Registered nurse charge nurse jobs in Guaynabo, PR

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

**Become a part of our caring community and help us put health first** Reports To: Market Executive - Director, Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 Hours Type** : On-site **Branch Location** : Stockbridge, GA **** $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 not a remote or work-from-home position. This position requires you to sit on-site at our Stockbridge, GA branch location.** The **Branch Director** is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance indicators, and people management/development. The Branch Director supervises the branch/clinical staff. Direct responsibility of ensuring the branch meets applicable Federal, State, and local laws regarding the certification and licensure process at all times. Responsible for long-range planning, fiscal viability, and quality of care provided by the branch. Recruits, interviews, and hires staff and monitors quality care and organizational performance. Assist other disciplines in coordinating activities when necessary, assuming responsibility for continuity, appropriateness, and quality of services delivered. **Essential Functions:** + Develops, plans, implements, analyzes and organizes operations for the Branch. + Responsible for the delivery of care for all patients served by the Branch by providing supervision and support to the Clinical Manager(s). + Works in conjunction with the Area Director of Operations or the AVP of Operations and Finance Department to establish Branch's revenue and budget goals. + Recognizes the clinical leadership and provides support and supervision to the Clinical Manager(s) to promote more effective performance and delivery of quality home care services. + Maintains office operations in an efficient, productive, effective, and organized manner, which provides a safe working environment for employees, meeting local ordinances and fire and safety regulations in compliance with the company policies. + Conducts continuous quality improvement quarterly committee meetings, reviews all patient satisfaction data, and follows up on negative patient satisfaction surveys and follow-up visits with referral sources. + Communicate with the Area Director of Operations or the AVP of Operations for direction, problem-solving, and implementation of programs and protocols. + Partners with Sales Directors and Account Manager(s) to meet budgeted admission goals. Participates in sales and marketing initiatives. **Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse (RN) license with authorization to practice in the state of Georgia. **Required Experience/Skills:** + Valid driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse (RN) with at least one-year of management experience in a home care, hospice or equivalent environment. + Home health experience is required. + Management and people leadership experience is required. Outstanding leadership skills with demonstrated experience motivating, educating, supervising, and supporting staff and developing a cohesive team. + OASIS experience is preferred. OASIS certification (HCS-O, COQS, and/or COS-C), preferred. + Homecare Homebase (HCHB) experience is preferred. + CMS PDGM billing knowledge and/or experience is preferred. + Revenue/Fiscal management experience is required. Ability to manage multi-millions in revenue is strongly preferred. + Knowledge of business management, governmental regulations, and accreditation standards. + Experienced with quality improvement monitoring and reporting tools and methods. + Excellent verbal and written communication skills. + Must be proficient with Microsoft Word and Excel. **Additional Information** + Normal Hours of Operation: M-F / 8a-5p (ET) + On-Call Expectation: Yes, rotating on-call shift. + Branch Size: 600+ Census (5.0 STAR rating) + Annual Bonus Eligible: Yes, eligible for the annual incentive bonus. 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. $85,400 - $117,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-07-2100 **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 *************************************************************

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

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 STATEMENT: Responsible for day-to-day operations of the unit and ensure staffing is adequate to provide care. ESSENTIAL FUNCTIONS: Provide, delegate, coordinate and evaluate care of patient through the collaborative efforts of team members and in accordance with the nursing process and standards of care and practice. Provide general nursing care in a facility. Function as the lead nurse on assigned shift. Responsible for staff assignments and/or direction of duties, tasks or projects. Provide professional and administrative leadership to staff. Accountable for the oversight of staffing performance. Coordinate nursing, medical and/or behavioral health care activities with all staff to ensure smooth and complete coordination of efforts during shared shift. Supervisory responsibility for assigning staff according to education and ability. Provide mentoring and training as needed. Coordinate all care rendered to patients, including physician orders and diagnostic information, and ensure consultations are ordered. Document medical, behavioral health information and nursing care. Administer medications and maintain records in accordance with company policies and procedures. Assist in developing a plan of care with specific and measurable goals, objectives and interventions defining actions unique to each patient's needs. Assist in updating and revising the plan of care as goals/objectives are met or when the patient's condition changes. Provide structure and maintain a therapeutic environment in collaboration with the patients and other care providers. Consistently utilize universal precautions, environmental safety guidelines and applicable level system as applicable. OTHER FUNCTIONS: Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Graduation from an accredited school of nursing required. Three or more years' experience in nursing practice required. Two or more years' experience in behavioral health preferred. One or more years' experience in a hospital supervisory or charge position preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current RN license as required by state. CPR certification required (training available upon hire and offered by facility). De-escalation/restraint certification required (training available upon hire and offered by facility). First aid may be required based on state or facility.

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

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance RN Clinical Consultation **We are looking to add 1 part time nurse to our team: If you can work any of these shifts, please apply right away!** + **8:30am-6:30pm CST Friday and Saturdays OR 8:30am-6:30pm CST Saturday and Sundays** **PRIMARY PURPOSE OF THE ROLE:** To triage calls to assess needs, giving appropriate care advice and disposition to appropriate level of care treatment while promoting cost-effective outcomes and safely facilitate return to work. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. + Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. + Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility in your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. + Enable our Caring counts mission supporting injured employees from some of the world's best brands and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Applies all phases of the nursing process, i.e. assessment, planning, implementation and evaluation when triaging calls. + Identifies the needs of caller by triaging, obtaining general health information and/or physician services referral. + Evaluates need for alternative treatment through telephonic contact and assessment with service provider. + Triages patient using defined triage protocols to obtain pertinent data; and enters data into computer system. + Identifies life-threatening emergencies and recommends appropriate interventions. + Refers issues requiring physician interventions to physician in a timely manner; directs patients to appropriate level of care including but not limited to the nearest emergency room, urgent care facility, primary treating physician or selfcare. Demonstrates effective verbal communications skills. + Adheres to quality assurance standards. + Serves as resource to triage team members. **EDUCATION AND LICENSING** Bachelor's degree in nursing (BSN) preferred. Active unrestricted RN compact licensure required along with two year (2) years of recent clinical practice experience. Should be proficient in multiple screens and multiple computer applications,. **TAKING CARE OF YOU BY** + Seeks innovative customer solutions . + Craves cutting edge opportunities. + Wants dynamic company culture. + Passion about creativity. + Seeks ongoing learning as a person and professional. + Thrives when solving challenging problems. + Wants achievements to be celebrated. + We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. **NEXT STEPS** If your application is selected to advance to the next round , a recruiter will be in touch. \#NURSE _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $35.00-$36.00/hr . A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ _"Always accepting applications"._ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.** Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment. **Primary Responsibilities:** + Clinical Case Reviews -75% + Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported + Maintain standards for productivity and accuracy. Standards are defined by the department + Provide clear and concise clinical logic to the providers when necessary + Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization + Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities + Investigate and pursue recoveries + Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance + Use pertinent data and facts to identify and solve a range of problems within area of expertise + Other internal customer correspondence and team needs - 15% + Attend and provide feedback during monthly meetings with assigned internal customer department + Provide continuous feedback on how to improve the department relationships with internal team members and departments + Continuing education - 10% + Keep up required Coding Certificate and/or Nursing Licensure + Complete compliance hours as required by the department *****ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***** You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Coding Certificate or Nursing Licensure, for example: + Puerto Rico Registered Nurse + Certified Professional Coder (CPC) + CPC A + Certified Inpatient Coder (CIC) + Certified Outpatient Auditor (COC) + Certified Professional Medical Auditor (CPMA) + Certified Coding Specialist (CCS) + Demonstrated proficiency with computers, including Microsoft Suite of products + Ability to observe an on-site work model + Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL + Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position) **Preferred Qualifications:** + Experience working with medical claims platforms + Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting + Presentation or policy documentation experience + Proven knowledge of CMS and AMA coding rules specific to CPT, HCPCS + Proven knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations + Proven knowledge of Medicaid/Medicare Reimbursement methodologies + Proven working knowledge of the healthcare insurance/managed care industry + Proven working knowledge of medical terminology and claim coding _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

**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**

San Juan Capestrano Hospital is an Acadia facility that takes pride in giving quality patient care. We offer competitive benefits and pay. Please join our team and help change the future of Puerto Rico. PURPOSE STATEMENT: Responsible for day-to-day operations of the unit and ensure staffing is adequate to provide care. ESSENTIAL FUNCTIONS: * Provide, delegate, coordinate and evaluate care of patient through the collaborative efforts of team members and in accordance with the nursing process and standards of care and practice. Provide general nursing care in a facility. * Function as the lead nurse on assigned shift. * Responsible for staff assignments and/or direction of duties, tasks or projects. * Provide professional and administrative leadership to staff. * Accountable for the oversight of staffing performance. * Coordinate nursing, medical and/or behavioral health care activities with all staff to ensure smooth and complete coordination of efforts during shared shift. * Supervisory responsibility for assigning staff according to education and ability. * Provide mentoring and training as needed. * Coordinate all care rendered to patients, including physician orders and diagnostic information, and ensure consultations are ordered. * Document medical, behavioral health information and nursing care. * Administer medications and maintain records in accordance with company policies and procedures. * Assist in developing a plan of care with specific and measurable goals, objectives and interventions defining actions unique to each patient's needs. Assist in updating and revising the plan of care as goals/objectives are met or when the patient's condition changes. * Provide structure and maintain a therapeutic environment in collaboration with the patients and other care providers. * Consistently utilize universal precautions, environmental safety guidelines and applicable level system as applicable. OTHER FUNCTIONS: * Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Graduation from an accredited school of nursing required. * Three or more years' experience in nursing practice required. * Two or more years' experience in behavioral health preferred. * One or more years' experience in a hospital supervisory or charge position preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Current RN license as required by state. * CPR certification required (training available upon hire and offered by facility). * De-escalation/restraint certification required (training available upon hire and offered by facility). * First aid may be required based on state or facility. 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"

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.

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

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance RN Clinical Consultation **We are looking to add 6 nurses; If you can work any of these shifts, please apply:** **1 nurse 8pm-4am CST, 1 nurse 2pm-10:30pm CST and 4 nurses 12pm -8:30pm CST.** **PRIMARY PURPOSE OF THE ROLE:** To triage calls to assess needs, giving appropriate care advice and disposition to appropriate level of care treatment while promoting cost-effective outcomes and safely facilitate return to work. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. + Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. + Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility in your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. + Enable our Caring counts mission supporting injured employees from some of the world's best brands and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Applies all phases of the nursing process, i.e. assessment, planning, implementation and evaluation when triaging calls. + Identifies the needs of caller by triaging, obtaining general health information and/or physician services referral. + Evaluates need for alternative treatment through telephonic contact and assessment with service provider. + Triages patient using defined triage protocols to obtain pertinent data; and enters data into computer system. + Identifies life-threatening emergencies and recommends appropriate interventions. + Refers issues requiring physician interventions to physician in a timely manner; directs patients to appropriate level of care including but not limited to the nearest emergency room, urgent care facility, primary treating physician or selfcare. Demonstrates effective verbal communications skills. + Adheres to quality assurance standards. + Serves as resource to triage team members. **EDUCATION AND LICENSING** Bachelor's degree in nursing (BSN) preferred. Active unrestricted RN compact licensure required along with two year (2) years of recent clinical practice experience. Should be proficient in multiple screens and multiple computer applications,. **TAKING CARE OF YOU BY** + Seeks innovative customer solutions . + Craves cutting edge opportunities. + Wants dynamic company culture. + Passion about creativity. + Seeks ongoing learning as a person and professional. + Thrives when solving challenging problems. + Wants achievements to be celebrated. + We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. **NEXT STEPS** If your application is selected to advance to the next round , a recruiter will be in touch. \#NURSE _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $68,000-$70,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ Always accepting applications Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment. Primary Responsibilities: * Clinical Case Reviews -75% * Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported * Maintain standards for productivity and accuracy. Standards are defined by the department * Provide clear and concise clinical logic to the providers when necessary * Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization * Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities * Investigate and pursue recoveries * Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance * Use pertinent data and facts to identify and solve a range of problems within area of expertise * Other internal customer correspondence and team needs - 15% * Attend and provide feedback during monthly meetings with assigned internal customer department * Provide continuous feedback on how to improve the department relationships with internal team members and departments * Continuing education - 10% * Keep up required Coding Certificate and/or Nursing Licensure * Complete compliance hours as required by the department * ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Coding Certificate or Nursing Licensure, for example: * Puerto Rico Registered Nurse * Certified Professional Coder (CPC) + CPC A * Certified Inpatient Coder (CIC) * Certified Outpatient Auditor (COC) * Certified Professional Medical Auditor (CPMA) * Certified Coding Specialist (CCS) * Demonstrated proficiency with computers, including Microsoft Suite of products * Ability to observe an on-site work model * Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL * Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position) Preferred Qualifications: * Experience working with medical claims platforms * Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting * Presentation or policy documentation experience * Proven knowledge of CMS and AMA coding rules specific to CPT, HCPCS * Proven knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations * Proven knowledge of Medicaid/Medicare Reimbursement methodologies * Proven working knowledge of the healthcare insurance/managed care industry * Proven working knowledge of medical terminology and claim coding At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career. Connect with your goals and change lives with Fresenius Medical Care North America. Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare we know what it takes to create strong bonds among patients their families and our team members-and why it matters. Within this positive environment those in our care can achieve better outcomes-and professionals can achieve their most important objectives. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: Fresenius Medical Care is the nation's largest provider of renal care meeting the needs of more than 135 000 patients at 1 800 clinics throughout the country. Our well-established trusted organization fosters a spirit of camaraderie emphasizing friendly collaboration professional support and career development. Superior training UltraCare quality control and certification procedures ensure your potential to succeed and advance as a professional. Competitive compensation and exceptional benefits. Outstanding tuition reimbursement program. Recognized among Fortune's World's Most Admired Companies in 2011. National Safety Award from CNA insurance companies for 11 consecutive years. Opportunities to give back by participating in philanthropy and community outreach programs. Staff Registered Nurse This is an exceptional opportunity to succeed with a premier healthcare organization. As a key member of our hemodialysis team this professional will manage our Patient Care Technicians in providing safe effective delivery of chronic hemodialysis therapy. Delegating tasks training and monitoring all direct-patient staff including LVNs/LPNs and Dialysis Assistants this individual will assess care needs and develop assignments. PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies procedures and training. Supports the FMCNA's mission vision values and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: Responsible for driving the FMS culture though values and customer service standards. Accountable for outstanding customer service to all external and internal customers. Develops and maintains effective relationships through effective and timely communication. Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES STAFF RELATED: Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals as well as regulations set forth by the corporation state and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs Patient Care Technicians and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. PATIENT RELATED: Education: Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease vascular access and dialysis therapy and other related health conditions. Discusses with patient and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM). Ensures transplant awareness modality awareness and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy compliance with treatment schedule medications and fluid. Dialysis Treatment: Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients' response to hemodialysis treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre evaluation initiation monitoring termination access homeostasis and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides supervises (if applicable) and monitors hemodialysis access care according to established procedures. Implements administers monitors and documents patient's response to prescribed interdialytic transfusions including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Laboratory-related: Reviews transcribes and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. General duties: Enforces all company approved polices and procedures as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe efficient and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status issues and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret adjust and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations immunizations and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. MAINTENANCE/TECHNICAL: Ensures a clean safe and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations including machines and chairs are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. MEDICAL RECORDS & DOCUMENTATION: General Ensures all relevant data including physician orders lab results vital signs and treatment parameters and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission transfer and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Daily Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures inclusive of monitoring that all staff and patients have safely left the premises. Monthly Initiates documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information documentation and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Annually Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. OTHER: Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

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

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

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.