Operating room nurse jobs in Carolina, PR - 20 jobs
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Bilingual Call Center Nurse
Insight Communications 4.6
Operating room nurse job in San Juan, PR
Job Description
Department
Human Resources
Location
342 San Luis St., Suite 304, San Juan, PR 00920
Position
Bilingual Nurse
Reports to
MarÃa 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. ************
$28k-38k yearly est. Auto-Apply 60d+ ago
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Staff Clinical Consultant
Oracle 4.6
Operating room nurse job in San Juan, PR
is working with our federal clients; US Citizenship is required We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data.
It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care.
We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place.
As a Clinical Consultant, you are responsible for driving the customer through the design of clinical and business processes, solution and technology workflow, and successful adoption that will lead to achieved value. Manage ongoing relationships with customers, providing clinical subject matter expertise focusing on customer success in utilizing Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management, help identify opportunities for improvement, guide customers through workflow reviews and is responsible for achieving the project's targeted outcomes.
Responsibilities
An experienced clinical professional with a broad understanding of practices and solutions responsible for guiding customers through the change process required to achieve defined key performance indicators related to adoption of the electronic health record across services.
Utilizing effective consulting skills during project events, the Clinical Consultant will coordinate integration of clinical activities and workflow reviews, facilitate business process change and provide change management consulting to ensure that organizational aspects are addressed as new enabling technologies are implemented. In doing so, the job requires focus on change management and end user adoption.
This role engages with staff and leadership from Federal customers and members of the broader Oracle clinical and technical teams.
Basic Qualifications
Bachelor's degree in nursing
At least 8 years of total combined related work experience and completed higher education, including:
At least 5-years licensed health care practice
At least 1- year clinical consulting and/or other clinical healthcare information technology (HCIT) work experience
Professional license required: Registered Nurse - State Board
Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.
Willing to work additional or irregular hours as needed and allowed by local regulations. Depending on the job there may be additional minimum requirements and/or preferred qualifications.
Preferred Qualifications
Advanced degree in Informatics
Background in working with Federal agencies
Experience implementing large scale E.H.R. (Electronic Health Record) projects
Please note that this role can require 80% - 100% travel.
We look forward to hearing from you!
\#remote
**Responsibilities**
An experienced clinical professional with a broad understanding of practices and solutions responsible for guiding customers through the change process required to achieve defined key performance indicators related to adoption of the electronic health record across services.
Utilizing effective consulting skills during project events, the Clinical Consultant will coordinate integration of clinical activities and workflow reviews, facilitate business process change and provide change management consulting to ensure that organizational aspects are addressed as new enabling technologies are implemented. In doing so, the job requires focus on change management and end user adoption.
This role engages with staff and leadership from Federal customers and members of the broader Oracle clinical and technical teams.
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.
$56k-64k yearly est. 60d+ ago
Sr Clinical Consultant, Cardiology
Fujifilm 4.5
Operating room nurse job in San Juan, PR
The Senior Clinical Consultant, Cardiology shall be responsible for providing clinical consulting for the project, report configuration, workflow analysis, end-to-end testing, and go-live support to the implementation projects. In addition, provide clinical support for development, sales and company team members with respect to the use of the company's products and serving as a consultant on behalf of customers and company personnel in compliance with the company's quality procedures.
**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.
+ Provide advanced clinical expertise, workflow analysis, report configuration, end to end testing for conversions, upgrades and new projects.
+ Provide product feedback and feature requests to the development team to further enhance the product based due to clinical expertise.
+ Participate in Clinical Validations Testing for each software release of the product to further enhance the overall accuracy of the release.
+ Work closely with development of documentation for software releases and training to the teams.
+ Drive process change to improve efficiency and customer satisfaction.
+ Ensure compliance with all applicable requirements of the company's quality management system.
+ All other functions and responsibilities that may be assigned by management.
+ 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 tohospitals and facilities to perform assigned job duties.
**Qualifications:**
+ Advanced Cardiac Sonographer. Technologist or Nurse
+ 5+ years of progressive experience in medical technology, devices, or healthcare industry, experience in Cardiology discipline preferred.
+ Bachelor's degree business related field and/or equivalent work experience
+ 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
+ Registered Vascular Technologist RVT experience in:
+ Non-invasive
+ Registered Nuclear Medicine Technologist experience in:
+ MPI
+ MUGA
+ PET
+ Registered Nurse Cardiac experience in:
+ Cath, Peripheral Angiography, Electrophysiology Lab experience
+ ECG
+ Registered Radiology Technologist experienced in:
+ Experience in the Cardiovascular PAC's environment
+ Experience in digital imaging
+ Professional presence
+ Proven ability to prioritize and handle multiple functions.
+ Successful experience in related field.
+ Healthcare or software application or IT industry background a plus.
+ Medical imaging background.
+ Excellence in written and verbal communication skills.
+ Demonstrated ability to work comfortably with end-users and clinical supervisors.
+ Demonstrated end-user computer skills.
+ Competence with Microsoft Office tools (Word, Excel, and PowerPoint).
+ Excellent interpersonal skills.
+ Strong technical support experience with excellent troubleshooting skills.
+ Ability to address and/or translate workflow requirements to product features.
+ Ability to work in a fast-paced environment.
+ Extensive travel required.
+ In addition to the above, all employees are expected to:
+ Promote teamwork and cooperative effort.
+ Help train and give guidance to other employees.
+ Provide customers with the highest 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 theperformance of this job. The position will perform other related duties and assignments asrequired.
**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.
+ Close Vision: The ability to see clearly at twenty inches or less.
**Travel**
+ Up to 75% travel required, based on business need.
*\#LI-REMOTE
_FUJIFILM is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration without regard to race, color, national origin, sex, gender identity, sexual orientation, religion, disability, protected veteran status or any other characteristic protected by applicable federal, state or local law._
_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._
**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** _2 weeks ago_ _(1/16/2026 5:47 PM)_
**_Requisition ID_** _2026-36667_
**_Category_** _Customer Service/Support_
**_Company (Portal Searching)_** _FUJIFILM Healthcare Americas Corporation_
$53k-61k yearly est. 13d ago
Plant Occupational Health Nurse
Abbott 4.7
Operating room nurse job in Arecibo, PR
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.
**Plant Occupational Health Nurse**
**About Abbott**
Abbott is a global healthcare leader, creating breakthrough science to improve people's health. We're always looking toward the future, anticipating advancements in medical science and technology.
**Working at Abbott**
At Abbott, you can do work that matters, grow and learn, care for yourself and your family, be your true self, and live a full life. You will have access to:
+ Career development opportunities within an international company where you can build the career you aspire to.
+ Health Insurance (starting on Day 1), Savings Plan (401K) with company match, Life Insurance for you and your dependents, Short- and Long-Term Disability, Education Assistance, Employee Assistance Program, Vacation, Sick, and Personal Days.
+ A company recognized as a great place to work in dozens of countries and consistently named one of the world's most admired companies by _Fortune_ .
+ Recognition as one of the best large companies to work for, and a top workplace for diversity, working mothers, female executives, and scientists.
**The Opportunity**
This position is responsible for managing the Employee Health department and providing treatment and follow‑up care for injured employees. The role includes implementing Corporate, Divisional, and Plant health policies and procedures in accordance with the American Nurses Association and the American Association of Occupational Health Nurses. Additional responsibilities include developing and implementing wellness programs and coordinating Workers' Compensation and Disability Case Management.
**What You'll Do**
+ Provide nursing treatment to ill and/or injured employees.
+ Schedule medical appointments and follow‑up visits with external medical providers.
+ Coordinate return‑to‑work efforts.
+ Conduct initial and periodic physical examinations and testing.
+ Prepare and maintain medical and safety records, accident investigations, and statistical data.
+ Prepare and submit reports related to Workers' Compensation and OSHA.
+ Educate and train employees on disease prevention, wellness, and fitness topics.
+ Collaborate with Safety and Training departments to develop specialized or mandated training programs.
+ Review and negotiate external medical services and pricing.
+ Ensure appropriate medical treatment for employees reporting to Employee Health.
+ Ensure accurate and timely completion of Workers' Compensation claims and all aspects of Disability Case Management.
**Required Qualifications**
+ **Bachelor's degree in nursing (BSN)** and active **Registered Nurse (RN)** license issued by the state.
+ **Minimum of five (5) years of experience** in Occupational Health, preferably in private commercial industries, emergency rooms, or similar healthcare environments.
+ **Fully bilingual (English/Spanish)** with the ability to effectively communicate with Corporate and Division Nursing teams and EHS personnel.
+ Demonstrated **leadership skills** and ability to make sound medical decisions in a dispensary setting, working collaboratively with physicians, employees, and supervisors.
+ Proven experience in **Private Employee Case Management** , including application of:
+ OSHA
+ HIPAA
+ SINOT
+ FMLA
+ Other relevant regulations
+ Serves as the **primary point of contact** for the HRSC Health group and Arecibo Leadership, ensuring alignment and communication on all health‑related matters.
**Apply Now**
Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to workplace diversity.
Connect with us at ****************** , on Facebook at **facebook.com/Abbott** , and on Twitter at **@AbbottNews** and **@AbbottGlobal** .
The base pay for this position is $45,000.00 - $89,800.00. In specific locations, the pay range may vary from the range posted.
An Equal Opportunity Employer
Abbot welcomes and encourages diversity in our workforce.
We provide reasonable accommodation to qualified individuals with disabilities.
To request accommodation, please call ************ or email ******************
$45k-89.8k yearly 8d ago
Nursing Engagement & Innovation Lead- RN or BSN
Baylor Scott & White Health 4.5
Operating room nurse job in San Juan, PR
**Nursing Engagement & Innovation Lead** **This is a Hybrid role in Dallas Texas** Baylor Scott & White Health is seeking a dynamic, enthusiastic and forward-thinking **Nursing Engagement and Innovation Lead** to champion innovations and technology, including the **MyBSWHealth platform** across clinical settings. This role will be instrumental in shaping nursing-led initiatives that promote digital health adoption and enhance the patient experience through technology.
**Key Responsibilities**
+ **Lead Nursing Promotion of Innovation at Bedside:** Develop and execute strategies to encourage nurses and clinical team members to advocate for MyBSWHealth account set up and usage among patients and proxy relationships.
+ **Collaborate with Customer Journey and Digital Health Teams:** Ensure seamless coordination between nursing staff, digital health, and journey teams to support MyBSWHealth features and usage.
+ **Training & Enablement:** Assist in the development and delivery of training materials for nursing/clinical teams on how to guide patients through MyBSWHealth app features, including Epic Bedside, Care Companion, test results, and appointment scheduling.
+ **Feedback & Improvement:** Continually collect feedback from nursing staff and patients to continuously improve app workflows and user experience.
+ **Clinical Workflow Integration:** Identify opportunities to embed MyBSWHealth touchpoints into daily nursing workflows, ensuring digital engagement becomes a natural part of patient care.
+ **Change Management & Adoption Strategy:** Serve as a change champion by supporting adoption strategies, addressing barriers to usage, and celebrating nursing-led success stories.
+ **Data-Driven Insights:** Partner with journey and analytics teams to monitor nursing-driven MyBSWHealth adoption metrics and use data to inform engagement strategies.
+ **Patient-Centered Design Input:** Represent nursing perspectives in app development discussions to ensure features align with real-world clinical needs and patient expectations.
+ **Peer Champion Network:** Establish and lead a network of nurse champions across sites to promote best practices and foster a culture of digital health advocacy.
+ **Recognition & Incentives:** Collaborate with leadership to design recognition programs that celebrate nurses who excel in promoting MyBSWHealth account set up and usage
+ **Policy & Compliance Alignment:** Ensure nursing engagement strategies align with privacy, compliance, and clinical documentation standards.
**Qualifications**
+ RN or BSN required; advanced degree preferred.
+ Experience in patient education, digital health, or clinical informatics.
+ Strong communication and leadership skills.
**Impact**
This role will directly support Baylor Scott & White's strategic goals of improving **access, convenience, and satisfaction** through digital health tools. By empowering nurses to lead the charge, we ensure patients receive timely, clear, and compassionate guidance on using MyBSWHealth.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 5 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$36k-76k yearly est. 41d ago
Outpatient Registered Nurse - RN
Fresenius Medical Care 3.2
Operating room nurse job in San Juan, PR
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
$39k-71k yearly est. Auto-Apply 2d ago
Outpatient Registered Nurse - RN
Fresenius Medical Care North America 4.3
Operating room nurse job in Carolina, PR
**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**
$41k-64k yearly est. 21d ago
Registered Nurse
Encompass Health Corp 4.1
Operating room nurse job in San Juan, PR
Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass Health offers a transformative journey where your expertise as a Registered Nurse becomes an integral part of patients' recoveries. Picture the impact of providing individualized, compassionate care that guides patients along their path to healing. With us, small victories lead to monumental impacts as you use your specialized skills to offer top-tier, personalized support. Understand your patients deeply, assist in their rehabilitation goals, and thrive in an environment equipped with cutting-edge technology. Welcome to a place where nursing becomes a profound contribution to both community and personal fulfillment.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
Our benefits are designed to support your well-being and start on day one:
* Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
* Generous paid time off that accrues over time.
* Opportunities for tuition reimbursement and continuous education.
* Company-matching 401(k) and employee stock purchase plans.
* Flexible spending and health savings accounts.
* A vibrant community of individuals passionate about the work they do!
Realize Your Vision as a Registered Nurse
* Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
* Build meaningful relationships with patients and their families, understanding their unique needs to facilitate their recovery.
* Collaborate and communicate effectively with various departments to ensure coordinated care and provide direct patient care when needed.
* Serve as a resource for fellow staff, supporting them with complex patient needs and inquiries.
* Celebrate victories and milestones achieved by our patients.
Qualifications
* Valid RN licensures as required by state regulations.
* CPR certification (ACLS preferred).
* CRRN certification preferred.
* One year of experience in a rehabilitation hospital setting is preferred.
The Encompass Health Way
$41k-70k yearly est. 30d ago
Senior Clinical Informatics Consultant
Oracle 4.6
Operating room nurse job in San Juan, PR
We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care.
We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place.
Our Government Services team is hiring a Senior Clinical Informatics Specialist where you will apply knowledge of solutions across multiple health care settings for workflow analysis and data validation/investigations. This role will provide strategic direction for clinical transformation across all healthcare venues supporting the implementation and measuring success of the program.
Responsibilities include:
+ Leading discussions regarding value priorities and executing the Value Realization Framework and strategy.
+ Use expertise with system workflow, data integration and analysis, to drive system adoption, streamline processes, and align opportunities for improvement with established goals.
+ Identify and develop Value Realization success narratives across internal and external stakeholders.
+ Proactively assess risk(s) associated with clinical workflows that impact key performance indicators and key metrics.
+ Capture qualitative value and quick wins, in addition to quantitative KPI and key result collection.
+ Validate and provide design recommendations for reports and dashboards that will support the ongoing operational oversight for the various solutions and service areas
**Responsibilities**
**Basic Qualifications**
+ Bachelor's degree in Nursing
+ At least 8 years of progressive experience in a clinical setting, clinical informatics, healthcare IT, or a related healthcare operations role.
+ Proven track record leading clinical informatics initiatives, including system design, implementation, optimization, and support.
+ Extensive experience collaborating with clinical, operational, and technical teams to align health IT systems with patient care needs.
+ Demonstrated success managing large-scale EHR/EMR implementations or optimizations.
+ Excellent interpersonal and communication skills with the ability to engage clinicians, administrators, and technical staff effectively.
+ Receipt of the appropriate government security clearance card applicable for your position
+ Due to the client contract you will be assigned, this position requires you to be a U.S. citizen
**Preferred Qualifications**
+ Board Certification in Clinical Informatics or equivalent credential.
+ Master's degree or advanced certification in Clinical Informatics, Health Informatics, or related discipline.
+ Oracle Health/Cerner EHR experience
**Expectations**
- Willing to work additional or irregular hours as needed and allowed by local regulations
- Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position
+ Eligible for licensure to practice in their field or comparable global training
- Perform other responsibilities as assigned
- Willing to travel 50%
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.
$56k-64k yearly est. 60d+ ago
Supv Denial Resource Center RN
Baylor Scott & White Health 4.5
Operating room nurse job in San Juan, PR
The Supervisor, Denial Resource Center provides direction regarding cases submitted to the Denial Resource Center (DRC) for clinical appeal. The Supervisor provides guidance to appeal writers and administrative assistants on daily workflow and ensures appropriate distribution of workload and cases.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Supervises Denial Resource Center (DRC) RNs and Administrative Assistants through the monitoring of staff workload, developing staff assignments, and reviewing of productivity. Handles escalations from DRC RNs.
Conducts quality reviews, advises with peer-to-peer appeals and denial research.
Analyzes deadline report and worklists and assigns high priority, special cause accounts. Evaluates incoming cases for readiness for appeal and appropriate expertise assigned for appeal.
Recommends and implements quality improvement initiatives
Supports orientation of new staff and ongoing training
Reviews cases for appropriateness for referral for external appeal such as ALJ, THHSC, VA complaints. Writes clinical appeals, as needed.
Serves as a resource for staff related to complex accounts.
Interfaces with Collectors, Administrative Assistants and Appeal Writers to assess effectiveness of work processes and acts upon opportunities for improvement with account handoffs and communication regarding cases.
Serves as resource for IT and training on BSWH systems used in the DRC (e.g. Midas, AEOS, EPIC, Allscripts, PatCom, Nuance, Microsoft Office Suite, etc.).
Prepares reports as assigned for use within the department and external customers. This includes but is not limited to routine reports for verifying status of accounts using MIDAS, TRAC, AEOS.
**KEY SUCCESS FACTORS**
Understands commercial and government regulations for reimbursement including, but not limited to: InterQual, RAC/MAC, Clinical Policy Bulletins, national and local coverage determinations, CMS admission status requirements, TJC conditions of participation, CMS appeals process, including Administrative Law Judge.
Knowledge and understanding of nursing and patient care standards and procedures.
Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment.
Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions.
Knowledge of medical and professional nursing ethics and patient privacy rights.
Must be able to communicate thoughts clearly, both verbally and in writing.
Interpersonal skills to interact with a wide-range of constituencies.
Must have critical thinking and problem-solving skills.
Ability to observe changes in the medical condition of patients and effectively communicate these changes to other nursing staff members and physicians/providers.
Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients.
Ability to make tactical decisions around the allocation and direction of the work of supervised employees using established guidelines, policies and/or procedures.
Ability to make effective hiring and termination recommendations.
Ability to train and evaluate performance of supervised staff.
General computer skills, including but not limited to: Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email.
ACM or CCM license preferred.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - Associate's
- MAJOR - Nursing
- EXPERIENCE - 3 Years of Experience
- CERTIFICATION/LICENSE/REGISTRATION -
Registered Nurse (RN)
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$36k-76k yearly est. 1d ago
Outpatient Registered Nurse - RN
Fresenius Medical Care North America 4.3
Operating room nurse job in San Juan, PR
**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**
$41k-64k yearly est. 2d ago
LPN/LVN
Encompass Health Corp 4.1
Operating room nurse job in San Juan, PR
LPN/LVN Career Opportunity Embark on Your Compassionate LPN/LVN Journey at Encompass Health Are you in search of a fulfilling healthcare career close to your heart and home? Encompass Health welcomes you warmly, offering a space that feels like home from day one, where you're valued and embraced as if we've been long-time friends. Join us in making a positive impact on the community, delivering care and support to patients while contributing to their inspiring outcomes. If this resonates with you, you're in the right place. As an LPN/LVN, your understanding of the significance of small victories drives you. Utilize your specialized skill set to deliver top-tier, compassionate, and personalized care, dedicating time to deeply comprehend patients and support their rehabilitation goals. Within an environment where our team embodies drive, support, warmth, and inspiration, access cutting-edge equipment and technology. Our commitment starts on day one, prioritizing your growth, development, and well-being through our tuition reimbursement program and personalized career path plans. Welcome to a career where your compassion fuels impactful care and personal fulfillment.
A Glimpse into Our World
Whether you're establishing the foundations of your career or a seasoned LPN/LVN in search of a nurturing work environment to call home, we're confident you'll sense the difference the moment you become part of our team. Being at Encompass Health means being associated with a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, all united for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, make us immensely proud.
Benefits That Begin With You
Our benefits are designed to support your well-being and start on day one:
* Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
* Generous paid time off that accrues over time.
* Tuition reimbursement and continuous education opportunities for your professional growth.
* Company-matching 401(k) and employee stock purchase plans, securing your financial future.
* Flexible spending and health savings accounts tailored to your unique needs.
* A vibrant community of individuals who are passionate about what they do!
Be the LPN/LVN You've Always Aspired to Be
Your impactful journey involves:
* Providing direct patient care, aligning with the personalized care plan and physician orders.
* Observing patient behaviors, including monitoring vital signs, symptoms, and responses to treatments.
* Collaborating directly with Registered Nurses to report findings and execute patient care plans.
* Cultivating meaningful relationships with patients by dedicating time to understand their physical, mental, and emotional needs for a successful recovery.
* Celebrating patient victories along the way.
Qualifications
* Current LPN/LVN licensure as required by state regulations.
* CPR certification.
* One year of experience in an inpatient medical-surgical or general hospital setting is preferred.
* Rehabilitation experience is preferred.
The Encompass Health Way
$26k-49k yearly est. 30d ago
Outpatient Registered Nurse - RN
Fresenius Medical Care 3.2
Operating room nurse job in Guayama, PR
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.
$39k-71k yearly est. 1d ago
Staff Clinical Consultant
Oracle 4.6
Operating room nurse job in San Juan, PR
We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? **To create a human-centric healthcare experience powered by unified global data.** It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care.
We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place.
As a Clinical Consultant, you are responsible for driving the customer through the design of clinical and business processes, solution and technology workflow, and successful adoption that will lead to achieved value. Manage ongoing relationships with customers, providing clinical subject matter expertise focusing on customer success in utilizing Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management, help identify opportunities for improvement, guide customers through workflow reviews and is responsible for achieving the project's targeted outcomes.
**Responsibilities**
An experienced clinical professional with a broad understanding of practices and solutions responsible for guiding customers through the change process required to achieve defined key performance indicators related to adoption of the electronic health record across services.
Utilizing effective consulting skills during project events, the Clinical Consultant will coordinate integration of clinical activities and workflow reviews, facilitate business process change and provide change management consulting to ensure that organizational aspects are addressed as new enabling technologies are implemented. In doing so, the job requires focus on change management and end user adoption.
This role engages with staff and leadership from Federal customers and members of the broader Oracle clinical and technical teams.
**Basic Qualifications**
+ Bachelor's degree in nursing
+ At least 8 years of total combined related work experience and completed higher education, including:
+ At least 5-years licensed health care practice
+ At least 1- year clinical consulting and/or other clinical healthcare information technology (HCIT) work experience
+ Professional license required: Registered Nurse - State Board
+ Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position. Willing to work additional or irregular hours as needed and allowed by local regulations. Depending on the job there may be additional minimum requirements and/or preferred qualifications.
**Preferred Qualifications**
+ Advanced degree in Informatics
+ Background in working with Federal agencies
+ Experience implementing large scale E.H.R. (Electronic Health Record) projects
**_Please note that this role can require 80% - 100% travel._**
We look forward to hearing from you!
\#remote
**Responsibilities**
An experienced professional who is a domain and process expert with a broad understanding of practices and solutions within the relevant area of focus. Design, develop, and execute data- and technology, clinical-centered solutions for the client. Performs independently varied and complex analysis, clinical studies, innovate new product offerings on external customer engagements. Strategize with business development teams and leadership to uncover opportunities and drive growth. Advise engagement leaders on execution and completion of custom projects within area of focus. Develop and leverage trusted advisor relationships to bring business opportunities. Drive innovation and process improvement. May act as the team lead on projects, providing coaching, guidance and feedback to develop skills of team members. Effectively consults with management of external customer organizations to handle escalations and lead customer discussions.
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.
$56k-64k yearly est. 60d+ ago
Inpatient Registered Nurse - RN
Fresenius Medical Care North America 4.3
Operating room nurse job in San Juan, PR
**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**
$41k-64k yearly est. 1d ago
LPN/LVN I Pool Puerto Rico
Encompass Health Corp 4.1
Operating room nurse job in Manat, PR
The Licensed Practical Nurse I assists registered nurses with rehabilitation treatment and patient care according to hospital, state, professional and federal regulations and guidelines. In addition, the position:Requires effective communication skills for working with patients, families, and caregivers.
Requires competency in assisting with delegated rehabilitation treatment and patient care.
Performs tasks as delegated by and supervised by registered nurses.
Maintains open and an on-going communication with coworkers and supervisors.
The Licensed Practical Nurse I supports an environment and culture that enables the hospital to fulfill its mission by helping to provide patient safety and patient-centered treatment.
$26k-49k yearly est. 60d+ ago
Staff Clinical Consultant
Oracle 4.6
Operating room nurse job in San Juan, PR
is working with our federal clients; US Citizenship is required We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? **To create a human-centric healthcare experience powered by unified global data.**
It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care.
We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place.
As a Clinical Consultant, you are responsible for driving the customer through the design of clinical and business processes, solution and technology workflow, and successful adoption that will lead to achieved value. Manage ongoing relationships with customers, providing clinical subject matter expertise focusing on customer success in utilizing Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management, help identify opportunities for improvement, guide customers through workflow reviews and is responsible for achieving the project's targeted outcomes.
**Responsibilities**
An experienced clinical professional with a broad understanding of practices and solutions responsible for guiding customers through the change process required to achieve defined key performance indicators related to adoption of the electronic health record across services.
Utilizing effective consulting skills during project events, the Clinical Consultant will coordinate integration of clinical activities and workflow reviews, facilitate business process change and provide change management consulting to ensure that organizational aspects are addressed as new enabling technologies are implemented. In doing so, the job requires focus on change management and end user adoption.
This role engages with staff and leadership from Federal customers and members of the broader Oracle clinical and technical teams.
**Responsibilities**
**Basic Qualifications**
+ Bachelor's degree in nursing
+ At least 8 years of total combined related work experience and completed higher education, including:
+ At least 5-years licensed health care practice
+ At least 1- year clinical consulting and/or other clinical healthcare information technology (HCIT) work experience
+ Professional license required: Registered Nurse - State Board
+ Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.
+ Willing to work additional or irregular hours as needed and allowed by local regulations. Depending on the job there may be additional minimum requirements and/or preferred qualifications.
**Preferred Qualifications**
+ Advanced degree in Informatics
+ Background in working with Federal agencies
+ Experience implementing large scale E.H.R. (Electronic Health Record) projects
**_Please note that this role can require 80% - 100% travel._**
We look forward to hearing from you!
\#remote
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.
$56k-64k yearly est. 21d ago
LPN/LVN
Encompass Health Corp 4.1
Operating room nurse job in Manat, PR
LPN/LVN Career Opportunity Embark on Your Compassionate LPN/LVN Journey at Encompass Health Are you in search of a fulfilling healthcare career close to your heart and home? Encompass Health welcomes you warmly, offering a space that feels like home from day one, where you're valued and embraced as if we've been long-time friends. Join us in making a positive impact on the community, delivering care and support to patients while contributing to their inspiring outcomes. If this resonates with you, you're in the right place. As an LPN/LVN, your understanding of the significance of small victories drives you. Utilize your specialized skill set to deliver top-tier, compassionate, and personalized care, dedicating time to deeply comprehend patients and support their rehabilitation goals. Within an environment where our team embodies drive, support, warmth, and inspiration, access cutting-edge equipment and technology. Our commitment starts on day one, prioritizing your growth, development, and well-being through our tuition reimbursement program and personalized career path plans. Welcome to a career where your compassion fuels impactful care and personal fulfillment.
A Glimpse into Our World
Whether you're establishing the foundations of your career or a seasoned LPN/LVN in search of a nurturing work environment to call home, we're confident you'll sense the difference the moment you become part of our team. Being at Encompass Health means being associated with a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, all united for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, make us immensely proud.
Benefits That Begin With You
Our benefits are designed to support your well-being and start on day one:
* Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
* Generous paid time off that accrues over time.
* Tuition reimbursement and continuous education opportunities for your professional growth.
* Company-matching 401(k) and employee stock purchase plans, securing your financial future.
* Flexible spending and health savings accounts tailored to your unique needs.
* A vibrant community of individuals who are passionate about what they do!
Be the LPN/LVN You've Always Aspired to Be
Your impactful journey involves:
* Providing direct patient care, aligning with the personalized care plan and physician orders.
* Observing patient behaviors, including monitoring vital signs, symptoms, and responses to treatments.
* Collaborating directly with Registered Nurses to report findings and execute patient care plans.
* Cultivating meaningful relationships with patients by dedicating time to understand their physical, mental, and emotional needs for a successful recovery.
* Celebrating patient victories along the way.
Qualifications
* Current LPN/LVN licensure as required by state regulations.
* CPR certification.
* One year of experience in an inpatient medical-surgical or general hospital setting is preferred.
* Rehabilitation experience is preferred.
The Encompass Health Way
$26k-49k yearly est. 30d ago
Outpatient Registered Nurse - RN
Fresenius Medical Care North America 4.3
Operating room nurse job in Guayama, PR
**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**
$41k-63k yearly est. 60d+ ago
Staff Clinical Consultant
Oracle 4.6
Operating room nurse job in San Juan, PR
is working with our federal clients; US Citizenship is required We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data.
It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care.
We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place.
As a Clinical Consultant, you are responsible for driving the customer through the design of clinical and business processes, solution and technology workflow, and successful adoption that will lead to achieved value. Manage ongoing relationships with customers, providing clinical subject matter expertise focusing on customer success in utilizing Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management, help identify opportunities for improvement, guide customers through workflow reviews and is responsible for achieving the project's targeted outcomes.
Responsibilities
An experienced clinical professional with a broad understanding of practices and solutions responsible for guiding customers through the change process required to achieve defined key performance indicators related to adoption of the electronic health record across services.
Utilizing effective consulting skills during project events, the Clinical Consultant will coordinate integration of clinical activities and workflow reviews, facilitate business process change and provide change management consulting to ensure that organizational aspects are addressed as new enabling technologies are implemented. In doing so, the job requires focus on change management and end user adoption.
This role engages with staff and leadership from Federal customers and members of the broader Oracle clinical and technical teams.
Basic Qualifications
- Bachelor's degree in nursing
- At least 8 years of total combined related work experience and completed higher education, including:
o At least 5-years licensed health care practice
o At least 1- year clinical consulting and/or other clinical healthcare information technology (HCIT) work experience
- Professional license required: Registered Nurse - State Board
- Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.
- Willing to work additional or irregular hours as needed and allowed by local regulations. Depending on the job there may be additional minimum requirements and/or preferred qualifications.
Preferred Qualifications
- Advanced degree in Informatics
- Background in working with Federal agencies
- Experience implementing large scale E.H.R. (Electronic Health Record) projects
**Please note that this role can require 80% - 100% travel.**
We look forward to hearing from you!
\#remote
**Responsibilities**
An experienced professional who is a domain and process expert with a broad understanding of practices and solutions within the relevant area of focus. Design, develop, and execute data- and technology, clinical-centered solutions for the client. Performs independently varied and complex analysis, clinical studies, innovate new product offerings on external customer engagements. Strategize with business development teams and leadership to uncover opportunities and drive growth. Advise engagement leaders on execution and completion of custom projects within area of focus. Develop and leverage trusted advisor relationships to bring business opportunities. Drive innovation and process improvement. May act as the team lead on projects, providing coaching, guidance and feedback to develop skills of team members. Effectively consults with management of external customer organizations to handle escalations and lead customer discussions.
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.
How much does an operating room nurse earn in Carolina, PR?
The average operating room nurse in Carolina, PR earns between $29,000 and $87,000 annually. This compares to the national average operating room nurse range of $42,000 to $108,000.
Average operating room nurse salary in Carolina, PR