Critical Care Nurse Salary in San Antonio, TX

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

It's a great feeling to work for a company that does so much good for others around the world!Academic Req:Required - Graduate from accredited Licensed Vocational Nursing programCertifications: Good standing as a Licensed Vocational Nurse with the state of Texas Board of Nursing, current BLS certifications (PALS preferred), First aid, CPR, Emergency behavior interventionWork experience: Required - One (1) year nursing experience, including pediatric nursing experienceCritical Action Items & Measurable Deliverables:1.Meet all federal and state regulatory guidelines and standards that are applicable to this position.2. Participate as a member of the interdisciplinary team when appropriate.3. Complete all nursing duties and provide all health care services relevant to this position in compliance with all regulatory authorities, and program protocols, procedures and supervisory instructions including, but not limited to, active and ongoing nursing assessments, charting, scheduling of appointments, routine observations, isolation observations, wellness checks, immunizations, all required documentation and reporting.4. Implement and monitor established health care plans and treatment orders to ensure that all treatment orders directed by physician or APP are implemented as ordered and immediately upon request.5. Provide guidance, direction, and leadership to medical staff, and maintain readiness to provide supervision and training to medical staff, medical service specialists and direct care staff when requested by RN Manager.6. Effectively communicate, consult, and interact with the Registered Nurse Manager on protocol and procedure issues affecting the quality of health care services on campus and issues of contagious disease control when any child is on campus is ill with contagious disease and communicate effectively with health care providers regarding care for service population and advocate for the needs of the service population.7. Maintain documentation of controlled drugs that may be available to include up to date reconciliation of all scheduled drugs used in the facility through facility's protocols and procedures as requested by the RN Manager.8. When directed, communicate with pharmacies on ordering prescription medications, check medication deliveries for accuracy and compliance with provider's orders and remediate any discrepancies.9. Assist in maintaining adequate over the counter medication supplies for assigned service population facility.10. Assist in arranging the transport of residents to health care appointments including; doctor, dentist, therapy, counseling, lab, and other required transporting visits.11. When directed, arrange proper disposal of unused and expired medications according to protocols.12. Develop, maintain, and audit an accurate Medication Administration Record (MAR) for each child and assist with the medication administration and health of service population as needed or requested by RN Manager.13. Provide required facility documentation and reporting in a timely manner to meet Compass Connections, federal and state guidelines within the required timeframes.14. Maintain all written and electronic medical health care records.15. Participate in the development of health and medical related protocols and procedures for a federal program.16. Communicate with service population and staff in a manner that prioritizes confidentiality of health care records and information in keeping with HIPAA, 17 Protected Health Information (PHI) requirements and Compass Connections confidentiality protocol and procedures.17. Participate in scheduled meetings, team decisions and operations.18. Adhere to scheduled hours pertaining to position, remain available for on-call scheduling, and work evenings, weekends and holidays as needed, requested, or deemed appropriate by Registered Nurse Manager.19. Know, understand, and apply positive behavior management techniques including verbal redirection, de- escalation, and containment.20. Know and recognize the signs of abuse, neglect, and exploitation and sexually provocative behavior and implement professional response, reporting and documenting procedures.21. Show appreciation and affection toward children in a manner that is compassionate and professional, minimizing cultural misinterpretations.22. Assist with training of Compass Connections staff and service population on medical issues and Compass Connections staff best on practices regarding CPR, First Aid, BLS, calling 9-1-1 and controlling contagious disease, quality health care and emergency response preparedness as requested by RN Manager.23. Plan, organize, and prioritize daily work using sound judgment and following the direction of the Registered Nurse Manager.24. Implement Compass Connections safety protocols including evacuating with children and other staff in case of an emergency.25. Maintain Compass Connections professional and ethical standards of conduct outlined in Compass Connections employee handbook including demonstrating respect for agency staff, children, and community members and complying with required dress code at all times.Other Responsibilities:1. Perform nursing duties at designated site(s) in accordance with nursing guidelines and best practices established by the Texas Board of Nursing for Registered Nurses.2. Complete accurate documentation of nursing activities performed in accordance with agency policies and procedures and contract and regulatory requirements and standards and program timeline requirements.3. Collaborate with and apply recommendations of advanced practice provider (APP) and Registered Nurse (RN) Manager regarding best practices and Compass Connections Medical protocols and procedures.4. Initiate medical services provided to service population to ensure services meet all state, federal and program requirements and clinic setting remains safe and sanitary at all times.5. Meet all pre-determined deadlines required by program and federal partners.6. Other duties as assigned.7. Foster Care Programs - Support, encourage, and recruit foster parents.Requirements:1. Pass a pre-employment drug screen and random drug screens throughout employment.2. Provide proof of work eligibility status upon request.3. Pass a pre-employment and biennial criminal background checks.4. Demonstrate the ability to:a. Respond sensitively and competently to the service population's cultural and socio-economic characteristics.b. Work collaboratively with other staff members, service providers and professionals.c. Communicate effectively in writing and verbally in English.d. Provide crisis intervention according to training provided by Compass Connections when needed to maintain a safe environment.e. Work in a fast-paced environment and maintain emotional control and professional composure at all times.f. Maintain computer literacy required to meet the responsibilities of the position.g. Work effectively and without intensive supervision both independently and as a member of a multidisciplinary team.5. Demonstrate a working knowledge of all Compass Connections policies and procedures.6. Must complete and sign Operations Policy and Procedure review and certification.7. Must provide current physical-medical release and provide proof of immunizations, titers, or declinations for the following:a. MMRb. Varicellac. HepBd. HepAe. Tetanusf. PPDg. Meningococcal (preferred)8. Must be able to perform physical activity such as extensive walking, lifting of patients, stretching, and bending.9. Must be able to work in a team environment.10. Must be able to maintain professional people skills, including oral, written, listening, and non-verbal communication skills.Here at Compass Connections, we are dedicated to building a diverse, inclusive, and authentic workplace. Please feel free to apply for this position even if your work experience and education do not align perfectly with every requirement for this job description. You may very well be the perfect candidate for this role or other ones that we have open. Thank you for your interest in joining our mission!Compass Connections, is committed to following immunization recommendations produced by the U.S. Centers for Disease Control (CDC). As such, our company policy requires that all employees must receive an annual Influenza vaccination or obtain an approved exemption as a medical or religious accommodation. This is a condition of employment, and all new hires will be responsible for providing proof.Compass Connections, is an Equal Employment Opportunity ("EEO") Employer. It has been and will continue to be a fundamental policy of Compass Connections, not to discriminate on the basis of race, color, religion, gender, gender identity, pregnancy, sexual orientation, age, national origin, alienage or citizenship status, veteran or military status, disability, medical condition, or any other characteristic prohibited by federal, state and/or local laws. This policy applies to all aspects of employment, including hiring, promotion, demotion, compensation, training, working conditions, transfer, job assignments, benefits, layoff, and termination.EEO StatementIt our policy to provide equal employment opportunity and treat all employees equally regardless of age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, genetic information or genetic predisposition or carrier status, marital status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable lawEnglish (United States)If you like to work with people that believe they can make a difference in the world, this is the company for you!EEO StatementIt our policy to provide equal employment opportunity and treat all employees equally regardless of age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, genetic information or genetic predisposition or carrier status, marital status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.Click here to view the "EEO is the law" poster#LI-Health Care Provider#LI-Associate#LI-Full-time

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

DescriptionSummary:The Care Manager (CM) PRN works in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. The CM is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care Coordination and Discharge Planning are both responsibilities of this role. The CM assesses and responds to patient/family needs by coordinating the efforts of other team members and identifies and resolves barriers that hinder effective patient care. The CM adheres to departmental and organizational goals, objectives, standards of performance, policies, and procedures, and continually assures regulatory compliance.The CHRISTUS Children’s Hospital, established in 1959, was the first children’s hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Interviews patients/families to obtain information about social, emotional, and financial factors which may impact health status both prior to, and after, discharge and assess the patient’s current formal and informal support system as well as available benefits and resources.• Works with the CMII or CMIII to develop and monitor the patient’s plan of care to ensure effectiveness and appropriateness of services.• Coordinates/facilitates patient care progression throughout the continuum of care in an efficient and cost-effective manner.• Serves as resource, provides support, and acts as an advocate on behalf of the patient related to treatment decisions and end of life issues.• Closely monitors patient length of stay and communicates/collaborates with appropriate interdisciplinary team members to remove barriers and expedite discharge.• Identifies and escalates local and system barriers that are impeding diagnostic or treatment progress and issues related to quality and risk as appropriate in a timely manner.• Works to resolve identified delays to discharge.• Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.• Assesses needs for discharge planning and continuing care/resource support following discharge; independently makes recommendations to patients and families regarding post-acute level of care needs and options including: • Acute Rehabilitation Placement • Nursing Home or Skilled Nursing placement • Psychiatric or Substance Abuse placement • New Dialysis • Child/Adult/Domestic Abuse • Home Health/Hospice Referrals • Legal issues (adoptions, guardianship) • Assistance with Advance Directives • Community Resource needs • Financial Issues/Funding options • DME Referrals and Coordination • Social Determinants of Health • Ensures appropriate communication and updates are provided to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.• Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population.• Provides information and support to patients and families, helping them access needed resources within the medical center and community.• Ensures and maintains plan consensus from patient/family, physician, and payor.• Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources.• Actively participates in Multidisciplinary/Patient Care Progression Rounds.• Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director.• Documents in the medical record per regulatory and department guidelines.• Assumes responsibility for professional growth and development.• Must have excellent verbal and written communication and ability to interact with diverse populations.• Must have critical and analytical thinking skills.• Must have demonstrated clinical competency.• Must have ability to Multitask and to function in a stressful and fast paced environment.• Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.• Must have understanding of pre-acute and post-acute levels of care and community resources.• Must have ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families.• Must have understanding of internal and external resources and knowledge of available community resources.• Must have the ability to move around the hospital to all areas for the majority of the workday while in office the rest of the day; general office and hospital environment.Requirements:One of the following education is required:Certificate, Associate, or bachelor’s degree in nursingBachelor’s or Master’s degree in Social WorkExperience in the clinical or acute care setting preferred.LVN/LPN, RN, LBSW, LMSW, or LCSW in the state of employment is required.BLS preferred.Work Schedule:PRNWork Type:Per Diem As NeededEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:A Registered Professional Dialysis Nurse is responsible for the delivery of patient care through the process of assessment, diagnosis, planning, implementation and evaluation. This position participates in the development and implementation of individualized and comprehensive plan of care for each patient, provides direct and indirect care to patients as it relates to their dialysis treatment, including pre- and post-assessments, and administrations of medications during dialysis. In addition, the Registered Professional Dialysis Nurse operates all dialysis equipment and supplies in accordance with hospital and departmental policy to provide expected patient outcome and documents in the medical record accordingly.The Children’s Hospital of San Antonio, established in 1959, was the first children’s hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.Requirements: Graduate of a Registered Nursing program, Bachelor Degree preferredExcellent customer service, negotiation and communication skillsAt least 6 months dialysis experience preferred12 months acute clinical experience as a Registered Nurse requiredIntensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferredClinical patient care experience in a relevant setting, preferredPrevious healthcare management experience, preferredAdditional InformationRN license in good standing in state of employment or a compact state , if applicableRegistered Nurse (RN) requiredAmerican Heart Association Basic Life SupportCertification in Nephrology Nursing preferredLicenses, Registrations, or Certifications (include all that are on the RN JD plus these):A Hemodialysis Knowledge Exam- within twelve (12) weeks of employmentCertification in Nephrology Nursing preferred, required within 1 year of eligibility to take the examWork Type: Full Time

DescriptionSummary:The Registered Nurse (RN) assesses, implements or delegates, plans, and evaluates total nursing care and functions in accordance with established philosophy, providing and directing patient care for a group of patients. The Registered Nurse (RN) relates effectively with other shifts/departments for optimal continuity of care. The Registered Nurse (RN) provides clinical supervision for entry level nurses and assists in their development.The Intensive Care Unit (ICU) at CHRISTUS Santa Rosa Westover Hills provides specialized care and treatment for patients who are critically ill or injured. Our goal is to provide the highest level of care and support in an environment specifically designed for patients in serious or life-threatening medical circumstances. The ICU is a special area used for patients in critical condition and in need of 24-hour supervision.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed• Documents patient history, symptoms, medication, and care given• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resourcesCORE COMPETENCIESStandard I: Utilizes the Nursing Process• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, • Spiritual, and development needs of patient and families• Communicates findings to appropriate healthcare team members• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. • Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). • Performs timely reassessment and documentation• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient populationStandard II. Patient Throughput & Patient Flow Process• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow• Utilizes appropriate systems of communication and tools to facilitate the discharge process • Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.Standard III. Unit Operations• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies• Assesses departmental staffing needs; actively participates in resourcing efforts. • Educates and trains others on the operations, ethics, and regulations within the industry. Standard IV. Safe Practice/Quality Care/Regulations• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes• Demonstrates accountability for nursing research and quality improvement activities• Provides evidence-based nursing care• Communicates patient information effectively across the continuum of care• Educates and trains others on the operations, ethics, and regulations within the industry.• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities. TECHNICAL COMPETENCIESClinical Policies and Standards• Follows a specific set of standards and associated clinical procedures• Analyzes policy and standards documentation and ensures organizational compliance• Provides feedback for improvement of procedures• Assists in the development and implementation of specific procedures• Works with control and monitoring mechanisms, tools and techniquesHealth Information Documentation• Shares experiences with maintaining paper and electronic patient documentation• Walk through the steps and procedures for receiving, validating and updating patient records• Describes the flow of information between various stations or units• Discusses the functions, features and document flow of electronic documentation• Transcribes verbal orders; explains techniques for ensuring their accuracy• Explains health information documentation best practices and their rationale across health care practices.Medical Equipment• Describes experience with basic medical equipment used in own unit or facility• Uses standard diagnostic tools and techniques to resolves common equipment problems• Educates patients about the appropriate use of home medical equipment• Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety• Inspects, troubleshoots and evaluates incoming equipmentMedical Order Processing• Shares experiences with processing medical orders for one or more groups of patients or conditions• Describes functions and features of the system used to enter, validate, update and forward medical orders• Discusses common errors, their sources and procedures for correcting• Explains considerations for entering and following standing orders• Differentiates between standing orders and preprinted orders and considerations for eachPatient Chart Reading and Interpretation• Describes experiences in reading and interpreting patient charts for patients on unit and under own care• Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions• Recognizes unexpected readings and alerts nursing or medical staff• Relates examples of mis-readings or misinterpretations and lessons learned• Reviews, discusses and validates own interpretation with othersPatient Safety• Shares experiences with ensuring safety for one or more patient groups or settings• Explains key features of safety guidelines and procedures for those groups and settings• Listens and responds to safety inquiries from patients and family members• Recognizes and addresses physiological and psychological signs of problems• Describes considerations for patients who can cause to harm to self, versus harm to others• Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.xRequirements:Bachelor of Science Degree in Nursing, preferred.1 year of experience in the related nursing specialty preferred.BLS requiredRN License in state of employment or compactWork Schedule:7PM - 7AMWork Type:Part TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:The Registered Nurse (RN) assesses, implements or delegates, plans, and evaluates total nursing care and functions in accordance with established philosophy, providing and directing patient care for a group of patients. The Registered Nurse (RN) relates effectively with other shifts/departments for optimal continuity of care. The Registered Nurse (RN) provides clinical supervision for entry level nurses and assists in their development.CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed• Documents patient history, symptoms, medication, and care given• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resourcesCORE COMPETENCIESStandard I: Utilizes the Nursing Process• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, • Spiritual, and development needs of patient and families• Communicates findings to appropriate healthcare team members• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. • Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). • Performs timely reassessment and documentation• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient populationStandard II. Patient Throughput & Patient Flow Process• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow• Utilizes appropriate systems of communication and tools to facilitate the discharge process • Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.Standard III. Unit Operations• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies• Assesses departmental staffing needs; actively participates in resourcing efforts. • Educates and trains others on the operations, ethics, and regulations within the industry. Standard IV. Safe Practice/Quality Care/Regulations• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes• Demonstrates accountability for nursing research and quality improvement activities• Provides evidence-based nursing care• Communicates patient information effectively across the continuum of care• Educates and trains others on the operations, ethics, and regulations within the industry.• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities. TECHNICAL COMPETENCIESClinical Policies and Standards• Follows a specific set of standards and associated clinical procedures• Analyzes policy and standards documentation and ensures organizational compliance• Provides feedback for improvement of procedures• Assists in the development and implementation of specific procedures• Works with control and monitoring mechanisms, tools and techniquesHealth Information Documentation• Shares experiences with maintaining paper and electronic patient documentation• Walk through the steps and procedures for receiving, validating and updating patient records• Describes the flow of information between various stations or units• Discusses the functions, features and document flow of electronic documentation• Transcribes verbal orders; explains techniques for ensuring their accuracy• Explains health information documentation best practices and their rationale across health care practices.Medical Equipment• Describes experience with basic medical equipment used in own unit or facility• Uses standard diagnostic tools and techniques to resolves common equipment problems• Educates patients about the appropriate use of home medical equipment• Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety• Inspects, troubleshoots and evaluates incoming equipmentMedical Order Processing• Shares experiences with processing medical orders for one or more groups of patients or conditions• Describes functions and features of the system used to enter, validate, update and forward medical orders• Discusses common errors, their sources and procedures for correcting• Explains considerations for entering and following standing orders• Differentiates between standing orders and preprinted orders and considerations for eachPatient Chart Reading and Interpretation• Describes experiences in reading and interpreting patient charts for patients on unit and under own care• Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions• Recognizes unexpected readings and alerts nursing or medical staff• Relates examples of mis-readings or misinterpretations and lessons learned• Reviews, discusses and validates own interpretation with othersPatient Safety• Shares experiences with ensuring safety for one or more patient groups or settings• Explains key features of safety guidelines and procedures for those groups and settings• Listens and responds to safety inquiries from patients and family members• Recognizes and addresses physiological and psychological signs of problems• Describes considerations for patients who can cause to harm to self, versus harm to others• Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.Requirements:Associate's Degree in NursingOne year experience in nursing preferred.Current Texas State RN License or Compact RN LicenseBLS (American Heart Association)ACLS required at time of hire for experienced RNs. New graduate nurses must obtain ACLS by the end of the clinical orientation period.PALS required at time of hire for experienced RNs. New graduate nurses must obtain PALS by the end of the clinical orientation period. Crisis intervention training required within 12 months of hire/transfer dateFor trauma designated facilities, TNCC required within 6 weeks of hire for experienced RNs. New graduate nurses must obtain TNCC within 18 months of hire/transfer date.Work Schedule:7PM - 7AMWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

At Cigna, we listen to , advocate for , and collaborate with our customers to empower them to identify their health goals and own their solutions. This role is all about demonstrating daily support of Consumer Health Engagement Cultural Beliefs. Our LPNs/LVNs are the linchpins to ensure we achieve better health outcomes for our customers. They focus on key areas of partnership including:Customer Strong - Make a WOW difference for our customersMe to We - Take accountability to trust, collaborate and partnerOwn It! See a need and actBe Bold: Challenge the status quoListen to Advocate: What matters to you, matters to usThink it Through: Proactively deliver solutions focused on doing the right thing Sound like you? Great! Here's more on how you'll make a difference :The experienced Licensed Practical Nurse / Licensed Vocational Nurse is responsible for assisting physicians with the evaluation and management of all members presenting to the Health Center, and is a critical partner in our Health Centers.Conduct assessmentsAssist in development of care plans and coordination of care.Assist in implementing physician orders and order follow-up, medication refills, patient/family education, identifying opportunities for preventative screening, notification of member's test results.Where applicable, coordinate with front office team to schedule appointments, meetings.Communicate effectively to providers and all departments to resolve issues.Set up all members for procedures, exams and obtains vital signs.Utilize EMR (Electronic Medical Records)Maintain supplies in exam roomResponsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs. Be a role model for the six cultural beliefs to drive personal accountability and organizational results. What we expect from you : Graduate of approved LPN/LVN program Current licensure as a Licensed Practical Nurse (LPN) Licensed Vocational Nurse (LVN) in respective stateAt least one year experience in a Clinic or Physician's office. Current BCLS required Phlebotomy skills Solid Computer skills including Electronic Health Records Excellent customer service skills required Team oriented Strong time management skills Responsible and reliable Ability to work health center hours Bonus points for : At least 1 or more years of front and back office experience Customer-centric FocusDynamic personalityThis role is based in the health center in San Antonio TX. Cigna is committed to a healthy workforce. All candidates must successfully pass a background check, drug and nicotine screens to be employed in this role. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

DescriptionSummary:The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the Director for analyzing, planning, implementing, evaluating, and communicating processes and programs which enhance, strengthen and integrate the services comprising the nursing department. Responsible for participation in the development and implementation of the service line strategic business plans; and for creating an environment, which continuously supports improvement of operational, financial, and clinical components.Assumes primary responsibility for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established quality and productivity standards. Provides feedback and assistance concerning customer satisfaction, staff development, and associate performance and satisfaction.The Supervisor is responsible for the daily operations of a Nursing department on a 24-hour basis. The Supervisor collaborates with other clinical and ancillary departments to meet organizational and department-specific Quality and Safety Measures, Community Values, Business Literacy, and Service Excellence goals. The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the Director for analyzing, planning, implementing, evaluating, and communicating processes and programs which enhance, strengthen and integrate the services comprising the nursing department. Responsible for participation in the development and implementation of the service line strategic business plans; and for creating an environment, which continuously supports improvement of operational, financial, and clinical components. Assumes primary responsibility for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established quality and productivity standards. Provides feedback and assistance concerning customer satisfaction, staff development, and associate performance and satisfaction. The Supervisor is responsible for the daily operations of a Nursing department on a 24-hour basis. The Supervisor collaborates with other clinical and ancillary departments to meet organizational and department-specific Quality and Safety Measures, Community Values, Business Literacy, and Service Excellence goals.The CHRISTUS Children’s Hospital, established in 1959, was the first children’s hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Implementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families.• Ensuring consistent application of nursing services policies and standards throughout the organization.• Monitoring patient outcomes and quality and effectiveness of nursing care.• Overseeing the performance of teams; identifying and addressing staff training and development needs.Standard I. Human Resources Management • Evaluates and specifies the critical resources required to accomplish the team's objectives.• Initiates requests for required resources based on staff competency with patient acuity.• Allocates team resources responsibly and equitably within the scope of labor laws.• Discovers opportunities to improve resource utilization.• Implements changes in role consistent with scope of practice.• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.• Resolves conflicts in a wide variety of situations, such as workload or resource allocation, patient and family concerns, patient through-put and capacity needs, associate engagement challenges, etc.• Adjusts management and personal style to fit the needs of different people and different situations.• Explores motivational factors and tailor's motivational efforts to individual needs and situations for the department.• Conducts evaluations on personnel performance at the workplace and recommends improvement plans.• Coaches others on operating personnel management systems and their processes.• Manages day-to-day labor needs by maintaining optimum staffing levels.Standard II. Relationship Management and Influencing Behaviors• Applies principles of crisis management to identify issues that require immediate attention, handle situations as necessary, and manage conflict.• Mentors and coach's staff.• Encourages participation in professional organization.• Embraces principles of self-awareness.• Fosters a healthy work environment and encourages stress management.• Promotes Diversity and team dynamics and understands the components of cultural competence as they apply to the workforce.• Capitalizes on differences and maintains an environment of fairness to foster highly effective work groups.Standard III. Performance Improvement/Safe Practice/Quality Care/Regulations• Assesses customer and patient satisfaction while developing and implementing strategies to address satisfaction issues.• Provides direct service to internal or external customers and facilitates the resolution of customer problems, issues, or concerns.• Monitors and promotes workplace safety requirements resulting in positive patient outcomes.• Supports nursing research and quality improvement activities.• Provides evidence-based nursing care.• Promotes and communicates patient information effectively across the continuum of care.Standard IV. Leadership• Serves as a leader of patient care.• Utilizes an appropriate style of leadership: autocratic, democratic, laissez-faire/free rein, etc.• Demonstrates leadership qualities: intelligence, influence, determination, integrity, confidence.• Manages own behaviors during interactions, such as feedback giving, to shape workplace events.• Utilizes positive reinforcement to motivate and attain desired behaviors; increases productivity.Clinical Performance Improvement• Shares experiences with process performance improvements across multiple areas.• Recognizes recurring and difficult problems and explores new or innovative solutions.• Leverages technology to facilitate the sharing of clinical performance or outcomes data.• Creates mechanism for ensuring quality and performance measures are understood and valued by nursing staff.• Implements and supports improvement initiatives at the unit level.Clinical Policies and Standards• Monitors different types of clinical practice to ensure compliance with standards and their impact on the organization.• Informs others on advanced clinical standards and policies across medical specialties.• Collaborates with other functions in establishing and documenting joint standards.• Participates in the development of clinical policies and practices.Healthcare Policy and Ethics Compliance• Shares experiences with addressing diverse problems in healthcare policy compliance.• Demonstrates best practices for dealing with complex compliance or non-compliance situations.• Guides others in making correct decisions when faced with ethical dilemmas.• Supports and coaches on mechanisms that encourage attention to compliance issues, all clinical activities.Healthcare Regulatory Environment• Implements programs as needed to comply with diverse healthcare laws or regulations.• Monitors regulatory compliance of all healthcare practices in preparation for external audits to ensure no violations.Requirements:Bachelor of Science Degree in Nursing required for Magnet facilities, otherwise preferred.2 years of clinical patient care experience in a relevant setting.Previous Lead or Supervisor experience overseeing work of assigned units, preferred.Previous healthcare management experience preferred.BLS required.RN License in state of employment or compact. Work Schedule:VariesWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed• Documents patient history, symptoms, medication, and care given• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resourcesCORE COMPETENCIESStandard I: Utilizes the Nursing Process• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, • Spiritual, and development needs of patient and families• Communicates findings to appropriate healthcare team members• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. • Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). • Performs timely reassessment and documentation• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient populationStandard II. Patient Throughput & Patient Flow Process• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow• Utilizes appropriate systems of communication and tools to facilitate the discharge process • Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.Standard III. Unit Operations• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies• Assesses departmental staffing needs; actively participates in resourcing efforts. • Educates and trains others on the operations, ethics, and regulations within the industry. Standard IV. Safe Practice/Quality Care/Regulations• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes• Demonstrates accountability for nursing research and quality improvement activities• Provides evidence-based nursing care• Communicates patient information effectively across the continuum of care• Educates and trains others on the operations, ethics, and regulations within the industry.• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities. TECHNICAL COMPETENCIESClinical Policies and Standards• Follows a specific set of standards and associated clinical procedures• Analyzes policy and standards documentation and ensures organizational compliance• Provides feedback for improvement of procedures• Assists in the development and implementation of specific procedures• Works with control and monitoring mechanisms, tools and techniquesHealth Information Documentation• Shares experiences with maintaining paper and electronic patient documentation• Walk through the steps and procedures for receiving, validating and updating patient records• Describes the flow of information between various stations or units• Discusses the functions, features and document flow of electronic documentation• Transcribes verbal orders; explains techniques for ensuring their accuracy• Explains health information documentation best practices and their rationale across health care practices.Medical Equipment• Describes experience with basic medical equipment used in own unit or facility• Uses standard diagnostic tools and techniques to resolves common equipment problems• Educates patients about the appropriate use of home medical equipment• Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety• Inspects, troubleshoots and evaluates incoming equipmentMedical Order Processing• Shares experiences with processing medical orders for one or more groups of patients or conditions• Describes functions and features of the system used to enter, validate, update and forward medical orders• Discusses common errors, their sources and procedures for correcting• Explains considerations for entering and following standing orders• Differentiates between standing orders and preprinted orders and considerations for eachPatient Chart Reading and Interpretation• Describes experiences in reading and interpreting patient charts for patients on unit and under own care• Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions• Recognizes unexpected readings and alerts nursing or medical staff• Relates examples of mis-readings or misinterpretations and lessons learned• Reviews, discusses and validates own interpretation with othersPatient Safety• Shares experiences with ensuring safety for one or more patient groups or settings• Explains key features of safety guidelines and procedures for those groups and settings• Listens and responds to safety inquiries from patients and family members• Recognizes and addresses physiological and psychological signs of problems• Describes considerations for patients who can cause to harm to self, versus harm to others• Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.Requirements:Associate's Degree in NursingOne year experience in nursing preferred.Current Texas State RN License or Compact RN LicenseBLS (American Heart Association)ACLS required at time of hire for experienced RNs. New graduate nurses must obtain ACLS by the end of the clinical orientation period.PALS required at time of hire for experienced RNs. New graduate nurses must obtain PALS by the end of the clinical orientation period.Crisis intervention training required within 12 months of hire/transfer dateFor trauma designated facilities, TNCC required within 6 weeks of hire for experienced RNs. New graduate nurses must obtain TNCC within 18 months of hire/transfer date.Work Schedule:7PM - 7AMWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.