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It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The CNA - Hospice Aide performs personal care, homemaker assistance and defined nursing procedures for patients and their caregivers while under RN direction and supervision.Qualifications: • High school diploma or GED or an equivalent combination of education and experience• Current certification as CNA in the state in which employee will be working • Minimum of six (6) months of CNA or Home Health Aide experienceActive BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023. For CNA in a Hospice House, the deadline is 3/31/2023. • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet work schedule • Ability to use equipment with visual and auditory mechanisms • Ability to communicate (written and verbal) in English • Ability to manage the emotional stress of working with and caring for ill patients and their families • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation • Must be able to physically access any home or facility in assigned area (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) • Must be able/willing to have contact with individuals with communicable diseases Competencies: • Satisfactorily complete competency requirements for this position Responsibilities of all employees: • Represent Company professionally at all times through care delivered and/or services provided to all clients • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse • Comply with Company policies, procedures and standard practices • Observe Company's health, safety and security practices • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within Company • Use resources in a fiscally responsible manner • Promote Company through participation in community and professional organizations • Participate proactively in improving performance at the organizational, departmental and individual levels • Improve own professional knowledge and skill level • Advance electronic media skills. • Support company research and educational activities • Share expertise with co-workers both formally and informally • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Maintains competencies/contact hours as required by Company and regulations. • Provides only patient/caregiver services according to written Aide/Caregiver Plan of Care and Company policies and procedure. • Practices safe and proper body mechanics relative to moving, positioning and transferring patients. • Assists patient and or caregiver in maintaining a clean and safe home. • Provides caregiver relief as part of the Plan of Care. • Transports supplies, lab specimens, documents and other items needed to meet the Plan of Care as requested by the RN. • Under the direction or supervision of an RN, the Aide may perform activities that promote activities of daily living. • Contributes to the development of the Plan of Care by reporting observations to RN. • Communicates any significant issues or symptoms to the RN or Clinical Manager. • Performs other duties as assigned.Some locations may require:<ul><li>Cross training to field (home/facility/admission) positions of equal licensure/certification and scope when hospice house census calls for flexible staffing.</li></ul> Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: safely transfer/ambulate patients; stand; sit; reach with hands/arms; lift; bend; pull; push; balance. Occasionally required to: stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Chapters Health System

CNA - Team 320-Hope Healthcare

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li>Demonstrate effective use of supplies and staff labor hours.</li><li> May assist with billing log preparation and updates.</li><li>Perform duties as assigned to meet the patient care or operational needs of the clinic</li><li> Obtain blood samples for laboratory analysis as required to complete physician orders.</li><li> Complete and document monthly review of patient medication profiles.</li><li>Knowledge of and comply with applicable health care professionals practice act requirements.</li><li>Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations</li><li>Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports.</li><li>Report any significant information or change in patient condition to the Charge Nurse.</li><li> Report machine problems to Biomedical Technician and Administrator.</li><li> Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.</li><li>Assist with staff training as requested.</li></ul>

U.S. Renal Care

Dialysis Licensed Practical Nurse - LPN Chronic In-center

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The CNA - Hospice Aide performs personal care, homemaker assistance and defined nursing procedures for patients and their caregivers while under RN direction and supervision.Qualifications:• High school diploma or GED or an equivalent combination of education and experience• Current Florida certificate as CNA•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023. For CNA in a Hospice House, the deadline is 3/31/2023. • Minimum of six (6) months of CNA or Home Health Aide experience • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet work schedule • Ability to use equipment with visual and auditory mechanisms • Ability to communicate (written and verbal) in English • Ability to manage the emotional stress of working with and caring for ill patients and their families • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation • Must be able to physically access any home or facility in assigned area (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) • Must be able/willing to have contact with individuals with communicable diseases- Some locations may require cross training to hospice house or field (home/facility/admission) positions of equal licensure/certification and scope when census calls for flexible staffing. Competencies: • Satisfactorily complete competency requirements for this position Responsibilities of all employees: • Represent Company professionally at all times through care delivered and/or services provided to all clients • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse • Comply with Company policies, procedures and standard practices • Observe Company's health, safety and security practices • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within Company • Use resources in a fiscally responsible manner • Promote Company through participation in community and professional organizations • Participate proactively in improving performance at the organizational, departmental and individual levels • Improve own professional knowledge and skill level • Advance electronic media skills. • Support company research and educational activities • Share expertise with co-workers both formally and informally • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Maintains competencies/contact hours as required by Company and regulations. • Provides only patient/caregiver services according to written Aide/Caregiver Plan of Care and Company policies and procedure. • Practices safe and proper body mechanics relative to moving, positioning and transferring patients. • Assists patient and or caregiver in maintaining a clean and safe home. • Provides caregiver relief as part of the Plan of Care. • Transports supplies, lab specimens, documents and other items needed to meet the Plan of Care as requested by the RN. • Under the direction or supervision of an RN, the Aide may perform activities that promote activities of daily living. • Contributes to the development of the Plan of Care by reporting observations to RN. • Communicates any significant issues or symptoms to the RN or Clinical Manager. • Performs other duties as assigned.Some locations may require:<ul><li>Cross training to field (home/facility/admission) positions of equal licensure/certification and scope when hospice house census calls for flexible staffing.</li></ul> Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: safely transfer/ambulate patients; stand; sit; reach with hands/arms; lift; bend; pull; push; balance. Occasionally required to: stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Per Diem - CNA - Hope Healthcare-Team 330

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.<ul><li>A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient’s home.</li><li>We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds.&nbsp; </li><li>Work Schedule – Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility.</li><li>Competitive on-call pay when placed in on-call rotation. </li><li>Holidays – Home Training Nurses rarely work on a holiday. </li><li>We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program.</li><li>We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes.&nbsp;</li></ul>The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.&nbsp; This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.&nbsp;&nbsp; &nbsp; ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.&nbsp; Other duties and tasks may be assigned.<ul><li>Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.</li><li>Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.</li><li>Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.&nbsp; Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.</li><li>Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li>Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.&nbsp; Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.</li><li>Participate in infection control monitoring, implementation, and recording as requested.</li><li>Be familiar with emergency equipment and all emergency operational procedures.&nbsp; Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.</li><li>Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.</li><li>Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.&nbsp; Assist in obtaining data for the continuous quality improvement activities.</li><li>Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.</li><li>Complete and document monthly review of patient medication profiles.&nbsp; Administer medications as ordered by the physician.</li><li>Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.</li><li>Flexible with staffing locations and hours to accommodate patient and USRC home program needs.</li><li>Regular and reliable attendance is required for the position.</li></ul>Home Hemodialysis Only:<ul><li>Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.</li><li>Ensure required and appropriate water sampling is complete per policy and product requirements.&nbsp; Monitor and report water sample and culture results.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</li></ul>Salary / Compensation StatementCompensation for the role will depend on several factors, including a candidate's experience, qualifications and skills. U.S. Renal Care offers a comprehensive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits.

Dialysis Registered Nurse, Peritoneal RN

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

Dialysis Registered Nurse Floater - RN Chronic In-center

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

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