Resource Nurse Salary in San Diego, CA

Salary for this role is $80,000K - 87,000K annually. This role is eligible for full Magellan Health benefits. This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific. A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC)CEAP requirement does not apply to this role.Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.Provides telephone triage, crisis intervention and emergency authorizations as assigned.Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. In conjunction with providers and facilities, develops discharge plans and oversee their implementation. Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.Participates in quality improvement activities, including data collection, tracking, and analysis.Maintains an active work load in accordance with National Care Manager performance standards. Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Participates in network development including identification and recruitment of quality providers as needed. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.Other Job RequirementsResponsibilitiesLicensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatientsetting.Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.General Job InformationTitleClinical Care Manager- Must be licensed and reside in CAGrade24Work Experience - RequiredClinicalWork Experience - PreferredEducation - RequiredAssociate - Nursing, Bachelor's - Social Work, Master's - Social WorkEducation - PreferredLicense and Certifications - RequiredCEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtLicense and Certifications - PreferredSalary RangeSalary Minimum:$58,440Salary Maximum:$93,500This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Salary for this role is $80,000K - 87,000K annually. This role is eligible for full Magellan Health benefits. This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific. A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC)CEAP requirement does not apply to this role.Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.Provides telephone triage, crisis intervention and emergency authorizations as assigned.Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. In conjunction with providers and facilities, develops discharge plans and oversee their implementation. Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.Participates in quality improvement activities, including data collection, tracking, and analysis.Maintains an active work load in accordance with National Care Manager performance standards. Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Participates in network development including identification and recruitment of quality providers as needed. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.Other Job RequirementsResponsibilitiesLicensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatientsetting.Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.General Job InformationTitleClinical Care Manager- Licensed and Must Reside in CaliforniaGrade24Work Experience - RequiredClinicalWork Experience - PreferredEducation - RequiredAssociate - Nursing, Bachelor's - Social Work, Master's - Social WorkEducation - PreferredLicense and Certifications - RequiredCEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtLicense and Certifications - PreferredSalary RangeSalary Minimum:$58,440Salary Maximum:$93,500This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development of individualized care plans for high and moderate stratified members in the Medicaid, Medicare, and Whole Health markets. Possesses clinical knowledge, understands best practices and continuous learning skills, reviews member records, and works in conjunction with primary care, community benefits, and other support opportunities to develop a long term care plan to guide the member through their mental health care. Oversees the work of its assigned care support team and work with non-licensed support staff to meet standards of care and performance set by Member Market Leads and the Care Management Center of Operational Excellence (CoOE) Lead.Accountable for all Care Management activities for assigned high and moderate members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple clinical, social, and community resources.Provides telephone triage, crisis intervention and prior authorizations as assigned for select members stratified as high and moderate member need.Conducts in depth health risk assessment and/or comprehensive needs assessment including, but not limited to, psycho-social, physical, medical, behavioral, environmental, and financial parameters.Develops, documents, implements, and communicates the patient-centered care plan, which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.Educates providers, supporting staff, members and families regarding care management role and health strategies with a focus on member-focused approach to care.Serves as an accountable member of the care team to oversee appropriate rendering of services (e.g., during transitions in care or transition to home care, back up plans, community-based services).Oversees and effectively manages work assigned and conducted by assigned care support teamImplements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.Acts as an advocate for members' care needs by identifying and addressing gaps in care.Performs ongoing monitoring of members' care plan and measures the effectiveness of interventions as identified; develops plans that strive to meet Magellan developed KPIs in accordance with the CM CoOE Lead and Member Market Leads.Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes.Works with members and the interdisciplinary care plan team to adjust plan of care as necessary.Facilitates a team approach, including all participants of the Interdisciplinary Care Plan team, Health Plan Medical Care Management where appropriate, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.Other Job RequirementsResponsibilitiesLicensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licenses is required for this role with necessary degree: LMSW, LCSW, LMFT, LPC, or RN.Minimum 5 years' experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Ability to manage and oversee activities of assigned care support teams.Experience with Care Management workflows.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge of and experience in inpatient and/or outpatient setting.Knowledge of DSM-5 or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.Understanding of plan benefit structures, psychiatric/medical terminology, call center terminology and operations.Strong written and verbal communication skills.General Job InformationTitleCare Manager Health Plan, Remote, CA licenseGrade25Work Experience - RequiredBehavioral Health, HealthcareWork Experience - PreferredEducation - RequiredBachelor's - Nursing, Master's - Counseling, Master's - Social WorkEducation - PreferredLicense and Certifications - RequiredLCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtLicense and Certifications - PreferredSalary RangeSalary Minimum:$64,285Salary Maximum:$102,855This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Overview of the Role: The Alignment Jump Start Assessment (JSA) program is a physician-led and advanced practice clinician-driven program that is intended to care for and support Alignment Healthcare patients with complex and chronic care needs. As a JSA Advanced Practice Clinician (APC), you will work within an interdisciplinary team environment that includes physicians, nurse practitioners, physician assistants, case managers, and other health care team members to ensure proper delivery of clinical and home-based patient care. In this role, you will assess, develop, and coordinate options and services promoting quality care in order to achieve optimal health care outcomes while also ensuring cost-effective care complying with Alignment policy and all state and federal regulations. Our members are typically aged 65 and over and home and virtual visits will be between 45 and 60 minutes depending on whether it is an annual or initial visit.We offer a great total package that includes competitive base salary, annual bonus, stock options, CME, 401k and more! Responsibilities: Conduct in-home assessments (with some outpatient clinical work) on health plan members. In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings. Comfort with End-of-life care discussions imperative. Laboratory specimen collection in the home setting when appropriate. Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management. Communicate findings of the patient assessment to inform the PCP of potential gaps in care. Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs. Emphasis on knowledge of appropriate community resources for referral. Comply with all HIPAA regulations and maintain security of protected health information (PHI). Required Skills and Experience: Master's degree from an accredited NP Program or PA program Preferred one (1) year of prior clinical or home care experience Previous EMR experience preferred Active California state Nurse Practitioner or Physician Assistant license Active RN License and Furnishing number (Must, upon hire) NP only Active Nurse Practitioner Board Certification/Physician Assistant Certification NPI Number, DEA, Valid BLS Valid California driver license and current automobile insurance Experience in care of older adult (geriatric) patients preferred Excellent administrative, organizational, and communication skills required PAY RANGE: $105,500 - $157,000 annually.

PURPOSE AND SCOPE:Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.PRINCIPAL DUTIES AND RESPONSIBILITIES:STAFF RELATED:Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.Assesses daily patient care needs and develops appropriate patient care assignments.Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.Participates in staff training and orientation of new staff as assignedParticipates in all required staff meetings as scheduled.PATIENT RELATED:Education:Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.Discusses with patient, and records education related to diet/fluid and medication compliance.Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).Ensures transplant awareness, modality awareness, and drive catheter reduction.Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.Dialysis Treatment:Provides safe and effective delivery of care to patients with ESRD.Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.Identifies and communicates patient related issues to Team Leader or physician.Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Laboratory-related:Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.Ensures that all labs are directed and delivered to appropriate labs.Reports alert/panic and abnormal labs results to appropriate physician.Ensures lab results are forwarded to physicians as requested. General duties:Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.Maintains overall shift operation in a safe, efficient, and effective manner.Act as a resource for other staff members.Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.Oversees all documentation of patient information.Maintains facility drug list for all required stock medications.Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.Ensures verification and availability of adequate emergency equipment.Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.Maintains appropriate recording of controlled substances as required by law.Assists with the coordination of patient transportation if necessary.MAINTENANCE/TECHNICAL:Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.Ensures competency in the operation of all dialysis-related equipment safely and effectively.Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.MEDICAL RECORDS & DOCUMENTATION:GeneralEnsures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.Ensures all appropriate patient related treatment data is entered into the Medical Information System.Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.Ensures and verify accuracy of Patient Care Technician documentation. DailyReviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.MonthlyInitiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.Completes monthly nurses' progress note.Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).Reviews transplant status and follows established procedure regarding appropriate action to be taken.Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.Completes any long-term programs that are due. AnnuallyCompletes initial and annual Nursing History and Assessment physical.Ensures completion of Annual Standing Order Review with each physician as required.OTHER: As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.Maintain regular and punctual attendance.Perform other related duties as assigned.Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.SUPERVISION:NoneEDUCATION:Graduate of an accredited School of Nursing.Current appropriate state Temporary Permit.Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: 0 - 1 year's related experience.ACKNOWLEDGEMENT:I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.ADDENDUM:Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed-Nurse-50-State-Review-Training-TracksFinal-5-19.pdf. For additional information please contact your Regional Education Coordinator.EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE:Functions as part of the hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies procedures and training. Supports the FMCNA's mission vision values and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the time frame outlined in state specific regulations or within 90 days from hire date whichever comes sooner.PRINCIPAL DUTIES AND RESPONSIBILITIES:STAFF RELATED:Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals as well as regulations set forth by the corporation state and federal agencies.Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs Patient Care Technicians and Dialysis Assistants.Assesses daily patient care needs and develops appropriate patient care assignments.Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.Participates in staff training and orientation of new staff as assignedParticipates in all required staff meetings as scheduled.PATIENT RELATED:Education:Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).Provides ongoing education to patients regarding their renal disease vascular access and dialysis therapy and other related health conditions.Discusses with patient and records education related to diet/fluid and medication compliance.Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM).Ensures transplant awareness modality awareness and drive catheter reduction.Educates patients regarding laboratory values and the relationship to adequate dialysis therapy compliance with treatment schedule medications and fluid.Dialysis Treatment:Provides safe and effective delivery of care to patients with ESRD.Accurately implements treatment prescriptions including Sodium (Na) modeling prescription and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.Assesses patients' response to hemodialysis treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.Identifies and communicates patient related issues to Team Leader or physician.Initiates Initial and Annual Nursing Assessment and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.Actively participates in the pre evaluation initiation monitoring termination access homeostasis and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.Provides supervises (if applicable) and monitors hemodialysis access care according to established procedures.Implements administers monitors and documents patient's response to prescribed interdialytic transfusions including appropriate notification of adverse reactions to physician and appropriate blood supplier.Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.Laboratory-related:Reviews transcribes and enters physician lab orders accurately into the Medical Information System.Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.Ensures that all labs are directed and delivered to appropriate labs.Reports alert/panic and abnormal labs results to appropriate physician.Ensures lab results are forwarded to physicians as requested.General duties:Enforces all company approved policies and procedures as well as regulations set forth by state and federal agencies and departments.Maintains overall shift operation in a safe efficient and effective manner.Act as a resource for other staff members.Routinely meets with the Clinical Manager to discuss personnel and patient care status issues and information.Collaborate and communicate with physicians and other members of the healthcare team to interpret adjust and coordinate care provided to the patient.Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.Oversees all documentation of patient information.Maintains facility drug list for all required stock medications.Maintains competency with all emergency operational procedures and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.Ensures verification and availability of adequate emergency equipment.Ensures provision of appropriate vaccinations immunizations and annual Tuberculosis (TB) testing.Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification if indicated.Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.Maintains appropriate recording of controlled substances as required by law.Assists with the coordination of patient transportation if necessary.MAINTENANCE/TECHNICAL:Ensures a clean safe and sanitary environment in the dialysis facility treatment area.Ensures competency in the operation of all dialysis-related equipment safely and effectively.Ensures all patient stations including machines and chairs are clean and free of blood and placed appropriately.Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.MEDICAL RECORDS & DOCUMENTATION:GeneralEnsures all relevant data including physician orders lab results vital signs and treatment parameters and patient status are documented appropriately and entered into Medical Information System.Ensures all appropriate patient related treatment data is entered into the Medical Information System.Ensures all FMCNA policies regarding patient admission transfer and discharge are appropriately implemented.Ensures and verify accuracy of Patient Care Technician documentation.DailyReviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.Ensures that all appropriate procedures are followed regarding opening and closing procedures inclusive of monitoring that all staff and patients have safely left the premises.MonthlyInitiates documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.Completes monthly nurses' progress note.Ensures patient medical records are complete with appropriate information documentation and identification on each page (Addressograph label is on all chart forms).Reviews transplant status and follows established procedure regarding appropriate action to be taken.Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.Completes any long-term programs that are due. AnnuallyCompletes initial and annual Nursing History and Assessment physical.Ensures completion of Annual Standing Order Review with each physician as required.OTHER:As a condition of continued employment you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes you must notify your supervisor immediately.Capable of working in a challenging environment which requires the ability to handle demanding situations multitasking and remaining flexible to changing needs.Maintain regular and punctual attendance.Perform other related duties as assigned.Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.SUPERVISION:NoneEDUCATION:Graduate of an accredited School of Nursing.Current appropriate state Temporary Permit.Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: 0 - 1 year's related experience.EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Are you a Licensed Clinical Addiction Specialist (LCAS) in North Carolina looking to launch a private practice, or grow your existing practice?Headway supports thousands of mental health clinicians across the United States in our mission to rewire the mental healthcare system for access and affordability. We equip mental health practitioners with the tools and resources they need to run a flourishing private practice.Psychiatric care practitioners use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients to providing and overseeing medication management. Whether you're new to private practice or already have an established practice of your own, we're excited to support you in reaching your goals!By joining the Headway community, we'll help you:Accept insurance hassle-free by credentialing you with the nation's largest networks and handling the billing and admin paperwork for you.Maintain a flexible schedule by deciding how many clients you see through Headway, so that you can set the hours that work for you.Grow your caseload by providing marketing support and patient referrals.We'll also support your patients by:Providing customized support to clinicians and patients in order to streamline the process of both seeking and providing care.Verifying client insurance benefits instantly and automatically, so that access to care is never delayed, and you can see your patients with confidence.And we do this all without additional fees! Headways is a flexible service, meaning your hours are yours to set, and it's up to you whether you see your patients in-person or remotely via telehealth while working from home.Ready to get started?To join Headway's growing community, you have:Licensure: You're a fully licensed Licensed Clinical Addiction Specialist (LCAS) in North Carolina Please note, at this time we are unable to service mental health professionals that are not fully licensed. Your application will be rejected until you obtain a valid license.NPI Number and Malpractice Insurance: We can point you in the right direction if you don't have those yet!

Responsible for retention of existing business and the development of business within those assigned accounts. Client Service Executive associates act as a leader for the Client Service Team members to include Benefit Analysts and Client Managers.Essential Duties & ResponsibilitiesOversee ongoing client service activities.Meet with the client throughout the year to ensure a high level of service and that client expectations are being met.Responsible for meeting business retention goals.Participate in development of new business with existing clients by rounding out programs with additional and/or increased lines of coverage.Develop strong business relationships and client trust.Ensure client compliance with annual Form 5500 filing procedures as applicable.Advise Client Service Team, if needed, in resolving routine client concerns. Investigate any reoccurring and non-routine client and carrier concerns and bring to a successful resolution.Manage the renewal of existing plans.Coordinate coverage placement through instructions provided to Client Service Team.Provide direction to Client Service Team in the preparation of employee communication materials.Advise, inform and involve Client Sales Executive as required in marketing process.Prepare and present renewal outcomes to the client in a timely manner.Recommend improvements based on changing employee benefit legislation, suggest strategies to address client concerns, and provide resolutions if discrepancies, errors or inconsistencies are contained within the information.Conduct employee meetings to communicate benefit options as needed.Responsible for reviewing contracts, plan documents, Summary Plan Descriptions and other legal documents for accuracy and ensuring all material is sent to client in a timely manner.Act as a leader for Client Service Team members.Create an environment oriented to trust, open communication, and cohesive team effort.Facilitate problem solving and collaboration when faced with client difficulties.Focus the team on client requirements, familiarizing them with client specifications, work procedures and processes, quality standards, techniques and tools to support performance.Provide necessary business information to enhance the team's professional development.Ensure deliverables satisfy client requirements, cost and schedule.Work closely with Director of Employee Health & Benefits Division, Benefits Service Manager and Director of Operations to obtain necessary resources to support the team's requirements, discuss project impediments, and to escalate issues which cannot be resolved by the team.Prepare quarterly production and activity reports.Ensure good file maintenance with documentation of account issues and maintenance of the Agency Management System.Establish and consistently maintain effective and positive working relationships with Associates and clients.Education and/or ExperienceA minimum of seven to ten years' experience servicing large client group (50+ lives) health and benefit products.Bachelor degree strongly preferred.Professional history must show increasing levels responsibility directly related to the performance of the above duties.Strong familiarity with the Employee Health & Benefits marketplace to include unique business industry needs, educational and professional development associations, carriers, and other broker agencies.Current technical knowledge and understanding of Employee Benefit federal and state legislation.Ability to make independent decisions and use good judgment in addressing and servicing client needs.Strong communication skills with the ability to provide non-technical explanations to technical matters, and summarize and present information in a clear, concise and accurate written and verbal format.Maintain a valid unrestricted Life and Disability License in California and meet the continuing education requirements. If involved in the sale of Long Term Care, the individual must maintain the proper certification through continuing education.Maintain a valid California driver's license and dependable transportation.Must have knowledge of personal computing with the ability and willingness to learn and use all computer programs as required.Work Environment & Physical DemandsAbility to use computer keyboard and sit in a stationary position for extended periods as well as the use of office equipment such as fax and copy machines, and telephones. Work is performed in a typical interior/office work environment.Travel to client sites is required. Usually travel is within driving distance, but may occasionally consist of 2 - 5 night stay out of townExtended work hours (10 - 12 hrs/day) required on occasion to attend and participate in networking and industry functions that begin before the workday, and may extend into the evening.The applicable base salary range for this role is $81,300 to $173,300. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http://marshmma.com/careers.#LI-DNI#MMAEHB