Licensed Practical Nurse Jobs in Carolina, PR

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and client policies and procedures while complying with timeliness guidelines. Our clinical nurse reviewer team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes for the clients and members we serve. **Collaboration Opportunities** : The Appeals Nurses provide appeal reviews for dedicated clients. They interact with coordinators who set up the appeal, physicians and other clinicians who review the appeal, the claims department to review provider post-service claims for medical necessity, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for collaboration include all-team and individual team meetings, Teams chats and monthly communication on team metrics and accomplishments. **What You Will Be Doing:** Communicates with medical office personnel to obtain pertinent clinical history and information. Documents and summarizes clinical or administrative rationale for all approvals and denials to all parties involved in the case. - Interfaces with other departments to satisfactorily resolve issues related to appeals and retrospective reviews. - Participates in on-going training programs to ensure quality performance follows applicable standards and regulations. - Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures. - Provides optimum customer service through professional and accurate communication while maintaining accreditation and health plan's required timeframes. - Documents communications with medical office staff and/or MD provider as required. - Refers cases to appropriate internal reviewers according to the business needs of the particular health plan. - Research requests for post-determination review and categorizes each for processing based on the applicable health plan policies and procedures. - Reviews and coordinates documentation; interprets data obtained from clinical records and ensures appropriate clinical criteria and policies are aligned with regulatory and accreditation requirements for members and providers. - Tracks all post-determination cases to completion to ensure compliance. - Trains new employees on the appeals and de-certification process as needed. - Works closely with the appeals-dedicated Clinical Reviewers to ensure timely adjudication of processed appeals. **What You Bring:** + 1-3 years' experience in clinical Appeals Review or Utilization Management Review as an LPN or LVN is required. + Must maintain a courteous and respectful disposition, and a positive, helpful attitude in all business settings. - Required + Must be able to exercise independent and sound judgment in clinical decision making. - Required + Must be computer literate and able to navigate through internal and external computer systems. - Required + Strong organizational and effective time management skills; - Required + Demonstrated ability to manage multiple priorities are a must. - - Required + Outstanding interpersonal and negotiation skills to effectively establish positive relationships both internally and externally.- - Required + Strong written and verbal communication skills. - Required **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $39/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

The Licensed Practical Nurse is responsible for the delivery of care to the pediatrics, adolescent, adult and/or elderly patients within their scope of practice. He/She participates in performance improvement, research activities and maintains clinical expertise. The LPN will pre-screen patients prior to their visits, educating patients on telemedicine platform where applicable, assist in scheduling and patient screening and assist in chronic disease and preventative care patient outreach. As a member of the nursing team and under the supervision of a Professional Registered Nurse, or Doctor of Medicine will provide nursing care to patients/clients within assigned practices. Under the direction of a Registered Professional Nurse or Doctor of Medicine the Licensed Practical Nurse performs tasks and responsibilities within the framework of case finding, health teaching, health counseling and provision of restorative and supportive care, data collection, monitoring and observation, implementation of treatments, and therapies provided to Ambulatory Care patients throughout the age continuum (infants/geriatrics) that fall within the scope of practice. Please note: This practice may have coverage needs in other offices) which would require you to travel. This position is M-F and requests a flexible start time based on department needs 7:30am-4:00pm,8:00am-4:30pm, 8:30am-5:00pm, 9:00am-5:30pm, 9:30am-6:00pm, EDUCATION, TRAINING, LICENSES, AND WORK EXPERIENCE: Highschool Diploma/GED Required One Year of related work experience NYS LPN License Required Licensed and registered as a Practical Nurse in the State of New York Basic Life Support. Effective English communication skills, written, oral and interpersonal. Ability to use basic data entry and retrieval system. Additional education required by specialty areas/patient care locations. Department: Ophthalmology and Visual Sciences Bargaining Unit: 1199 Campus: MOSES Employment Status: Regular Full-Time Address: 3400 Bainbridge Avenue, Bronx Shift: Day Scheduled Hours: HOURS VARY Req ID: 224842 Salary Range/Pay Rate: $34.72 For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors. To learn more about the “Montefiore Difference” - who we are at Montefiore and all that we have to offer our associates, please click here. Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. N/A; #LI-AA1; #LI-TM1; #LI-VK1

Our associates celebrate lives. We celebrate our associates. Consider the possibilities of joining a Great Place to Work! Responsibilities vary day to day based on business needs but consist of driving, courier, general building maintenance, grounds keeping, and custodial. Flexibility to work in a team environment and help where needed. Exhibit courteous behaviors. JOB RESPONSIBILITIES Couriers' documents, flowers, or other items. Cleans interior and exterior of vehicles, restocks tissues/water as needed, re-fuel vehicles, identify maintenance issues, and ensures vehicle is ready for use. Grounds keeping responsibilities may include mowing the lawn, edging, removing debris, and clearing walkways. Watering of plants or lawns, adjusting sprinkler heads or timers, and replacing sprinkler heads. Properly maintains and stores equipment after each use. Performs general facility maintenance that may include painting, unclogging plumbing, replacing light bulbs, or other minor repairs. Custodial duties include cleaning and sanitizing surfaces, mopping, vacuuming, and emptying waste receptacles. Additional responsibilities as assigned or requested, including loading or unloading caskets, those of the Funeral Services Assistant Requirements Education & Licenses: High School Diploma or equivalent Experience & Knowledge: At least one (1) year of general work experience Current state-issued driver's license with an acceptable driving record Work conditions When considering the work environment associated with this job, the following factors may apply: Environment - Professional attire is required when in contact with families Postures - Frequent continuous periods of sitting or standing up to 6 hours per day; frequently climbing stairs to access buildings; frequently climbing on ladders Physical Demands - Physical effort required to push, pull, or hold/carry various grounds-keeping equipment Safety - courteously and safely drive company-owned vehicles; be aware of surroundings to promote safety; use personal protective devices as appropriate; safely use electrical equipment Hours - May work beyond standard hours or schedule as business needs arise; limited local travel required Postal Code: 00909Category (Portal Searching): OperationsJob Location: US-PR - San Juan

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **_Together, we can get life-changing therapies to patients who need them-faster._** **Job Summary:** The Nurse, Individualized Care promotes high-quality patient care and treatment through patient education. With a focus on the products and treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound calls for patients who have begun treatment with one or more of the client's products. The Nurse educates patients on their treatments and disease states, refers patients to a variety of additional services, and reports adverse events in accordance to FDA and client requirements. **Responsibilities:** + Educates patients during outbound and inbound calls with patients on the treatments that they are receiving as well as their disease states. Counsels patients on standard treatment information, disease symptoms, potential treatment side effects, and what they should expect during visits to patient care facilities. During initial welcome calls, answers patients' initial questions regarding their treatment programs and establishes rapport for future conversations. + Refers patients to additional services in order to improve their treatment experiences, based on lists of referral organizations approved by each client. Assists patients in accessing services such as funding, transportation, lodging, and support groups by placing calls to organizations or providing information to patients. + In accordance with FDA regulations and client requirements, records adverse events for treatments and answers patient questions regarding the events. Completes documentation using internal systems and submits it to the client's Drug Safety department. + Schedules outbound welcome calls and follow-up calls to patients, and leaves voicemail messages when patients are unavailable. Effectively manages both scheduled outbound calls and inbound call queue. + Meets regularly with Supervisor, Individualized Care and/or Senior Nurse, Individualized Care to discuss feedback from call monitoring and quality reviews of adverse event documentation. Discusses progress on productivity and quality goals including number of calls completed, call quality, document quality, and time requirements. + Upon the client's introduction of new treatments, participates in trainings in order to gain an understanding of the treatments. + Be a champion for each patient and consented care partner(s) + Establish an ongoing relationship with each assigned patient, starting with Welcome, onboarding, treatment initiation, continuation, and ongoing interactions **Qualifications:** + 2-4 years of experience, preferred + Current, unrestricted Registered Nurse license, required + Bachelor's degree in related field, or equivalent work experience, preferred + Previous medical experience is preferred + Demonstrate effective, empathetic and professional communication + Must communicate clearly and effectively in both a written and verbal format + Ability to work with high volume production teams with an emphasis on quality + Able to thrive in a competitive and dynamic environment + Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities **What is expected of you and others at this level:** + Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks + Works on projects of moderate scope and complexity + Identifies possible solutions to a variety of technical problems and takes action to resolve + Applies judgment within defined parameters + Receives general guidance and may receive more detailed instruction on new projects + Work reviewed for sound reasoning and accuracy **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST the first week of employment, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work a scheduled shift of M-F, 8am- 9pm EST. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router. + Surge protector with Network Line Protection for CAH issued equipment. **Anticipated hourly range: ** $67,500 - $96,450 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close** : 06/28/2025 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Global Technology & Operations (GTO) includes over 17,000 associates across 42 countries Service our customers in operations and global customer call centers where we deliver global support services, including global real estate, global corporate security, and global innovation. This role of the Clinical STD/FMLA Claims Specialist will provide exemplary customer service by processing Short Term Disability claims in a timely and accurate manner as well as managing FML claims that will run concurrent with the STD claims for a Large Customer. Location: Must live within a commutable distance of the Oriskany, NY, Tampa, FL, Bloomfield, CT Cary, NC, Aurora, IL, Bridgewater, NJ, Omaha, NE, Warwick, RI, Clark Summit, PA, San Juan, PR office Once a month in office for meetings Key Responsibilities: * Independently assess, analyze and render appropriate claim decisions pursuant to certificates on all claims. * Compare duration control guidelines and clarifies functional inconsistencies. * Develop goal-focused return-to-work plans and or barriers for return-to-work. Partner with Return -to-Work Coordinator on account to ensure successful RTW. * Clarify functional capacity through independent problem solving measures and discretion (gathering medical, vocational, and other information, efficient use of resources, and action planning) sufficient to determine initial and ongoing liability by adhering to federal and state law to maintain appropriate and timely claim outcomes. * Communicate clearly and concisely to influence return to work, discuss terms of the certificate, and the basis for payment/non-payment. * Communicate with a variety of constituents (for example, claimants, doctors, nurses, employers, and attorneys) to gather information relevant to assessing, analyzing and rendering decisions based on the provisions of the policy and their own discretion, with limited guidance by supervisory personnel. * Prepare written summary for Quarterly customer meetings to review cases that are identified via report parameters, you or the customer to discuss and participate in quarterly meetings with the Vocational resource and Account team member. * Participate in claim review meetings as requested by the customer. * Utilize tools independently and accurately to identify work to be completed across the entire claim block, prioritize work, determine if/when to involve specialty resources such as Psychiatric Clinical Specialist, Medical Director or other clinical staff to obtain additional information on a claim by articulating and documenting their rationale for claim direction, possessing the autonomy to take steps outside of CMG guidelines to the extent supported by documented rationale and the facts of the claim file. * As the sole owner of the claim, determine return to work potential and strategy, identify a likely claim progression based on the facts of the claim and take action on their own assessment of the claim and provide mentoring and/or coaching to less experienced team members. Performs other duties as assigned or required. * Manages assigned caseload of short-term disability (STD) and/or Family & Medical Leave Act (FMLA) claims; applies specialized clinical training/knowledge to the assessment of cases. Essential Business Experience and Technical Skills: Required: * 2+ years of Clinical Experienced required * Nursing Degree with RN license required * Strong communication skills, both written and oral. * Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning. * Strong customer satisfaction focus. Preferred: * BSN Preferred * Disability Claims Experience Travel * Less than 10% (travel to customer sites for business meetings 1 x per year) The salary range for applicants for this position is $70,000 - $80,000. Benefits We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more! About MetLife Recognized on Fortune magazine's list of the 2025 "World's Most Admired Companies", Fortune World's 25 Best Workplaces for 2024, as well as the 2025 Fortune 100 Best Companies to Work For , MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible. Join us! MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities. $70,000 - $80,000

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

PURPOSE STATEMENT: Responsible for providing professional nursing care to patient in a supportive and therapeutic environment. ESSENTIAL FUNCTIONS: Provide and coordinate care by assessing physical and behavioral health needs of patient, develop and implement nursing care plans, maintain medical records and educate patients and their families about various physical and behavioral health conditions. Provide nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures and protocols, as well as facility and corporate policies and procedures. Ensure physician's orders are legible if taken verbally and transcribed appropriately per policy and procedure. Ensure patient's status is assessed on an ongoing basis and pertinent information gathered is documented. Notify physician of significant changes in status such as difficulties with detox, medical emergency or change in medical status regarding response to medications, etc. Nursing treatment plans are specific to assessed needs. Initial treatment plan is completed upon admission. Demonstrate knowledge and utilization of universal precautions in providing direct patient care. Accurately administer medications per ordered note and document accurate count of controlled substance medication administration on required documents. Responsible for completing admission and discharge processed efficiently and accurately as directed. Exhibit therapeutic rapport with patients by maintaining professional boundaries, being respectful to personal space, giving patient direct attention and maintaining rational detachment. Provide direction or coordinate the activities of the unit as directed. Communicate therapeutically and professionally with patients, visitors, coworkers and others involved in patient treatment in an effective manner. OTHER FUNCTIONS: Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Graduation from an accredited school of nursing. Prefer one year of nursing experience within clinical area of service provided by facility. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current RN license as required by state. First Aid, CPR, de-escalation and restraint certification required (training available upon hire and offered by facility).

div class="listing_description show_listing_description"p align="center" style="margin-right:11.95pt; text-align:center"span style="tab-stops:23.05pt 40.5pt"bspan arial="" style="font-family:"REGISTERED NURSE/span/b/span/p p style="margin-right:11.95pt" /p p style="margin-right:11.95pt"span style="tab-stops:23.05pt 40.5pt"span arial="" style="font-family:"WJM Professionals is recruiting for an individual to administer delineated medical services to all beneficiaries receiving care at a Coast Guard clinic. /span/span/p p style="margin-right:21.1pt"span style="tab-stops:22.9pt"bspan arial="" style="font-family:"QUALIFICATIONS:/span/b/span/p pThe individual shall perform a full range of professional nursing services and practices on-site, to a variety of patients./p ul li style="margin-top:.05pt; margin-right:33.15pt; margin-bottom:.0001pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Assesses patient's needs for nursing care, plans for nursing interventions, assess the effectiveness of the interventions and alters the nursing plan and interventions appropriately./span/span ul style="list-style-type:disc" li style="margin-top:.05pt; margin-right:33.15pt; margin-bottom:.0001pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Documents all nursing care provided to include assessments and evaluations in accordance with applicable regulations and standards of practice./span/span/li li style="margin-top:.05pt; margin-right:33.15pt; margin-bottom:.0001pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Provides patient education and ongoing monitoring in coordination with the Primary Care Manager. /span/span/li li style="margin-right:21.35pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Provides disease management assistance as directed by the Primary Care Manager./span/span/li li style="margin-right:21.35pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Communicates and coordinates with the HSWL-SC Operational Medicine Nurse Consultant regarding all complex cases in accordance with Coast Guard policies and directives. /span/span/li li style="margin-right:21.35pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Provides care coordination care between a variety of partners involved in beneficiary care./span/span/li li style="margin-right:46.5pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Provide nursing triage to acute issues in addition to regularly scheduled appointments, with immediate evaluation and management span style="letter-spacing:-.15pt"of /spanemergent problems as they occur./span/span/li li style="margin-right:68.65pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Administers oxygen, span style="letter-spacing:-.15pt"IV/span fluids, and span style="letter-spacing:-.15pt"prescribed/span oral, subcutaneous, and intra-muscular medication in accordance span style="letter-spacing:-.15pt"with /spanprovider orders and regulations./span/span/li li style="margin-top:.05pt"span style="line-height:12.6pt"span style="tab-stops:41.0pt"span arial="" style="font-family:"Prepares patients for surgical and or diagnostic procedures./span/span/span/li li style="margin-right:83.8pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Prepares, operates, and monitors specialized equipment such as cardiac monitors, defibrillators, etc./span/span/li lispan style="tab-stops:40.8pt"span arial="" style="font-family:"Inventories medicine and drug stocks to ensure adequate supplies and controls as needed./span/span/li li style="margin-top:.1pt"span style="line-height:12.6pt"span style="tab-stops:40.8pt"span arial="" style="font-family:"Participates in attending and providing (ad hoc) training at the clinic for staff. /span/span/span/li li style="margin-right:38.1pt"span style="tab-stops:40.8pt"span arial="" style="font-family:"Participates in the Health Services Quality span style="letter-spacing:-.15pt"Improvement /span Program, as directed by the span style="letter-spacing:-.15pt"Clinic /span Administrator./span/span/li li style="margin-right:48.75pt"span style="tab-stops:40.8pt"span arial="" style="font-family:"Provide coordination of care in accordance with standards of practice established at the clinic for referral management./span/span/li /ul /li /ul p style="margin-top:0in; margin-right:48.75pt; margin-bottom:.0001pt; margin-left:40.75pt" /p p class="MsoBodyText" style="margin-top:.55pt"bspan arial="" style="font-family:"REQUIREMENTS/span/b/p ul li style="margin-top:.05pt; margin-right:15.1pt; margin-bottom:.0001pt"span style="tab-stops:41.0pt"span arial="" style="font-family:"The Nurse shall meet span style="letter-spacing:-.2pt"or/span exceed the industry standards in accordance with established principles, practices, and ethics of the Registered Nursing Profession. The standards of performance for all span style="letter-spacing:-.15pt"employees /spanshall reflect the degree and care, skill, and learning expected of a reasonably prudent healthcare provider in the Registered Nursing profession./span/span/li li style="margin-right:73.1pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"A diploma span style="letter-spacing:-.15pt"or/span degree from a National Council span style="letter-spacing:-.15pt"of/span State Boards of Nursing (NCSBN) accredited school of Nursing;/span/span ul style="list-style-type:disc" li style="margin-top:.15pt"span style="line-height:12.55pt"span style="tab-stops:41.0pt"span arial="" style="font-family:"A current unrestricted active license to practice as a Registered Nurse from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands;/span/span/span/li li style="margin-right:31.6pt"span style="tab-stops:41.0pt"span arial="" style="font-family:"Maintain current certification in Basic Cardiac Life Support span style="letter-spacing:-.15pt"(BLS) /spanfor the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), span style="letter-spacing:-.15pt"or /spanthe American College of Emergency Physicians (ACEP)./span/span/li li style="margin-right:26.65pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"A minimum span style="letter-spacing:-.15pt"of/span five (5) years of professional experience in the field in the past 3 years; with at least span style="letter-spacing:-.15pt"one year /spanof ambulatory care span style="letter-spacing:-.15pt"experience /spanin family practice or internal medicine in the past 5 years./span/span/li li style="margin-top:.1pt"span style="tab-stops:40.9pt"span arial="" style="font-family:""No adverse information on file" with the National Practitioners Data Band (NPDB)./span/span/li /ul /li /ul p class="MsoBodyText" style="margin-top:.35pt" /p p style="margin-top:0in; margin-right:9.9pt; margin-bottom:.0001pt; margin-left:5.0pt" /p p style="margin-top:0in; margin-right:9.9pt; margin-bottom:.0001pt; margin-left:5.0pt"span style="tab-stops:26.5pt"bspan arial="" style="font-family:"REQUIRED CREDENTIALS/span/b/span/p p style="margin-top:0in; margin-right:9.9pt; margin-bottom:.0001pt; margin-left:5.0pt" /p ul lispan style="tab-stops:46.05pt"span arial="" style="font-family:"A current span style="letter-spacing:-.15pt"resume /spanincluding AT LEAST the following information:/span/span ul li style="list-style-type:none" ul style="list-style-type:disc" li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Diploma/Degrees earned./span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Professional span style="letter-spacing:-.15pt"Experience./span/span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Social Security Number./span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Date of birth (to be used only for span style="letter-spacing:-.15pt"independent/span query of the NPDB);/span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Career history (with explanations for any gaps in employment);/span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Professional Training/Courses span style="letter-spacing:-.15pt"(CNE or CME) /spanattended in the past two years./span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Professional organization affiliations and memberships./span/span/li li style="margin-right:18.65pt"span style="tab-stops:.75in"span arial="" style="font-family:"Previous span style="letter-spacing:-.15pt"work/span references includingspan style="letter-spacing:-.35pt" the /spanname ofspan style="letter-spacing:-.4pt" the /spanorganization, number span style="letter-spacing:-.15pt"of/span span style="letter-spacing:-.15pt"years/span rendered, address, and name span style="letter-spacing:-.15pt"of the point /spanof contract with the telephone number./span/span/li li style="margin-right:18.65pt"span style="tab-stops:.75in"span arial="" style="font-family:"Awards and certifications received./span/span/li /ul /li /ul /li /ul p /p ul li style="list-style-type:none" ul style="list-style-type:disc" lispan style="tab-stops:41.0pt"buspan arial="" style="font-family:"Copies of/span/u/bbspan arial="" style="font-family:":/span/b/span/li /ul /li li style="list-style-type:none" ul li style="list-style-type:none" ul style="list-style-type:disc" li style="margin-top:0in; margin-right:80.3pt; margin-bottom:.0001pt"span style="tab-stops:58.9pt"span arial="" style="font-family:"A diploma span style="letter-spacing:-.15pt"or/span degree from an accredited school span style="letter-spacing:-.15pt"of/span Nursing (a digital picture is acceptable as a copy);/span/span/li li style="margin-top:0in; margin-right:80.3pt; margin-bottom:.0001pt"span style="tab-stops:58.9pt"span arial="" style="font-family:"Copies of all additional post-high school diplomas and/or degrees./span/span/li lispan arial="" style="font-family:"A current unrestricted active license to practice as a Registered Nurse from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. 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Virgin Islands;/span/li li style="margin-top:.1pt; margin-right:10.1pt; margin-bottom:.0001pt; text-align:justify"span style="tab-stops:58.55pt"span arial="" style="font-family:"Current certification in span style="letter-spacing:-.15pt"Basic /span Cardiac Life Support (BLS) for the Health Care span style="letter-spacing:-.15pt"Provider/span by the American Heart Association (AHA), span style="letter-spacing:-.15pt"American /span Red Cross (ARC), American Safety amp; Health Institute (ASHI) or the American College of Emergency Physicians (ACEP);/span/span/li li style="margin-top:0in; margin-right:41.45pt; margin-bottom:.0001pt"span style="tab-stops:58.55pt"span arial="" style="font-family:"Social Security Card;/span/span/li li style="margin-top:.45pt; margin-right:41.65pt; margin-bottom:.0001pt"span style="tab-stops:58.9pt"span arial="" style="font-family:"At least three (3) letters of recommendation from recent employers span style="letter-spacing:-.15pt"addressing /spannursing services./span/span/li /ul /li /ul /li /ul /div

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

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

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis. * Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT. * Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis. * Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. * Delivers safe, effective care in a timely an efficient manner. * Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment. * Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. * Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care. * Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed. * Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed. * Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures. * Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate. * Performs all required pre-treatment dialysis machine alarm testing. * If applicable, initiates Solution Delivery System. * Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste. * Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies. * Completes and documents ongoing participation in QAI activities. * Participates in staff meetings as scheduled. * Participates in staff training and orientation as assigned. * Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications. * Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis * Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. * Assist with various projects as assigned by direct supervisor. * Other duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: * The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. * Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events. * Position requires on call rotation including night, day, weekend, and holidays. * There is potential for exposure to potentially infectious material and contagious diseases/material. * Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. SUPERVISION: * Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT. EDUCATION: * Current appropriate state licensure. * Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services). * Must meet the practice requirements in the state in which employed. * Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged. EXPERIENCE AND REQUIRED SKILLS: * One year RN experience required and required nursing skills. * Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services. * Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services. * Demonstrated strong assessment skills related to the critically ill patient. * ICU experience preferred but not required. * Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation. * BLS CPR Recognition. * ACLS CPR Recognition preferred, but not required. * Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education. * Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff). * Successful completion of Nurses Technical Training. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Job Description We are seeking a caring and experienced nurse to join our team as a school nurse. The successful candidate will be responsible for providing high-quality health care services to students, promoting health education, and maintaining accurate health records. Responsibilities: Administering medication and providing first aid to students and staff as needed Managing student health records and ensuring they are up-to-date Developing and implementing health and wellness programs Providing health education to students and staff Collaborating with teachers, administrators, and parents to promote student health Responding to health-related emergencies and providing appropriate care Maintaining a clean and safe health office environment Requirements: Registered Nurse (RN) license in Puerto Rico Experience working as a nurse in a school or pediatric setting Strong assessment, diagnostic, and treatment skills Excellent communication and interpersonal skills Knowledge of state and federal laws and regulations related to school health Ability to work independently and as part of a team Ability to maintain confidentiality and professionalism Preferred Qualifications: Bachelor's or Master's degree in nursing or related field Certification in pediatric nursing or school nursing Experience working with children with special health needs Bilingual in English and Spanish About the School: Our school is committed to providing high-quality education and supporting the health and well-being of our students. We value a collaborative and inclusive environment, and our team is dedicated to ensuring that every student has access to the resources they need to succeed.

Per Diem Medial - Flight Med and Avi Responsibilities include evaluation, coordination, and delivery of medical care provided to patients during transport; also is familiar with the scope of practice of the transport team members and the State rules and regulations in which the transport team operates. Works with the other transport team members to coordinate care of the patient during transport; once called, readily available/arrive at specified location, within 45 minutes before wheels. RESPONSIBILITIES: The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. Provides pre-hospital advanced life support care from initial contact until patient care is relinquished to the receiving medical facility Maintain thorough electronic charting of patient care. Attends pre-mission briefings and mission debriefing and completes necessary documentation Complies with safety standards to assure safety of self, medical personnel, patient, and equipment prior to takeoff. Must be familiar with scope of practice of the transport team and the State rules and regulations in which the transport team operates. Requirements: Minimum of 3 years of ICU/ED/Trauma experience within the last 5 years Previous flight experience preferred. Flight experi

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. The RN Wound Specialist specializes in treating patients with wounds like burns, pressure ulcers, diabetic / arterial ulcers, and more this is performed in accordance with physician orders and plan of care under the direction and supervision of the agency. "Employer Equal Employment Opportunity. Affirmative Action for Women, Minorities, Veterans and Persons with Disabilities". MINIMUM REQUIREMENTS 1. Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing. 2. Wound Care Certification required. 3. Al least six months' experience in a Wound Specialist position. 4. Acceptance of philosophy and goals of this Agency. 5. Ability to exercise initiative and independent judgment.

San Juan Capestrano Hospital is an Acadia facility that takes pride in giving quality patient care. We offer competitive benefits and pay. Please join our team and help change the future of Puerto Rico. PURPOSE STATEMENT: Responsible for providing professional nursing care to patient in a supportive and therapeutic environment. ESSENTIAL FUNCTIONS: * Provide and coordinate care by assessing physical and behavioral health needs of patient, develop and implement nursing care plans, maintain medical records and educate patients and their families about various physical and behavioral health conditions. * Provide nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures and protocols, as well as facility and corporate policies and procedures. * Ensure physician's orders are legible if taken verbally and transcribed appropriately per policy and procedure. * Ensure patient's status is assessed on an ongoing basis and pertinent information gathered is documented. Notify physician of significant changes in status such as difficulties with detox, medical emergency or change in medical status regarding response to medications, etc. * Nursing treatment plans are specific to assessed needs. Initial treatment plan is completed upon admission. * Demonstrate knowledge and utilization of universal precautions in providing direct patient care. * Accurately administer medications per ordered note and document accurate count of controlled substance medication administration on required documents. * Responsible for completing admission and discharge processed efficiently and accurately as directed. * Exhibit therapeutic rapport with patients by maintaining professional boundaries, being respectful to personal space, giving patient direct attention and maintaining rational detachment. * Provide direction or coordinate the activities of the unit as directed. * Communicate therapeutically and professionally with patients, visitors, coworkers and others involved in patient treatment in an effective manner. OTHER FUNCTIONS: * Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Graduation from an accredited school of nursing. Prefer one year of nursing experience within clinical area of service provided by facility. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Current RN license as required by state. First Aid, CPR, de-escalation and restraint certification required (training available upon hire and offered by facility). Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null

Our associates celebrate lives. We celebrate our associates. Consider the possibilities of joining a Great Place to Work! Responsibilities vary day to day based on business needs but consist of driving, courier, general building maintenance, grounds keeping, and custodial. Flexibility to work in a team environment and help where needed. Exhibit courteous behaviors. **JOB** **RESPONSIBILITIES** + Couriers' documents, flowers, or other items. Cleans interior and exterior of vehicles, restocks tissues/water as needed, re-fuel vehicles, identify maintenance issues, and ensures vehicle is ready for use. + Grounds keeping responsibilities may include mowing the lawn, edging, removing debris, and clearing walkways. Watering of plants or lawns, adjusting sprinkler heads or timers, and replacing sprinkler heads. Properly maintains and stores equipment after each use. + Performs general facility maintenance that may include painting, unclogging plumbing, replacing light bulbs, or other minor repairs. + Custodial duties include cleaning and sanitizing surfaces, mopping, vacuuming, and emptying waste receptacles. + Additional responsibilities as assigned or requested, including loading or unloading caskets, those of the Funeral Services Assistant **Requirements** Education & Licenses: + High School Diploma or equivalent Experience & Knowledge: + At least one (1) year of general work experience + Current state-issued driver's license with an acceptable driving record **Work conditions** When considering the work environment associated with this job, the following factors may apply: + Environment - Professional attire is required when in contact with families + Postures - Frequent continuous periods of sitting or standing up to 6 hours per day; frequently climbing stairs to access buildings; frequently climbing on ladders + Physical Demands - Physical effort required to push, pull, or hold/carry various grounds-keeping equipment + Safety - courteously and safely drive company-owned vehicles; be aware of surroundings to promote safety; use personal protective devices as appropriate; safely use electrical equipment + Hours - May work beyond standard hours or schedule as business needs arise; limited local travel required Postal Code: 00909 Category (Portal Searching): Operations Job Location: US-PR - San Juan Job Profile ID: P00003 Time Type: Full time Location Name: OH Market Puerto Rico

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

REGISTERED NURSE WJM Professionals is recruiting for an individual to administer delineated medical services to all beneficiaries receiving care at a Coast Guard clinic. QUALIFICATIONS: The individual shall perform a full range of professional nursing services and practices on-site, to a variety of patients. Assesses patient's needs for nursing care, plans for nursing interventions, assess the effectiveness of the interventions and alters the nursing plan and interventions appropriately. Documents all nursing care provided to include assessments and evaluations in accordance with applicable regulations and standards of practice. Provides patient education and ongoing monitoring in coordination with the Primary Care Manager. Provides disease management assistance as directed by the Primary Care Manager. Communicates and coordinates with the HSWL-SC Operational Medicine Nurse Consultant regarding all complex cases in accordance with Coast Guard policies and directives. Provides care coordination care between a variety of partners involved in beneficiary care. Provide nursing triage to acute issues in addition to regularly scheduled appointments, with immediate evaluation and management of emergent problems as they occur. Administers oxygen, IV fluids, and prescribed oral, subcutaneous, and intra-muscular medication in accordance with provider orders and regulations. Prepares patients for surgical and or diagnostic procedures. Prepares, operates, and monitors specialized equipment such as cardiac monitors, defibrillators, etc. Inventories medicine and drug stocks to ensure adequate supplies and controls as needed. Participates in attending and providing (ad hoc) training at the clinic for staff. Participates in the Health Services Quality Improvement Program, as directed by the Clinic Administrator. Provide coordination of care in accordance with standards of practice established at the clinic for referral management. REQUIREMENTS The Nurse shall meet or exceed the industry standards in accordance with established principles, practices, and ethics of the Registered Nursing Profession. A diploma or degree from a National Council of State Boards of Nursing (NCSBN) accredited school of Nursing; A current unrestricted active license to practice as a Registered Nurse from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands; Maintain current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP). A minimum of five (5) years of professional experience in the field in the past 3 years; with at least one year of ambulatory care experience in family practice or internal medicine in the past 5 years. "No adverse information on file" with the National Practitioners Data Band (NPDB). REQUIRED CREDENTIALS A current resume including AT LEAST the following information: Diploma/Degrees earned. Professional Experience. Social Security Number. Date of birth (to be used only for independent query of the NPDB); Career history (with explanations for any gaps in employment); Professional Training/Courses (CNE or CME) attended in the past two years. Professional organization affiliations and memberships. Previous work references including the name of the organization, number of years rendered, address, and name of the point of contract with the telephone number. Awards and certifications received. Copies of: A diploma or degree from an accredited school of Nursing (a digital picture is acceptable as a copy); Copies of all additional post-high school diplomas and/or degrees. A current unrestricted active license to practice as a Registered Nurse from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands; Current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety & Health Institute (ASHI) or the American College of Emergency Physicians (ACEP); Social Security Card; At least three (3) letters of recommendation from recent employers addressing nursing services.

Per Diem Medial - Flight Med and Avi Responsibilities include evaluation, coordination, and delivery of medical care provided to patients during transport; also is familiar with the scope of practice of the transport team members and the State rules and regulations in which the transport team operates. Works with the other transport team members to coordinate care of the patient during transport; once called, readily available/arrive at specified location, within 45 minutes before wheels. RESPONSIBILITIES: The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. Provides pre-hospital advanced life support care from initial contact until patient care is relinquished to the receiving medical facility Maintain thorough electronic charting of patient care. Attends pre-mission briefings and mission debriefing and completes necessary documentation Complies with safety standards to assure safety of self, medical personnel, patient, and equipment prior to takeoff. Must be familiar with scope of practice of the transport team and the State rules and regulations in which the transport team operates. Requirements: Minimum of 3 years of ICU/ED/Trauma experience within the last 5 years Previous flight experience preferred. Flight experience can be substituted year for year for the ICU/ED/Trauma requirement. RN license as appropriate to assigned location Basic Life Support (BLS) certification Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) Neonatal Resuscitation Program (NRP) certification Pre-hospital Trauma Life Support (PHTLS) or Basic Trauma Life Support (BTLS) certification preferred but not required. Certified Emergency Nurse (CEN), Critical Care Nurse (CCRN) or Flight Registered Nurse (CFRN) strongly recommended. Completing quarterly requirements to maintain active flight status to include: completion of intubations quarterly, attendance at Roundtables. Completing annual requirements to maintain active flight status to include: Advanced Airway course, Mock Codes, AvStar program, safety and infection control, aircraft / personnel security briefing, equipment and supplies competency / currency validation, medical screening update including copy of TB or equivalent, ICU and trauma competencies, wellness form, EMS Rules and Regulations, and Haz-mat recognition and response. Evaluation is contingent upon completion of these items prior to evaluation. Current Passport required Ability to work varied shifts and cover fixed wing air ambulance call shifts Drug screening and a background investigation required. Physical Requirements: While performing the duties of this job, the employee is frequently required to do the following: Walk and stand for prolonged periods Lift and/or move up to 50 pounds Transfer/position patients of all ages and physical conditions Collect, interpret, and/or analyze diagnostic data Utilize visual, auditory, verbal, and olfactory processes required to assess, monitor, and care for patients Interpret complex laws, regulations, and/or policies Coordinate multiple tasks simultaneously Understand and respond to a diverse population Work in a high stress environment while remaining calm composure Work various shifts and schedules Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Frequent exposure to blood-borne and airborne pathogens or infectious materials Long transport times in the confined space of the aircraft. Exposure to dynamic cultural diversity Locations: San Juan, PR, Carollna, PR, Fort Lauderdale, FL, Schenectady, NY ABOUT REVA: In the medical transport industry, urgency, reliability, and experience are absolutely critical. We have completed over 30,000 flights in 70 countries. From marooned hikers to critically ill patients, REVA provides medical transport service 24 hours a day, 7 days a week, worldwide. When patients need care that cannot be provided during normal travel or in the region they are currently in, they call REVA. REVA's reach is worldwide. Four bases of operation within North America, the Caribbean, and Europe provide points of departure convenient to even the most distant locales. Our 13 dedicated ICU configured Jets, more than 200 air-ambulance professionals, and Global Alliance with industry partners give us a global profile. If it's on the Earth, it's on our radar. REVA is an equal opportunity employer that celebrates employees and applicants of all identities, backgrounds, abilities, and perspectives. We foster a welcoming work environment that supports diversity and inclusion, and we reject discrimination or harassment of any individual. If you are a person with a disability and require assistance with any part of the application process, please let us know. All employment decisions are made on the basis of qualifications, merit, and business need.