Nurse jobs in Puerto Rico - 52 jobs

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. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

**Become a part of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Pre-Authorization Nurse 2 completes medical necessity and level of care reviews for requested services using clinical judgment, and refers to internal stakeholders for review depending on case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent clinical information in various medical management systems. 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** + 2+ years Utilization Management experience + Active RN license in the state(s) in which the nurse is required to practice + Ability to be licensed in multiple states without restrictions + A minimum of three years varied nursing experience + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + Proficient with MS Office products including Word, Excel and Outlook + Ability to work independently under general instructions and with a team + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Bachelor's degree + Health Plan experience working with large carriers + Previous Medicare/Medicaid experience a plus + Outpatient or home health experience in Utilization Management + Experience working with MCG or Interqual guidelines **Additional Information** + **Schedule** : Monday through Friday, 8:00 AM - 5:00 PM with flexibility to work overtime/weekend as needed. + **Work Location:** US Nationwide + **Work Style:** Remote + **Travel Requirements** **: Less than 1%** **Work-at-Home (WAH) Internet Statement** 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. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office 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. **Interview Format** 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. $71,100 - $97,800 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. Application Deadline: 01-19-2026 **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 ***************************************************************************

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. The Registered Nurse - Wound Specialist, specializes in treating patients with wounds like burns, pressure ulcers, diabetic / arterial ulcers, and more this is performed in accordance with physician orders and plan of care under the direction and supervision of the agency. ________________________________________________________________ About Company: CMS offers an Integrated Home Health System, which includes Durable Medical Equipment (DME), Respiratory Equipment, Home Health Services, Infusion Services, Orthotics and Prosthetics can count on CMS for their immediate, guaranteed. Our service model is recognized by our business partners, positioning us with over three decades of experience as the market leader serving over 800,000 people in Puerto Rico. Come and be part of CMS. Being part of our work team, where we are distinguished by the excellence of the service, we offer our patience. Position Summary: A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the agency Director of Nursing and/or Administrator. Minimum Requirements: Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing. Wound Care Certification required. Al least six (6) months' experience in a Wound Specialist position. Acceptance of philosophy and goals of this Agency. Ability to exercise initiative and independent judgment. Our Benefits: Benefit from our advanced documentation automation app-saving you time and effort so you can dedicate more energy to what matters most: your patients. Health Insurance, (Vision, Dental & Pharmacy) 10 days paid Holidays 12 days of Sick Leave 15 days Vacations Leave 401K with Company Contribution Provide Uniforms Recognition and Incentives Programs Training Program paid by Company “CMS Inc. and CMS Home Care, LLC. is an Equal Employment Opportunity Employer. Affirmative Action for Women, Minorities, Veterans, and People with Disabilities"

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures while complying with timeliness guidelines. Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes for the Clients and Members we serve. **Collaboration Opportunities:** The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for collaboration include all-team and individual team meetings, Teams chats, and monthly communication on team metrics and accomplishments. **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures. + Documents communications with medical office staff and/or MD provider as required. + Interfaces with other departments to satisfactorily resolve issues related to appeals and retrospective reviews. + Provides optimum customer service through professional and accurate communication while maintaining accreditation and health plan's required timeframes. + Refers cases to appropriate internal reviewers according to the business needs of the particular health plan. + Reviews requests for Urgent appeals compared to expedited criteria for downgrade to Standard processing, documenting accordingly. + Works closely with the appeals-dedicated Clinical Reviewers to ensure timely adjudication of processed appeals. + Other duties as assigned. **Qualifications Required and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality improvement environment- **Required** + Able to work in a rotation to work 10:30am to 7pm CST (which includes 30-minute unpaid lunch break) 3 days/week, to meet the business needs of nurses providing coverage until 7:00pm CST. - **Required** + Must be able to exercise independent and sound judgment in clinical decision making. - **Preferred** + Able to navigate through internal and external computer systems. Working knowledge of Microsoft Office Product Suit - **Preferred** + Strong organizational and effective time management skills; demonstrated ability to manage multiple priorities. - **Preferred** + Outstanding interpersonal and negotiation skills to effectively establish positive relationships both internally and externally, including strong written and verbal communication skills. - **Preferred** To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $37- $42/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Job Description Department Human Resources Location 342 San Luis St., Suite 304, San Juan, PR 00920 Position Bilingual Nurse Reports to María Miranda De Jesús Title HR & Finance Director Position type: Full time Part time Contract In house Shift hours: 40 weekly Operating: Monday to Friday: 8:00 am to 5:00 pm Extent No extent General purpose The call center and telemedicine nurse will act as a link with the patient, providing effective remote patient monitoring (RPM) and telemedicine services and channel any request or problem that requires attention, providing the corresponding guidance to the attending physician. Among the essential qualities is to promote the use of the health monitoring devices and to provide the patient all the necessary information an empathic way, in order to educate the patient regarding the RPM program. maintaining their ability to have control of the call and efficiently communicate the information. The goal is to ensure quality care and compliance with the RPM and telemedicine services, respond effectively to patient inquiries, and ensure high patient satisfaction. Generate outgoing calls in order to verify patient information and vitals in accordance with the RPM program, through the effective use of the RPM and Telemedicine Software. Also, provide the necessary feedback if in the case of emergent patient care situations, by seeking assistance of the Medical Director or attending physician. RESPONSIBILITIES AND COMPETENCES Administrative, organizational, data management and communication skills. Knowledgeable and able to effectively manage the Remote Patient Monitoring platform system Knowledgeable of all Medicare Guidelines regarding the Remote Patient Monitoring program and Telemedicine programs Manage a large number of outgoing and incoming calls Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance, of the clinical director or MD. Monitor the patient's condition and assess their needs to provide the best care and advice according to their responsibilities. Identify and evaluate the needs of patients to achieve their satisfaction. Manage multiple database systems provided by the company to document all interactions with patients as established. Provide accurate, valid, and complete information. Comply with the level of service and productivity goals established by the campaign / company for which the calls are being answered. Maintain quality and productivity in accordance with the provisions of the Company. Inform your immediate supervisor of any situation that arises, both customers and employees that may affect the proper functioning of the company. Correctly register the information in the contact system. Follow communication procedures, guidelines, and policies. Fully Bilingual ( English and Spanish) - Written and Oral Any other task designated by your supervisor or immediate manager, not limited to the aforementioned. WORK EXPERIENCE REQUIREMENTS Nurse experience Knowledge of EMR system Excellent knowledge of nursing care procedures and methods. Ability to demonstrate empathy, motivation, attention, and support for the patient's needs. Honest and responsible for their actions. Great capacities to maintain telephone contact and for active listening. Customer orientation and ability to adapt / respond to different types of personalities. Knowledge and domain with computerized equipment. Excellent in keyboard handling and data entry. Trained to work under pressure and able to respond to high volume of work. Ability to work in a team. Excellent verbal and written communication skills. Good diction. Schedule availability and rotating shifts. Possess high professionalism and ability to deal with clients and colleagues. Academic requirements Associate or bachelor's degree in nursing DEMANDS - Work mostly seated for approximately 7 to 8 hours to be able to successfully fulfill essential functions - Number of people directly supervised 2 maintenance people. - Exposed use of computerized equipment at all times, to perform its functions. - Vision, speaking, and listening are required to perform their functions and capable of being understood. - Be available to work overtime in cases of operational need that may be required. - Travel requirement if necessary, to the other facilities. APPROVED by Maria Miranda De Jesús Title HR & Finance Director Employee sing Date Affirmative Action Plan Statement / Equal Employment Opportunity Insight Communications, Corp. offers equal employment opportunity to all employees and job applicants and prohibits discrimination and harassment of any kind without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruitment, hiring, placement, promotion, termination, firing, retirement, transfer, absence, compensation, and training. Insight Communications, Corp. 342 San Luis St., Suite 304, San Juan, PR 00920 Tels. ************, ************, ************ Fax. ************

The Health Professional 3/RN provides health and wellbeing services as part of the clinic's multidisciplinary team. This key individual promotes and restores patients' health in collaboration with physicians and multidisciplinary team members. The main responsibility will be integrate de psychological and physical areas of our patient. Essential Functions: Completes initial interview with the patient; reviews and analyzes data collected in order to identify specific needs, strengths and limitations. Recognizes and carefully manages urgent patients, as well as implements the necessary actions in case of emergency or hospitalization, based on Law 408 and the company's procedures. Coordinates patient transfers to the appropriate health care setting. Develops a patient treatment plan with a multidisciplinary focus, while promoting patient participation in treatment strategies. Discusses clinical cases and procedures with other team members in order to collect important information for treatment strategy elaboration. Assures that all patients at the clinic triage have completed an arterial pressure, pulse, and vital signs check. Collaborates in urine test collection in order to determine drug abuse/use as needed. Controls and administers the Drug Deposit and evaluates patients for the clinics depot. Contacts and monitors the attendance of depot patients. Keeps drug inventory and temperature monitoring in accordance with Pharmacy regulations. Maintains communication with patient's family members and provides supplementary treatment as needed. Provides individual or group advice to patients and family members about use and abuse of medication, or in any topic needed for treatment. Documents patient intervention and properly stores all suitable forms in the patient's file. Maintains registry of all patient care medication. Identifies potential treatment side effects and reports findings do Clinic Administrator, Physician and or Pharmacy Department. Coordinates and performs medical communication with patient Physical PCP ad necessary. Transfers patients to other facilities when needed. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable. In addition, all other duties assigned by the manager and/or supervisor. Education: Bachelor's degree in Nursing required Must have current, unrestricted PR License to practice in Puerto Rico territory, with current Professional Nursing College Membership. Experience: Minimum 2+ years of experience in the mental health and or/nursing field. Knowledge: Knowledge of medication, drug interactions, side effects, incompatibilities and all issued related to proper treatment. Knowledge of diagnosis and pharmacology. Knowledge of mental health regulations and related laws. Must be able to prioritize and target interventions, consistent with state licensure scope of practice requirements designed to support long-term behavioral change. Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum. Knowledge regarding nursing process and correct administration guidelines.

Job Description The Infusion Admitting / Evaluating Nurse is responsible for providing specialized infusion therapy care in the patient's home, performing clinical evaluations to determine eligibility and continuity of treatment. Administers intravenous therapies, educates the patient and their family, and documents in accordance with clinical, regulatory, and accreditation standards (ACHC, CMS, and Puerto Rico Department of Health). The admitting nurse must foster Alivia's values, support the vision of the infusion department, and actively contribute towards the unit's success. Responsibilities include, but are not limited to the following: Conduct initial clinical assessments at home to determine the feasibility and safety of infusion treatment. Admit patients within 24 hours of receiving the referral. In accordance with regulatory and accreditation standards. Coordinate medication reconciliation and develop the initial care plan in conjunction with the prescribing physician and multidisciplinary team. Monitor the patient's response to treatment and document clinical findings in the electronic system. Educate the patient and family about treatment, devices, infection control, warning signs, and patient rights and responsibilities. Obtain and document the patient's informed consent in the medical record. Identify and report adverse events, incidents, complaints, deviations, or clinical risks to the quality and compliance committee in a timely manner. Required: Bachelor's degree in nursing from an accredited university. Current nursing license in Puerto Rico. Participation in continuing education and documented annual clinical competencies. Valid driver's license in Puerto Rico and availability of a motor vehicle. Minimum of 2 years of experience in home health, infusion, or acute care services. Preferably in a home setting. Knowledge of infusion pumps, central and peripheral catheters. ***Equal Opportunity Employer M/F/V/D***

Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Overview Help Accepting applications Open & closing dates 10/01/2025 to 09/30/2026 Salary $50,241 to - $114,573 per year Pay scale & grade GL 05 - 10 Locations Many vacancies in the following locations: Aliceville, AL Maxwell AFB, AL Talladega, AL Forrest City, AR Show morefewer locations (90) Phoenix, AZ Safford, AZ Tucson, AZ Atwater, CA Herlong Sierra Ordnance Depot, CA Lompoc, CA Los Angeles, CA Mendota, CA San Diego, CA Victorville, CA Florence, CO Littleton, CO Danbury, CT Coleman, FL Marianna, FL Miami, FL Miami-Dade County, FL Tallahassee, FL Atlanta, GA Jesup, GA Honolulu, HI Chicago, IL Greenville, IL Marion, IL Pekin, IL Thomson, IL Terre Haute, IN Leavenworth, KS Ashland, KY Inez, KY Lexington, KY Manchester, KY Pine Knot, KY Oakdale, LA Pollock, LA Fort Devens, MA Cumberland, MD Milan, MI Duluth, MN Rochester, MN Sandstone, MN Waseca, MN Springfield, MO Yazoo City, MS Butner Federal Correctional Complex, NC Berlin, NH Fairton, NJ Fort Dix, NJ Kings, NY Otisville, NY Ray Brook, NY Elkton, OH El Reno, OK Oklahoma City, OK Sheridan, OR Gregg Township, PA Kelly Township, PA Lewis Run, PA Loretto, PA Minersville, PA Philadelphia, PA Waymart, PA Guaynabo, PR Bennettsville, SC Edgefield, SC Estill, SC Salters, SC Yankton, SD Memphis, TN Bastrop, TX Beaumont, TX Big Spring, TX Bryan, TX Federal Medical Center Carswell, TX Fort Worth, TX Houston, TX La Tuna, TX Seagoville, TX Texarkana, TX Three Rivers, TX Jonesville, VA Prince George, VA Seatac, WA Grand Marsh, WI Alderson, WV Beaver, WV Bruceton Mills, WV Glenville, WV Morgantown, WV Welch, WV Remote job No Telework eligible No Travel Required Occasional travel - Travel may be required for training and/or work related issues. Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time - Registered Nurse Accelerated Promotion Program covers the 0610 series ranging from GL-05 through GL-10 grade levels. If eligible, this enables a Registered Nurse to promote up to twice at an accelerated pace through a training program. Service Competitive Promotion potential 10 - Grade 10 - Registered Nurse Accelerated Promotion Program covers the 0610 series ranging from GL-05 through GL-10 grade levels. If eligible, this enables a Registered Nurse to promote up to twice at an accelerated pace through a training program. Job family (Series) * 0610 Nurse Supervisory status No Security clearance Other Drug test Yes Bargaining unit status No Announcement number DHA-2026-0002 Control number 847130700 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency This is a public notice under the Direct Hiring Authority open to all U.S. citizens. Please review instructions in the "

Per Diem Medial - Flight Med and Avi Responsibilities include evaluation, coordination, and delivery of medical care provided to patients during transport; also is familiar with the scope of practice of the transport team members and the State rules and regulations in which the transport team operates. Works with the other transport team members to coordinate care of the patient during transport; once called, readily available/arrive at specified location, within 45 minutes before wheels. RESPONSIBILITIES: The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. Provides pre-hospital advanced life support care from initial contact until patient care is relinquished to the receiving medical facility Maintain thorough electronic charting of patient care. Attends pre-mission briefings and mission debriefing and completes necessary documentation Complies with safety standards to assure safety of self, medical personnel, patient, and equipment prior to takeoff. Must be familiar with scope of practice of the transport team and the State rules and regulations in which the transport team operates. Requirements: Minimum of 3 years of ICU/ED/Trauma experience within the last 5 years Previous flight experience preferred. Flight experience can be substituted year for year for the ICU/ED/Trauma requirement. RN license as appropriate to assigned location Basic Life Support (BLS) certification Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) Neonatal Resuscitation Program (NRP) certification Pre-hospital Trauma Life Support (PHTLS) or Basic Trauma Life Support (BTLS) certification preferred but not required. Certified Emergency Nurse (CEN), Critical Care Nurse (CCRN) or Flight Registered Nurse (CFRN) strongly recommended. Completing quarterly requirements to maintain active flight status to include: completion of intubations quarterly, attendance at Roundtables. Completing annual requirements to maintain active flight status to include: Advanced Airway course, Mock Codes, AvStar program, safety and infection control, aircraft / personnel security briefing, equipment and supplies competency / currency validation, medical screening update including copy of TB or equivalent, ICU and trauma competencies, wellness form, EMS Rules and Regulations, and Haz-mat recognition and response. Evaluation is contingent upon completion of these items prior to evaluation. Current Passport required Ability to work varied shifts and cover fixed wing air ambulance call shifts Drug screening and a background investigation required. Physical Requirements: While performing the duties of this job, the employee is frequently required to do the following: Walk and stand for prolonged periods Lift and/or move up to 50 pounds Transfer/position patients of all ages and physical conditions Collect, interpret, and/or analyze diagnostic data Utilize visual, auditory, verbal, and olfactory processes required to assess, monitor, and care for patients Interpret complex laws, regulations, and/or policies Coordinate multiple tasks simultaneously Understand and respond to a diverse population Work in a high stress environment while remaining calm composure Work various shifts and schedules Work Environment: The 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. Frequent exposure to blood-borne and airborne pathogens or infectious materials Long transport times in the confined space of the aircraft. Exposure to dynamic cultural diversity Locations: San Juan, PR, Carollna, PR, Fort Lauderdale, FL, Schenectady, NY ABOUT REVA: In the medical transport industry, urgency, reliability, and experience are absolutely critical. We have completed over 30,000 flights in 70 countries. From marooned hikers to critically ill patients, REVA provides medical transport service 24 hours a day, 7 days a week, worldwide. When patients need care that cannot be provided during normal travel or in the region they are currently in, they call REVA. REVA's reach is worldwide. Four bases of operation within North America, the Caribbean, and Europe provide points of departure convenient to even the most distant locales. Our 13 dedicated ICU configured Jets, more than 200 air-ambulance professionals, and Global Alliance with industry partners give us a global profile. If it's on the Earth, it's on our radar. REVA is an equal opportunity employer that celebrates employees and applicants of all identities, backgrounds, abilities, and perspectives. We foster a welcoming work environment that supports diversity and inclusion, and we reject discrimination or harassment of any individual. If you are a person with a disability and require assistance with any part of the application process, please let us know. All employment decisions are made on the basis of qualifications, merit, and business need.

A Nursing Success Coordinator who uses Assessment Technologies Institute (ATI) and the simulations of Nursing, resources serves as a dedicated academic support professional within a nursing program, focused on improving student performance, retention, and NCLEX success rates. This role involves acting as a liaison between students, faculty, and ATI, Evolve, Sherpath, vSim and others simulators programs. Essential Duties and Responsibilities: Student Remediation and Support: Establishes plans of action for students who fail exams or struggle academically, providing one-on-one or group tutoring, workshops, and study habit coaching. They guide students through online modules and tutorials, such as the Launch academic readiness program, to build foundational knowledge and essential nursing skills. ATI Integration and Management: Ensures the smooth operation and full integration of ATI, Evolve, Sherpath, vSim and others simulators programs resources across all program levels. This includes scheduling and setting up testing, managing student accounts, and assisting faculty in using ATI, Evolve, Sherpath, vSim and others simulators programs materials in both classroom and clinical settings. Data Analysis and Intervention: Analyzes data from proctored assessments, practice exams, and student time in tutorials to identify individual and cohort weaknesses and trends. This data-driven approach allows for personalized study plans and early intervention strategies. Faculty Liaison and Training: Serves as a campus "ATI champion," Evolve, Sherpath, vSim and others simulators programs. Ensuring faculty training is completed and best practices for using all products are reinforced throughout the program. They also serve as the main point of contact with ATI, Evolve, Sherpath, vSim and others simulators programs. company representatives. NCLEX Preparation: Utilizes ATI's, Evolve, Sherpath, vSim and others simulators programs comprehensive predictor exams and other resources to track student progress and predict NCLEX success, providing targeted support to ensure students are practice-ready upon graduation. Supervisory Responsibilities: This role does not involve supervision of other employees but may provide guidance and support to students and faculty as needed. Qualifications/Education: Master's degree in Nursing (MSN) with Role in Education highly desirable. Current specialist nurse license. Relevant nursing experience, typically several years, is expected. Familiarity and expertise with the ATI, Evolve, Sherpath, vSim and others simulators programs and learning platforms are essential skills for this role. Strong interpersonal, communication, and data management skills are necessary to collaborate with faculty, advise students, and manage program data effectively Proficiency and familiarity with educational platforms and simulation programs such as ATI, Evolve, Sherpath, vSim, and other learning management or simulation tools are essential. Strong interpersonal, communication, and data management skills are required to effectively collaborate with faculty, advice and support students, and manage academic and program-related data. Competencies: Technical Competencies Proficiency in Learning Management Systems (LMS) such as Canvas and their integration with ATI, Evolve, Sherpath, vSim, and other learning management or simulation tools are essential. Competence in digital tools such as Microsoft Teams, Words, Excel, among others. Ability to analyze student performance data and apply findings to continuous improvement initiatives. Knowledge of simulation-based learning methodologies and assessment tools. Core Competencies Strong analytical, organizational, and problem-solving skills. Excellent written and verbal communication abilities. Leadership and teamwork skills with a focus on collaboration and faculty support. Ability to train and mentor faculty and students in the effective use of technological platforms. Commitment to academic excellence, innovation, and quality improvement. High attention to detail, confidentiality, and data integrity. Capacity to manage multiple priorities in a fast-paced academic environment. Language Skills: Ability to express him or herself correctly, precisely, and effectively, orally and in writing. Command of English and Spanish. Mathematical Skills: Ability to make mathematical and deductive reasoning problem solving.+ Technological Skills: Computer skills including practical experience in Microsoft Word, Power Point, Outlook with advance skills in Microsoft Excel. Reasoning Ability: Can identify problems and present solutions. Physical Demands: While performing the duties of the position, physical effort is required (hands and feet). Work Environment: The work environment is dynamic and active. Work will be in an office with different tasks.

Job Description A Nursing Success Coordinator who uses Assessment Technologies Institute (ATI) and the simulations of Nursing, resources serves as a dedicated academic support professional within a nursing program, focused on improving student performance, retention, and NCLEX success rates. This role involves acting as a liaison between students, faculty, and ATI, Evolve, Sherpath, vSim and others simulators programs. Essential Duties and Responsibilities: Student Remediation and Support: Establishes plans of action for students who fail exams or struggle academically, providing one-on-one or group tutoring, workshops, and study habit coaching. They guide students through online modules and tutorials, such as the Launch academic readiness program, to build foundational knowledge and essential nursing skills. ATI Integration and Management: Ensures the smooth operation and full integration of ATI, Evolve, Sherpath, vSim and others simulators programs resources across all program levels. This includes scheduling and setting up testing, managing student accounts, and assisting faculty in using ATI, Evolve, Sherpath, vSim and others simulators programs materials in both classroom and clinical settings. Data Analysis and Intervention: Analyzes data from proctored assessments, practice exams, and student time in tutorials to identify individual and cohort weaknesses and trends. This data-driven approach allows for personalized study plans and early intervention strategies. Faculty Liaison and Training: Serves as a campus "ATI champion," Evolve, Sherpath, vSim and others simulators programs. Ensuring faculty training is completed and best practices for using all products are reinforced throughout the program. They also serve as the main point of contact with ATI, Evolve, Sherpath, vSim and others simulators programs. company representatives. NCLEX Preparation: Utilizes ATI's, Evolve, Sherpath, vSim and others simulators programs comprehensive predictor exams and other resources to track student progress and predict NCLEX success, providing targeted support to ensure students are practice-ready upon graduation. Supervisory Responsibilities: This role does not involve supervision of other employees but may provide guidance and support to students and faculty as needed. Qualifications/Education: Master's degree in Nursing (MSN) with Role in Education highly desirable. Current specialist nurse license. Relevant nursing experience, typically several years, is expected. Familiarity and expertise with the ATI, Evolve, Sherpath, vSim and others simulators programs and learning platforms are essential skills for this role. Strong interpersonal, communication, and data management skills are necessary to collaborate with faculty, advise students, and manage program data effectively Proficiency and familiarity with educational platforms and simulation programs such as ATI, Evolve, Sherpath, vSim, and other learning management or simulation tools are essential. Strong interpersonal, communication, and data management skills are required to effectively collaborate with faculty, advice and support students, and manage academic and program-related data. Competencies: Technical Competencies Proficiency in Learning Management Systems (LMS) such as Canvas and their integration with ATI, Evolve, Sherpath, vSim, and other learning management or simulation tools are essential. Competence in digital tools such as Microsoft Teams, Words, Excel, among others. Ability to analyze student performance data and apply findings to continuous improvement initiatives. Knowledge of simulation-based learning methodologies and assessment tools. Core Competencies Strong analytical, organizational, and problem-solving skills. Excellent written and verbal communication abilities. Leadership and teamwork skills with a focus on collaboration and faculty support. Ability to train and mentor faculty and students in the effective use of technological platforms. Commitment to academic excellence, innovation, and quality improvement. High attention to detail, confidentiality, and data integrity. Capacity to manage multiple priorities in a fast-paced academic environment. Language Skills: Ability to express him or herself correctly, precisely, and effectively, orally and in writing. Command of English and Spanish. Mathematical Skills: Ability to make mathematical and deductive reasoning problem solving.+ Technological Skills: Computer skills including practical experience in Microsoft Word, Power Point, Outlook with advance skills in Microsoft Excel. Reasoning Ability: Can identify problems and present solutions. Physical Demands: While performing the duties of the position, physical effort is required (hands and feet). Work Environment: The work environment is dynamic and active. Work will be in an office with different tasks.

At Headlands Research, we are dedicated to enhancing clinical trial delivery within our communities. As a leading network of advanced clinical trial sites, we leverage cutting-edge technology and exceptional support services to broaden outreach and participation. Founded in 2018, our rapidly growing company currently operates 20+ sites across the US and Canada, with plans for further expansion. About Us: CMRC Headlands is a premier clinical research site in San Juan, Puerto Rico. We conduct cutting-edge clinical trials in collaboration with global pharmaceutical sponsors, bringing medical innovation to our local communities. Our mission is to advance science while centering the patient experience at every stage of research. Position Summary: CMRC is seeking a seasoned, full-time Registered Nurse (RN) with strong clinical acumen and hands-on experience in both adult and pediatric settings. The ideal candidate has a background in hospital or private clinical practice, is passionate about patient-centered care, and thrives in a fast-paced, ambiguous, research-driven environment. This role requires a proactive self-starter who can navigate complex protocols with clinical judgment, independence, and attention to detail. Bilingual fluency in English and Spanish is essential. Responsibilities: Perform and document pediatric and adult phlebotomy procedures Administer and document vital signs and clinical assessments Support all phases of patient interaction including screening, enrollment, dosing, and follow-ups Act as clinical support during study visits-monitor, document, and report on patient status and adverse events Manage specimen handling, labeling, storage, and timely shipment according to protocol Provide clinical oversight for study-related procedures to ensure safety and compliance Coordinate and schedule research visits and procedures with precision and patient sensitivity Review and interpret study protocols through a clinical lens to anticipate patient care needs Communicate effectively with investigators, monitors, sponsors, and internal teams Support study recruitment and patient outreach strategies Maintain and organize source documentation and regulatory binders Prepare for monitoring visits and assist during sponsor or regulatory audits Other duties as needed to support study execution Required Qualifications: Active and unrestricted Registered Nurse license in Puerto Rico Minimum of 6 years of experience in a clinical setting (hospital or private practice) Minimum of 4 years drawing blood from both pediatric and adult patients Solid understanding of Good Clinical Practice (GCP) and/or willingness to undergo training Comfort working within protocol-driven environments with shifting timelines Demonstrated ability to operate autonomously and take initiative within a small, agile team Proficient with electronic medical records, clinical data entry, and laboratory documentation Exceptional organizational and multitasking skills Strong interpersonal skills and compassionate bedside manner Fluent in English and Spanish (written and verbal) Preferred Qualifications: Prior experience in clinical research or investigational trials is a plus Familiarity with FDA, ICH-GCP, and HIPAA compliance standards Experience preparing for and interacting with clinical trial monitors

Enforce and interpret policies for the delivery of patient and resident care. Ensure proper staffing for each unit, keeping staff ratio, appropriate staffing for patient care needs, covering call-offs and vacation time. Ensure chart checks are completed, seclusion/restraint log is up to date and nursing assessments are completed, as well as MAR's and report sheets are kept accurate and up to date. Rounds are completed at the beginning of shift and perform random audits. Assist DON to make sure all staff are oriented and competent to perform required duties. May include coaching staff. Assist DON by ensuring facility compliance with professional, regulatory and governmental standards. Ensure the effective delivery of competent, compassionate and safe care by monitoring and evaluating patient care processes and outcomes on the patient care units. Prioritize tasks and delegate staff to ensure quality patient care. Leader on shift for all admissions and discharges, as well as informing physician of changes in the patient's conditions. Adjusts staffing accordingly. Utilize administrator-on-call for situations that require additional attention.

**Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. 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** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability to obtain non compact licensure + No less than 3 - 5 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting + Comprehensive knowledge of Microsoft Word, Outlook and Excel) + Ability to work independently under general instructions and within a team + Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + Must be willing to be in weekend rotation and possible holiday coverage. **Preferred Qualifications** + 3 or more years' experience in a high volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's degree in a related field + Health Plan experience + Previous Medicare/Medicaid Experience a plus + Call center or triage experience + Bilingual is a plus **Additional Information** 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. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office 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. 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. $71,100 - $97,800 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. Application Deadline: 01-19-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **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. Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options *************************************************************

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. The Registered Nurse - Wound Specialist, specializes in treating patients with wounds like burns, pressure ulcers, diabetic / arterial ulcers, and more this is performed in accordance with physician orders and plan of care under the direction and supervision of the agency. ________________________________________________________________ About Company: CMS offers an Integrated Home Health System, which includes Durable Medical Equipment (DME), Respiratory Equipment, Home Health Services, Infusion Services, Orthotics and Prosthetics can count on CMS for their immediate, guaranteed. Our service model is recognized by our business partners, positioning us with over three decades of experience as the market leader serving over 800,000 people in Puerto Rico. Come and be part of CMS. Being part of our work team, where we are distinguished by the excellence of the service, we offer our patience. Position Summary: A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the agency Director of Nursing and/or Administrator. Minimum Requirements: Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing. Wound Care Certification required. Al least six (6) months' experience in a Wound Specialist position. Acceptance of philosophy and goals of this Agency. Ability to exercise initiative and independent judgment. “CMS Inc. and CMS Home Care, LLC. is an Equal Employment Opportunity Employer. Affirmative Action for Women, Minorities, Veterans, and People with Disabilities"

Job Description The Infusion Admitting / Evaluating Nurse is responsible for providing specialized infusion therapy care in the patient's home, performing clinical evaluations to determine eligibility and continuity of treatment. Administers intravenous therapies, educates the patient and their family, and documents in accordance with clinical, regulatory, and accreditation standards (ACHC, CMS, and Puerto Rico Department of Health). The admitting nurse must foster Alivia's values, support the vision of the infusion department, and actively contribute towards the unit's success. Responsibilities include, but are not limited to the following: Conduct initial clinical assessments at home to determine the feasibility and safety of infusion treatment. Admit patients within 24 hours of receiving the referral. In accordance with regulatory and accreditation standards. Coordinate medication reconciliation and develop the initial care plan in conjunction with the prescribing physician and multidisciplinary team. Monitor the patient's response to treatment and document clinical findings in the electronic system. Educate the patient and family about treatment, devices, infection control, warning signs, and patient rights and responsibilities. Obtain and document the patient's informed consent in the medical record. Identify and report adverse events, incidents, complaints, deviations, or clinical risks to the quality and compliance committee in a timely manner. Required: Bachelor's degree in nursing from an accredited university. Current nursing license in Puerto Rico. Participation in continuing education and documented annual clinical competencies. Valid driver's license in Puerto Rico and availability of a motor vehicle. Minimum of 2 years of experience in home health, infusion, or acute care services. Preferably in a home setting. Knowledge of infusion pumps, central and peripheral catheters. ***Equal Opportunity Employer M/F/V/D***

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. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. The Registered Nurse - Wound Specialist, specializes in treating patients with wounds like burns, pressure ulcers, diabetic / arterial ulcers, and more this is performed in accordance with physician orders and plan of care under the direction and supervision of the agency. ________________________________________________________________ About Company: CMS offers an Integrated Home Health System, which includes Durable Medical Equipment (DME), Respiratory Equipment, Home Health Services, Infusion Services, Orthotics and Prosthetics can count on CMS for their immediate, guaranteed. Our service model is recognized by our business partners, positioning us with over three decades of experience as the market leader serving over 800,000 people in Puerto Rico. Come and be part of CMS. Being part of our work team, where we are distinguished by the excellence of the service, we offer our patience. Position Summary: A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the agency Director of Nursing and/or Administrator. Minimum Requirements: Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing. Wound Care Certification required. Al least six (6) months' experience in a Wound Specialist position. Acceptance of philosophy and goals of this Agency. Ability to exercise initiative and independent judgment. “CMS Inc. and CMS Home Care, LLC. is an Equal Employment Opportunity Employer. Affirmative Action for Women, Minorities, Veterans, and People with Disabilities"

The Infusion Admitting / Evaluating Nurse is responsible for providing specialized infusion therapy care in the patient's home, performing clinical evaluations to determine eligibility and continuity of treatment. Administers intravenous therapies, educates the patient and their family, and documents in accordance with clinical, regulatory, and accreditation standards (ACHC, CMS, and Puerto Rico Department of Health). The admitting nurse must foster Alivia's values, support the vision of the infusion department, and actively contribute towards the unit's success. Responsibilities include, but are not limited to the following: Conduct initial clinical assessments at home to determine the feasibility and safety of infusion treatment. Admit patients within 24 hours of receiving the referral. In accordance with regulatory and accreditation standards. Coordinate medication reconciliation and develop the initial care plan in conjunction with the prescribing physician and multidisciplinary team. Monitor the patient's response to treatment and document clinical findings in the electronic system. Educate the patient and family about treatment, devices, infection control, warning signs, and patient rights and responsibilities. Obtain and document the patient's informed consent in the medical record. Identify and report adverse events, incidents, complaints, deviations, or clinical risks to the quality and compliance committee in a timely manner. Required: Bachelor's degree in nursing from an accredited university. Current nursing license in Puerto Rico. Participation in continuing education and documented annual clinical competencies. Valid driver's license in Puerto Rico and availability of a motor vehicle. Minimum of 2 years of experience in home health, infusion, or acute care services. Preferably in a home setting. Knowledge of infusion pumps, central and peripheral catheters. ***Equal Opportunity Employer M/F/V/D***