UTMB HEALTHCARE SYSTEMS jobs in Austin, TX

**Texas, United States** **Hot** 2 additional locations Galveston, Texas, United StatesUnited States Nursing & Care Management HealthCare System Staffing Requisition # 2402535 . The Perfusionist operates extracorporeal circulation equipment and autotransfusion equipment during any medical situation, including the circulation of blood during open-heart surgery, where it is necessary to support or temporarily replace a patient's circulatory or respiratory functions. Assists the Perioperative Services area to achieve key performance indicators focused on perfusion services. Responsible for the selection of appropriate equipment and techniques to be used and ensures the safe management of physiologic functions. Consults with physicians in the selection of appropriate equipment and resources required for extracorporeal support of patients' circulatory or respiratory functions. Scope: Majority of time will be spent in the operating room. May also need to assist the Extracorporeal Membrane Oxygenation (ECMO) team in all areas of the institution, as well as other UTMB campuses MAJOR DUTIES / CRITICAL TASKS: + Management of Cardiopulmonary Bypass (CPB) + Facilitate discussion with health care team which includes medical record review, decisions needed for prime selection, drug and blood additives, and techniques of cardiopulmonary bypass. + Demonstrate appropriate clinical vigilance and awareness before, during and after cardiopulmonary bypass + Utilize all available safety devices during cardiopulmonary bypass as per departmental policy + Recognize and resolve variances and abnormal situations that may arise + Appropriately communicate with open-heart team personnel during procedures + Use appropriate equipment/supplies and monitor data based on patient profile (age, condition, procedure). + Appropriately assess patient profile and manage CPB + Ancillary Perfusion Procedures + Troubleshoot all technical devices + Recognize when situations are critical, notify appropriate personnel and assist as needed + Assess patient profile and manage ancillary procedures by using appropriate equipment and monitoring data. + Maintain competence in cardiac assist devices to include VADs, ECMO, IABP, PCPS, left heart bypass, VV bypass for liver transplant, hyperthermic isolated limb perfusion, and autotransfusion + Demonstrate competence and comprehensive knowledge of all ancillary procedures per departmental policy. + Information management + Demonstrate knowledge of UTMB Perfusion Services policy and procedure via staff meeting, memos, communication book, bulletin boards email, etc. Appropriately communicate significant issues to leadership and charge staff. + Maintain patient confidentiality + Appropriate database information entry + Provides concise and accurate shift report + Communicate product failures, technical and patient incidents per departmental policy ' Complete and file necessary paperwork and labeling according to departmental policy. + Timely documentation according to departmental standards + Create and maintain accurate, complete, and legible records. + Adheres to internal controls and reporting structure. + Participates in education and research within the perfusionist scope of practice. + Performs related duties as required. KNOWLEDGE/SKILLS/ABILITIES: + Works with a team of four perfusionists, rotating on call schedule. + Functions independently in the operating room + Competent in maintaining and troubleshooting the cardiopulmonary machine and other related equipment including but not limited to Cell Salvage, IABP, and ECMO with minimal assistance. + Always maintain professional decorum The team will be assigned to all campuses on rotation and/or as needed to support cardiac cases. REQUIRED EDUCATION / EXPERIENCE: + Completion of an accredited cardiovascular perfusion training program. + Bachelor's degree in Perfusion Technology, Life Science, or Allied Health Specialty (e.g., Nursing, Respiratory Therapy, Medical Technology). + Certification as a Certified Clinical Perfusionist (CCP) by the American Board of Cardiovascular Perfusionists from an accredited Cardiovascular Perfusion training program + Two (2) years of inpatient hospital experience as an RN with at least two (2) years in specialty area assigned (or similar experience) within the last 2 years. + Must have current BLS and ACLS certifications obtained through the American Heart Association EQUIPMENT: + Heart-lung machine, intra-aortic balloon pump, and various other technical equipment used during open-heart surgery. WORKING ENVIRONMENT: + The Surgical operating suite in a hospital. PHYSICAL DEMANDS/WORKING CONDITIONS: + The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + While performing the duties of this job, the employee is regularly required to sit, utilize hand/ finger dexterity, and type on a computer keyboard. Specific vision abilities required by this job include regularly working on a Visual Display Terminal (VDT), close vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Includes intermittent physical activity such as bending, reaching, and lifting + The employee is regularly required to talk or hear. + Noise level in the work environment is usually moderate. OTHER: Specific job requirements or physical location of some positions allocated to this classification, may render this position security sensitive, and thereby subject to the provisions of Section 51.215, Texas Education Code. Any qualifications to be considered as equivalents in lieu of stated minimums require the prior approval of the Executive Director of Human Resources. Compensation

REQUIRED EDUCATION/EXPERIENCE : High school or equivalent. Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational nurse in the State of Texas. No experience required. Current BLS-HP required. Will consider recent graduates with temporary permits. Hourly rate is commensurate with years of relevant work experience. This is a non-benefit eligible position and limited to a maximum of 19 hours per week. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). JOB SUMMARY : Provides direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. ESSENTIAL JOB FUNCTIONS : Provides direct nursing care to assigned patients. Participates in assessing, planning, implementing and evaluating the nursing care given. Performs admission, discharge, and transfer procedures. Using the nursing plan of care in daily assignments, able to review and, under supervision, modify the plan of care. Demonstrates ability to observe and record the signs, symptoms, and behaviors including the3 physiological status of patients, presents proposed revision of interventions, and desired outcomes. Delivers the designated nursing interventions to assigned patients that are consistent with the state medical plan of care. Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. Follows physician's orders in the deliver of nursing care. Maintains patient's privacy and confidentiality of information and records at all times. Safely and properly administers medications and treatments. Executes written physician's orders for assigned patients. Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Adheres to required infection control, isolation procedures, and aseptic techniques in the deliver of patient care. Documents nursing care in all assigned patient records. Adheres to internal controls and reporting structures. Performs related duties as required. EQUIPMENT : Standard patient care supplies, equipment and mechanical devices. WORK ENVIRONMENT : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required.

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). : Performs direct and indirect patient care procedures as well as general clinical and support asks, as specifically delegated or directed by the supervising dentist. ESSENTIAL JOB FUNCTIONS : Takes and records patient health history and vital signs; performs radiography, dental laboratory procedures, inmate dental health orientation, and education. Provides assistance in preventive, periodontic, restorative, endodontic, prosthodontic, and oral surgery procedures; records clinical observations, treatment information, and data. Maintains general clinic orderliness and cleanliness; performs sterilization and disinfection of instruments and equipment. Maintains inventory of instruments, needles and all hazardous materials stored and used in the dental clinic, to include logs for tracking and control purposes. Operates personal computers to enter and assimilate data, generate reports, draft routine correspondence, and develop special administrative analyses upon request. Executes some degree of complex administrative support duties involving the exercise of independent judgment under general supervision. Performs administrative support tasks including but not limited to filing, routing phone calls/correspondence/mail, scanning, emailing, and faxing information. Operates data entry system for entry and receipt of daily sick call requests and schedules routine and sick call appointments for the dental clinic using the appropriate scheduling program. Prepares impressions and packages for delivery to the Dental Laboratory. Maintains a tracking log for all prosthetic cases. Receives, stores, distributes, and maintains proper inventory levels and stock for the dental department. Fills requisitions, work orders, supply requests, and returns expired/unused inventory to the warehouse. Checks contents received against invoices and purchase orders and reports discrepancies. Maintains and keeps an inventory of all dental equipment. Adheres to internal controls and reporting structures established for department. Performs related duties as required. MARGINAL OR PERIODIC JOB FUNCTIONS: Performs a variety of marginal duties not listed, to be determined and assigned as needed. Provides coverage to units outside of their normal assignment on an as needed basis. EQUIPMENT : Standard office equipment and standard dental clinic equipment. WORK ENVIRONMENT : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. May be required to provide dental assistance at multiple facilities. REQUIRED EDUCATION/EXPERIENCE : Dental assistant registration must be current and continuously maintained with the Texas State Board of Dental Examiners. Must maintain a current CPR. Salary is commensurate with years of relevant work experience. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

**Burnet, Texas, United States** Social Service UTMB Health Requisition # 2504976 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** Responsible for providing mental health evaluation and therapeutic intervention to patients. Works under the supervision of a Psychologist, Mental Health Manager and/or Program Director. **_ESSENTIAL JOB FUNCTIONS_** **:** + Contributes to the success of the UTMB Correctional Managed Care operation. + Interviews, evaluates and diagnoses patients identified as having mental health needs. + Provides individual and group psychotherapy and crisis intervention. + Develops, implements and reviews Individual Treatment Plans. + Assists with training and education of mental health, medical and other staff. + Assists in the implementation of Quality Improvement/Quality Management (QI/QM) programs and the monitoring of compliance with required policies, procedures and standards. + Provides routine consultation and communication with supervisor and/or attending psychiatric provider regarding the status of assigned patients. + Completes clinically appropriate and timely documentation. + Liaises with patient, patient families, on-site departments and community agencies to coordinate current treatment and/or facilitate aftercare services. + Adheres to internal controls and reporting structure established for department. + Performs related duties as required. **_EQUIPMENT_** **:** Standard office equipment. **_WORK ENVIRONMENT_** **:** Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Master's degree in Counseling, Psychology, Social Work, or related field. + Licensure or eligibility for licensure as a Professional Counselor, Psychological Associate, or Social Worker. Salary is commensurate with years of relevant work experience. **Equal Employment Opportunity** _UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities._ Compensation

**Burnet, Texas, United States** Allied Health UTMB Health Requisition # 2502341 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice and the Texas Juvenile Justice Department. **_JOB SUMMARY_** **:** Performs technical duties in the field of patient care and participates in the general health care of patients by providing assistance with cleanliness, grooming, rest, activity, nourishment, and distribution of medications. Assists the professional staff in maintaining a safe therapeutic environment. **_ESSENTIAL JOB FUNCTIONS_** **:** + Collects, reports and documents data: vital signs, height and weight, intake and output, pulse oximetry, and collects specimens. + Performs and reports Point of Care Testing. + Assists with patient activities and care as assigned by the charge nurse/designee as indicated by the patient's plan of care. + Provides for patients' personal hygiene: bathes patients, performs oral suctioning and superficial wound care, assists with chronic wound care, provides skin care for patient with TED hose, SCD, casts, skeletal pins, assists with elimination, cares for the incontinent patient, cares for the patient with a urinary catheter, assists or gives cleansing enemas, sitz baths, non-sterile douches, and provides ostomy care. + Assists with feeding. + Ambulates, positions, and turns patients and cares for the patient with altered mobility. + Assists with patient safety related to age and condition: assists with patient restraints, assists with patient specific safety precautions, collects, reports and documents data related to patient needs/emergencies and usual patient behavior, and cares for the patient in a correctional environment. + On incoming facilities, interviews incoming patients and completes receiving/screening form; informs nurses and/or physicians/advanced practice providers/mid level practitioners of patients with health problems who need immediate attention; records on newly received patients; maintains statistical logs required for periodic reports; performs all duties necessary for psychiatric referrals and screening. + Assists in the maintenance of a safe, comfortable facility environment; obtains, stores and maintains pharmacy and nursing medications/supplies. + Distributes and documents patients' medications, both in general population and administrative segregation, from filled prescriptions, abiding by Title 40, Texas Administrative Code, Chapter 95, "Licensing Standards for Medication Aides Handbook". + Ensures drug room security, replaces facility working drug stocks, and maintains the upkeep of facility drug room and pharmaceutical equipment. + Enters medication compliance into the pharmacy computer system. + Maintains patients' privacy and confidentiality of information and records at all times. + Practices basic cost containment and utilization management for patient care and facility operations. + Prioritizes and organizes work so that required assignments are completed within specified timeframe. + Promotes positive interpersonal relationships among co-workers and Security. + Participates in in-service orientation and continuing education classes. Obtains 40 hours of continuing education/in-service hours on an annual basis to meet ACA standards. + Adheres to internal controls and reporting structures established for department. + Performs related duties as required. **_EQUIPMENT_** **:** Standard patient care supplies, equipment and mechanical devices. **_WORK ENVIRONMENT_** **:** + Work environment is located in a clean and safe medical facility within the confines of a prison, jail or juvenile detention center. + Conditions such as noise, odors, cramped work space and/or fumes could sometimes cause discomfort. + Moderate to extreme physical effort may be required such as walking, standing, and lifting materials, equipment, objects, and/or patients. + Lifting may be heavy and awkward, over 50 lbs. + Vision, hearing, talking, and sense of touch abilities must be adequate enough to enable one to quickly and accurately perform tasks such as: reading small print, reading from monitoring equipment, defining details, sending and receiving clear and accurate verbal communication. + Frequent periods of concentrated or focused attention will be needed to interpret visual, auditory, and sensory inputs. + Shift work is required. + Alertness and careful attention to detail will bel required to avoid injury. + May be assigned to more than one facility. + May be exposed to such occupational hazards as communicable diseases, radiation, chemotherapeutic agents, and disoriented or combative patients. + May be required to be on standby and work extended or alternate shifts in situations deemed necessary by nurse manager. + Able to work under stress and be emotionally capable of coping with complex and/or changing activities. Security clearance is required; pre-employment drug testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + High school or GED equivalent. + Current Texas Certified Medication Aide permit. Salary is commensurate with years of relevant work experience. **Equal Employment Opportunity** _UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities._ Compensation

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). : Under the direction of the Clinical Director or Staff Psychiatrist - Outpatient, provides direct psychiatric care to patients assigned to outpatient psychiatric facilities within the UTMB sector of the Texas Department of Criminal Justice (TDCJ). ESSENTIAL JOB FUNCTIONS : Provides direct psychiatric care to patients assigned to psychiatric outpatient facilities, under the supervision of the Clinical Director or Staff Psychiatrist - Outpatient. Regularly participates in clinical consultations with the facility mental health and medical staff. Conducts psychiatric assessments and develops treatment plans for assigned patients under the supervision of the Clinical Director or Staff Psychiatrist - Outpatient. Participates in the psychiatry QI/QM program. Provides emergency psychiatric call. Works all assigned hours as required. Adheres to internal controls and reporting structure established for department. Performs related duties as required. EQUIPMENT : Standard office and medical equipment. WORK ENVIRONMENT : Work environment is located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. REQUIRED EDUCATION/EXPERIENCE : Graduation from an Accredited Physician Assistant or Nurse Practitioner Program. Current licensure to practice in the State of Texas. Mental health experience required. Current BLS-HP required. PREFERRED EDUCATION/EXPERIENCE : Correctional experience is preferred. Salary is commensurate with years of relevant work experience. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). : To provide direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. ESSENTIAL JOB FUNCTIONS : Provides direct nursing care to assigned patients. Participates in assessing, planning, implementing and evaluating the nursing care given. Performs admission, discharge, and transfer procedures. Using the nursing plan of care in daily assignments, able to review and, under supervision, modify the plan of care. Demonstrates ability to observe and record the signs, symptoms, and behaviors including the3 physiological status of patients, presents proposed revision of interventions, and desired outcomes. Delivers the designated nursing interventions to assigned patients that are consistent with the state medical plan of care. Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. Follows physician's orders in the deliver of nursing care. Maintains patient's privacy and confidentiality of information and records at all times. Safely and properly administers medications and treatments. Executes written physician's orders for assigned patients. Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Adheres to required infection control, isolation procedures, and aseptic techniques in the deliver of patient care. Documents nursing care in all assigned patient records. Adheres to internal controls and reporting structures. Performs related duties as required. EQUIPMENT : Standard patient care supplies, equipment and mechanical devices. WORK ENVIRONMENT : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. REQUIRED EDUCATION/EXPERIENCE : High school or equivalent. Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational nurse in the State of Texas. No experience required. Current BLS-HP required. This is a non-benefit eligible position and limited to a maximum of 19 hours per week. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities

**Texas, United States** **Hot** 2 additional locations Galveston, Texas, United StatesUnited States Nursing & Care Management HealthCare System Staffing Requisition # 2505153 The ECMO Specialist (ES) is a licensed allied health care professional with a strong clinical background in neonatal, pediatric and/or adult critical care and advanced cardiopulmonary support. The ES has ≥ 2 years ICU experience or completion of an accredited cardiovascular perfusion training program. The ES is responsible for the coordination of clinical care for patients requiring the support of extracorporeal life support (ECLS) & mechanical circulatory support (MCS) devices under the direction & supervision of credentialed ECMO and advanced heart failure physicians. The ES adheres to the policies, guidelines & best practices set forth by the director, manager & coordinator of the ECMO department. The ES plays a key role in device management, patient monitoring, emergency response, and quality improvement initiatives. **Clinical Level Detail** The ECMO Specialist (ES) is a competent technical specialist, preceptor & ECMO primer. The ES is a proficient clinician in two high acuity clinical environments where care of an ECLS or MCS patient is provided (2 ICU's or Any ICU + OR, CVL, Transport etc.) & in two patient populations (Adult, Pediatric &/or Neonatal). **Clinical Level Minimal Experience** The required experience to qualify as an ES is ≥ 2 years' experience as an ES; or completion of an accredited program in cardiovascular perfusion, nursing, or respiratory therapy. Completed annual required hands-on drills, simulations & passed annual competency examination(s) for an ES. Completed clinical ECMO orientations in two patient populations (Adult, Pediatric &/or Neonatal). **Clinical Level Responsibilities** The ES is trained to independently prime, operate, troubleshoot & manage ECLS & MCS devices. The ES can independently initiate support & manage advanced ECLS & MCS care plans. The ES can independently troubleshoot clinical scenarios. The ES is trained to independently manage ECLS & MCS emergencies and coordinate the allied health care team to implement major interventions. The ES is a clinical preceptor and resource for level I & II specialists. MAJOR DUTIES / CRITICAL TASKS: **Programmatic Responsibilities** · **Education** : Collaborates with ECMO team leadership and contributes to education, training, precepting & mentoring of all ES I & II team members. · **Equipment:** Assists leadership with equipment maintenance, cleaning & troubleshooting of ECMO, MCS & ECMO monitoring equipment. Ensures backup ECMO circuit is primed & ready for use each shift. **Technical Specialist Responsibilities** · **Patient Identification:** Collaborates with multidisciplinary physician teams to identify patients indicated for ECLS or MCS therapies and in concordance with ECMO physician guides care team to adhere to indications and contraindications as found in program guidelines and policies. · **Initiation of Support:** Coordinates & collaborates with multidisciplinary care team to prepare patient and environment for the timely and safe initiation of ECLS or MCS support. · **Patient Management & Monitoring on Support** : Assess and manage patient clinical needs, including but not limited to patient assessment, hemodynamic monitoring, NIRS, blood gas interpretation, laboratory results, fluid balance, nutrition, respiratory support, neurologic status, infection control, sedation, pain management, hematology, and cardiac function. · **Documentation:** In collaboration with bedside clinician, follows department guidelines for EMR documentation. Utilizes the ECMO flow sheet & EMR to maintain ongoing detailed documentation of the ECMO case. This includes hourly charting in flowsheet, progress & procedure notes, events, complications, physician communication, input & output, medication, blood administration & physical assessment documentation associated with monitoring the delivery of ECMO therapy. · **Diagnostic Testing** : Coordinates with care team to ensure safe execution and delivery of diagnostic testing such as x-ray, ultrasound, echocardiography, EEG including safe and timely transportation to CT, invasive lab or operating room. Evaluates chest x-rays for endotracheal tube, ECMO cannula, or MCS device position & placement. · **Extracorporeal VAD Management** : Assist the physician during insertion of extracorporeal VAD devices; manage and troubleshoot equipment issues such as pump failures or circuit occlusions; monitor and optimize patient hemodynamics (e.g., flow rates, pressure support) and anticoagulation strategies to prevent thrombosis or bleeding; coordinate discontinuation and removal processes, ensuring safe weaning and device explanation. · **Percutaneously Inserted VAD Management** : Assist the physician during percutaneous insertion; manage and troubleshoot device-specific issues like position migration or suction events; assess patient hemodynamics and anticoagulation protocols; oversee discontinuation, including safe removal and post-removal monitoring. · **Implanted VAD Management** : Assist the physician & VAD coordinator during surgical implantation; manage and troubleshoot equipment such as driveline issues or pump thrombosis; evaluate and fine-tune patient hemodynamics and long-term anticoagulation strategies; facilitate discontinuation through explanation or transition to other therapies, following the guidance of the VAD coordinator. · **ECLS Circuit Priming and Initiation** : Prepare and prime ECLS circuits, including pumps, oxygenators, heat exchangers, shunt lines and associated components, ensuring sterility and functionality prior to patient connection. · **ECLS Circuit Blood Priming** : Safely blood primes ECMO circuits for patients as indicated by department guidelines, policies or as requested by cannulating ECMO physician. Maintains competency in strategies to anticoagulate, buffer, correct electrolytes, wash, hemoconcentrate & interpret ECMO circuit blood gases. · **ECMO Circuit Maintenance** : Continuously monitor and maintain ECMO circuit integrity, including adjusting blood flow rates, monitoring pressure gradients, to prevent complications like hemolysis or clot formation. · **ECMO Circuit Evaluation** : Using in-line tools and blood gas analyses to calculate metrics such as oxygen consumption (VO 2 ), oxygen delivery (DO 2 ), oxygen transfer rate, recirculation & sweep gas adjustment rate. · **ECMO Circuit Troubleshooting** : Identify and resolve issues such as circuit leaks, component failures, or suboptimal performance, including elective or emergent component changes when indicated. · **Anticoagulation Management on ECMO** : Monitor and adjust anticoagulation levels to balance the risk of circuit thrombosis and patient hemostasis. · **Clot Formation Management** : Evaluate clot formation through staging (e.g., visual inspection, pressure monitoring), triage severity, and recommend anticoagulation adjustments to mitigate risks of major patient events such as embolism or circuit failure. · **CVVHD/Hemodialysis Management (e.g., Prismaflex, NxStage, Aquadex)** : Assist in setup of continuous veno-venous hemodiafiltration (CVVHD) or hemodialysis devices integrated into the ECMO circuit; monitor therapy parameters including dialysate flow, ultrafiltration rates, electrolyte balance, and fluid removal; manage ongoing therapy by adjusting settings for optimal clearance and patient stability; troubleshoot issues such as filter clotting, pressure alarms, or access problems, following hospital guidelines for renal replacement therapy in ECMO patients. · **ECMO Circuit Ultrafiltration Techniques** : Safely crystalloid prime & insert hemofilter into the ECMO circuit shunt line. Implement slow continuous ultrafiltration (SCUF), zero-balance ultrafiltration (ZBUF), or countercurrent hemodialysis (CVVHD) using the ECMO circuit hemoconcentrator. Monitor & document fluid input & output, ultrafiltration volumes, patient hemodynamics, and electrolyte shifts; manage and troubleshoot blood & ultrafiltration flow rates, circuit integration issues and replace or remove hemoconcentrator as indicated. · **Cytokine and Inflammatory Marker Removal** : Safely crystalloid prime & insert cytokine absorbers into the ECMO circuit for removal of cytokines, endotoxins, and inflammatory markers as ordered by ECMO physician; monitor adsorption efficiency, absorber performance, and patient inflammatory biomarkers; manage and troubleshoot blood flow rate, adsorber saturation & circuit integration issues. Replace or remove cytokine absorber as indicated. · **Medication Administration to ECMO Circuit** : Following physician guidance and orders, administer patient-required medications directly into the ECMO circuit, collaborate with ECMO physician and reports concerning circuit sequestration & drug efficacy. Maintains up to date knowledge & understanding of the pharmacokinetic effects of all drugs and treatments given to the patient via the ECMO circuit. Examples but not limited to, vasoactive drip titration (e.g., adjusting norepinephrine or vasopressin doses for hemodynamic stability), sedatives, analgesics, antibiotics, and other supportive agents; monitor drug levels and effects, troubleshooting suboptimal responses or interactions. · **Blood Product Administration to ECMO Circuit** : Following physician guidance & orders, administer blood products (e.g., packed red blood cells, platelets, fresh frozen plasma, cryoprecipitate) via the ECMO circuit to maintain target blood count parameters and physician guided platelet & coagulation cascade functionality; monitor transfusion effects on circuit function and patient hemostasis; troubleshoot & monitor for transfusion-related complications & reactions. · **ECMO Circuit Flow Management** : Manage all ECMO circuit flows. Follow guidelines to set alarms, interpret changes in pressures, communicate concerns with ECMO physician & care team, coordinate appropriate interventions to resolve deviations greater than 10% from physician-ordered patient flow. · **Troubleshooting ECMO System Alarms** : Interpret and troubleshoot ECMO system alarms, triaging the need for planned, staged or emergency interventions. Communicate with care team and ECMO leadership to implement component, circuit or equipment exchanges in a safe and timely manner. · **Troubleshooting Ancillary Equipment Functionality & Alarms** : Address alarms from any device connected to the ECMO circuit, triaging the need for replacement and coordinating with ECMO leadership & patient care team to replace equipment in a safe and timely manner. · **ECMO Transport** : Safely lead and coordinate inter-facility and intra-facility ECMO transport. Ensure safe patient handling, circuit integrity, ECMO equipment functionality and ordered ECMO flows are maintained. · **Weaning, Withdrawal & Decannulation from ECMO** : Assess patient readiness for weaning & follow guidelines & physician orders to safely wean ECMO flow (V-A/V-PA) or sweep gas (V-V). Coordinate patient care team to safely transition patient off ECMO and ensuring vent settings are no longer in "ECMO rest settings" and inotropic support is available. Assist ECMO physician in decannulation procedure. Compassionately support family and coordinate with ECMO physician and care team to withdraw ECMO when end of life measures are ordered. **Emergency Responses** The ECMO Specialist will master the necessary skills with repeated clinical drills until meeting the ECMO director, manager, and/or coordinators' expected time and best practice goals in response to ECMO emergencies. These guidelines & goals are set to minimize loss of flow & reduce risk of secondary harm that may occur during the interruption of extracorporeal life support therapy. Emergency response training includes, but not limited to: · **Power failure** : Ensure equipment is connected to generator backed red outlet. If power failure is extended ensure backup equipment is readily available to swap consoles prior to battery depletion. · **Equipment Failure & Hand Cranking** : Triage the need for emergency hand cranking, coordinating with the allied health care team to start emergency ventilation & patient management strategies. Hand crank to maintain goal-directed flow using visual indicators of RPM's and patient vital signs. Coordinate the replacement of failed ECMO system components. · **Blood Pump Failures** : Rapidly triage and differentiate blood pump failures (clotted cone, decoupling), mitigate loss of flow possible, clamp circuit if not and safely & rapidly replace failed blood pump or circuit. · **Air Entrainment** : Detect and eliminate air bubbles in the circuit using bubble detectors and de-airing techniques, clamp ECMO circuit, isolate patient from air embolism, remove air from circuit and re-establish flow. Replace entire circuit if unable to clear air from a mass air entrainment. Investigate and identify the cause of air entrainment and resolve prior to initiating flow to the patient & through the circuit. · **Cannula Dislodgement** : If an ECMO cannula dislodges, clamp dislodged cannula, coordinating with the care team & ECMO physician for immediate surgical intervention while maintaining patency of functioning cannula and attempting to salvage ECMO circuit. Prepare backup circuit for circuit exchange if indicated. Support cannulating physician with re-insertion or exchange of dislodged cannula and safely initiating ECMO. · **Cannula Malpositioning or Impedance of Flow** : Manage cannula malpositioning or flow impedance by interpreting circuit pressures to identify the cannula with increased impedance. Reposition patient or attempt to correct cannula malpositioning to re-establish goal flow. If impedance is unresolvable, contact cannulating physician. Coordinating patient stabilization, positioning and diagnostic imaging to further investigate impedance. Prepare for surgical interventions, mechanical thrombectomy, or cannula exchange if indicated. · **Uncontrolled Hemorrhage** : Manage acute or uncontrolled bleeding by administering fluids or blood products to ECMO circuit to maintain goal flow and stopping anticoagulation. Assist care team by utilizing ECMO circuit as a method of rapid & mass transfusion. · **Advanced Life Support (ACLS, PALS, BLS):** Collaborate with the multidisciplinary team to stabilize hemodynamics of the patient and adjust ACLS & PALS algorithm to augment the support capabilities of the current ECLS or MCS strategy. · **Circuit Exchange** : Triage the need for planned or emergent circuit exchange and coordinate with the allied health care team safely complete a full circuit exchange if indicated. · **Circuit Tubing or Component Fracture, Rupture or Failure:** Respond to circuit tubing or component fracture, rupture or failure by clamping affected sections, replacing tubing or component and restoring circuit integrity to minimize loss of support & prevent blood loss or air entrainment. · **Circuit Obstruction of Flow** : Detect and correct obstruction of flow by evaluating circuit pressures, identifying problem location and visually inspecting for kinks, clamps or thrombus. Repositioning tubing, components, holders & brackets to restore optimal flow. If obstruction is unresolvable due to internal obstruction/thrombosis, triage the need use push-pull techniques for mechanical thrombectomy or to replace section, component or entire circuit and execute appropriate action to restore goal flow. · **Oxygenator Failure** : Manage oxygenator failure by monitoring blood flow & gas exchange metrics (e.g., rising pressure drops or reduced oxygenation and/or ventilation), triaging for immediate or planned replacement & coordinating oxygenator or circuit change-out procedure with care team. KNOWLEDGE/SKILLS/ABILITIES · Satisfactory maintenance of clinical competencies: Attendance to quarterly water drills · Satisfactory completion of the annual ECMO didactic program, satisfactory score of 90% and above on annual ECMO exam · Satisfactory completion of required special procedure classes (e.g. blood administration) · Knowledge regarding quality improvement and standards of care within practice area · Experience teaching patients and families · Excellent communication skills · Knowledge of and ability to evaluate and assess arterial blood gas measurements. · Ability to respond to emergent or stressful situations appropriately, calmly, and in a timely manner · Will respond to ECMO activation within 45-60 minutes REQUIRED EDUCATION / EXPERIENCE: **·** **Licensed as Certified Clinical Perfusionist (CCP) as recognized by the American Board of Cardiovascular Perfusion (ABCP) and State of Texas Licensure as a Licensed Perfusionist** + Graduate of Perfusion Program Preferred Baccalaureate degree and certification in care specific area + Two (2) years directly related critical care experience in adult or neonatal and/or pediatric care including patient assessment, technical skills, and psychosocial aspects of care. + Must have current BLS obtained through American Heart Association (AHA). **WORKING ENVIRONMENT/EQUIPMENT** + May be required to travel in ambulance with patient. + Ability to lift up to 50 pounds maximum with frequent lifting/and or carrying objects weighing up to 25 pounds. Any qualifications to be considered as equivalents in lieu of stated minimums require the prior approval of the Executive Director of Human Resources. Compensation + **Hiring Range: $100.00**

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). : To provide direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. ESSENTIAL JOB FUNCTIONS : Provides direct nursing care to assigned patients. Participates in assessing, planning, implementing and evaluating the nursing care given. Performs admission, discharge, and transfer procedures. Using the nursing plan of care in daily assignments, able to review and, under supervision, modify the plan of care. Demonstrates ability to observe and record the signs, symptoms, and behaviors including the3 physiological status of patients, presents proposed revision of interventions, and desired outcomes. Delivers the designated nursing interventions to assigned patients that are consistent with the state medical plan of care. Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. Follows physician's orders in the deliver of nursing care. Maintains patient's privacy and confidentiality of information and records at all times. Safely and properly administers medications and treatments. Executes written physician's orders for assigned patients. Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Adheres to required infection control, isolation procedures, and aseptic techniques in the deliver of patient care. Documents nursing care in all assigned patient records. Adheres to internal controls and reporting structures. Performs related duties as required. EQUIPMENT : Standard patient care supplies, equipment and mechanical devices. WORK ENVIRONMENT : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. REQUIRED EDUCATION/EXPERIENCE : High school or equivalent. Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational nurse in the State of Texas. No experience required. Current BLS-HP required. Will consider recent graduates with temporary permits. Salary is commensurate with years of relevant work experience. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

REQUIRED EDUCATION/EXPERIENCE : Registered Nurse (RN) with two (2) years of clinical RN experience. Must possess and maintain a current license or valid permit to practice in Texas. Current BLS-HP required. This is an open-pooled position. Education/experience will be considered and the position may be filled at a lower or higher level, as appropriate. Applicants with less than two (2) years of experience will be considered for a Nurse Clinician II or Nurse Clinician I position. This is a non-benefit eligible position limited to a maximum of 19 hours per week. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). JOB SUMMARY : Competent clinician to provide direct nursing care to an assigned group of patients and possesses knowledge and skill to meet standards for competent professional nursing practice as specified in the Texas Nurse Practice Act. Competently functions as a member of an interdisciplinary care team which is focused and patient centered. Manages unexpected or emergency situations that are commonly seen in assigned specialty population. Serves as a resource for other nursing staff. ESSENTIAL JOB FUNCTIONS : Competently and independently assesses, plans, implements, evaluates, and documents the daily care of assigned patients. Competently identifies patients care needs, formulates appropriate nursing diagnoses, develops and individualizes care plan, and revises plan of care as needed. Competently executes physician's orders for all assigned patients\: Administers medications and treatments and delivers culturally congruent and specialty appropriate competent nursing care in accordance with UTMB, TDCJ and/or TJJD policies, procedures, and standards in a caring and compassionate manner. Competently and independently performs routine and complex technical procedures/skills in assigned specialty area. Competently and independently plans, coordinates, and prioritizes patient care activities according to skill level and work complexity. Adheres to internal controls and reporting structure established for department. Performs related duties as required. EQUIPMENT : Standard patient care supplies, equipment and mechanical devices. WORK ENVIRONMENT : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required.

**Lockhart, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2401357 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** Provides direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. **_ESSENTIAL JOB FUNCTIONS_** **:** + Provides direct nursing care to assigned patients. + Participates in assessing, planning, implementing and evaluating the nursing care given. + Performs admission, discharge, and transfer procedures. + Using the nursing plan of care in daily assignments, able to review and, under supervision, modify the plan of care. + Demonstrates ability to observe and record the signs, symptoms, and behaviors including the3 physiological status of patients, presents proposed revision of interventions, and desired outcomes. + Delivers the designated nursing interventions to assigned patients that are consistent with the state medical plan of care. + Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. + Follows physician's orders in the deliver of nursing care. + Maintains patient's privacy and confidentiality of information and records at all times. + Safely and properly administers medications and treatments. + Executes written physician's orders for assigned patients. + Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. + Adheres to required infection control, isolation procedures, and aseptic techniques in the deliver of patient care. + Documents nursing care in all assigned patient records. + Adheres to internal controls and reporting structures. + Performs related duties as required. **_EQUIPMENT_** **:** Standard patient care supplies, equipment and mechanical devices. **_WORK ENVIRONMENT_** **:** Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + High school or equivalent. + Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational nurse in the State of Texas. + No experience required. + Current BLS-HP required. **Will consider recent graduates with temporary permits.** Hourly rate is commensurate with years of relevant work experience. **This is a non-benefit eligible position and limited to a maximum of 19 hours per week.** **Equal Employment Opportunity** _UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities._ Compensation

**Lockhart, Texas, United States** **New** Patient Care UTMB Health Requisition # 2506810 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** Performs direct and indirect patient care procedures as well as general clinical and support asks, as specifically delegated or directed by the supervising dentist. **_ESSENTIAL JOB FUNCTIONS_** **:** + Takes and records patient health history and vital signs; performs radiography, dental laboratory procedures, inmate dental health orientation, and education. + Provides assistance in preventive, periodontic, restorative, endodontic, prosthodontic, and oral surgery procedures; records clinical observations, treatment information, and data. + Maintains general clinic orderliness and cleanliness; performs sterilization and disinfection of instruments and equipment. Maintains inventory of instruments, needles and all hazardous materials stored and used in the dental clinic, to include logs for tracking and control purposes. + Operates personal computers to enter and assimilate data, generate reports, draft routine correspondence, and develop special administrative analyses upon request. + Executes some degree of complex administrative support duties involving the exercise of independent judgment under general supervision. Performs administrative support tasks including but not limited to filing, routing phone calls/correspondence/mail, scanning, emailing, and faxing information. + Operates data entry system for entry and receipt of daily sick call requests and schedules routine and sick call appointments for the dental clinic using the appropriate scheduling program. Prepares impressions and packages for delivery to the Dental Laboratory. Maintains a tracking log for all prosthetic cases. + Receives, stores, distributes, and maintains proper inventory levels and stock for the dental department. Fills requisitions, work orders, supply requests, and returns expired/unused inventory to the warehouse. Checks contents received against invoices and purchase orders and reports discrepancies. + Maintains and keeps an inventory of all dental equipment. + Adheres to internal controls and reporting structures established for department. + Performs related duties as required. **_MARGINAL OR PERIODIC JOB FUNCTIONS:_** + Performs a variety of marginal duties not listed, to be determined and assigned as needed. + Provides coverage to units outside of their normal assignment on an as needed basis. **_EQUIPMENT_** **:** Standard office equipment and standard dental clinic equipment. **_WORK ENVIRONMENT_** **:** Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. May be required to provide dental assistance at multiple facilities. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Dental assistant registration must be current and continuously maintained with the Texas State Board of Dental Examiners. + Must maintain a current CPR. Salary is commensurate with years of relevant work experience. **Equal Employment Opportunity** _UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities._ Compensation

**Texas, United States** **Hot** 1 additional location United States Nursing & Care Management HealthCare System Staffing Requisition # 2506124 To provide competent age and specialty appropriate nursing care to assigned patients and to ensure the safety and comfort of patients/families according to legal, ethical, institutional, and professional standards. Major Duties/Critical Tasks + Competently and accurately assesses patients and identifies nursing diagnosis/patient care needs. + Competently plans and prioritizes age and specialty appropriate care of each patient assigned. + Includes patient/family education in daily plan. + Communicates relevant information to appropriate health care professionals. + Ensures planned interventions are consistent with the overall plan(s) of care. + Adheres to identified discharge plan. + Is familiar with the standards of care applicable to assigned area. + Safely and properly delivers age & specialty appropriate nursing care to assigned patients. + Executes physicians' orders for all assigned patients; administers medications and treatments, and delivers appropriate competent nursing care in accordance with UTMB's policies, procedures and standards + Encourages patient/family participation in care and provides emotional support and comfort measures to them. + Competently performs routine technical procedures/skills in specialty area assigned. + Provides patient/family instruction and healthcare teaching. + Practices and promotes proper aseptic technique, infection control measures, and body mechanics. + Evaluates the patient/family response to, and outcome(s) of, implemented care and modifies the plan of care accordingly. + Competently and consistently completed accurate, concise, and legible documentation on all patient, unit, and hospital records. + Respects and supports patient rights. + Practices principles of patient and employee confidentiality. + Recognizes ethical dilemmas, utilizes available resources and seeks assistance in dealing with them. + Practices positive guest and patient relations. + Consistently communicates in a professional and courteous manner. + Reports and seeks assistance in dealing with guest complaints/concerns. + Establishes and maintains a positive rapport with patient/family. + Utilizes research-based nursing interventions and supports the unit-based quality improvement activities. + Practices cost containment for patients and the unit. + Competently prioritizes and organizes work so that required assignments are completed within a specified time frame. + Effectively and efficiently uses time, equipment, and supplies. + Functions as in interdependent and supportive team member. + Assists in maintaining a positive learning environment. + Exchanges constructive feedback with peers. + Assumes responsibility for remaining current on job-related knowledge and skills and ongoing education/in-service/credentialing/certification/licensure requirements. + Perform related duties as required. Required Education/Experience + RN with current license or valid permit to practice professional nursing in Texas. + Two (2) years full time clinical RN experience with at least two (2) years in specialty area assigned (or similar experience). + Must have current BLS, ACLS, and PALS or NRP certification obtained through American Heart Association (AHA) + Must have current TNCC certification Equipment + Able to use equipment and related supplies for a selected patient population. + Able to use mechanical devices, such as those used in cardiopulmonary resuscitation, oxygen administration, and intravenous therapy. + Able to use related computer equipment Work Environments + Work environment is located in a comfortable indoor area. + Conditions such as noise, odors, cramped work space and/or fumes could sometimes cause discomfort. + Moderate to extreme physical effort may be required, such as walking, standing, performing CPR, and lifting materials, equipment, objects, and/or patients. + Occasional lifting may be very heavy and awkward, over 50 lbs. + Vision, hearing, talking, and sense of touch abilities must be adequate to enable one to quickly and accurately perform tasks such as reading small print, reading from monitoring equipment, defining details, sending and receiving clear and accurate oral communication. + Shift work is required at least 2 days per month. + Alertness and careful attention to detail will be required to avoid injury. + May be exposed to such occupational hazards as communicable diseases, radiation, chemotherapeutic agents, and disoriented or combative patients. Compensation

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice and the Texas Juvenile Justice Department. : Performs technical duties in the field of patient care and participates in the general health care of patients by providing assistance with cleanliness, grooming, rest, activity, nourishment, and distribution of medications. Assists the professional staff in maintaining a safe therapeutic environment. ESSENTIAL JOB FUNCTIONS : Collects, reports and documents data\: vital signs, height and weight, intake and output, pulse oximetry, and collects specimens. Performs and reports Point of Care Testing. Assists with patient activities and care as assigned by the charge nurse/designee as indicated by the patient's plan of care. Provides for patients' personal hygiene\: bathes patients, performs oral suctioning and superficial wound care, assists with chronic wound care, provides skin care for patient with TED hose, SCD, casts, skeletal pins, assists with elimination, cares for the incontinent patient, cares for the patient with a urinary catheter, assists or gives cleansing enemas, sitz baths, non-sterile douches, and provides ostomy care. Assists with feeding. Ambulates, positions, and turns patients and cares for the patient with altered mobility. Assists with patient safety related to age and condition\: assists with patient restraints, assists with patient specific safety precautions, collects, reports and documents data related to patient needs/emergencies and usual patient behavior, and cares for the patient in a correctional environment. On incoming facilities, interviews incoming patients and completes receiving/screening form; informs nurses and/or physicians/advanced practice providers/mid level practitioners of patients with health problems who need immediate attention; records on newly received patients; maintains statistical logs required for periodic reports; performs all duties necessary for psychiatric referrals and screening. Assists in the maintenance of a safe, comfortable facility environment; obtains, stores and maintains pharmacy and nursing medications/supplies. Distributes and documents patients' medications, both in general population and administrative segregation, from filled prescriptions, abiding by Title 40, Texas Administrative Code, Chapter 95, "Licensing Standards for Medication Aides Handbook". Ensures drug room security, replaces facility working drug stocks, and maintains the upkeep of facility drug room and pharmaceutical equipment. Enters medication compliance into the pharmacy computer system. Maintains patients' privacy and confidentiality of information and records at all times. Practices basic cost containment and utilization management for patient care and facility operations. Prioritizes and organizes work so that required assignments are completed within specified timeframe. Promotes positive interpersonal relationships among co-workers and Security. Participates in in-service orientation and continuing education classes. Obtains 40 hours of continuing education/in-service hours on an annual basis to meet ACA standards. Adheres to internal controls and reporting structures established for department. Performs related duties as required. EQUIPMENT : Standard patient care supplies, equipment and mechanical devices. WORK ENVIRONMENT : Work environment is located in a clean and safe medical facility within the confines of a prison, jail or juvenile detention center. Conditions such as noise, odors, cramped work space and/or fumes could sometimes cause discomfort. Moderate to extreme physical effort may be required such as walking, standing, and lifting materials, equipment, objects, and/or patients. Lifting may be heavy and awkward, over 50 lbs. Vision, hearing, talking, and sense of touch abilities must be adequate enough to enable one to quickly and accurately perform tasks such as\: reading small print, reading from monitoring equipment, defining details, sending and receiving clear and accurate verbal communication. Frequent periods of concentrated or focused attention will be needed to interpret visual, auditory, and sensory inputs. Shift work is required. Alertness and careful attention to detail will bel required to avoid injury. May be assigned to more than one facility. May be exposed to such occupational hazards as communicable diseases, radiation, chemotherapeutic agents, and disoriented or combative patients. May be required to be on standby and work extended or alternate shifts in situations deemed necessary by nurse manager. Able to work under stress and be emotionally capable of coping with complex and/or changing activities. Security clearance is required; pre-employment drug testing is also required. REQUIRED EDUCATION/EXPERIENCE : High school or GED equivalent. Current Texas Certified Medication Aide permit. Salary is commensurate with years of relevant work experience. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

**Galveston, Texas, United States** 1 additional location United States Nursing & Care Management HealthCare System Staffing Requisition # 2504468 . Proficient Clinician. Practice is characterized by a balance of interdependent/independent decision making and a consistent holistic approach to patient care. Major Duties / Critical Tasks: + Aware of the Office of the Attorney General of Texas (OAG) requirements for Sexual Assault Nurse Examiner (SANE) certification and re-certification + Submit paperwork to the OAG prior to expiration date. + Using specialized training, knowledge, and skills, to proficiently assess, identify actual and potential nursing patient care needs to provide comprehensive care for the sexual assault patients. + Demonstrate competency in conducting the Sexual Assault Medical Forensic Examination with evidence collection on a sexual assault patient. + Aware of the Texas Protocol for forensic evidence collection. + Aware of updates from the Texas Department of Safety Crime Laboratory on current improved techniques for evidence collection and storage as relates to sexual assault patients. + Proficiently and consistently completes accurate, concise, and legible documentation on all patient forensic records (written, illustrated and photo-imaging) and hospital records. + Be prepared to complete a suspect patient examination. + Proficient in maintaining chain of custody. + Prepared to testify in court and possibly be an expert witness. + Implements and promotes individualized approach to provide compassion and understanding. + Demonstrates caring, compassion, and sensitivity to the patients of sexual assault. + Safely and proficiently provides age appropriate and culturally sensitive nursing care to sexual assault patients. + Actively serves as a patient / family advocate consistently focuses on patient / family rights and meeting their individual needs + Proficiently assess the patient / family readiness to learn, implement appropriate teaching strategies and evaluate understanding of information / instructions given. + Aware of community resources for the sexual assault patients. + Functions independently and as a supportive team member of the Forensic Nursing Team. + Identifies learning needs of self and others. + Puts needs of others above his / hers own through accountability , compassion, integrity, and respect + Promotes and displays a professional verbal and nonverbal demeanor + Participate in preceptorship of new sexual assault nurse examiners. + Serves as a forensic resource for the hospital staff. + Serves as a Liaison to community agencies. + Collaborate with interdisciplinary team consisting of: Law Enforcement, Protective Services, Resource & Crisis Center, Child Advocacy Center, and District Attorney's Office. + Participate in community education. + Collaborate with Forensic Nursing Team Program Coordinator and medical director. + Attend Sexual Assault training, conferences and case review for education and recertification requirements as per OAG guidelines. + Attend conferences to pursue ongoing professional growth opportunities and share with forensic nurses and other staff members. + Accepts responsibility for own growth development. + Utilizes sexual assault nursing research and quality improvement to enhance practice. + Performs and reports point of care testing. + Provides and maintains a clean safe environment, performs proper aseptic technique preventing cross contamination of DNA from one patient to another. + Aware of and stays within the guidelines of the sexual assault related policies and procedures. + Aware of updates on legislation regarding sexual assault issues. + Aware of the standard medication orders for prophylaxis related to the sexual assault. + Adheres to internal controls established for the department + Performs other related duties as required. Required Education / Experience: + Registered Nurse for two or more years. + Registered Nurse licensed to practice in the State of Texas. + Registered Nurse license in good standing with no disciplinary action by the Board of Nursing. + Preferred Emergency Room experience however not essential. + Documented clinical competency and professional accountability. + Completed the Texas Certification of Sexual Assault Nurse Examiner training by the Texas Office of the Attorney General + Certification in Pediatric and Adult Sexual Assault Nurse Examiner by the Office of the Attorney General of Texas. OR + Completed at least 80 hours of sexual assault training approved by the Office of the Attorney General of Texas and + Enrolled in the UTMB Sexual Assault Nurse Examiner Preceptor Program and in the process of completing the clinical aspect of the certification process as per OAG requirements. + Maintain educational and Case review requirements and documentation to complete re-certification every two years for Certification in Pediatric and Adult Sexual Assault Nurse Examiner. + Digital imaging training. Equipment: Standard patient care supplies, equipment, and mechanical devices. Standard hospital related office equipment. Show competency in point of care testing and quality requirements for testing. Colposcope and digital camera equipment. Working environment: + Work is located in an isolated quiet comfortable indoor room. + May be required to work in area that is cramped, noisy and cause discomfort in specific circumstances. + Alertness and careful attention to detail will be required. + Vision, hearing, talking and sense of touch abilities must be adequate to enable one to accurately assess the patient, read small print(rulers), to observe detail of injuries, assess patient behavior + May experience emotional distress hearing disturbing histories and assessing extensive horrific genital injuries. + May be exposed to such occupational hazards as communicable diseases. + May be required to work on-call shifts however more essential to balance the schedule to avoid on-call shifts. + May be required to work extended shifts in cases deemed necessary by the Forensic Nursing Team Program Coordinator, Nursing manager or Director of Nursing. Other: Specific job requirements or physical location of some positions allocated to this classification, may render this position security sensitive, and thereby subject to provision of Section 51.215, Texas Education Code. Compensation + **Hiring Range: 70.00**

**Austin, Texas, United States** Physician UTMB Health Requisition # 2506396 The mission of Correctional Managed Care is to address the healthcare needs to underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** Under the direction of the Director of Mental Health Services, this position provides direct psychiatric care to offenders assigned to outpatient facilities within the UTMB sector of Texas Department of Criminal Justice (TDCJ). **_ESSENTIAL JOB FUNCTIONS_** **:** + Provides direct psychiatric care to assigned patients. + May participate in civil commitment proceedings for mentally ill patients being released from the Texas Department of Criminal Justice (TDCJ). + Conducts psychiatric, physical and neurological examinations on assigned patients. + Provides clinical supervision to psychiatric mid level practitioners as assigned by the clinical director. + Conducts and participates in due process proceedings for voluntary admission and compelled psychoactive medication. + Works all assigned hours and complies with timekeeping regulations. + Participates in psychiatry QI/QM program. + Provides emergency psychiatric call. + Works effectively with all CMS and UR processes and personnel. + Adheres to internal controls and reporting structure established for department. + Performs related duties as required. **_EQUIPMENT_** **:** Standard office equipment. **_WORK ENVIRONMENT_** **:** Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Must hold a current license to practice medicine by the Texas State Board of Medical Examiners. + Eligible for Board Certification in Psychiatry. + Must hold a current Drug Enforcement Agency (DEA) controlled substances registration certification. **_PREFERRED EDUCATION/EXPERIENCE_** **:** + Two (2) years of experience. + Experience with digital medical utilization. Salary is commensurate with years of relevant work experience. **Equal Employment Opportunity** _UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities._ Compensation

**Lockhart, Texas, United States** Allied Health UTMB Health Requisition # 2506264 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice and the Texas Juvenile Justice Department. **_JOB SUMMARY_** **:** Performs technical duties in the field of patient care and participates in the general health care of patients by providing assistance with cleanliness, grooming, rest, activity, nourishment, and distribution of medications. Assists the professional staff in maintaining a safe therapeutic environment. **_ESSENTIAL JOB FUNCTIONS_** **:** + Collects, reports and documents data: vital signs, height and weight, intake and output, pulse oximetry, and collects specimens. + Performs and reports Point of Care Testing. + Assists with patient activities and care as assigned by the charge nurse/designee as indicated by the patient's plan of care. + Provides for patients' personal hygiene: bathes patients, performs oral suctioning and superficial wound care, assists with chronic wound care, provides skin care for patient with TED hose, SCD, casts, skeletal pins, assists with elimination, cares for the incontinent patient, cares for the patient with a urinary catheter, assists or gives cleansing enemas, sitz baths, non-sterile douches, and provides ostomy care. + Assists with feeding. + Ambulates, positions, and turns patients and cares for the patient with altered mobility. + Assists with patient safety related to age and condition: assists with patient restraints, assists with patient specific safety precautions, collects, reports and documents data related to patient needs/emergencies and usual patient behavior, and cares for the patient in a correctional environment. + On incoming facilities, interviews incoming patients and completes receiving/screening form; informs nurses and/or physicians/advanced practice providers/mid level practitioners of patients with health problems who need immediate attention; records on newly received patients; maintains statistical logs required for periodic reports; performs all duties necessary for psychiatric referrals and screening. + Assists in the maintenance of a safe, comfortable facility environment; obtains, stores and maintains pharmacy and nursing medications/supplies. + Distributes and documents patients' medications, both in general population and administrative segregation, from filled prescriptions, abiding by Title 40, Texas Administrative Code, Chapter 95, "Licensing Standards for Medication Aides Handbook". + Ensures drug room security, replaces facility working drug stocks, and maintains the upkeep of facility drug room and pharmaceutical equipment. + Enters medication compliance into the pharmacy computer system. + Maintains patients' privacy and confidentiality of information and records at all times. + Practices basic cost containment and utilization management for patient care and facility operations. + Prioritizes and organizes work so that required assignments are completed within specified timeframe. + Promotes positive interpersonal relationships among co-workers and Security. + Participates in in-service orientation and continuing education classes. Obtains 40 hours of continuing education/in-service hours on an annual basis to meet ACA standards. + Adheres to internal controls and reporting structures established for department. + Performs related duties as required. **_EQUIPMENT_** **:** Standard patient care supplies, equipment and mechanical devices. **_WORK ENVIRONMENT_** **:** + Work environment is located in a clean and safe medical facility within the confines of a prison, jail or juvenile detention center. + Conditions such as noise, odors, cramped work space and/or fumes could sometimes cause discomfort. + Moderate to extreme physical effort may be required such as walking, standing, and lifting materials, equipment, objects, and/or patients. + Lifting may be heavy and awkward, over 50 lbs. + Vision, hearing, talking, and sense of touch abilities must be adequate enough to enable one to quickly and accurately perform tasks such as: reading small print, reading from monitoring equipment, defining details, sending and receiving clear and accurate verbal communication. + Frequent periods of concentrated or focused attention will be needed to interpret visual, auditory, and sensory inputs. + Shift work is required. + Alertness and careful attention to detail will bel required to avoid injury. + May be assigned to more than one facility. + May be exposed to such occupational hazards as communicable diseases, radiation, chemotherapeutic agents, and disoriented or combative patients. + May be required to be on standby and work extended or alternate shifts in situations deemed necessary by nurse manager. + Able to work under stress and be emotionally capable of coping with complex and/or changing activities. Security clearance is required; pre-employment drug testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + High school or GED equivalent. + Current Texas Certified Medication Aide permit. Salary is commensurate with years of relevant work experience. **Equal Employment Opportunity** _UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities._ Compensation

REQUIRED EDUCATION/EXPERIENCE : High school or equivalent. Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational nurse in the State of Texas. No experience required. Current BLS-HP required. Will consider recent graduates with temporary permits. Hourly rate is commensurate with years of relevant work experience. This is a non-benefit eligible position and limited to a maximum of 19 hours per week. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). JOB SUMMARY : Provides direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. ESSENTIAL JOB FUNCTIONS : Provides direct nursing care to assigned patients. Participates in assessing, planning, implementing and evaluating the nursing care given. Performs admission, discharge, and transfer procedures. Using the nursing plan of care in daily assignments, able to review and, under supervision, modify the plan of care. Demonstrates ability to observe and record the signs, symptoms, and behaviors including the3 physiological status of patients, presents proposed revision of interventions, and desired outcomes. Delivers the designated nursing interventions to assigned patients that are consistent with the state medical plan of care. Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. Follows physician's orders in the deliver of nursing care. Maintains patient's privacy and confidentiality of information and records at all times. Safely and properly administers medications and treatments. Executes written physician's orders for assigned patients. Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Adheres to required infection control, isolation procedures, and aseptic techniques in the deliver of patient care. Documents nursing care in all assigned patient records. Adheres to internal controls and reporting structures. Performs related duties as required. EQUIPMENT : Standard patient care supplies, equipment and mechanical devices. WORK ENVIRONMENT : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required.

**Austin, Texas, United States** Patient Care UTMB Health Requisition # 2300775 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). _JOB SUMMARY_ : To provide direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. _ESSENTIAL JOB FUNCTIONS_ : + Provides direct nursing care to assigned patients. + Participates in assessing, planning, implementing and evaluating the nursing care given. + Performs admission, discharge, and transfer procedures. + Using the nursing plan of care in daily assignments, able to review and, under supervision, modify the plan of care. + Demonstrates ability to observe and record the signs, symptoms, and behaviors including the3 physiological status of patients, presents proposed revision of interventions, and desired outcomes. + Delivers the designated nursing interventions to assigned patients that are consistent with the state medical plan of care. + Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. + Follows physician's orders in the deliver of nursing care. + Maintains patient's privacy and confidentiality of information and records at all times. + Safely and properly administers medications and treatments. + Executes written physician's orders for assigned patients. + Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. + Adheres to required infection control, isolation procedures, and aseptic techniques in the deliver of patient care. + Documents nursing care in all assigned patient records. + Adheres to internal controls and reporting structures. + Performs related duties as required. _EQUIPMENT_ : Standard patient care supplies, equipment and mechanical devices. _WORK ENVIRONMENT_ : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. _REQUIRED EDUCATION/EXPERIENCE_ : High school or equivalent. Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational nurse in the State of Texas. No experience required. Current BLS-HP required. This is a non-benefit eligible position and limited to a maximum of 19 hours per week. **Equal Employment Opportunity** _UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities_ Compensation