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

**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.

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

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

**PURPOSE AND SCOPE:** 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**

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

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

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

**Become a part of our caring community and help us put health first** This is a Work-At-Home position located in Puerto Rico. You must live in Puerto Rico for this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' needs and requirements to achieve and maintain an optimal wellness state. Using clinical knowledge, the Care Manager guides members with chronic conditions toward and facilitates interaction with resources appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. You must be fully bilingual in English/Spanish and will be required to pass a test for both languages - Speaking/Reading/Writing included. ***Please submit resume in English. The Care Manager, Telephonic Nurse employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Responsibilities include the following: + Identifies and resolves barriers that hinder effective care. + Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. + May create member care plans. + Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. + Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree in Nursing (BSN) + Bilingual in English and Spanish (and able to pass language proficiency tests in both languages) + Active RN license without restrictions in Puerto Rico + Active RN license without restrictions in Florida - if you DO NOT have an active FL RN license, you must have already passed the NCLEX exam. + Affiliated with the CPEPR (Colegio de Profesionales de Enfermería de Puerto Rico). + Prior clinical experience in adult acute care, skilled nursing, rehabilitation or discharge planning + Knowledge in Chronic Condition management (treatment, pharmacological treatment, signs & symptoms, etc.) Diabetes, Hypertension, COPD, Chronic Kidney Disease, etc. + Ability to work independently under minimum supervision and with a team. + Able to work an 8-hour shift between 8:30 AM - 5:30 PM EST and adjusted for Daylight Savings + (Work schedule can be adjusted according to business hours - necessary overtime and/or weekends) **Preferred Qualifications** + Health Plan experience + Previous Case Management Experience + Call center or triage experience + Previous experience managing Medicare members **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Humana will provide Work-At-Home employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Language Proficiency Testing** Any Humana associate who speaks with a member in a language other than Spanish must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. **Additional Information** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $56,900 - $78,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

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

**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**

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

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

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.

The Licensed Practical Nurse 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.

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.

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.

PURPOSE AND SCOPE: Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY: Responsible for supporting and driving organization quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. Assists with implementation of organization quality goals and facility specific action plans in order to achieve organization quality standards. Accountable for outstanding quality of patient care, as defined by the organization quality goals, to ensure that organization policies and procedures are followed. Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management. Maintains integrity of medical records and other organization administrative and operational records. Complies with all data collection and auditing activities. Maintains facility environmental integrity and safety. PATIENT: Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure. Provides education to patients and patient's family regarding post procedure care of vascular access. Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions. Acts as a resource for the patient to address patient concerns and questions. Identifies and communicates patient related issues to facility management, as needed. Completes documentation of patient information from admission to discharge in an accurate manner. Confirm written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions; delivery to appropriate labs; reporting and forwarding of lab results to appropriate physician. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed. Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with organization, company, federal, state and local regulations. Acts as scrub technologist to assist the physician during procedure as needed, maintaining a sterile technique. Assists with patient workflow by transporting patients as needed. Performs point - of - care laboratory testing as directed per physician's orders and in compliance with organization, company, federal, state and local regulations. Performs IV insertion as per physician orders. Performs additional tasks as designated by Physician, practicing in compliance with state regulations. PHYSICIANS: Provides regular and effective communication with physicians on an as needed basis. Attends and participates in CQI meetings with physicians, reporting on assigned topics. May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment. Assists the physician in completing and reporting state required adverse event reports and reporting internally as per organization/FMC policy and procedure. MAINTENANCE/TECHNICAL: Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner. Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment. Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager. Ensures a clean, safe and sanitary environment in the vascular access facility at all times. Ensures all blood spills are immediately addressed according to the organization/FMCNA Bloodborne Pathogen Control Policies. ADMINISTRATIVE: Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies. May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement. Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required. Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law. Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law. Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed. Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis. Completes medical records in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis. May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies. Completes state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines. Participates in staff meetings, training and orientation as assigned. Complies with HIPPA policies and standards regarding patient information and medical records. 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. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. The 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, patients and equipment of up to 200 lbs. There is a two-person assist program and material assist devices for the heavier items. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious, contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. EDUCATION: High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred Graduate of an accredited School of Nursing (R.N.) Current appropriate state licensure and ACLS certification required. EXPERIENCE AND REQUIRED SKILLS 4 - 6 years' related experience preferred. Office Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred. Proficient in the use of computers and related software such as Microsoft Office is necessary. Proficient in IV insertion. Proficient in cardiac rhythm recognition. Experience with Medical database software. Certified in BLS & ACLS successfully completed course certifications. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

**PURPOSE AND SCOPE:** Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **QUALITY:** + Responsible for supporting and driving organization quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. + Assists with implementation of organization quality goals and facility specific action plans in order to achieve organization quality standards. + Accountable for outstanding quality of patient care, as defined by the organization quality goals, to ensure that organization policies and procedures are followed. + Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management. + Maintains integrity of medical records and other organization administrative and operational records. + Complies with all data collection and auditing activities. + Maintains facility environmental integrity and safety. **PATIENT:** + Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure. + Provides education to patients and patient's family regarding post procedure care of vascular access. + Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions. + Acts as a resource for the patient to address patient concerns and questions. + Identifies and communicates patient related issues to facility management, as needed. + Completes documentation of patient information from admission to discharge in an accurate manner. + Confirm written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions; delivery to appropriate labs; reporting and forwarding of lab results to appropriate physician. + Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed. + Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with organization, company, federal, state and local regulations. + Acts as scrub technologist to assist the physician during procedure as needed, maintaining a sterile technique. + Assists with patient workflow by transporting patients as needed. + Performs point - of - care laboratory testing as directed per physician's orders and in compliance with organization, company, federal, state and local regulations. + Performs IV insertion as per physician orders. + Performs additional tasks as designated by Physician, practicing in compliance with state regulations. **PHYSICIANS:** + Provides regular and effective communication with physicians on an as needed basis. + Attends and participates in CQI meetings with physicians, reporting on assigned topics. + May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment. + Assists the physician in completing and reporting state required adverse event reports and reporting internally as per organization/FMC policy and procedure. **MAINTENANCE/TECHNICAL:** + Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner. + Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment. + Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager. + Ensures a clean, safe and sanitary environment in the vascular access facility at all times. + Ensures all blood spills are immediately addressed according to the organization/FMCNA Bloodborne Pathogen Control Policies. **ADMINISTRATIVE:** + Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies. + May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement. + Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required. + Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law. + Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law. + Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed. + Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis. + Completes medical records in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis. + May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies. + Completes state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines. + Participates in staff meetings, training and orientation as assigned. + Complies with HIPPA policies and standards regarding patient information and medical records. + 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. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. + The 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, patients and equipment of up to 200 lbs. There is a two-person assist program and material assist devices for the heavier items. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious, contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. **EDUCATION:** + High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred + Graduate of an accredited School of Nursing (R.N.) + Current appropriate state licensure and ACLS certification required. **EXPERIENCE AND REQUIRED SKILLS** + 4 - 6 years' related experience preferred. + Office Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred. + Proficient in the use of computers and related software such as Microsoft Office is necessary. + Proficient in IV insertion. + Proficient in cardiac rhythm recognition. + Experience with Medical database software. + Certified in BLS & ACLS successfully completed course certifications. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**