transitional care nurse

Inland Empire Health Plan

<div>Overview:
<div><b>
This is a short-term assignment.</b></div><div></div><div><b><br>
What you can expect!</b></div><div><br>
</div><div>Find joy in serving others with IEHP! We welcome you to join us in &ldquo;healing and inspiring the human spirit&rdquo; and to pivot from a &ldquo;job&rdquo; opportunity to an <b>authentic experience!</b></div><div></div><div><br>
Under the direction of the Integrated Transition Care Department Leadership, the incumbent will work with Hospitals and Independent Physician Association (IPA) with their assigned Team Center, that may include an LCSW, CHW, Pharmacist, Pharmacy Technician, Coordinator, Care Transition, and Transportation to initiate coordinated and continuous cost-effective quality healthcare to ensure the continuity of the Member&rsquo;s care needs are met timely throughout the continuum of care and readmission prevention for our high-risk Members. This will be accomplished through concurrent review processes using nationally recognized criteria. The Integrated Transitional Care Nurse, RN will participate in providing transitional care services to the Members with each transition from one care setting to the next.</div><div></div><div><br>
Commitment to Quality: The IEHP Team is committed to incorporate IEHP&rsquo;s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.</div>
Key Responsibilities:
<ul><li>Conduct Integrated Transition Care discharge risk assessment for high risk/ high acuity Members.</li><li>
Oversee and perform concurrent and retrospective reviews for medical necessity per evidenced based criteria, appropriateness of service and level of care, either through Telephonic review, clinical documentation submitted by respective facilities and/or electronic medical records (EMR) access.</li><li>
Conduct reviews to ensure Member&rsquo;s treatment plan is consistent with Diagnosis(es), specifically initial review within twenty-four (24) hours to ensure Members meet specified criteria for the respective admission(s).</li><li>
Work in collaboration with the coordinator to ensure timely arrangements for transitions to higher or lower level of care and assist with transfer orders as needed.</li><li>
Ensure the concurrent or retrospective review process include referring cases that require clinical consultation with the medical director in a timely manner.</li><li>
Ensure cases are appropriately referred to Care Management, Behavioral health, Health Education, Housing, community health.</li><li>
Identify outliers and prepare documentation as well as report on potential quality of care issues as identified.</li><li>
Process timely completion of denials process per policy. The RN will review variances in cases followed by an LVN for possible consultation with the Medical Director to determine approval for due to medical necessity or denial of days.</li><li>
Conduct timely compliance and completion of documents per regulatory requirements.</li><li>
Serve as the IEHP Liaison between hospitals, IPAs vendors, outside agencies and provider to ensure effective communication and collaboration in an effort to meet the Member's treatment plan and goals.</li><li>
Oversee verification of delivery of ordered Durable Medical Equipment (DME), Health Home visits, set up hospital follow up visits with PCP, review of Medications with Member and transportation needs.</li><li>
Oversee and complete Discharge planning assessment.</li><li>
Perform medication reconciliation based on acuity and type of medications.</li><li>
Outreach to Member post discharge to ensure Member attended follow up appointment, Health Home starts visits, possible in-home visit by RN or assigned LCSW as appropriate.</li><li>
Generate additional follow up needed to assign to appropriate regional Behavioral Health &amp; Care Management team.</li></ul>
Qualifications:
<p><b>
Education &amp; Requirements
</b></p><ul><li>Two (2) or more years of Utilization Management/Case Management in a health care delivery setting in Acute or Skilled nursing, with an emphasis on Concurrent Review and Utilization Management</li><li>
High school diploma or GED required<ul><li>
Bachelor's degree in Nursing from an accredited institution preferred</li></ul></li><li>
Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required</li></ul><p><b>
Key Qualifications</b></p><ul><li>
Must have a valid California Driver&rsquo;s license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points</li><li>
Knowledge of evidence based clinical criteria and California Children Services (CCS)</li><li>
Must have analytical skills</li><li>
Excellent communication, interpersonal and organizational skills</li><li>
Self-starter and a team player</li></ul><p></p><p><b><br>
Start your journey towards a thriving future with IEHP and apply </b><b>TODAY</b><b>!</b></p>
Work Model Location:
<p>
This position is on a hybrid work schedule. (Monday &amp; Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA)</p><p></p><p><br>
Position may require working onsite at an IEHP contracted provider facility location 5-days per week as a remote work location depending on business need.</p><p></p><p><br>
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
</p>Pay Range: USD $43.87 - USD $43.87 /Hr.</div>

Temporary Integrated Transitional Care Nurse, RN

Sky Lakes Medical Center

<div><p><b>POSITION SUMMARY:</b></p>
<p>
The Registered Nurse (RN) in the Ready for Discharge Unit (RDU) is responsible for delivering safe, high-quality care to patients medically ready for discharge but experiencing delays due to various barriers. The RN applies critical thinking, clinical skills, and collaborative decision-making to support patient-centered care, coordinating with a multidisciplinary team to facilitate efficient and effective discharge processes. This role includes supervision of Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), unregulated assistive persons (UAPs), and Nurse Interns (NIs), ensuring care standards and best practices are maintained. The RN maintains an in-depth knowledge of nursing principles, practices, standards and techniques, and applies this knowledge in accordance with Sky Lakes Medical Center policies and procedures and within the standards and scope of practice for RNs in the State of Oregon.</p>
<p><b>
QUALIFICATIONS:</b></p>
<p><b>
Required:</b></p>
<p>
Current Oregon RN licensure; strong clinical assessment, critical thinking, and decision-making abilities; excellent communication and interpersonal skills, with the ability to build rapport with patients, families, and team members; organizational skills and ability to prioritize tasks effectively in a complex, dynamic environment; knowledge of Oregon&rsquo;s Nurse Practice Act and RN scope of practice, especially regarding delegation and supervision of LPNs.
</p><p><b>Preferred:</b></p>
<p>
BSN; experience in supervising or working with Licensed Practical Nurses (LPNs) in a team-based environment; clinical nursing experience in acute care, discharge planning, or transitional care.</p>
<p><b>
Lic/Reg/Cert:</b> Current Oregon RN license.</p>
<p><b>
TYPICAL PHYSICAL/MENTAL DEMANDS:</b></p>
<p>
Must be in good general health, able to frequently stoop, bend, reach, stand, walk, and sit. Must be able to lift at least 50 pounds or more and push/pull hospital equipment. Must be able to function during periods of stress, trauma and/or disease.</p>
<p><b>
ESSENTIAL JOB FUNCTIONS:</b></p>
<p>
Patient Care:</p>
<ul>
<li><i>Provision of Direct Patient Care</i> -
<ul><li>Perform comprehensive assessments of patients awaiting discharge, including physical, emotional, and social health.</li>
<li>Develop, implement, and evaluate individualized patient care plans aimed at optimizing patient stability and addressing discharge barriers.</li>
<li>Implement nursing interventions based on the individualized patient care plan.</li>
<li>Provide patient/family education, reinforcing discharge plans, resources, and ongoing support, promoting a safe transition to home or another care setting.</li>
<li>Monitor and document patient progress, updating care plans and discharge strategies as needed based on assessment findings and interdisciplinary input.</li>
</ul></li><li><i>Assignment and Supervision of Practice Team Members -
</i><ul><li>Provide leadership and supervision to LPNs, CNAs, UAPs, and NIs in the unit, ensuring that care provided aligns with the plan of care and meets regulatory and hospital standards.</li>
<li>Assign, supervise, and evaluate tasks delegated to LPNs, CNAs, UAPs and NIs according to their license, certification, or organizational job description, and to patient needs.</li>
<li>Offer guidance, mentorship, and feedback to LPNs, CNAs, UAPs, and NIs promoting skill development and adherence to unit standards.</li>
<li>Ensure documentation and reporting by LPNs, CNAs, UAPs, and NIs is accurate, timely, and in compliance with hospital and legal requirements.</li>
<li>Prior to assigning work to LPNs, CNAs, UAPs, and NIs, the RN must know the duties, functions, and interventions the individual is authorized to perform.</li>
</ul>
</li></ul><p>Communication, Collaboration:</p>
<ul>
<li>Communicate and collaborate effectively with the interdisciplinary team to ensure care continuity and smooth transitions.</li>
<li>Participate in team meetings, case reviews, and discharge planning discussions, advocating for patient needs and discharge readiness.</li>
</ul>
<p>Quality Improvement, Safety, and Compliance:</p>
<ul>
<li>Adhere to all hospital policies, procedures, and protocols.</li>
<li>Participate in quality improvement initiatives aimed at optimizing patient outcomes, reducing discharge delays, and enhancing patient satisfaction within the unit.</li>
<li>Maintain current knowledge of clinical best practices, regulatory requirements, and new developments in patient discharge planning and transitional care.</li>
</ul>
<p><b>MARGINAL JOB FUNCTIONS:</b></p>
<ul>
<li>Performs other duties as assigned.</li>
</ul>
<p><b><i>PAY RATE: </i></b><i>$53.87- $76.92</i></p><h4 class="jobSectionHeader"><b>
Licenses &amp; Certifications</b></h4>
Required<ul><li>
BLS Basic Life Support</li><li>
Registered Nurse</li></ul><p>
Equal Opportunity Employer<br>
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 (https://www.eeoc.gov/poster) notice from the Department of Labor.</p></div>

RN - Ready for Discharge Unit - .6 Days

DHR Health

<div><p>DHR Health - US:TX:Edinburg - Days
</p><p>Summary:<br>
<br>
</p><p><b>POSITION SUMMARY:
</b></p><p>Responsible for follow up communication and coordination for continuum of care. Responsible for addressing any barriers and will communicate with department directors and physicians as required.<br>
</p><p></p><p><b>POSITION EDUCATION/ QUALIFICATIONS </b><b>:
</b></p><ul><li>Graduate of accredited vocational nursing school.
</li></ul><ul><li>Current Texas licensure as License Vocational Nurse
</li></ul><ul><li>Minimum of two year of clinical or related hospital experience
</li></ul><ul><li>Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians
</li></ul><ul><li>Demonstrated leadership experience
</li></ul><ul><li>Ability to read, write and speak English required
</li></ul><ul><li>Ability to speak Spanish preferred
</li></ul><p></p><p><b>JOB KNOWLEDGE/EXPERIENCE </b><b>:
</b></p><ul><li>Representative challenges of this position include having a high degree of competency/experience in general.
</li></ul><ul><li>Requires good communication and organizational skills.
</li></ul><ul><li>Must Requires reasoning ability and good independent judgment.
</li></ul><ul><li>Must project a professional image. Working knowledge of personal computer and software applications used in job.
</li></ul><p>Responsibilities:<br>
<br>
</p><ul><li>Responsible for phone-based interaction with patients after discharge
</li></ul><ul><li>Inform patients of abnormal laboratory results
</li></ul><ul><li>Educate patient and/or caregiver on disease specific education
</li></ul><ul><li>Coordinate follow up care with Primary Care Physician or Specialist as necessary
</li></ul><ul><li>Identify barriers to compliance with plan of care
</li></ul><ul><li>Refer to Care Link Clinic when needed
</li></ul><ul><li>Coordinate access to clinical and community based resources as appropriate
</li></ul><ul><li>Respond to triggers that may indicate intervention is required
</li></ul><ul><li>Assists with monitoring and continually assess the success of problem resolution activities.
</li></ul><ul><li>Completes and maintains records for problem status for follow-up.
</li></ul><ul><li>Maintains and distributes corrective action reminder report to responsible persons.
</li></ul><ul><li>Assist with meetings and disseminates information to appropriate areas, as directed.
</li></ul><ul><li>Able to travel and make home visits as needed. All other duties as assigned
</li></ul><p>Other information:<br>
<br>
</p><p><b>LINES OF REPSONSIBILITES </b><b>:
</b></p><p>(Chain-of-command)
</p><p>1. (Director)<br>
</p><p></p><p><b>CUSTOMER SERVICE:
</b></p><p>Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.<br>
</p><p></p><p><b>AGE SPECIFIC </b>:
</p><p>Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient&rsquo;s status and interpret the appropriate information needed to identify each patient&rsquo;s requirement relative to his or her age.
</p><p></p><p><b>AMERICANS WITH DISABILITIES ACT: (ADA) </b>:
</p><p></p><p>A. <b>Essential Duties </b>: Indicated by bold print within performance standards, preceding individual numbered criteria.
</p><p></p><p><b>The following table provides physical requirements that will be associated with, but not limited to, this position:
</b></p><p></p><div><div><div><div><ul><li>Light/moderate lifting up to 20 lbs, from the floor to shoulder height.<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Kneeling<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Must be able to assist other employees with lifting more than 20 lbs.<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Walking<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Light/moderate carrying up to 20 lbs.<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Standing/Squatting<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Straight pulling<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Sitting<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Pulling hand over hand<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Pushing<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Repeated bending<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Stooping/Bending<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Reaching above shoulder<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Climbing Stairs<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Simple grasping<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Climbing Ladders<br>
</li></ul></div><div><ul><li>No<br>
</li></ul></div></div><br>
<div><div><ul><li>Dual simultaneous grasping<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Depth Perceptions needed<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Ability to see<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Identify Colors<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Operating office equipment<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Twisting<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Operating mechanical equipment<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Crawling<br>
</li></ul></div><div><ul><li>No<br>
</li></ul></div></div><br>
<div><div><ul><li>Ability to read and write<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Ability to Count<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Ability to hear verbal communication without aid<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Operating Personal Vehicle<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Ability to comprehend written/verbal communication<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Other: Ability to deal with stress<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>OSHA Category<br>
</li></ul></div><div><ul><li>III<br>
</li></ul></div><div><ul><li>&middot;<br>
</li></ul></div><div><ul><li></li></ul></div></div><br>
</div></div><p></p><p>B. <b>Working Conditions </b><b>: </b>The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.
</p><p></p><p>C. <b>Occupational Exposure: </b>This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.
</p><p></p><p>D. <b>Aptitudes </b><b>: HIGH 1 2 3 4 5 6 LOW
</b></p><p></p><p><b>Intelligence: </b>General learning ability: The ability to &ldquo;catch on&rdquo; or understand instructions and underlying principles. Ability to reason and make judgments. <b>3
</b></p><p></p><p><b>Verbal: </b>Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. <b>3
</b></p><p></p><p><b>Numerical: </b>Ability to perform arithmetic operations quickly and accurately. <b>2
</b></p><p></p><p><b>Spatial: </b>Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to &ldquo;visualize&rdquo; objects or two or three dimensions, or to think visually of geometric forms. <b>2
</b></p><p></p><p><b>Form Perception: </b>Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. <b>3
</b></p><p></p><p><b>Clerical Perception: </b>Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. <b>2
</b></p><p></p><p><b>Motor Coordination: </b>Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. <b>3
</b></p><p></p><p><b>Finger Dexterity: </b>Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. <b>3
</b></p><p></p><p><b>Manual Dexterity: </b>Ability to move hands easily and skillfully. To work with hands in placing and turning motions. <b>3
</b></p><p></p><p><b>Eye-Hand-Foot Coordination: </b>Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. <b>3
</b></p><p></p><p><b>Color Discrimination: </b>Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. <b>3
</b></p><p></p><p>I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.
</p><p></p><p>If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.
</p><p></p><p>Employee Signature: ________________________________ Date: ____________________
</p><p></p><p>Transfer/Hire Date Effective: ________________________.</p></div>

LVN Nurse Navigator - FT - Days - Transitional Care Management

Capital Cardiology Associates

<p>Capital Cardiology Associates is looking at posting a part-time APP telehealth remote position to help with TCM visits and triage health calls/tasks. Ideally this would be 8:00am-2:00pm or 9:00am-3:00pm Monday through Friday.<br/></p><p>Position Overview:<br/>We are seeking a highly motivated and clinically skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our cardiology team in a remote, part-time telehealth role. This role is primarily responsible for transitional care management (TCM) and longitudinal remote task management, including working the Health Problem task list, with additional support for urgent symptom triage. The APP will work collaboratively with triage nurses and cardiologists while maintaining a high degree of autonomy in clinical decision-making.<br/></p><p>This is an excellent opportunity for both experienced providers and new graduates with a strong background in cardiology, emergency medicine, or critical care.<br/></p><p>Key Responsibilities include but not limited to:<br/></p><p>Perform Transitional Care Management (TCM) visits (7- and 14-day as appropriate) and ensure completion of all TCM requirements, including medication reconciliation, review of hospitalization records, coordination of follow-up care and testing. Track and manage post-discharge hospital lists to ensure no gaps in care.<br/>Respond promptly to urgent patient calls, messages, and clinical tasks related to cardiovascular concerns<br/>Actively manage and resolve EHR-based Health Problem tasks, including abnormal results, medication issues, symptom-based patient messages<br/>Conduct same-day or urgent telehealth visits for acute symptoms as needed<br/>Adjust and manage cardiac medications remotely, ensuring patient safety and appropriate follow-up<br/>Coordinate and schedule additional follow-up visits based on clinical assessment<br/>Collaborate closely with triage nurses to streamline patient care and escalate to the supervising or primary cardiologist when necessary<br/>Communicate and coordinate care with the primary cardiologist as needed<br/>Provide patient education on symptom management, medications, and when to seek higher levels of care<br/>Maintain accurate and timely documentation in the electronic medical record<br/></p><p>Qualifications:<br/></p><p>Licensed Nurse Practitioner (NP) or Physician Assistant (PA)<br/>Active and unrestricted state license<br/>Preferred: Minimum of 2 years of experience in cardiology, emergency medicine, or critical care<br/>New graduates with strong clinical training and interest in cardiology are encouraged to apply<br/>Strong clinical judgment and ability to work independently in a remote setting<br/>Excellent communication and patient engagement skills<br/>Experience with telehealth platforms and electronic medical records preferred<br/></p><p>Work Environment &amp; Schedule:<br/></p><p>Combination of scheduled telehealth visits and real-time triage responsibilities<br/>100% remote after 90 days of employment<br/>Part-time schedule<br/></p><p>What We Offer:<br/></p><p>Paid Sick and Vacation Accruals<br/>Vision and Dental<br/>Voluntary Supplemental Benefits options<br/>Generous 401k Contributions<br/>Tuition Reimbursement opportunities<br/></p><p>Compensation:<br/></p><p>Salary $67,000-$71,500 annually based on experience and qualifications.<br/></p><p>Equal Opportunity Employer Statement:<br/></p><p>Capital Cardiology Associates is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.<br/></p><p>Our organization participates in E-verify.<br/></p><p>Licenses &amp; Certifications<br/>Required<br/>Physician Assist - Cert<br/>Physician Assistant<br/></p><p>Equal Opportunity Employer<br/>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 (https://www.eeoc.gov/poster) notice from the Department of Labor.<br/></p><p>Work Location: Hybrid remote in Albany, NY 12211<br/></p>

Physician Assistant ( PT Remote in NYS)

Fresenius Medical Care

<div><div><p>Join our team! &bull; Rated Newsweek's Most Loved Workplaces. &bull; Paid Dialysis Training &bull; Tuition reimbursement &bull; Competitive Pay &amp; Benefits - Eligible for healthcare benefits 30 days after hire date. &bull; Generous PTO and ESL leave accrual &bull; 401K Retirement benefits with match &bull; Many perks and discount programs available. Training provided</p></div><p></p><div><p><b>
PURPOSE</b><b> </b><b>AND</b><b> </b><b>SCOPE:</b></p><p>
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization 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 organization Quality Enhancement Goals (QEP).</p><p></p><p><b>
PRINCIPAL</b><b> </b><b>DUTIES</b><b> </b><b>AND</b><b> </b><b>RESPONSIBILITIES:</b></p><p><b>
Patient Related</b></p><p>
Education:</p><ul><li><p>
Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</p></li></ul><p>
Treatment:</p><ul><li><p>
Welcome assigned patients and inquire as to their wellbeing since their last treatment.</p></li><li><p>
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</p></li><li><p>
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</p></li><li><p>
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
</p></li><li><p>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
</p></li><li><p>Monitor patients&rsquo; response to dialysis therapy.</p></li><li><p>
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
</p></li><li><p>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing &amp; sitting blood pressure</p></li><li><p>
Obtain Hemostasis and apply appropriate dressings.
</p></li><li><p>Evaluate the patient prior to discharge.</p></li><li><p>
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
</p></li><li><p>Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
</p></li><li><p>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
</p></li><li><p>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
</p></li><li><p>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
</p></li><li><p>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</p></li><li><p>
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</p></li><li><p>
Perform and document any intervention for unusual patient status and document patients' response to intervention.</p></li><li><p>
Evaluate patients&rsquo; vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</p></li><li><p>
Obtain all prescribed laboratory testing and prepare specimens for collection.
</p></li><li><p>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
</p></li><li><p>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
</p></li><li><p>Monitors patients performing self-care under the supervision of RN.</p></li></ul><p><b>
Staff Related</b></p><ul><li><p>
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</p></li></ul><p><b>
Education/Communication:</b></p><ul><li><p>
Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</p></li><li><p>
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</p></li><li><p>
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</p></li><li><p>
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</p></li><li><p>
Initiate Solution Delivery System (SDS) system.</p></li></ul><p></p><p><b>
RECORD KEEPING:</b></p><ul><li><p>
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
</p></li><li><p>Enters all treatment data into the designated clinical application in an accurate and timely manner.
</p></li><li><p>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
</p></li></ul><p>omitted entries are completed or corrected by appropriate staff.</p><ul><li><p>
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
</p></li><li><p>Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
</p></li><li><p>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
</p></li><li><p>Ensure collection of lab specimens by appropriate lab courier.</p></li></ul><p><br>
</p><p><b>INFECTION CONTROL:</b></p><ul><li><p>
Assists in collecting information for infection control audits.
</p></li><li><p>Supports staff and patient Adherence to infection control practices.
</p></li><li><p>Follows infection control Policies and Procedures
</p></li><li><p>Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</p></li></ul><p><br>
</p><p><b>TRANSITIONAL CARE UNIT:
</b></p><ul><li><p>Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
</p></li><li><p>Reinforces all education and care related matters as it relates to the new patient as allowed by state law</p></li><li><p>
Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
</p></li><li><p>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.</p></li><li><p>
Sets and preforms a treatment on all machines used in the transitional care unit.
</p></li><li><p>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</p></li><li><p>
Assists with coordination of transition to patient&rsquo;s modality choice.
</p></li><li><p>Assists with supply ordering and inventory for TCU
</p></li></ul><p></p><p><b>PHYSICAL</b><b> </b><b>DEMANDS</b><b> </b><b>AND</b><b> </b><b>WORKING</b><b> </b><b>CONDITIONS:</b></p><ul><li><p>
The physical demands and work environment characteristics described here are representative of those an employee</p></li></ul><p>
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable</p><p>
individuals with disabilities to perform the essential functions.</p><ul><li><p>
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</p></li></ul><p>
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable</p><p>
accommodations can be made.</p><ul><li><p>
Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
</p></li><li><p>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
</p></li><li><p>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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and &quot;material assist&rdquo; devices for the heavier items.</p></li></ul><p></p><p><b>
EDUCATION</b><b> </b><b>AND</b><b> </b><b>LICENSES:</b></p><ul><li><p>
High School diploma or G.E.D. required.</p></li><li><p>
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</p></li><li><p>
All appropriate state licensure, education, and training (if any) required.</p></li><li><p>
Demonstrated commitment to organization culture, values, and customer service standards</p></li></ul><p></p><p><b>
EXPERIENCE AND REQUIRED SKILLS</b><b>:</b></p><ul><li><p>
Previous patient care experience in a hospital setting or a related facility preferred.</p></li><li><p>
Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</p></li></ul><p></p><p><b>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</b></p></div><p><b>
EOE, disability/veterans</b></p></div>

Patient Care Technician -PCT

Hosparus Health

Pallitus Health Partners starts with a compassionate team, committed to our mission of creating more moments for our patients facing advanced illness or end of life care. Our premier model of care supports patients and their families with a holistic, team-based approach, wherever the patient chooses to call home. Pallitus Health Partners empowers its people to provide the care our patients want to receive, with a level of service we describe as “above and beyond.” Don’t just find a job. Join our team and help us create more moments for our patients and enrich our communities with compassionate care.
<br><br>
<b>Schedule:</b> Monday- Friday 8:00am to 5:00pm
<br>Occasional weekend and weekday afterhours call
<br><br>
<b>Position Summary:</b><br>
The Nurse Practitioner Post-Acute & Long-Term Care provides comprehensive primary and transitional medical care to residents in skilled nursing facilities, long-term care facilities, and assisted living communities. Working collaboratively with physicians, facility staff, and interdisciplinary healthcare teams, the APRN assesses, diagnoses, treats, and monitors acute and chronic health conditions while promoting quality outcomes and continuity of care.
<br><br>
The APRN develops, implements, and evaluates individualized treatment plans, provides patient and family education, and serves as a clinical resource to facility staff and community providers. This role demonstrates excellence in advanced nursing practice while supporting the mission, vision, and values of Bluegrass Care Navigators.
<br><br>
<b>Position Qualifications:</b><br>
<ul>
<li>Graduate of an accredited Nurse Practitioner program with a Master's degree in Nursing required.</li>
<li>Current Advanced Practice Registered Nurse (APRN) licensure through the Kentucky Board of Nursing required.</li>
<li>Current certification as a Family Nurse Practitioner (FNP) or Adult Nurse Practitioner (ANP) (required. Minimum of three (3) years of general nursing experience required.</li>
<li>Clinical experience post-acute care, long-term care, skilled nursing facilities, assisted living, geriatrics, hospice, palliative care, or primary care preferred.</li>
<li>Demonstrated advanced clinical assessment, diagnostic, and treatment skills with the ability to manage complex patient populations.</li>
<li>Strong knowledge of evidence-based practice and the ability to apply current clinical knowledge to patient care.</li>
<li>Excellent clinical judgment, critical thinking, and problem-solving abilities.</li>
<li>Strong interpersonal, communication, collaboration, and conflict resolution skills.</li>
<li>Ability to effectively prioritize and manage multiple responsibilities in a fast-paced healthcare environment.</li>
<li>Strong organizational and time management skills with the ability to coordinate resources effectively.</li>
<li>Ability to adapt to change and support process improvement initiatives.</li>
<li>Current CPR/BLS certification required.</li>
<li>Excellent written and verbal communication skills, including the ability to complete accurate and timely clinical documentation.</li>
<li>Demonstrated ability to work independently with minimal supervision while maintaining effective collaboration within an interdisciplinary team.</li>
<li>Must be a licensed driver with an automobile in good working order, that is insured in accordance with state minimum requirements</li>
</ul>
Pallitus Health Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Nurse Practitioner - Post Acute & Long Term Care

<div></div><div><div><h1 class="jobSectionHeader"><b>PURPOSE</b><b> </b><b>AND</b><b> </b><b>SCOPE:</b></h1><p>
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization 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 organization Quality Enhancement Goals (QEP).</p><p></p><h1 class="jobSectionHeader"><b>
PRINCIPAL</b><b> </b><b>DUTIES</b><b> </b><b>AND</b><b> </b><b>RESPONSIBILITIES:</b></h1><p><b>
Patient Related</b></p><p>
Education:</p><ul><li>
Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul><p>
Treatment:</p><ul><li>
Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
</li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
</li><li>Monitor patients&rsquo; response to dialysis therapy.</li><li>
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
</li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing &amp; sitting blood pressure</li><li>
Obtain Hemostasis and apply appropriate dressings.
</li><li>Evaluate the patient prior to discharge.</li><li>
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
</li><li>Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
</li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
</li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
</li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>
Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>
Evaluate patients&rsquo; vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>
Obtain all prescribed laboratory testing and prepare specimens for collection.
</li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
</li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
</li><li>Monitors patients performing self-care under the supervision of RN.</li></ul><p><b>
Staff Related</b></p><ul><li>
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul><p>
Education/Communication:</p><ul><li>
Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li></ul><p></p><ul><li>
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>
Initiate Solution Delivery System (SDS) system.</li></ul><p></p><p><b>
RECORD KEEPING:</b></p><ul><li>
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
</li><li>Enters all treatment data into the designated clinical application in an accurate and timely manner.
</li><li>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
</li></ul><p>omitted entries are completed or corrected by appropriate staff.</p><ul><li>
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
</li><li>Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
</li><li>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
</li><li>Ensure collection of lab specimens by appropriate lab courier.</li></ul><p><br>
</p><p><b>INFECTION CONTROL:</b></p><ul><li>
Assists in collecting information for infection control audits.
</li><li>Supports staff and patient Adherence to infection control practices.
</li><li>Follows infection control Policies and Procedures
</li><li>Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul><p><br>
</p><p><b>TRANSITIONAL CARE UNIT:
</b></p><ul><li>Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
</li><li>Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li>
Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
</li><li>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.</li><li>
Sets and preforms a treatment on all machines used in the transitional care unit.
</li><li>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</li><li>
Assists with coordination of transition to patient&rsquo;s modality choice.
</li><li>Assists with supply ordering and inventory for TCU
</li></ul><p></p><h1 class="jobSectionHeader"><b>PHYSICAL</b><b> </b><b>DEMANDS</b><b> </b><b>AND</b><b> </b><b>WORKING</b><b> </b><b>CONDITIONS:</b></h1><ul><li>
The physical demands and work environment characteristics described here are representative of those an employee</li></ul><p>
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable</p><p>
individuals with disabilities to perform the essential functions.</p><ul><li>
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul><p>
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable</p><p>
accommodations can be made.</p><ul><li>
Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
</li><li>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
</li><li>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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and &quot;material assist&rdquo; devices for the heavier items.</li></ul><p></p><h1 class="jobSectionHeader"><b>
EDUCATION</b><b> </b><b>AND</b><b> </b><b>LICENSES:</b></h1><ul><li>
High School diploma or G.E.D. required.</li><li>
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li>
All appropriate state licensure, education, and training (if any) required.</li><li>
Demonstrated commitment to organization culture, values, and customer service standards</li></ul><p></p><h1 class="jobSectionHeader"><b>
EXPERIENCE AND REQUIRED SKILLS</b><b>:</b></h1><ul><li>
Previous patient care experience in a hospital setting or a related facility preferred.</li><li>
Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul><p></p><p>
&quot;The rate of pay for this position will depend on the successful candidate&rsquo;s work location and qualifications, including relevant education, work 17perience, skills, and competencies.</p><p></p><p>
Hourly Rate: $24 - $28</p><p><br>
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.</p><p></p><p><b>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</b></p></div><p><b>
EOE, disability/veterans</b></p></div>

Patient Care Technician - PCT CCHT - Dialysis

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