Employee Health Nurse Salary in San Diego, CA

General PurposeThe primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed byyour supervisors.Essential Duties• Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary.• Use only authorized abbreviations established by this facility when recording information.• Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical.• Record all entries on flow sheets, notes, charts, etc., in an informative, descriptive manner.• Report all accidents and incidents you observe on the shift that they occur.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.• Report any known or suspected unauthorized attempt to access facility's information system.• Perform only those nursing care procedures that you have been trained to do.• Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).• Greet residents and escort them to their room.• Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.• Make resident comfortable.• Inventory and mark the resident's personal possessions as instructed.• Store resident's clothing.• Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.• Transport residents to new rooms or to the receiving area.• Assist with loading/unloading residents' to/from vehicles as necessary.• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.• Report all complaints and grievances made by the resident.• Participate in and receive the nursing report as instructed.• Follow established policies concerning exposure to blood/body fluids.• Make beds as instructed.• Put extra covers on beds as requested.• Measure and record temperatures, pulses, and respirations (TPRs) of residents, as instructed. Weigh and measure residents as instructed.• Ensure that residents who are unable to call for help are checked frequently.• Answer resident calls promptly.• Check residents routinely to ensure that their personal care needs are being met.• Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).• Record the resident's food/fluid intake. Report changes in the resident's eating habits to the Nurse Supervisor/Charge Nurse.• Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.• Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, etc.).• Participate in and receive the nursing report upon reporting for duty.• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.• Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.• Notify the facility when you will be late or absent from work.• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.• Assist residents with daily functions (dental and mouth care, bath functions, combing of hair, dressing and undressing as necessary).• Keep residents dry (change gown, clothing and linens, when it becomes wet or soiled).• Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).• Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.• Perform restorative and rehabilitative procedures as instructed.• Assist in preparing the resident for a physical examination.• Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.• Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).• Report injuries of an unknown source, including skin tears.• Observe disoriented and comatose residents. Record and report data as instructed• Perform special treatments as instructed.• Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.• Use only the equipment you have been trained to use.• Report defective equipment to the Nurse Supervisor/Charge Nurse• Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.• Report all allegations of resident abuse and/or misappropriation of resident property.• Honor the resident's refusal of treatment request. Report such requests to your supervisor.Supervisory RequirementsThis position has no supervisor responsibilitiesQualificationEducation and/or Experience Must possess, as a minimum, an 10th grade educationLanguage Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, andprocedure manuals. Ability to effectively present information and respond to questions from managers and employees.Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Certificates, Licenses, Registrations Must be a licensed Certified Nursing Assistant in accordance with laws of the state.CPR PreferredPhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include copier/scanner/fax, telephone, and calculator.May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The noise level in the work environment is usually low to moderate.

San Diego’s St. Paul's PACE program (Program of All-Inclusive Care for the Elderly). This innovative program is for individuals 55 years or older, who are living with chronic illness, or disabilities and need coordinated medical care to continue living as independently as possible in their home and community. The healthcare teams at St. Paul’s PACE provide a hands-on approach coordinating medical, social, and home care services so individuals no longer need to manage their medical care alone. This is a temporary role with an anticipated duration of up to 6 months. Job Summary:Under the supervision of St Paul’s PACE Behavioral Health (BH) Program Manager, the Behavioral Health Licensed Therapist will provide direct and indirect care services of St Paul’s PACE program participants in an outpatient setting. Responsibilities include but are not limited to: individual therapy, group therapy, crisis intervention, biopsychosocial assessments, care planning, care coordination with other members of the Interdisciplinary Team (IDT), collaboration with outside agencies and clinical supervision of associates/interns. Additional duties include working with the Behavioral Health Program Manager in assessing programming needs, creating, implementing and obtaining outcome measures for St. Paul’s PACE Behavioral Health Program.Qualifications and Requirements:Education: Master’s Degree in Social Work, Marriage and Family Therapy or Doctorate in Clinical Psychology Required Certifications/Licensures:State of California Clinical Social Worker license ORState of California Marriage and Family Therapist license ORState of California Clinical Psychologist licenseRequired Experience:A minimum of 3 years of experience in providing behavioral health services to older adults with mental health and substance use disorders. Experience providing behavioral health consultative services including development of behavior support/treatment plans. A minimum of one year of experience with frail/chronically ill elderly seniors. Preferred previous supervisory experience of interns/associates.Preferred Experience:Bilingual in Spanish a plusExperience working in an interdisciplinary team in a hospital, nursing home, residential care or community based settingExperience working with individuals who have eating disorders and/or those in pain recoveryTrauma informed care backgroundEye Movement Desensitization and Reprocessing (EMDR) certificationSt. Paul’s Benefits:Health, dental, vision, lifeSame day pay available!Flexible paid time off (PTO) - starting at 28 days per year!Education reimbursement - up to $3,000 a year!Qualified Public Student Loan Forgiveness (PSLF) employer403(b) with matchChild care availableEmployee referral bonusesUpward mobility! You Make Us Who We Are! At St. Paul’s Senior Services, we believe a diverse workforce has driven our history of enriching the lives of senior communities in San Diego, which is why we are committed to cultivating an environment where you feel empowered, supported and respected. By valuing your unique perspective, voice, strengths, experience and background, we aim to foster a culture where you feel included and comfortable being your true self.  You matter! St. Paul's is the leading provider of caring senior services since 1960. We have locations throughout San Diego County including 5 in San Diego (Bankers Hill), 2 in Chula Vista, and 1 in El Cajon. St. Paul's strives to be the most outstanding and innovative senior home and service provider in California. We are dedicated to serving the physical, spiritual and social needs of the elderly and community, fostering a culture of diversity and inclusion within the highest quality facilities, health care and programs consistent with affordable costs.  YOU MUST BE ABLE TO CLEAR FINGERPRINTS THROUGH DOJ AND FBI IN ADDITION TO A DRUG SCREEN CLEARANCE. To learn more about St. Paul’s Senior Services, please visit www.stpaulseniors.org.St. Paul’s Senior Services is an Equal Opportunity Employer

General PurposeThe primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times.Essential DutiesEvery effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.Administrative Functions• Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility.• Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.• Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions.• Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities.• Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility.• Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.• Make written and oral reports/recommendations concerning the activities of your shift as required.• Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained.• Ensure that all nursing service personnel are in compliance with their respective job descriptions.• Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.• Participate in facility surveys (inspections) made by authorized government agencies as may be requested.• Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required.• Assist in planning the nursing services portion of the resident's discharge plan as necessary.• Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required.• Admit, transfer, and discharge residents as required.• Complete accident/incident reports as necessary.• Write resident charge slips and forward to the Business Office.• Maintain the Daily Census Report and submit to the Business Office as required.• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.• Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.• Report any known or suspected unauthorized attempt to access facility's information system.Charting and Documentation• Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge.• Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.• Receive telephone orders from physicians and record on the Physicians' Order Form.• Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required.• Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.• Fill out and complete accident/incident reports. Submit to Director as required.• Chart all reports of accidents/incidents involving residents. Follow established procedures.• Record new/changed diet orders. Forward information to the Food Services Department.• Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor.• Fill out and complete transfer forms in accordance with established procedures.• Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures.• Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.• Sign and date all entries made in the resident's medical record.Drug Administration Functions• Prepare and administer medications as ordered by the physician.• Verify the identity of the resident before administering the medication/treatment.• Ensure that prescribed medication for one resident is not administered to another.• Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor.• Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.• Ensure that narcotic records are accurate for your shift.• Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.• Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.• Notify the attending physician of automatic stop orders prior to the last dosage being administered.• Dispose of drugs and narcotics as required, and in accordance with established procedures.Personnel Functions• Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc.• Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.• Report absentee call-ins to the Nurse Supervisor.• Review and evaluate your department's work force and make recommendations to the Nurse Supervisor.• Develop work assignments and/or assist in completing and performing such assignments.• Provide leadership to nursing personnel assigned to your unit/shift.• Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor.• Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.• Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services.• Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times.• Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.• Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility's established procedures.• Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.• Receive/give the nursing report upon reporting in and ending shift duty hours.• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.• Report known or suspected incidents of fraud to the Administrator.• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.Nursing Care Functions• Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.• Ensure that rooms are ready for new admissions.• Greet newly admitted residents upon admission. Escort them to their rooms as necessary.• Participate in the orientation of new residents/family members to the facility.• Make rounds with physicians as necessary.• Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.• Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary.• Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary.• Implement and maintain established nursing objectives and standards.• Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status.• Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.• Cooperate with and coordinate social and activity programs with nursing service schedules.• Notify the resident's attending physician when the resident is involved in an accident or incident.• Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition.• Carry out restorative and rehabilitative programs, to include self-help and care.• Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.• Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required.• Use restraints when necessary and in accordance with established policies and procedures.• Obtain sputum, urine and other specimens for lab tests as ordered• Take and record TPRs, blood pressures, etc., as necessary.• Monitor seriously ill residents as necessary.• Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor.• Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes.• Ensure that residents who are unable to call for help are checked frequently.• Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor• Admit, transfer and discharge residents as necessary.• Assist in arranging transportation for discharged residents as necessary.• Ensure that discharged residents are escorted to the pick-up area.• Inform family members of the death of the resident.• Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed.Staff Development• Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department.• Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties.• Assist in standardizing the methods in which work will be accomplished.• Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids.• Assist the Director in planning clinical supervision for nurse aide trainees.• Attend and participate in outside training programs.• Attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).• Attend and participate in advance directive in-service training programs for the staff and community.• Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.Safety and Sanitation• Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.• Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel.• Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.• Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.• Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.• Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.• Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.• Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures.• Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.• Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.• Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary.• Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment.• Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment.• Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.• Report missing/illegible labels and MSDSs to the safety officer or other designated person.Equipment and Supply Functions• Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift.• Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents.• Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.• Ensure that only trained and authorized personnel operate your unit/shift's equipment.• Ensure that all personnel operate nursing service equipment in a safe manner.• Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.• Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.Care Plan and Assessment Functions• Review care plans daily to ensure that appropriate care is being rendered.• Inform the Nurse Supervisor of any changes that need to be made on the care plan.• Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment.• Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.• Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident.• Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.Budget and Planning Functions• Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.Miscellaneous• Provide data to the Quality Assurance & Assessment Committee as requested.Supervisory RequirementsAs LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.QualificationEducation and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state.Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition.Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.Must be a supportive team member, contribute to and be an example of team work and team concept.Must possess the ability to make independent decisions when circumstances warrant such action.Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.Must not pose a direct threat to the health or safety of other individuals in the workplace.Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification.Knowledge and experience with PCC preferred.Must maintain all required continuing education/licensing.Must remain in good standing with the State Board of Nursing at all times.Physical DemandsMust be able to move intermittently throughout the workday.Must be able to speak and write the English language in an understandable manner.Must be able to cope with the mental and emotional stress of the position.Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.).Moves intermittently during working hours.Is subject to frequent interruptions.Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.Communicates with the medical staff, nursing personnel, and other department directors.Works beyond normal working hours, and in other positions temporarily, when necessary.Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).Attends and participates in continuing educational programs.Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses, COVID19May be subject to the handling of and exposure to hazardous chemicals.Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.

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.

PURPOSE AND SCOPE:This position is for graduates of an accredited school of Nursing working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used will be determined based on the state where the employee is employed.Functions as part of the hemodialysis health care team providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse while working towards obtaining their nursing license. Employees hired into this position will be required to obtain their nursing license within 90 days of their hire date.PRINCIPAL DUTIES AND RESPONSIBILITIES:Patient Care:Performs vascular access evaluation pre-treatment.Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to nurse supervisor.Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.Monitors patients' response to dialysis therapy.Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment and documents appropriately.Evaluates patient prior to termination of venous access - standing & sitting blood pressure.Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge.Documents information related to patient treatment including documentation in the patient health record.Reports any significant information and/or change in patient condition directly to the nurse supervisor. Performs and documents interventions for unusual patient status and document patients' response to intervention.Obtains all prescribed laboratory testing and prepares specimens for collection.Maintenance / Technical:Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.Maintains environmental integrity and aesthetics - ensures all areas are safe and clean.Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.Performs all required pretreatment dialysis machine set up and testing.Ensures that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste.Clerical & Administrative:Enters all treatment data into the designated clinical application accurately and in a timely manner.Reviews health care record for completeness and ensures omitted entries are completed or corrected where appropriate.Prepares lab requisitions for prescribed or stat lab specimens according to laboratory destination.Collects, labels, appropriately prepares and stores lab samples according required laboratory specifications.Ensures collection of lab specimens by appropriate lab courier.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.Maintains regular and punctual attendance.Performs other related duties as assignedPHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.Work includes using a desk and personal computer as well as interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.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.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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.SUPERVISION:NoneEDUCATION AND REQUIRED CREDENTIALS:Must have a nursing degree from an accredited nursing programMust obtain nursing license within 90 days of employmentEXPERIENCE AND REQUIRED SKILLS:Previous patient care experience in a hospital setting or a related facility preferred.EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender IdentityFresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws."The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $31.00 - $53.00"

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.

As an Infection Control - Employee Health Nurse / RN you will:Consult with physicians, managers, and staff for the management of infectious and/or immune-suppressed patients.Implements an effective hospital-wide infection control program in keeping with Centers for Disease Control (CDC), JCAHO, and other regulatory agencies.Directs all functions of the Employee Health program.QualificationsBachelor's Degree in nursing or healthcare related field.Master's degree in clinical specialty preferred.Equivalent combination of education, training, and experience may substitute for education requirements.Current State RN license required.ICP or related certification preferred.Minimum of 1 year clinical experience in medical-surgical or critical care nursing.Experience in Infection Control with basic knowledge of the principles of epidemiology and inctions, diseases, sterilization, sanitation, and disinfection practice preferred.Experience in handling employee health preferred.

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

The Client Manager provides advice and assistance requiring technical and industry knowledge and client service skills to meet client needs and resolve difficulties. Client Managers may occasionally perform in the capacity of a Client Executive Service for specifically assigned accounts to oversee the preparation of and providing renewal and new business presentations.Essential Duties & ResponsibilitiesAct as the initial point of contact for Clients, Carriers and others on the Client Service Team in the following areas:RFP review and preparation.Analysis of utilization reports, carrier reports and claims data and trends.COBRA, HIPAA and coordination of 5500 data.Work closely with and instruct carrier representatives to ensure smooth implementation of new plans.Ensure required plan information and materials are sent to the client in a timely manner.Guide and mentor Benefit Analysts throughout the process of gathering Client census and benefit plan information used to prepare materials for new business presentations, renewals and open enrollment meetings.Explain client needs and concerns focusing on how various plan designs and recommendations address those issues.Review renewals, new business presentations, and open enrollment materials to ensure they are accurate and complete in content, are compliant with company and regulatory guidelines, and reflect a professional appearance.Ensure that client files and documentation are maintained according to policy and procedures, and consistent with Marsh & McLennan professional standards.Develop analytical, customer service and communication skills needed to perform as a Client Manager II.Present to Client Service or Sales Executive the financial measures used to predict and analyze plan benefit costs, and the factors which influence those costs and premium rates.Under the guidance of the Client Executive Service, participate in prospect and renewal meetings to learn client needs, challenges and concerns.Learn best practices to present renewal outcomes to the client and provide recommendations based on the findings with the ultimate goal being to take on these responsibilities.Conduct employee open enrollment meetings to communicate benefit options.Respond to and resolve routine issues the client may encounter regarding receipt of benefit services and coverage questions.Keep Client Executive Service apprised of potential E&O concerns and client dissatisfaction. Strategize with Client Executive Service to develop possible resolutions and proactive solutions to avoid continued or future problems.Education and/or ExperienceMust possess a strong understanding of health and welfare plan benefits and carriers such that this expertise is recognized by colleagues and clients. This level of expertise is generally acquired through 5 years' experience providing group health and benefits sales or service while at a brokerage or carrier.Bachelor degree strongly preferred.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.Strong knowledge of employee health insurance carriers, their strengths and weaknesses, plan design features as well as the general factors which affect cost and plan design.Maintain a valid unrestricted Life and Disability License in California and meet the continuing education requirements.Maintain a valid driver's license and dependable transportation.Proficiency with Microsoft Word, Excel and PowerPoint to include work experience creating tables, charts, graphs, pivot tables and formulas.Work Environment & Physical DemandsAbility to use computer keyboard and sit in a stationary position for extended periods as well as 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 within driving distance, but occasionally consists of 2 - 5 night stay out of town.The applicable base salary range for this role is $60,000 to $128,000. 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