Registered nurse case manager jobs in San Juan, PR - 32 jobs

**At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.** We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: _"What would I do if this patient were my mom?"_ That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. **Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.** **Position Summary** The Oncology Case Manager is responsible for maintaining and growing business with existing customers within an assigned territory. This role focuses on managing customer relationships end-to-end, ensuring a high-quality experience from order initiation through delivery of the laboratory report. The ideal candidate will have at least three years of experience in the pharmaceutical, medical device, or diagnostic industry, with proven success in account management, customer retention, and organic account growth. **Key Responsibilities** + Partner closely with internal and external stakeholders to deliver exceptional customer support and satisfaction. + Execute customer retention strategies to maintain and grow existing accounts. + Build and maintain value-based relationships with current customers, driving increased utilization of products and services. + Maintain frequent communication with the teammates, Customer Support, and Commercial Leadership to share customer feedback, success stories, challenges, and best practices. + Accurately document customer interactions, updates, and value-based activities in the CRM. + Develop and maintain practical working knowledge of company products, services, technology platforms, reimbursement and billing processes, and molecular profiling solutions. + Establish and maintain open communication with key stakeholders at assigned accounts and escalate issues impacting customer satisfaction. + Maintain assigned company equipment and assets. + Submit required reports and documentation accurately and on time. + Meet or exceed assigned performance goals. + Support meetings, conferences, and trade shows as needed. + Assist physicians with ordering and interpretation of the CMI platform, including QC report accuracy, requiring access to PHI. + Maintain a primary focus on case management. **Required Qualifications** + Bachelor's degree required. + Minimum of three years of account management or customer-facing experience. + Strong problem-solving and decision-making skills. + Understanding of clinic-based business practices. + Ability to learn proprietary software. + Excellent written and verbal communication skills. + Strong organizational, interpersonal, and collaboration skills. + Valid driver's license and reliable transportation. + Successful completion of pre-employment requirements. **Preferred Qualifications** + Experience in pharma, medical device, or diagnostics. + Oncology experience. **Physical Demands** + Ability to sit or stand for extended periods. + Ability to lift routine office materials. **Additional Information** + Periodic travel required, including possible evenings, weekends, or holidays. **Conditions of Employment:** Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Caris Life Sciences is a leading innovator in molecular science and artificial intelligence focused on fulfilling the promise of precision medicine through quality and innovation. Caris is committed to quality and excellence at our state-of-the-art laboratories. Learn more about our tissue lab and the advanced technologies that are helping improve the lives of cancer patients.

Job Description Under the leadership of the Operations Director the main objective of this role is to provide ongoing oversight of the Case Management Core 2 Team which includes Inflammatory, Osteoporosis /Osteoarthritis, Floater and Zero refill resources. This team is accountable for initial interview and following up with patient or MD office to obtain additional information/documentation to be able to process claim. This team will also be responsible for working medication refills. The Manager will manage all aspects of the department functions, including personnel, systems, initial and on going training and employee development. Responsibilities include but are not limited to: Holds self and others accountable for measurable high quality and timely . Develops/refines processes and procedures and ensures they are consistently applied across the Case Management Core 2 Team. Leads Change - acts as a catalyst for organizational change and employee engagement. Makes decisions that produce high quality results by applying technical knowledge, analyzing problems and calculating risks. Partners with other Operations teams to ensure quick turnaround of referral Assesses and analyses team performance, identifies performance gaps and provides feedback and coaching Responsible for leading a team through teaching, coaching and inspiring by fostering a sense of energy, ownership and a responsibility for the flawless execution of commercial excellence; engage in the selection and hiring process as needed. Administers company personnel policies and follows company staffing standards Enforcing policies and procedures to include business standards, maintaining customer satisfaction levels and improving quality of service. Collaborates with key business partners on process and or operational improvements to enhance efficiency and effectiveness of Case Management Core 2 team. Monitoring and assessing staff's compliance with the Company's rules and procedures related to behavior with Patients and Co-workers, attendance, dress code, productivity standards and any other applicable instruction provided by Company's management. Performs other duties as assigned. Minimum Requirements: 2 years of leadership/people management experience is required Demonstrated track record of meeting/exceeding goals Prior experience working in Specialty Pharmacy preferred Pharmacy Technician Associate Degree -Pharmacy license and registration Bachelor's degree in healthcare or business-related field (preferred) EEOC F/M/V/D

**Become a part of our caring community and help us put health first** Reports To: Associate Director, Home Health Branch Administrator FLSA: Exempt **Work Schedule** : Full-time/40 Hours Type** : On-site **Branch Location** : Charleston, SC **This branch is commonly referred to as CWHH - North Charleston.** **** $10,000 Associated Sign-on Bonus **** **** This position is eligible for relocation assistance. The specific package offered will vary based on individual circumstances and company policy. **** ***This is an on** **‑** **site position located at our Charleston, SC branch.** ***Remote, work-from-home, and hybrid work arrangements are not supported for this role.** The **RN Clinical Operations Manager** coordinates and oversees all direct care patient services provided by clinical personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies. + Manages the assignment of caregivers. + Responsible for and oversees the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make the decision to admit patients to service. Assigns appropriate clinicians to a case, as needed. + Instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is available at all times during operating hours to assist clinicians as appropriate. + Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). + Monitors cases to ensure documentation is following compliance with regulatory agencies and requirements of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + Participates in sales and marketing initiatives. + Supervises all clinical employees assigned to a specific location. Responsible for the overall direction, coordination, and evaluation of the location. Carries out supervisory responsibilities in accordance with Company policies and procedures. + Handles necessary employee corrective action and discipline issues fairly and objectively, in consultation with the Human Resources Department and the Executive Director/Director of Operations. + Participates in the interviewing, hiring, training, and development of direct care clinicians. Evaluates their performance relative to job goals and requirements. Coaches staff and recommends in-service education programs, when needed. Ensures adherence to internal policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed. + Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient care on an infrequent basis and only in times of emergency. + Acts as Branch Director in his/her absence. + Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical documentation meets internal standards. **Use your skills to make an impact** **Education:** + Associate degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse (RN) license or Compact State RN license with authorization to practice in the state of South Carolina. + Proof of current CPR card and/or BLS certification. **Required Experience/Skills:** + Valid driver's license, auto insurance and reliable transportation. + A minimum of 2 years of experience as a Registered Nurse (RN). + Background in home-based care settings, including traditional home health, hospice, or palliative care is strongly preferred. + Management and people leadership experience is preferred. + OASIS experience is preferred. OASIS certification (HCS-O, COQS, and/or COS-C), preferred. + Homecare Homebase (HCHB) experience is preferred. + Foundational knowledge and basic understanding of CMS PDGM is preferred. **Additional Information** + Normal Hours of Operation: M-F / 8a-5p (ET) + On-Call Expectation: Yes, rotating on-call shift. + Branch Size: 700+ Census (5.0 STAR rating) + Annual Bonus Eligible: Yes, eligible for the annual incentive bonus which has pay-outs both quarterly and annually. 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. $77,200 - $106,200 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** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Accountable for the standard of care at the facility, providing consultations and expertise in the delivery of care to patient. Serve as a clinical and service resource to nursing staff and other staff as assigned. Manage the activities of staff, coordinating safe and appropriate care between departments and disciplines. Manage and evaluate work activities of nursing, technical, clerical, service or maintenance staff for the unit, work group and other facility staff as directed. Analyze information/situation to choose the best solution(s) to solve problems. Responsible for recruitment, hiring and training of new staff. Identify the educational needs of others and develop educational or training programs. Assist with the development and implementation of organizational policies and procedures for the facility. Prepare reports to inform management of the status and implementation of programs, services and quality initiatives of the unit. Perform administrative or managerial functions such as planning budgets and authorizing expenditures. Provide direct care as needed.

Clinical Manager Responsible for assuring the delivery of quality health care services to the patient. The Clinical Manager represents the agency by facilitating its mission and agency objectives. Duties and Responsibilities Utilizes current nursing concepts and principles as well as understanding of coverage criteria to direct, supervise, and ensure the quality of care provided by the Coordinators of Care (COC) and other Clinical staff Assures the periodic reassessment of and appropriate revisions to the plan of care and ensures full recert packages are submitted timely Evaluates the skills and services provided by the clinical staff through record review, field visits, and case conferencing? Maintains effective communication with staff and patients Serves as a patient advocate in communications with third-party payers. Identifies staffing and service needs Performs duties necessary in the Emergency Disaster Plan Assures that all care and staff interactions uphold the non-discrimination policy and are sensitive to the Americans with Disabilities Act Provide direction to COCs regarding difficult patient issues Assesses the educational needs of the COCs relative to the patient's care and ensures their needs are met? Participates in the agency's orientation, education, and performance improvement activities?? Participates in hiring, training, and disciplining clinical staff Participates in an on-call coverage rotation Coordinates and ensures the accuracy of conversion packets Performs other related duties as needed

Manage clinical and administrative operations of a nursing unit within the scope of an RN license as defined by the state and Nurse Practice Act. * Accountable for the standard of care at the facility, providing consultations and expertise in the delivery of care to patient. * Serve as a clinical and service resource to nursing staff and other staff as assigned. * Manage the activities of staff, coordinating safe and appropriate care between departments and disciplines. * Manage and evaluate work activities of nursing, technical, clerical, service or maintenance staff for the unit, work group and other facility staff as directed. * Analyze information/situation to choose the best solution(s) to solve problems. * Responsible for recruitment, hiring and training of new staff. * Identify the educational needs of others and develop educational or training programs. * Assist with the development and implementation of organizational policies and procedures for the facility. * Prepare reports to inform management of the status and implementation of programs, services and quality initiatives of the unit. * Perform administrative or managerial functions such as planning budgets and authorizing expenditures. * Provide direct care as needed. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null

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

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

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

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. Discusses with patient, and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). Ensures transplant awareness, modality awareness, and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe, efficient, and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS: Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Nurse Supervisor Career Opportunity Leading with Heart: Your Journey Starts Here Seeking a career that's both personally enriching and professionally rewarding, close to home? Encompass Health invites you into a welcoming space that feels like family, where your worth is embraced, fostering connections akin to lifelong friendships. As a Nurse Supervisor, envision making a profound impact within your community by providing essential care and guidance throughout patients' rehabilitation journeys. Your role is critical, offering leadership ensuring seamless implementation of procedures while delivering top-tier, compassionate, and tailored care. Embrace a team-driven, supportive environment that embraces joy in their work, providing access to cutting-edge technology and comprehensive benefits from day one. Join us and discover a career where your leadership shapes impactful care and personal fulfillment. A Glimpse into Our World We're confident you'll feel the difference the moment you join our team. Being at Encompass Health means being associated with a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, all united for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, make us immensely proud. Benefits That Begin With You * Our benefits are designed to support your well-being and start on day one: * Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. * Generous paid time off that accrues over time. * Tuition reimbursement and continuous education opportunities for your professional growth. * Company-matching 401(k) and employee stock purchase plans, securing your financial future. * Flexible spending and health savings accounts tailored to your unique needs. * A vibrant community of individuals who are passionate about what they do. Be the Nurse Supervisor You've Always Aspired to Be * Your impactful journey involves: * Assisting in the development and implementation of personalized patient care programs, policies, and procedures. * Serving as the crucial liaison between administration, nursing management, and staff. * Supervising nursing care, treatment, and services provided during assigned shifts or on a specific unit. * Monitoring and managing staff, including on-the-spot feedback, annual evaluations, and administering performance counseling and discipline * Assuming patient care as needed and building meaningful relationships with patients by dedicating time to understand their physical, mental, and emotional needs for a successful recovery. * Celebrating patient victories along the way. Qualifications * Current RN licensure as required by state regulations. * BLS certification with ACLS certification to be obtained within one year of starting position. * CRRN certification to be obtained within a year of meeting the eligibility requirements. * Bachelor's Degree in Nursing or related field preferred. * Two years of recent experience in an inpatient hospital setting (within the last five years). * Previous leadership role, such as charge nurse or lead capacity, where you were responsible for interim reporting, issue resolution, setting direction, and having accountability for patient and staff results.

**PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. + Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. + Assesses daily patient care needs and develops appropriate patient care assignments. + Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. + Participates in staff training and orientation of new staff as assigned + Participates in all required staff meetings as scheduled. + Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). + Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. + Discusses with patient, and records education related to diet/fluid and medication compliance. + Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). + Ensures transplant awareness, modality awareness, and drive catheter reduction. + Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. + Provides safe and effective delivery of care to patients with ESRD. + Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. + Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. + Identifies and communicates patient related issues to Team Leader or physician. + Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. + Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. + Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. + Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. + Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. + Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. + Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. + Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. + Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. + Ensures that all labs are directed and delivered to appropriate labs. + Reports alert/panic and abnormal labs results to appropriate physician. + Ensures lab results are forwarded to physicians as requested. + Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. + Maintains overall shift operation in a safe, efficient, and effective manner. + Act as a resource for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. + Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. + Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. + Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. + Oversees all documentation of patient information. + Maintains facility drug list for all required stock medications. + Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. + Ensures verification and availability of adequate emergency equipment. + Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. + Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. + Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. + Maintains appropriate recording of controlled substances as required by law. + Assists with the coordination of patient transportation if necessary. + Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. + Ensures competency in the operation of all dialysis-related equipment safely and effectively. + Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. + Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. + Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. + Ensures all appropriate patient related treatment data is entered into the Medical Information System. + Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. + Ensures and verify accuracy of Patient Care Technician documentation. + Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. + Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. + Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. + Completes monthly nurses' progress note. + Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). + Reviews transplant status and follows established procedure regarding appropriate action to be taken. + Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. + Completes any long-term programs that are due. + Completes initial and annual Nursing History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. + Performs additional duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND SKILLS** : + Minimum of one-year medical-surgical nursing experience preferred. + Hemodialysis experience preferred. + ICU experience preferred. + Successfully complete a training course in the theory and practice of hemodialysis. + Successfully complete CPR Certification. + Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. + Provide coverage at any or all area facilities as required by management. + Icd-9 coding Training. + Nurses Technical Training. + Must meet appropriate state requirements (if any). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

Under the leadership of the Operations Director the main objective of this role is to provide ongoing oversight of the Case Management Core 2 Team which includes Inflammatory, Osteoporosis /Osteoarthritis, Floater and Zero refill resources. This team is accountable for initial interview and following up with patient or MD office to obtain additional information/documentation to be able to process claim. This team will also be responsible for working medication refills. The Manager will manage all aspects of the department functions, including personnel, systems, initial and on going training and employee development. Responsibilities include but are not limited to: Holds self and others accountable for measurable high quality and timely . Develops/refines processes and procedures and ensures they are consistently applied across the Case Management Core 2 Team. Leads Change - acts as a catalyst for organizational change and employee engagement. Makes decisions that produce high quality results by applying technical knowledge, analyzing problems and calculating risks. Partners with other Operations teams to ensure quick turnaround of referral Assesses and analyses team performance, identifies performance gaps and provides feedback and coaching Responsible for leading a team through teaching, coaching and inspiring by fostering a sense of energy, ownership and a responsibility for the flawless execution of commercial excellence; engage in the selection and hiring process as needed. Administers company personnel policies and follows company staffing standards Enforcing policies and procedures to include business standards, maintaining customer satisfaction levels and improving quality of service. Collaborates with key business partners on process and or operational improvements to enhance efficiency and effectiveness of Case Management Core 2 team. Monitoring and assessing staff's compliance with the Company's rules and procedures related to behavior with Patients and Co-workers, attendance, dress code, productivity standards and any other applicable instruction provided by Company's management. Performs other duties as assigned. Minimum Requirements: 2 years of leadership/people management experience is required Demonstrated track record of meeting/exceeding goals Prior experience working in Specialty Pharmacy preferred Pharmacy Technician Associate Degree -Pharmacy license and registration Bachelor's degree in healthcare or business-related field (preferred) EEOC F/M/V/D

**Become a part of our caring community and help us put health first** Reports To: Associate Director, Home Health Branch Administrator FLSA: Exempt **Work Schedule** : Full-time/40 Hours Type** : On-site **Branch Location** : Bluffton, SC **This branch is commonly referred to as CWHH - Beaufort.** **** $15,000 Associated Sign-on Bonus **** **** This position is eligible for relocation assistance. The specific package offered will vary based on individual circumstances and company policy. **** ***This is an on** **‑** **site position located at our Bluffton, SC branch.** ***Remote, work-from-home, and hybrid work arrangements are not supported for this role.** The **RN Clinical Operations Manager** coordinates and oversees all direct care patient services provided by clinical personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies. + Manages the assignment of caregivers. + Responsible for and oversees the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make the decision to admit patients to service. Assigns appropriate clinicians to a case, as needed. + Instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is available at all times during operating hours to assist clinicians as appropriate. + Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). + Monitors cases to ensure documentation is following compliance with regulatory agencies and requirements of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + Participates in sales and marketing initiatives. + Supervises all clinical employees assigned to a specific location. Responsible for the overall direction, coordination, and evaluation of the location. Carries out supervisory responsibilities in accordance with Company policies and procedures. + Handles necessary employee corrective action and discipline issues fairly and objectively, in consultation with the Human Resources Department and the Executive Director/Director of Operations. + Participates in the interviewing, hiring, training, and development of direct care clinicians. Evaluates their performance relative to job goals and requirements. Coaches staff and recommends in-service education programs, when needed. Ensures adherence to internal policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed. + Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient care on an infrequent basis and only in times of emergency. + Acts as Branch Director in his/her absence. + Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical documentation meets internal standards. **Use your skills to make an impact** **Education:** + Associate degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse (RN) license or Compact State RN license with authorization to practice in the state of South Carolina. + Proof of current CPR card and/or BLS certification. **Required Experience/Skills:** + Valid driver's license, auto insurance and reliable transportation. + A minimum of 2 years of experience as a Registered Nurse (RN). + Background in home-based care settings, including traditional home health, hospice, or palliative care is strongly preferred. + Management and people leadership experience is required. + OASIS experience is preferred. OASIS certification (HCS-O, COQS, and/or COS-C), preferred. + Homecare Homebase (HCHB) experience is preferred. + Foundational knowledge and basic understanding of CMS PDGM is preferred. **Additional Information** + Normal Hours of Operation: M-F / 8a-5p (ET) + On-Call Expectation: Yes, rotating on-call shift. + Branch Size: 315+ Census (4.5 STAR rating) + Annual Bonus Eligible: Yes, eligible for the annual incentive bonus which has pay-outs both quarterly and annually. 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. $77,200 - $106,200 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** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

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

Responsible for the care of the patient, family and staff members of the healthcare team. This is a leadership role which includes staffing issues, employee concerns, and ensuring required nursing care is be delivered while acting as House Supervisor. Enforce and interpret policies for the delivery of patient and resident care. Ensure proper staffing for each unit, keeping staff ratio, appropriate staffing for patient care needs, covering call-offs and vacation time. Ensure chart checks are completed, seclusion/restraint log is up to date and nursing assessments are completed, as well as MAR's and report sheets are kept accurate and up to date. Rounds are completed at the beginning of shift and perform random audits. Assist DON to make sure all staff are oriented and competent to perform required duties. May include coaching staff. Assist DON by ensuring facility compliance with professional, regulatory and governmental standards. Ensure the effective delivery of competent, compassionate and safe care by monitoring and evaluating patient care processes and outcomes on the patient care units. Prioritize tasks and delegate staff to ensure quality patient care. Leader on shift for all admissions and discharges, as well as informing physician of changes in the patient's conditions. Adjusts staffing accordingly. Utilize administrator-on-call for situations that require additional attention. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null

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

**PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. + Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. + Assesses daily patient care needs and develops appropriate patient care assignments. + Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. + Participates in staff training and orientation of new staff as assigned + Participates in all required staff meetings as scheduled. + Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). + Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. + Discusses with patient, and records education related to diet/fluid and medication compliance. + Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). + Ensures transplant awareness, modality awareness, and drive catheter reduction. + Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. + Provides safe and effective delivery of care to patients with ESRD. + Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. + Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. + Identifies and communicates patient related issues to Team Leader or physician. + Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. + Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. + Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. + Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. + Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. + Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. + Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. + Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. + Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. + Ensures that all labs are directed and delivered to appropriate labs. + Reports alert/panic and abnormal labs results to appropriate physician. + Ensures lab results are forwarded to physicians as requested. + Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. + Maintains overall shift operation in a safe, efficient, and effective manner. + Act as a resource for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. + Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. + Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. + Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. + Oversees all documentation of patient information. + Maintains facility drug list for all required stock medications. + Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. + Ensures verification and availability of adequate emergency equipment. + Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. + Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. + Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. + Maintains appropriate recording of controlled substances as required by law. + Assists with the coordination of patient transportation if necessary. + Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. + Ensures competency in the operation of all dialysis-related equipment safely and effectively. + Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. + Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. + Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. + Ensures all appropriate patient related treatment data is entered into the Medical Information System. + Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. + Ensures and verify accuracy of Patient Care Technician documentation. + Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. + Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. + Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. + Completes monthly nurses' progress note. + Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). + Reviews transplant status and follows established procedure regarding appropriate action to be taken. + Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. + Completes any long-term programs that are due. + Completes initial and annual Nursing History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. + Performs additional duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND SKILLS** : + Minimum of one-year medical-surgical nursing experience preferred. + Hemodialysis experience preferred. + ICU experience preferred. + Successfully complete a training course in the theory and practice of hemodialysis. + Successfully complete CPR Certification. + Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. + Provide coverage at any or all area facilities as required by management. + Icd-9 coding Training. + Nurses Technical Training. + Must meet appropriate state requirements (if any). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**