Outpatient Registered Nurse - RN - Dialysis

Transitional Care Unit PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. 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, 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. 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. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $35.00 - $60.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Senior Automotive Technician

Overview: Sun Auto Tire & Service Join a Team That Respects Your Skill and Fuels Your Future! Sun Auto Tire & Service, a nationwide leader in automotive services. From coast to coast, we’re committed to integrity, excellence, and developing our people. As a Senior Automotive Technician, you will play a key role in diagnosing and repairing customer vehicles with accuracy, efficiency, and attention to quality. You’ll utilize your technical expertise to perform advanced diagnostics and repairs while ensuring every vehicle meets MAP guidelines and dealership, manufacturer, and company repair standards. Incredible Pay Awaits: $25.00/Hr. – $45.00/Hr. (flag rate), Depending on your experience and certifications. Benefits: Closed Sundays Competitive Bi-Weekly Pay Tuition Reimbursement Paid Vacation and Sick Time 6 Paid Holidays Medical, Dental and Vision Insurance Life Insurance (Company paid) 401(k) Retirement Savings Plan with Company Match Discounted Services on Personal and Immediate Family Vehicles Opportunity for Advancement Principal Duties and Responsibilities: Diagnoses vehicles according to the appropriate level of certifications/experience. Performs work as outlined on the Multi-point Inspection and/or Repair Order with efficiency and accuracy Performs complex and heavy-duty repairs Explains technical diagnosis and needed repairs to non-mechanical individuals which may include the Store Manager, Service Consultants and/or customers Recommends services that are necessary to keep the customer’s vehicle in running condition; properly documents all recommendations in customer file Follows all safety procedures and reports any concerns to direct supervisor Ability to work flexible schedules, including weekends as needed. But never Sundays! Other duties as assigned by direct supervisor Adheres to Sun Auto’s core values, all company policies and procedures as outlined in the Employee Handbook Qualifications: Previous automotive technician / mechanic experience required ASE certifications in lieu of experience Ability to demonstrate proper use of computerized equipment for diagnostics Valid Driver’s license Must be at least 18 years of age Possess State Inspector License or ability to obtain a State Inspector license (in applicable locations) within 30 days of hire date High School Diploma or equivalent; Technical School experience preferred Working Conditions and Physical Demands: The Senior Automotive Technician will be exposed to moderate to loud noises, dust, exhaust fumes, lubricants, petroleum products, vapors, caustic materials, and other hazardous and non-hazardous materials. The temperature in the work environment varies and could include extreme heat and/or extreme cold depending on the ambient temperatures outside. The use of safety goggles or other PPE may be required when working in these conditions. The Senior Automotive Technician must be able to meet the following physical requirements: Stand up to eight hours per day in the shop and able to walk to gain access to various areas of the building Bend, stoop, kneel and crouch regularly throughout the day; must have full range of motion with arms and hands and be able to feel, handle or finger objects frequently Lift and/or move up to 10 pounds regularly, lift and/or move up to 70 pounds frequently. Communicate with customers and shop personnel Vision sufficient to detect color, depth, and re-focus We are committed to providing reasonable accommodations to employees with disabilities upon request This is Where Experience Meets Endless Possibility! Get paid like a pro, treated like a leader, and still enjoy your Sundays. Apply today to start your journey with Sun Auto! Sun Auto Tire & Service provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Automotive Technician

Overview: Borst Automotive (part of the Sun Auto Network) is locally owned and operated and in 2020 we expanded our service area to Phoenix and Mesa. We believe that your car and your family deserve top quality repairs that ensure safety at a fair price - everyone gets our best, every day, on every repair for every car. The Automotive Technician / Mechanic is responsible for effectively and efficiently diagnosing and repairing customer vehicles while adhering to the MAP guidelines and in accordance with dealership, manufacturer’s and company standards. COMPENSATION: $36k - $120k depending on experience Automotive Technician / Mechanic Benefits: Competitive Bi-Weekly Pay Tuition Reimbursement Paid Vacation and Sick Time 6 Paid Holidays Medical, Dental and Vision Insurance Life Insurance (Company paid) 401(k) Retirement Savings Plan with Company Match Discounted Services on Personal and Immediate Family Vehicles Opportunity for Advancement Principal Duties and Responsibilities: Diagnoses vehicles according to the appropriate level of certifications/experience. Performs work as outlined on the Multi-point Inspection and/or Repair Order with efficiency and accuracy. Explains technical diagnosis and needed repairs to non-mechanical individuals which may include the Store Manager, Service Consultants and/or customers. Recommends services that are necessary to keep the customer’s vehicle in running condition; properly documents all recommendations in customer file. Follows all safety procedures and reports any concerns to the Shop Foreman or Store Manager. Maintains appropriate ASE certifications and renewals of expiring certifications. Qualifications: High School Diploma or equivalent Must be at least 18 years old Prefer a minimum of one unexpired ASE or equivalent experience or training Possess current, valid driver’s license Ability to work Monday - Saturday Working Conditions and Physical Demands: The Automotive Technician will be exposed to moderate to loud noises, dust, exhaust fumes, lubricants, petroleum products, vapors, caustic materials and other hazardous and non-hazardous materials. The temperature in the work environment varies and could include extreme heat and/or extreme cold depending on the ambient temperatures outside. The Automotive Technician must be able to meet the following physical requirements: Stand up to eight hours per day in the shop and able to walk to gain access to various areas of the building Bend, stoop, kneel and crouch regularly throughout the day; must have full range of motion with arms and hands and be able to feel, handle or finger objects frequently Lift and/or move up to 10 pounds regularly, lift and/or move up to 50 pounds frequently. Hear and speak Vision sufficient to detect color, depth, and re-focus Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sun Auto Tire & Service provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Acute Inpatient Registered Nurse - RN - Dialysis

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

Master Automotive Technician/ Mechanic

Overview: Tire Outlet is more than a tire store. We’re a complete automotive repair business that offers a range of services from tire and oil change services to air conditioning and tire service. Our customers know they can depend on our team of mechanics to fix their vehicles right the first time. No matter what your vehicle needs, you can count on us for exceptional tire and auto services. The Master Automotive Technician/ Mechanic is responsible for effectively and efficiently diagnosing and repairing customer vehicles while adhering to the MAP guidelines and in accordance with dealership, manufacturers, and Tire Outlet Automotive standards. COMPENSATION: Up to $45 Flag Rate depending on experience and ASE's Benefits: Competitive Bi-Weekly Pay Tuition Reimbursement, up to $3,000 annually Paid Vacation and Sick Time 6 Paid Holidays Medical, Dental and Vision Insurance Life Insurance (Company paid) 401(k) Retirement Savings Plan with Company Match Discounted Services on Personal and Immediate Family Vehicles Opportunity for Advancement! Principal Duties and Responsibilities: Diagnoses vehicles according to the appropriate level of certifications/experience. Performs work as outlined on the Multi-point Inspection and/or Repair Order with efficiency and accuracy. Explains technical diagnosis and needed repairs to non-mechanical individuals which may include the Store Manager, Service Consultants and/or customers. Recommends services that are necessary to keep the customer’s vehicle in running condition; properly documents all recommendations in customer file. Follows all safety procedures and reports any concerns to the Shop Foreman or Store Manager. Maintains appropriate ASE certifications and renewals of expiring certifications. Qualifications: High School Diploma or equivalent Prefer a minimum of one unexpired ASE or equivalent experience or training Possess valid driver’s license Must be at least 18 years old Ability to work a minimum of five days per week, including Saturday’s Sun Auto Tire & Service provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Hospital Phlebotomy Tech I - Banner Gateway (Day Shift)

Primary City/State: Gilbert, Arizona Department Name: Procurement-Gateway Work Shift: Day Job Category: Phlebotomy 630am - 5pm. Rotating days, weekends, and holidays. Find your Voice, Passion, & Purpose We are proud to offer new base pay rates New Grads: $19 per hour. Experienced (3yrs - 11 yrs): $21.07 - $23.36, depending on experience. POSITION SUMMARY This position may be located within a Hospital Facility, Patient Service Center (PSC), In Office Phlebotomy (IOP) or Mobile Diagnostic Services (MDS). This position may be responsible to provide coverage at multiple locations. This position is responsible for the collection and receipt of biological specimens into the department, their proper entry into the company's computer system, the preparation of samples for analytical testing and/or the distribution of these specimens to the proper analytical area. This includes responsibility for pre and post aspects of analytical testing. This position will also perform specified analytical testing as assigned. Follows the guidelines of the Code of Conduct. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. CORE FUNCTIONS 1. To include the following: 1) specimen collection 2) general laboratory specimen processing or 3) referral laboratory processing. In doing so, ensuring correct patient and specimen identification and specimen integrity by using appropriate techniques for all age criteria as required. In IOP locations, will manage client relationship within Compliance regulations to ensure that their needs are met and Sonora Quests' business objectives are satisfied. 2. Enters and verifies patient demographics, location, physician data, tests requested, time and date of collection, appropriate clinical information, and all other pertinent data found on requisitions and computer-generated orders as required for processing and billing. Verifies accuracy of entered information. Verifies appropriateness of specimens received. Aliquots and labels specimens according to established departmental procedures and practices, delivers specimens to the technical area in a timely manner and / or performs initial processing and preparation of samples for transport. May assist in monitoring workflow and training of new employees. 3. Focuses on quality by assuring that all work performed is accurate and complete. Completes documents legibly and accurately per site protocol. Follows established methods and practices. Maintains familiarity with departmental procedures. Uses appropriate documentation to record communications. Initiates computer generated reports as required for patient reporting and quality assurance monitoring. Meets departmental standards for productivity and quality as currently defined. Actively participates and provides input to dept/system via committees or Six Sigma teams. Maintains acceptable specimen rejection rates and meets the departmental standards for productivity and quality as currently defined. 4. Participates in departmental financial responsibilities through the appropriate use of supplies and materials. Avoids excessive waste. Participates in department initiatives to reduce costs and improve service. Basic knowledge of billing. Commitment to error free work environment. 5. Communicates courteously and professionally with internal and external customers. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. All employees must be able to work all areas/departments/shifts as assigned. Resolves basic service issues. Attends meetings and remains current with internal/external communications, i.e. e-mail, newsletters, etc. 6. Acknowledges and understands the importance of 'Patient Rights' and privacy (HIPAA). MINIMUM QUALIFICATIONS Minimum age requirement of 18. High School diploma or equivalent may be required dependent on state regulatory requirements. Basic knowledge of department resource materials. Completion of a phlebotomy program or phlebotomy experience. Phlebotomy certification as defined by state regulations. Position may require DHS Fingerprinting Certification or the ability to obtain fingerprint certification. Dependent on department/location, candidate must possess a valid state driver's license in the state of employment and be eligible for coverage under the company auto insurance policy. Float positions require travel and flexible hours required to work multiple locations and required to cover at mobile phlebotomy facilities/in-office phlebotomy locations with minimal notice. Must be flexible and available based on staffing requirements, weekends, holidays and overtime. May be required to work occasional on-call duties weekends, evenings and early AM. Progression through career ladder II-IV is subject to completion of career ladder requirements. PREFERRED QUALIFICATIONS Bilingual (Spanish/English). Knowledge of medical terminology. Additional related education and/or experience. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Automotive Technician-Jacksonville- Beach Blvd

Overview: Tire Outlet is more than a tire store. We’re a complete automotive repair business that offers a range of services from tire and oil change services to air conditioning and tire service. Our customers know they can depend on our team of mechanics to fix their vehicles right the first time. No matter what your vehicle needs, you can count on us for exceptional tire and auto services. The Automotive Technician is responsible for effectively and efficiently diagnosing and repairing customer vehicles while adhering to the MAP guidelines and in accordance with dealership, manufacturers, and Tire Outlet Automotive standards. COMPENSATION: Pay ranges from $20- $45 per hour depending on experience. Benefits: Competitive Bi-Weekly Pay Tuition Reimbursement, up to $3,000 annually Paid Vacation and Sick Time 6 Paid Holidays Medical, Dental and Vision Insurance Life Insurance (Company paid) 401(k) Retirement Savings Plan with Company Match Discounted Services on Personal and Immediate Family Vehicles Opportunity for Advancement! Principal Duties and Responsibilities: Diagnoses vehicles according to the appropriate level of certifications/experience. Performs work as outlined on the Multi-point Inspection and/or Repair Order with efficiency and accuracy. Explains technical diagnosis and needed repairs to non-mechanical individuals which may include the Store Manager, Service Consultants and/or customers. Recommends services that are necessary to keep the customer’s vehicle in running condition; properly documents all recommendations in customer file. Follows all safety procedures and reports any concerns to the Shop Foreman or Store Manager. Maintains appropriate ASE certifications and renewals of expiring certifications. Qualifications: High School Diploma or equivalent Must be at least 18 years old Prefer a minimum of one unexpired ASE or equivalent experience or training Possess valid driver’s license Ability to work a minimum of five days per week, including Saturday’s Sun Auto Tire & Service provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Acute Inpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated. · Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. · Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. · Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. · Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. · Performs 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. · Administers medications as prescribed and documents appropriate medical justification and effectiveness. · Initiates and assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. · May be assigned to assist in an Outpatient facility on an as needed basis. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. 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, 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. 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. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. · Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position requires travel to training/meeting sites and between assigned facilities. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · 6 months experience in acute dialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification · Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN · Minimum 9 months experience as a Registered Nurse, 12 months (preferred). · 6 months acute dialysis experience (preferred) · Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Clinical Coordinator - Charge Registered Nurse - Dialysis

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician’s orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse’s Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. 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. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. 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. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills – verbal and written. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Retail Merchandise Associate

TJ Maxx At TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you’re working in our four global Home Offices, Distribution Centers or Retail Stores—TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you’ll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family—a Fortune 100 company and the world’s leading off-price retailer. Job Description: Opportunity: Grow Your Career Responsible for delivering a highly satisfied customer experience proven by engaging and interacting with all customers, embodying customer experience principles and philosophy, and maintaining a clean and organized store environment. Adheres to all operational, merchandise, and loss prevention standards. May be cross-trained to work in multiple areas of the store in order to support the needs of the business. Role models established customer experience practices with internal and external customers Supports and embodies a positive store culture through honesty, integrity, and respect Accurately rings customer purchases/returns and counts change back to customer according to established operating procedures Promotes credit and loyalty programs Maintains and upholds merchandising philosophy and follows established merchandising procedures and standards Accurately processes and prepares merchandise for the sales floor following company procedures and standards Initiates and participates in store recovery as needed throughout the day Maintains all organizational, cleanliness, and recovery standards for the sales floor and participates in the maintenance/cleanliness of the entire store Provides and accepts recognition and constructive feedback Adheres to all labor laws, policies, and procedures Supports and participates in store shrink reduction goals and programs Participates in safety awareness and maintains a safe environment Other duties as assigned Who We’re Looking For: You. Possesses excellent customer service skills Able to work a flexible schedule to support business needs Possesses strong communication and organizational skills with attention to detail Capable of multi-tasking Able to respond appropriately to changes in direction or unexpected situations Capable of lifting heavy objects with or without reasonable accommodation Works effectively with peers and supervisors Retail customer experience preferred Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information. In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. Applicants with arrest or conviction records will be considered for employment. Address: 1584 White Mountain Hwy Location: USA TJ Maxx Store 0028 North Conway NH This position has a starting pay range of $14.00 to $14.50 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.

Facility Administrator

Enjoy a predictable Monday through Friday schedule with no weekends, no holidays, and no on-call requirements. Azura's outpatient vascular centers provide a collaborative, patient-focused environment where team members deliver high-quality care using advanced technology in a comfortable ambulatory setting. This setting offers the opportunity to build strong patient relationships while maintaining an excellent work-life balance. $10k sign on bonus! PURPOSE AND SCOPE: The Facility Administrator is responsible for the leadership of the clinical facility ensuring all clinical, operational, and business objectives are met. The Facility Administrator is authorized to make daily decisions to ensure patient and staff safety, the execution of some tasks may be delegated to the nursing leader where appropriate. Develops a culture of trust, empowerment, and collaboration among all center staff. The Facility Administrator shall ensure that the Center complies with the requirements of any governmental or regulatory body having jurisdiction in the premises. Assists the Medical Staff to ensure that medical practices and procedures meets applicable standards. Ensures provision of quality patient care and the role is responsible to the ASC Governing Body for clinical reporting and for operational oversight. PRINCIPAL DUTIES AND RESPONSIBILITIES: Environment of Care & Quality · Manage site employees, environment, clinical processes and procedures, and workflow to deliver high quality of patient care · Ensure compliance of state requirements and licensure updates including understanding of CLIA requirements, pharmacy requirements, and DEA anesthesia regulations · Implement and maintain all aspects of Environment of Care requirements for patient safety and NFPA 101: Life Safety Code · Plan personnel, equipment, and medications needed for medical emergencies; incorporate into Emergency Preparedness Plan; ensure maintenance of equipment · Ensure proper medical records management and HIPAA compliance · Oversees the continuous and data driven Quality Assurance and Performance Improvement Program of the center, including collection and analyzing of data per policy · Through the use of internal tools (SoCA, FA Checklist, etc.) and feedback delivered in external inspections, develop facility-specific action plans to achieve ASC quality standards. · Responsible for managing general liability and risk exposures to patients and employees by conducting risk assessments according standards, regulations and policies, and then developing and implementing an associated center specific management plan. · Ensure adverse events are reported, documented and necessary follow up is provided in compliance with policy and state requirements · Ensure effective communication with patients, dialysis clinics, hospitals and physician(s), to address any concerns/ issues Facility Operations · Participate in Governing Body Meetings; included but not limited to coordination of meetings in compliance with Governing Body Bylaws, documentation preparation and maintaining meeting minutes. · Provide support to the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws. · Maintain compliance with ASC regulations including CMS conditions for coverage, state regulations, and accrediting agency standards where applicable. · Participate in review business and finances of the site, including financial reports, market trends, and staffing models to ensure efficiencies, manage inventory and expenses, and optimize workflow · Engage w/ sales partner to develop strategies to find new markets and develop new business opportunities · Oversee front desk staff to ensure all processes, procedures, and expectations being adhered to, including but not limited to, appropriate scheduling, patient follow-up, and data integrity · Ensures all staff meet organization's customer service standards · Collaborate with ancillary departments within center to ensure alignment in meeting center-specific and company-wide goals · Collaborate with Sales Partner to identify and visit local dialysis clinics as needed to provide information/education on available vascular access services for ESRD patients · Create and continually enhance internal physician partnerships to optimize patient care and business outcomes · Act as a liaison between the local dialysis clinics, the Access Center, and physician practices to meet patient needs. · Facilitate the application process for physician privileges and compliance with Medical Staff By-Laws, including assisting with the credentialing process · Coordinate inventory/supply management and vendor services to ensure cost containment, timely distribution and competitive pricing, as well as maintain the security and integrity of facility · Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals as set forth in the annual budget · Support billing, billing issues and collection activities · Ensure facility is adequately staffed to meet patient needs and the safety and quality of the employees and patients. · May assist w/ patient care on an as needed basis and in accordance w/ professional licensure (if applicable) People Management & Leadership · Lead, coach, and develop employees to optimize performance; partnering with Human Resources on employee matters · Create a highly engaged and motivated culture, resulting in increased retention and employee morale · Identify and address performance gaps as appropriate in accordance with company policy · Drive employee performance review and employee engagement/recognition activities for center · Participate in the recruitment, interview, and decision-making process to hire new highly-skilled staff · Ensure appropriate training and oversight of all staff, including front desk employees · Ensure completion of all employee training, including new hire orientation, compliance training, and mandatory in-service training · Ensure all required and appropriate documentation is completed, including current licensure · 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. · Daily work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Minimal travel to regional, Division and Corporate meetings may be required as well. · The position may provide direct patient care that regularly involves heavy lifting and moving of patients of up to 200 lbs and assisting with ambulation. Coworkers may provide assistance. The position may require frequent prolonged periods of standing and the employee must be able to bend over. There is a two-person assist program and “material assist” devices for the heavier items. · 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. SUPERVISION: · Responsible for all staff, which may include direct and indirect patient care staff, if incumbent does not possess a RN license, supervision of nursing staff will be provided by a charge nurse/director of nursing. EDUCATION AND REQUIRED CREDENTIALS: · Bachelor’s Degree preferred or an equivalent combination of education and experience. · Must meet all state specific requirements for background and education level. · Successfully complete and maintain BLS Certification · ASC certification a plus EXPERIENCE AND SKILLS: · 6-8 years’ related experience or an equivalent combination of education and experience · Minimum (3) years direct experience or related experience.in healthcare supervisory or administrative role · Experience in outpatient healthcare operations or an ambulatory surgery center setting preferred · Experience obtaining and maintaining Medicare certification through an accrediting organization is desirable · Experience reading, analyzing, and acting on financial and business reports · Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred · Demonstrated leadership/Management skills, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making · Must be knowledgeable in the operation of all facility equipment and technology, including but not limited to C-arm, patient monitors, defibrillators, medical recording devices and computers, and all emergency equipment. EOE, disability/veterans

Acute Inpatient Registered Nurse - RN

This position will cover the following hospitals- Newton Wellesley and Hebrew Rehab. PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated. · Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. · Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. · Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. · Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. · Performs 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. · Administers medications as prescribed and documents appropriate medical justification and effectiveness. · Initiates and assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. · May be assigned to assist in an Outpatient facility on an as needed basis. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. 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, 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. 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. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. · Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position requires travel to training/meeting sites and between assigned facilities. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · 6 months experience in acute dialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification · Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN · Minimum 9 months experience as a Registered Nurse, 12 months (preferred). · 6 months acute dialysis experience (preferred) · Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $39.00 - $59.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans