life and AD&D insurance, voluntary long-term disability, short term disability, critical illness and accident insurance, parental leave, personal leave, tuition reimbursement, travel assistance, and an employee assistance program.

Responsible for assessing patient care needs and planning home health care services. JOB DUTIES /KNOWLEDGE Coordinates, screens and assesses home health care needs of patients referred to Agency Completes intake process within established time parameters Collaborates with physicians, nurses and discharge planners to identify patient care needs and to establish the appropriate level of care for patients referred to the Agency Establishes and completes an individualized Plan of Treatment in accordance with MD orders, patient care needs, insurance guidelines and Agency protocol, including the identification of formal/informal supports in carrying out plan Ensures that the needed DME, medical supplies and ancillary services are ordered and documented Contacts managed care personnel when appropriate to obtain necessary initial authorizations Notifies referring party if patient will require alternative discharge plan Delegates specific tasks to support staff providing clear, timely direction to ensure continuity of care Serves as a resource to all persons contacting the agency for information Treats all referral parties, patients, family members and hospital staff courteously and in a non-discriminatory manner Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed care, charity care and other third-party payers Demonstrates cultural sensitivity Maintains patient confidentiality at all times Demonstrates working knowledge of State and Federal regulations Participates in Quality and Performance Improvement activities and in the orientation process for agency staff Performs other related duties as required Demonstrates a high degree of commitment to customer relations and quality service Utilizes community resources as appropriate to meet patient care needs JOB PERFORMANCE Demonstrates ability to perform quality and effective services. Demonstrates ability to set and meet objectives, and to find increasingly efficient ways to perform task. Completes work, and documentation with accuracy and within agency time frames. Requires minimal supervision and is self-directed. Understands the delivery of service within home care.

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's mission, vision, values, and customer service philosophy. 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). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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. Routinely 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. 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. Provides safe and effective delivery of care to patients with ESRD. Accurately implements 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. Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes 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 interdialytic 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. 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. Enforces all company approved policies 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. 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 Bloodborne Pathogen Control Policies. 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. 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. 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. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. 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. 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. 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 accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: 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 SKILLS: Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. 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). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance RN Pharmacy **PRIMARY PURPOSE OF THE ROLE:** To utilize evidence-based tools to evaluate the prescribed medications to ensure patient safety and quality standards are in alignment with best practice standards. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment a are driven to deliver great work. + Apply your RN clinical knowledge and experience to provide pharmacy utilization management services to ensure safety, enhance recovery and reduce time out of work. + Work in the best of both worlds - a rewarding career making an impact on the health and well-being of others in a remote work environment. + Enjoy flexibility and autonomy in your daily work and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. + Enable our Caring Counts mission supporting injured employees from some of the world's best brands and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Performs clinical assessments via information in pharmacy reports and medical files; assesses patient situation which may include psychosocial needs. + Evaluates patient drug usage to ensure alignment with evidence-based treatment guidelines. + Collaborate effectively with physicians, claims examiners, clients, vendors, supervisors and other parties as needed. + Acts as a resource in consulting with the client, nursing staff and claims examiners regarding pharmacy issues. + Performs prospective and retrospective drug utilization management reviews. + Maintains patient privacy and confidentiality, promotes safety and advocacy and adheres to ethical, legal, accreditation and regulatory standards. + We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. **EDUCATION AND LICENSING** Active unrestricted RN license in a state or territory of the United States required. Compact licensure preferred. Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred. Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred. Two (2) years of direct clinical experience as an RN is required. ** TAKING CARE OF YOU BY** + Seeks innovative customer solutions + Seeks ongoing learning as a professional and a person + Thrives when solving challenging problems + Seeks clear role expectations + Metrics/policies/processes are helpful + Seeks to contribute to a larger purpose + Thrives when everyone is working towards same vision/goals + Strong team and customer service orientation **NEXT STEPS** If your application is selected to advance to the next round, a recruiter will be in touch. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $60,000 - $65,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

The Registered Nurse - Infection Preventionist (IP) delivers fundamental infection control knowledge to the Veteran population and VA employees while developing and honing technical skills. The Registered Nurse - (IP) understands the concepts of behavioral change, the principles of epidemiology, the ability to collect and analyze data, basic knowledge of microbiology, basic elements of patient care practice. The Registered Nurse - Infection Preventionist is responsible for the identification and control of infectious disease processes, conducting surveillance and epidemiologic investigations, and implementing effective infection prevention strategies. Responsibilities include assessing, planning, implementing, and evaluating infection control practices based on age-specific components, and following procedures per established policies and guidelines. The Registered Nurse - IP assumes responsibility for the education of staff on infection control protocols, manages infection control programs, and evaluates reusable medical devices disinfection processes. Additionally, the IP Registered Nurse collaborates with interdisciplinary teams to influence care outcomes, ensuring patient safety and adherence to infection prevention standards throughout the continuum of care. Duties include, but are not limited to: * Responsible for providing competent, evidence-based infection control practice; * Conducts surveillance indicators and monitoring to identify and reduce the risk of acquiring and transmitting infections among patients, employees, visitors, and students; * Determine appropriate resources needed to accomplish proposed plan, communicating any variance to administration and revises plan as needed; * Provides for the systematic collection and analysis of infection data using current epidemiological principles; and * Provide programmatic outcomes that are visible at any organization level with the facility and Veterans Integrated Systems Network (VISN). * Surveillance for hospital acquired infections using National Healthcare Safety Network definitions. * Identification and investigation of all potential outbreaks of infection. * Development of measures for prevention and control of infections using the interdisciplinary approach. * Provide in-service education related to infection control to care teams. * Performance of environmental studies as necessary to investigate epidemics, augment educational efforts, and monitor sterilization activities. * Review and revise, Infection Prevention and Control policies in conjunction with individual care teams. * Serve as liaison to Sterile Processing Service to assist in compliance with reusable medical devices (RMD) requirements. * Serve as liaison to local health departments in reporting communicable diseases and consulting on issues related to community health. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: M-F, 7:30 am - 4:00 pm. Day shift and extended hours when needed. Telework: Not available Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized. PCS Appraised Value Offer (AVO): Not authorized.

The Registered Nurse provides direct patient care to inpatients. This position assesses patients and creates a plan of care that is individualized and is reflective of each patient's needs and goals. The Registered Nurse supervises activities of care, treatment and services of patient provided by LPN/LVNs, RNTs/CNAs, and other staff on assigned unit and shift. This position communicates information with the interdisciplinary team and reports patient concerns and changes in condition to supervisor and/or physician in a timely manner.

**PURPOSE AND SCOPE:** The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis. + Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT. + Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis. + Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Delivers safe, effective care in a timely an efficient manner. + Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment. + Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care. + Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed. + Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed. + Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures. + Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate. + Performs all required pre-treatment dialysis machine alarm testing. + If applicable, initiates Solution Delivery System. + Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste. + Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies. + Completes and documents ongoing participation in QAI activities. + Participates in staff meetings as scheduled. + Participates in staff training and orientation as assigned. + Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications. + Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + Assist with various projects as assigned by direct supervisor. + Other 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. + Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events. + Position requires on call rotation including night, day, weekend, and holidays. + There is potential for exposure to potentially infectious material and contagious diseases/material. + Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. **SUPERVISION:** + Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT. **EDUCATION:** + Current appropriate state licensure. + Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services). + Must meet the practice requirements in the state in which employed. + Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged. **EXPERIENCE AND REQUIRED SKILLS** **:** + One year RN experience required and required nursing skills. + Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services. + Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services. + Demonstrated strong assessment skills related to the critically ill patient. + ICU experience preferred but not required. + Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation. + BLS CPR Recognition. + ACLS CPR Recognition preferred, but not required. + Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education. + Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff). + Successful completion of Nurses Technical Training. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**Become a part of our caring community and help us put health first** This is a Work-At-Home position located in Puerto Rico. You must live in Puerto Rico for this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' needs and requirements to achieve and maintain an optimal wellness state. Using clinical knowledge, the Care Manager guides members with chronic conditions toward and facilitates interaction with resources appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. You must be fully bilingual in English/Spanish and will be required to pass a test for both languages - Speaking/Reading/Writing included. ***Please submit resume in English. The Care Manager, Telephonic Nurse employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Responsibilities include the following: + Identifies and resolves barriers that hinder effective care. + Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. + May create member care plans. + Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. + Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree in Nursing (BSN) + Bilingual in English and Spanish (and able to pass language proficiency tests in both languages) + Active RN license without restrictions in Puerto Rico + Active RN license without restrictions in Florida - if you DO NOT have an active FL RN license, you must have already passed the NCLEX exam. + Affiliated with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico). + Prior clinical experience in adult acute care, skilled nursing, rehabilitation or discharge planning + Knowledge in Chronic Condition management (treatment, pharmacological treatment, signs & symptoms, etc.) Diabetes, Hypertension, COPD, Chronic Kidney Disease, etc. + Ability to work independently under minimum supervision and with a team. + Able to work an 8-hour shift between 8:30 AM - 5:30 PM EST and adjusted for Daylight Savings + (Work schedule can be adjusted according to business hours - necessary overtime and/or weekends) **Preferred Qualifications** + Health Plan experience + Previous Case Management Experience + Call center or triage experience + Previous experience managing Medicare members **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Humana will provide Work-At-Home employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Language Proficiency Testing** Any Humana associate who speaks with a member in a language other than Spanish must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. **Additional Information** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,300 - $73,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Job Description We are seeking experienced Certified Registered Nurse Anesthetists (CRNAs) for a high-acuity assignment at two hospital locations. The ideal candidate has recent experience in a Level I Trauma Center and is comfortable handling complex surgical cases across multiple specialties. This position is in New Haven CT. Hotel and Airfare Provided Position Details: Specialty: CRNA Start Date: 05/01/2025 (or sooner depending on credentialing timeframe) Contract Length: Minimum 6 months (3-month contracts will not be accepted) Schedule: Monday - Friday, 3x12-hour shift blocks (must be able to work Fridays) Shifts: 9:00 AM - 9:00 PM Call: Not required Weekend Coverage: May pick up shifts when short-staffed Availability: Full-time (36-40 hours per week, every week required) Part-Time: Not accepted Local Candidates: Will not be considered Work Details: Patients per Day: 10-12 EMR: Epic Worksites: Bridgeport Hospital and New Haven Hospital (must be comfortable floating between both sites) Setting: Hospital | Level I Trauma Center System: Large and growing regional health system Required Case/Procedure Experience: CRNA must be comfortable managing high-acuity cases in all of the following specialties: General Surgery Orthopedics Cardiovascular Neurosurgery Gastroenterology Urology Gynecology Ophthalmology ENT Healthy Pediatrics Preferred Experience: 2-3 years of recent experience in a Level I Trauma Center Compensation & Benefits: Pay Rate: All-inclusive hourly rate (contact for details) Travel Stipend: $500/week for out-of-state travelers for the first 6-month contract Increases to $1,000/week if the provider extends for an additional 6 months Overtime Rate: 1.5x standard rate Overtime Rule: Applies after 12 hours worked per day Payment: Weekly direct deposit Insurance: Malpractice insurance provided Support: Dedicated recruiter assistance throughout the assignment Required: CT License or able to obtain (we can assist) DEA License BLS/ACLS Certifications Onboarding Process: Expedited credentialing available Assistance with compliance and facility paperwork Orientation provided before the start date About Vivo HealthStaff: Vivo HealthStaff is a locum tenens staffing firm specializing in placing healthcare professionals in temporary and long-term assignments across the United States. We are committed to providing seamless placement experiences for providers and healthcare organizations.

The Site Project Manager is responsible for local site-specific Post Go-Live Electronic Health Record (EHR) Transition Readiness project plan management; completing deliverable status reports to the client and internal teams; coordinating activities and ownership with client counterparts; executing Transition Readiness Methodology to ensure local informatics readiness to assume ownership of EHR support; advising the client on expectations in a consultative role; and managing client communication. Roles and Responsibilities - Manage all communication and relationships between the site and the Oracle Health Readiness Team - Manage the site-specific project plan and timeline and drive local site Informatics to success in preparing them for their roles Post Go-Live - Present content and drive execution of the Readiness Support Methodology at a local level - Own coordination of the Event Driven methodology with internal and external stakeholders for specified site(s) - Work closely with internal Engagement Management Team on Deployment schedules and events - Coordinate and manage all site call and event execution - Responsible for tracking the timeline for IMS Updates to the VISN PM - Responsible for tracking the timeline of PGL events for the MPR to report back to VISN PM - Responsible for tracking and management of the Readiness Checklist - Participate in internal scrums with Site Readiness counterparts - Manage all site-specific risks and report back through internal Site Readiness scrums Recommended Qualifications for Site Project Manager Education & Experience - Bachelor's degree in healthcare administration, nursing, health informatics, business, or a related field (required) - Master's degree in health informatics, public health, business administration (MBA), or project management (preferred) - 5+ years of experience in healthcare IT, clinical informatics, or EHR implementation/project management (required) - Experience managing EHR transitions or post-go-live optimization efforts (strongly preferred) - Prior experience working in a hospital, healthcare system, or VA environment (preferred) - Hands-on experience with Oracle Health/Cerner solutions, including design, build, implementation, troubleshooting, and optimization (required) Certifications (Preferred but Not Required) - PMP (Project Management Professional) - if responsible for large-scale project planning - Certified Professional in Healthcare Information and Management Systems (CPHIMS) - validates informatics expertise - Lean Six Sigma (Green Belt or higher) - if involved in process improvement - Change Management Certification (e.g., Prosci) - beneficial for driving EHR adoption Core Skills & Competencies Project Management & Execution - Experience leading site-specific readiness projects related to EHR implementation and transition - Ability to track deliverables and align them with Post Go-Live (PGL) eadiness milestones - Strong understanding of Event-Driven Methodology (EDM) and transition frameworks - Ability to assess current-state processes and provide strategic recommendations for future-state improvements Oracle Health/Cerner Solutions Expertise - Experience designing, configuring, and implementing Oracle Health/Cerner solutions, including clinical and operational workflows - Ability to troubleshoot and resolve EHR-related issues, collaborating with IT and clinical staff - Familiarity with Millennium architecture, PowerChart, Orders, and other Oracle Health/Cerner applications - Understanding of system testing, validation, and optimization to enhance user adoption and system performance Healthcare & Informatics Expertise - Deep understanding of clinical workflows, informatics principles, and site readiness requirements - Knowledge of VA and Oracle Health (Cerner) policies, contract, EHR governance, and post-go-live expectations - Familiarity with EHR data governance, reporting, and compliance (HIPAA, HITECH, etc.) Stakeholder Engagement & Communication - Experience engaging with local site informatics teams, leadership, and Oracle Health workstreams - Ability to facilitate collaborative problem-solving between technical, clinical, and operational teams - Strong verbal and written communication skills for presenting readiness updates and reports - Ability to work across multiple internal and external teams, ensuring alignment and shared objectives - Professional presence with the ability to foster a culture of change and adaptability Adaptability & Independent Work - Agile and flexible in dynamic environments, able to adjust priorities as needed - Ability to work independently with minimal instruction, making informed decisions and driving initiatives forward - Comfortable managing ambiguity and navigating complex challenges with a solution-oriented mindset - Positive attitude and commitment to fostering collaboration and continuous improvement Technical & Analytical Skills - Proficiency in Microsoft Project, Smartsheet, Jira, Confluence, or similar project tracking tools - Ability to interpret EHR performance metrics and readiness indicators to drive decision-making - Familiarity with change request tracking, ticketing systems, and ITIL service management processes (preferred) - Strong attention to detail with the ability to proofread and edit content to ensure high-quality deliverables **_Please note that this role can require 80% travel._** **Responsibilities** An experienced professional who is a domain and process expert with a deep understanding of research, clinical practices and solutions. Partner with Oracle client Clinical leadership to form longitudinal relationships and holistically impact client performance and satisfaction through optimization activities and strategic initiatives during client project engagements. Collaborate with development teams to design and position innovative solutions in the marketplace. Leads solution design for existing and prospective external customer engagements. Identifies areas for new solution offerings. Analyzes external customer needs and exercises judgment and business acumen in selecting methods and techniques to design non-routine and complex solutions to help ensure Oracle solution meets the customer's objectives by combining industry best practices and product/process knowledge. Influences external customer leadership in acceptance of Oracle solutions and services to facilitate the closing of deals. Leads the domain specific solution design aspects of engagement(s) ensuring high quality and integrated solutions. Supports the business development efforts by pursuing new opportunities and extensions. May perform other duties as assigned. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $97,500 to $199,500 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.

Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers with world-class products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo Corporation; one of the world's leading medical device manufacturers with $6+ billion in sales, 30,000+ employees worldwide and operations in more than 160 nations. Terumo Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. Job Summary The Occupational Health Nurse ensures the health, safety, and regulatory compliance of associates within a medical device manufacturing environment. This role manages occupational health programs, provides clinical evaluation and early intervention for workplace injuries and illnesses, and oversees medical surveillance and health screening initiatives. Responsible for accurate recordkeeping and adherence to local, state, and federal regulations, this position supports regulatory processes and non-occupational licensure requirements. The incumbent collaborates with associates, leadership, and cross-functional teams to promote return-to-work programs, maintain workplace wellness, and foster a safe and compliant work environment, supporting operations at TPR1 and TPR2 facilities. Job Details/Responsibilities Clinical Evaluation and Early Intervention -Provide & assess and care for associates reporting work-related or non-occupational symptoms, including coordinating with external medical providers and internal stakeholders to ensure timely intervention and continuity of care. Medical and Regulatory Records - Manage & maintain accurate electronic medical records and health documentation in the EHS platform, ensuring compliance with HIPAA, OSHA, FDA, and other applicable regulations. Track medical surveillance, vaccinations, screenings, and follow-up actions. Occupational Health Programs - Administer and document medical surveillance programs (e.g., respiratory protection, hearing conservation, vision and audiology testing, fleet safety) and preventive care initiatives, ensuring baseline and threshold changes are tracked and required follow-ups are completed. Case Management and Return-to-Work Processes - Actively participate in case management discussions, facilitate post-injury/illness follow-up, support safe return-to-work and job accommodations, and coordinate specialist evaluations and external providers. Actively work with the Medical cases Committee to ensure license management is appropriate. Health & Safety Initiatives - Serve as First Aid Team leader, coordinate emergency response and team meetings, support site EHS committee activities, training initiatives, ergonomic monitoring, and wellness programs to promote workplace health and safety culture. Regulatory Compliance and Reporting - Assist with OSHA injury and illness reporting, State Insurance Fund cases, and documentation of occupational exposure incidents (bloodborne pathogens, chemical exposure, ergonomic incidents) while ensuring adherence to federal, state, and local regulations. Operational Support and Collaboration - Collaborate with HR and other departments on non-occupational medical matters, fit-for-duty assessments, associate licensure requirements, lactation room compliance, and medical supply management to maintain operational readiness and workplace health standards. Other related duties may be assigned. Job Responsibilities (continued) Working Conditions/Physical Requirements Knowledge, Skills and Abilities (KSA) Experienced occupational health professional with proven ability to manage and administer occupational health programs within a medical device manufacturing or similar regulated environment. Strong understanding of OSHA, DOL, HIPAA, State Insurance Fund, SINOT, and other applicable occupational health and safety regulations. Skilled in using Microsoft Office applications (Word, Excel, PowerPoint, databases) and electronic health record or EHS systems to maintain accurate and compliant documentation. Demonstrated ability to plan, prioritize, and manage multiple responsibilities within a structured, document-controlled environment. Maintains high standards of confidentiality when handling sensitive and protected health information (PHI), fully compliant with legal and company requirements. Effective verbal and written communication in both Spanish and English; able to interact with associates, management, and external healthcare professionals in a clear and professional manner. Exercises sound clinical and professional judgment in resolving occupational health issues; works independently while collaborating effectively with cross-functional teams. Onsite position requiring presence at manufacturing facilities to provide direct occupational health support. Qualifications/ Background Experiences Registered Nurse (RN) with active professional licensure in the Commonwealth of Puerto Rico; board certification in Occupational Health Nursing (COHN/COHN-S) or equivalent preferred. Minimum of five (5) years of relevant experience in occupational health, employee wellness, or clinical nursing within a manufacturing or similarly regulated environment. Current First Aid, CPR, and AED certification required. Experience managing medical surveillance programs, case management, and regulatory compliance (OSHA, HIPAA, FDA, or equivalent) preferred. It is Terumo's policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As a Company, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. Final compensation packages may be higher or lower than what is listed, and will ultimately depend on factors including relevant experience, internal equity, skillset, knowledge, geography, education, business needs and market demand. We provide competitive and comprehensive benefit options which include: annual bonus, paid vacation, paid holidays, health, dental and vision benefits, 401(k), with matching contributions, tax advantage savings accounts, legal plan, voluntary life and AD&D insurance, voluntary long-term disability, short term disability, critical illness and accident insurance, parental leave, personal leave, tuition reimbursement, travel assistance, and an employee assistance program.

Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career. Connect with your goals and change lives with Fresenius Medical Care North America. Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare we know what it takes to create strong bonds among patients their families and our team members-and why it matters. Within this positive environment those in our care can achieve better outcomes-and professionals can achieve their most important objectives. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: Fresenius Medical Care is the nation's largest provider of renal care meeting the needs of more than 135 000 patients at 1 800 clinics throughout the country. Our well-established trusted organization fosters a spirit of camaraderie emphasizing friendly collaboration professional support and career development. Superior training UltraCare quality control and certification procedures ensure your potential to succeed and advance as a professional. Competitive compensation and exceptional benefits. Outstanding tuition reimbursement program. Recognized among Fortune's World's Most Admired Companies in 2011. National Safety Award from CNA insurance companies for 11 consecutive years. Opportunities to give back by participating in philanthropy and community outreach programs. Staff Registered Nurse This is an exceptional opportunity to succeed with a premier healthcare organization. As a key member of our hemodialysis team this professional will manage our Patient Care Technicians in providing safe effective delivery of chronic hemodialysis therapy. Delegating tasks training and monitoring all direct-patient staff including LVNs/LPNs and Dialysis Assistants this individual will assess care needs and develop assignments. 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's mission vision values and customer service philosophy. 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). 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 though 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. Routinely 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. Accurately implements 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. Actively participates in the pre evaluation initiation monitoring termination access homeostasis and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes 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 interdialytic 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 Bloodborne 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 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. EXPERIENCE AND REQUIRED SKILLS: Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. 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 Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

The Registered Nurse - Utilization Management will demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Follows procedures per established policies and guidelines. Influences outcomes by collaborating with members of the interdisciplinary team. The Utilization Management Registered Nurse at the San Juan VA Healthcare System is responsible for performing complex reviews using UM Criteria, educating various providers, and conducting InterQual reviews. The nurse demonstrates proficient decision-making, critical thinking, and efficient resource utilization, while leading strategic planning and care process improvements. Responsibilities include data collection, analysis, reporting, and providing education based on best documentation and UM practices. The nurse collaborates on treatment plans, ensures appropriate level of care, and offers consultation on quality improvement and outcomes utilization, enhancing overall patient care and resource management. Flexibility in schedule and departmental assignments may be required. Duties include, but are not limited to: * Independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice. * Manages the care of patients, while organizing and prioritizing patient care needs, and ensuring assigned tasks are completed. * Functions as an emerging leader in providing direction to staff to identify, implement and evaluate patient care needs. * Collaborates with the interdisciplinary team to ensure the plan of care is achieved. * Uses InterQual criteria to evaluate patient cases for quality and timeliness of care. * Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients. * Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient. Role models and displays ethical behavior. * Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurses. * Models' high reliability principles and I CARE values to improve patient outcomes. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: M-F, 7:30 am - 4:00 pm. Telework: Not available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized. PCS Appraised Value Offer (AVO): Not authorized.

**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's mission, vision, values, and customer service philosophy. 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). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + 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. + Routinely 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. + 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. + Provides safe and effective delivery of care to patients with ESRD. + Accurately implements 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. + Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. + Takes 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 interdialytic 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. + 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. + Enforces all company approved policies 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. + 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 Bloodborne Pathogen Control Policies. + 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. + 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. + 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. + Completes initial and annual Nursing History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. + 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. + 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. + 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 accommodation can be made. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS:** + 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 SKILLS** : + Minimum of one-year medical-surgical nursing experience preferred. + Hemodialysis experience preferred. + ICU experience preferred. + Successfully complete a training course in the theory and practice of hemodialysis. + Successfully complete CPR Certification. + Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. + 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). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis. Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT. Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis. Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. Delivers safe, effective care in a timely an efficient manner. Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment. Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care. Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed. Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed. Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures. Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate. Performs all required pre-treatment dialysis machine alarm testing. If applicable, initiates Solution Delivery System. Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste. Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies. Completes and documents ongoing participation in QAI activities. Participates in staff meetings as scheduled. Participates in staff training and orientation as assigned. Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications. Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. Assist with various projects as assigned by direct supervisor. Other 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. Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events. Position requires on call rotation including night, day, weekend, and holidays. There is potential for exposure to potentially infectious material and contagious diseases/material. Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. SUPERVISION: Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT. EDUCATION: Current appropriate state licensure. Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services). Must meet the practice requirements in the state in which employed. Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged. EXPERIENCE AND REQUIRED SKILLS: One year RN experience required and required nursing skills. Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services. Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services. Demonstrated strong assessment skills related to the critically ill patient. ICU experience preferred but not required. Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation. BLS CPR Recognition. ACLS CPR Recognition preferred, but not required. Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education. Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff). Successful completion of Nurses Technical Training. 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. EOE, disability/veterans