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Charge Nurse Salary in Houston, TX

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DescriptionVilla de Matel Center Please note that this position is with the Congregation of the Sisters of Charity of the Incarnate Word at Villa de Matel Center located in Houston, Texas. The Villa de Matel Center is the home for the Sisters of Charity of the Incarnate Word. It is also used as a central gathering place for the Sisters and their ministries, a retirement center for the Sisters and a retreat center for the public. You can learn more about the Sisters and all of their ministries at their website, www.sistersofcharity.org.Summary:This position with the direction of the Director of Nursing (DON) directs and coordinates the operations of the nursing department related to quality and efficiency of patient care; visits all nursing units daily to evaluate nursing care; advises and assists charge nurses with nursing and managerial problems/issues, demonstrates professional accountability for competency and growth. The Registered Nurse Clinical Supervisor assists the DON in some administrative duties, provides per diem coverages for Charges Nurses, assists Charge Nurses on clinic days, and on the floor. Requirements:A. Education/Skills:· Graduate from an accredited school of nursing· Communication skills – both verbal and written · Ability to understand medical records, physician orders and nursing care plans · Ability to communicate effectively with residents, Congregational Leadership, staff and other health care professionals. · Understanding of Catholic Health Care DirectivesB. Experience · Minimum of two years previous nursing management experience preferred · Previous human resources management experience preferred · Previous financial management experience preferred · Knowledge of drugs and treatment modalities used in geriatric practice.C. Licenses, Registrations, or Certifications: · Current RN permits or licensure issued by the Board of Nurse Examiners in the State of Texas to practice nursing. · BSN preferred. · Current certification in gerontological nursing or will obtain in one year after employment. Work Type: Full Time
LVN/LPN-H
North Houston Transitional Care, Houston
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Direct the day to day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist in planning the nursing services portion of the resident's discharge plan as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Write resident charge slips and forward to the Business Office. Maintain the Daily Census Report and submit to the Business Office as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians' Order Form. Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Fill out and complete accident/incident reports. Submit to Director as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders. Forward information to the Food Services Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Sign and date all entries made in the resident's medical record. Drug Administration Functions Prepare and administer medications as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotic records are accurate for your shift. Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. Notify the attending physician of automatic stop orders prior to the last dosage being administered. Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc. Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. Report absentee call ins to the Nurse Supervisor. Review and evaluate your department's work force and make recommendations to the Nurse Supervisor. Develop work assignments and/or assist in completing and performing such assignments. Provide leadership to nursing personnel assigned to your unit/shift. Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. Develop and maintain a good working rapport with inter departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility's established procedures. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Receive/give the nursing report upon reporting in and ending shift duty hours. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines. Nursing Care Functions Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Participate in the orientation of new residents/family members to the facility. Make rounds with physicians as necessary. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary. Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary. Implement and maintain established nursing objectives and standards. Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Cooperate with and coordinate social and activity programs with nursing service schedules. Notify the resident's attending physician when the resident is involved in an accident or incident. Notify the resident's attending physician and next of kin when there is a change in the resident's condition. Carry out restorative and rehabilitative programs, to include self help and care. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Use restraints when necessary and in accordance with established policies and procedures. Obtain sputum, urine and other specimens for lab tests as ordered Take and record TPRs, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor Admit, transfer and discharge residents as necessary. Assist in arranging transportation for discharged residents as necessary. Ensure that discharged residents are escorted to the pick up area. Inform family members of the death of the resident. Call funeral homes when requested by the family. Ensure that established post mortem procedures are followed. Staff Development Participate in developing, planning, conducting, and scheduling in service training classes that provide instructions on "how to do the job," and ensure a well educated nursing service department. Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. Assist in standardizing the methods in which work will be accomplished. Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. Assist the Director in planning clinical supervision for nurse aide trainees. Attend and participate in outside training programs. Attend and participate in annual facility in service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Attend and participate in advance directive in service training programs for the staff and community. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures. Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate your unit/shift's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions Review care plans daily to ensure that appropriate care is being rendered. Inform the Nurse Supervisor of any changes that need to be made on the care plan. Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. 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. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
PRN Family Nurse Practitioner/Physician Associate
Healthstat, Inc, Houston
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Assistant Nurse Manager - Surgery (Urology)
UTHealth, Houston
What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. We are looking or an Assistant Manager of Nursing to join the UTHealth Department of Surgery/ Urology. The assistant nurse manager will be responsible for managing the back office of the Urology clinic. Daily duties include, creating weekly schedules for the medical assistants, supervise in office procedures, perform time out before procedures with the physicians. They will also order supplies, manage equipment, manage prescription refills, patient phone calls, review and address concerns of overbooking of physician schedules and procedures. Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as... Free financial and legal counseling Free mental health counseling services Gym membership discounts and access to wellness programs Other employee discounts including entertainment, car rentals, cell phones, etc. Resources for child and elder care Plus many more! Position Summary: Responsible for ensuring safe, effective clinical nursing care for all patients. Responsible for the management, evaluation, and coordination of nursing personnel. Provides direction to operational, clinical and administrative staff in a clinic or clinics. Position Key Accountabilities: Assists the Nurse Manager and/or the Practice Manager/Sr. Practice Manager in the management and coordination of the daily activities for an assigned clinic(s). Assist in the development implementation/evaluation of unit/departmental goals. Participates in decision-making with the Nurse Manager, practice manager, medical director, and other supervisory personnel. Assists in resolving interdepartmental and intradepartmental problems/concerns. Actively participates in performance initiatives. Facilitates change process. Acts in-charge in the absence of the Nurse Manager, Practice Manager/Sr. Practice Manager or other supervisory personnel. Investigates, communicates and follows through on concerns expressed by patients, families and/or staff. Effectively communicates with patients, families and staff. Supports nursing research by participating in research activities where appropriate. Participates in the continuing education process, identifies own professional needs and assists with education and orientation of clinical staff and students. Manages Human Resources activities of department in regards to: recruiting and selection, hiring and terminations, training, professional development, mentoring, counseling, performance evaluations, and salary planning. Utilizes tools of quality improvement to collect and report quality data. Other duties as assigned. Certification/Skills: Current Texas registered nurses license. BLS Certification ACLS/PALS preferred Certification in area of specialty preferred Minimum Education: Bachelors degree in nursing plus three years nursing experience, OR Associates degree in nursing plus five years nursing experience, OR Nursing diploma (3-year program) plus four years nursing experience. Minimum Experience: Nursing experience preferably including some managerial/supervisory experience. The number of years varies depending on the education level attained. Physical Requirements:Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.Security Sensitive:This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215Residency Requirement:Employees must permanently reside and work in the State of Texas.
Cna Prn
Houston Transitional Care, Houston
General PurposeThe primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed byyour supervisors.Essential Duties• Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary.• Use only authorized abbreviations established by this facility when recording information.• Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical.• Record all entries on flow sheets, notes, charts, etc., in an informative, descriptive manner.• Report all accidents and incidents you observe on the shift that they occur.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.• Report any known or suspected unauthorized attempt to access facility's information system.• Perform only those nursing care procedures that you have been trained to do.• Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).• Greet residents and escort them to their room.• Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.• Make resident comfortable.• Inventory and mark the resident's personal possessions as instructed.• Store resident's clothing.• Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.• Transport residents to new rooms or to the receiving area.• Assist with loading/unloading residents' to/from vehicles as necessary.• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.• Report all complaints and grievances made by the resident.• Participate in and receive the nursing report as instructed.• Follow established policies concerning exposure to blood/body fluids.• Make beds as instructed.• Put extra covers on beds as requested.• Measure and record temperatures, pulses, and respirations (TPRs) of residents, as instructed. Weigh and measure residents as instructed.• Ensure that residents who are unable to call for help are checked frequently.• Answer resident calls promptly.• Check residents routinely to ensure that their personal care needs are being met.• Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).• Record the resident's food/fluid intake. Report changes in the resident's eating habits to the Nurse Supervisor/Charge Nurse.• Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.• Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, etc.).• Participate in and receive the nursing report upon reporting for duty.• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.• Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.• Notify the facility when you will be late or absent from work.• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.• Assist residents with daily functions (dental and mouth care, bath functions, combing of hair, dressing and undressing as necessary).• Keep residents dry (change gown, clothing and linens, when it becomes wet or soiled).• Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).• Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.• Perform restorative and rehabilitative procedures as instructed.• Assist in preparing the resident for a physical examination.• Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.• Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).• Report injuries of an unknown source, including skin tears.• Observe disoriented and comatose residents. Record and report data as instructed• Perform special treatments as instructed.• Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.• Use only the equipment you have been trained to use.• Report defective equipment to the Nurse Supervisor/Charge Nurse• Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.• Report all allegations of resident abuse and/or misappropriation of resident property.• Honor the resident's refusal of treatment request. Report such requests to your supervisor.Supervisory RequirementsThis position has no supervisor responsibilitiesQualificationEducation and/or Experience Must possess, as a minimum, an 10th grade educationLanguage Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, andprocedure manuals. Ability to effectively present information and respond to questions from managers and employees.Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Certificates, Licenses, Registrations Must be a licensed Certified Nursing Assistant in accordance with laws of the state.CPR PreferredPhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include copier/scanner/fax, telephone, and calculator.May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe 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 noise level in the work environment is usually low to moderate.
Dialysis Patient Care Technician Part-time - PCT Chronic In-center
U.S. Renal Care, Houston
How you will change lives 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. What you'll be doing 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 TECHNICIANSTATE SPECIFIC BOARD OF NURSING REQUIREMENTS California Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR 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. Maryland Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR 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 Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification. New Mexico Must have New Mexico dialysis technician certificate at time of hire OR 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 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. After January 1 st , 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate. The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization. Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients OHIO Must have Ohio dialysis technician intern certificate at time of hire OR 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. 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. OREGON Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR 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.
Dialysis Charge Nurse - RN Chronic In-center
U.S. Renal Care, Houston
The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Demonstrate effective use of supplies and staff labor hours. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Assist physician during patient rounds and transcribe and implement physician orders timely. Assist with the implementation of anemia management and medication protocols as requested. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations. Responds to all emergencies in clinic. 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. Maintain collaborative working relationship with Medical Director and physicians. Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities. Assist in orientation of new staff as a preceptor or in assigning a preceptor. Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated. Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff
CNA-H
North Houston Transitional Care, Houston
General PurposeThe primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed byyour supervisors.Essential Duties• Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary.• Use only authorized abbreviations established by this facility when recording information.• Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical.• Record all entries on flow sheets, notes, charts, etc., in an informative, descriptive manner.• Report all accidents and incidents you observe on the shift that they occur.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.• Report any known or suspected unauthorized attempt to access facility's information system.• Perform only those nursing care procedures that you have been trained to do.• Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).• Greet residents and escort them to their room.• Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.• Make resident comfortable.• Inventory and mark the resident's personal possessions as instructed.• Store resident's clothing.• Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.• Transport residents to new rooms or to the receiving area.• Assist with loading/unloading residents' to/from vehicles as necessary.• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.• Report all complaints and grievances made by the resident.• Participate in and receive the nursing report as instructed.• Follow established policies concerning exposure to blood/body fluids.• Make beds as instructed.• Put extra covers on beds as requested.• Measure and record temperatures, pulses, and respirations (TPRs) of residents, as instructed. Weigh and measure residents as instructed.• Ensure that residents who are unable to call for help are checked frequently.• Answer resident calls promptly.• Check residents routinely to ensure that their personal care needs are being met.• Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).• Record the resident's food/fluid intake. Report changes in the resident's eating habits to the Nurse Supervisor/Charge Nurse.• Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.• Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, etc.).• Participate in and receive the nursing report upon reporting for duty.• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.• Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.• Notify the facility when you will be late or absent from work.• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.• Assist residents with daily functions (dental and mouth care, bath functions, combing of hair, dressing and undressing as necessary).• Keep residents dry (change gown, clothing and linens, when it becomes wet or soiled).• Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).• Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.• Perform restorative and rehabilitative procedures as instructed.• Assist in preparing the resident for a physical examination.• Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.• Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).• Report injuries of an unknown source, including skin tears.• Observe disoriented and comatose residents. Record and report data as instructed• Perform special treatments as instructed.• Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.• Use only the equipment you have been trained to use.• Report defective equipment to the Nurse Supervisor/Charge Nurse• Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.• Report all allegations of resident abuse and/or misappropriation of resident property.• Honor the resident's refusal of treatment request. Report such requests to your supervisor.Supervisory RequirementsThis position has no supervisor responsibilitiesQualificationEducation and/or Experience Must possess, as a minimum, an 10th grade educationLanguage Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, andprocedure manuals. Ability to effectively present information and respond to questions from managers and employees.Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Certificates, Licenses, Registrations Must be a licensed Certified Nursing Assistant in accordance with laws of the state.CPR PreferredPhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include copier/scanner/fax, telephone, and calculator.May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe 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 noise level in the work environment is usually low to moderate.
CNA
North Houston Transitional Care, Houston
General PurposeThe primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed byyour supervisors.Essential Duties• Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary.• Use only authorized abbreviations established by this facility when recording information.• Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical.• Record all entries on flow sheets, notes, charts, etc., in an informative, descriptive manner.• Report all accidents and incidents you observe on the shift that they occur.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.• Report any known or suspected unauthorized attempt to access facility's information system.• Perform only those nursing care procedures that you have been trained to do.• Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).• Greet residents and escort them to their room.• Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.• Make resident comfortable.• Inventory and mark the resident's personal possessions as instructed.• Store resident's clothing.• Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.• Transport residents to new rooms or to the receiving area.• Assist with loading/unloading residents' to/from vehicles as necessary.• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.• Report all complaints and grievances made by the resident.• Participate in and receive the nursing report as instructed.• Follow established policies concerning exposure to blood/body fluids.• Make beds as instructed.• Put extra covers on beds as requested.• Measure and record temperatures, pulses, and respirations (TPRs) of residents, as instructed. Weigh and measure residents as instructed.• Ensure that residents who are unable to call for help are checked frequently.• Answer resident calls promptly.• Check residents routinely to ensure that their personal care needs are being met.• Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).• Record the resident's food/fluid intake. Report changes in the resident's eating habits to the Nurse Supervisor/Charge Nurse.• Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.• Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, etc.).• Participate in and receive the nursing report upon reporting for duty.• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.• Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.• Notify the facility when you will be late or absent from work.• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.• Assist residents with daily functions (dental and mouth care, bath functions, combing of hair, dressing and undressing as necessary).• Keep residents dry (change gown, clothing and linens, when it becomes wet or soiled).• Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).• Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.• Perform restorative and rehabilitative procedures as instructed.• Assist in preparing the resident for a physical examination.• Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.• Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).• Report injuries of an unknown source, including skin tears.• Observe disoriented and comatose residents. Record and report data as instructed• Perform special treatments as instructed.• Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.• Use only the equipment you have been trained to use.• Report defective equipment to the Nurse Supervisor/Charge Nurse• Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.• Report all allegations of resident abuse and/or misappropriation of resident property.• Honor the resident's refusal of treatment request. Report such requests to your supervisor.Supervisory RequirementsThis position has no supervisor responsibilitiesQualificationEducation and/or Experience Must possess, as a minimum, an 10th grade educationLanguage Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, andprocedure manuals. Ability to effectively present information and respond to questions from managers and employees.Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Certificates, Licenses, Registrations Must be a licensed Certified Nursing Assistant in accordance with laws of the state.CPR PreferredPhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include copier/scanner/fax, telephone, and calculator.May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe 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 noise level in the work environment is usually low to moderate.
PRN Family Nurse Practitioner or Physician Associate - Southern California
Healthstat, Inc, Houston
We normalize balance, not burnout at Everside Health:Smaller patient panel size More time with your patients: appointments range from 20 to 60 minutes Strong focus on prevention and wellness, acute and chronic disease managementFewer administrative and insurance-related tasks Success is measured by health outcomes, not patient volume and billing (Not a Fee for Service Model)About UsAt Everside Health we are building the most trusted, accessible and personalized healthcare experience alongside our patients and clients. With 20+ years' experience from our shared organizations, we hold a unified goal of building deep, trusted and lasting relationships with our patients and clients. As Everside Health, we are guided by our core principles of Patients First, Courage, Ingenuity, Community, and Fun.Day in the Life:This PRN Provider position is covering Everside Health's health centers in Southern California, floating between Bakersfield/Lancaster/ Victorville OR Chino/ Riverside/ Murrieta/Laguna Hills/Pico Rivera OR San Diego County (Chula Vista/ Escondido)As an Everside Health provider you practice relationship-based medicine at the top of your license. You offer wholistic care including prevention, chronic disease management and health education to your patients. You'll have great resources (like UpToDate and RubiconMD) at your fingertips, that are free of charge to you and your patients. You work autonomously with a company that puts PATIENTS first, and values ingenuity, courage, community and FUN!Everside Health offers providers:Non-production-based compensation package Comprehensive benefits, including CME, medical license, DEA, and malpractice coverage Regular provider meetings, such as journal clubs and grand rounds, for ongoing learning, development, and team collaboration Competitive health benefits that start 1st of month after start date Minimum Job Requirements for Nurse Practitioner:Active license & current ANCC or AANP board certification requiredIndependent practice provider preferred, where applicable per State regulation. Federal DEA number preferred; may be required for full prescribing ability.CPR/BLS certification required at time of start date Independent family practice experience including routine wellness care, chronic care management, and urgent visit, preferredMinimum Job Requirements for Physician Associate:Active license & current NCCPA board certification required.Independent practice provider preferred, where applicable per State regulation.Federal DEA number preferred; may be required for full prescribing ability.CPR/BLS certification required at time of start date Independent family practice experience including routine wellness care, chronic care management, and urgent visit, preferredPay Range: $67.00-77.00/hr The actual offer may vary dependent upon geographic location and the candidate's years of experience and/or skill level.