Outpatient Registered Nurse - RN - Dialysis

$38 - $50 / hour

PURPOSE AND SCOPE:

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

· Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.

· Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.

· Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.

· Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.

· Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.

· Initiates or assists with emergency response measures.

· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

· Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

· Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.

· Ensures patient awareness related to transplant and treatment modality options.

· Required to complete CAP requirements to advance.

· Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

· This position requires frequent, prolonged periods of standing and the employee must be able to bend over.

· The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.

· The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

· May be exposed to infectious and contagious diseases/materials.

· Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.

· The position may require travel to training sites or other facilities.

· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

SUPERVISION:

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:

· Successful completion of all FKC education and training requirements for new employees.

· Must have a minimum of 1 year experience as a RN.

EDUCATION and LICENSURE:

· Graduate of an accredited School of Nursing.

· Current appropriate state licensure.

· Current or successful completion of CPR BLS Certification.

· Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

· Chronic/acute hemodialysis experience (preferred).

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Hourly Rate: $38.00 - $50.00

Non-Bonus Eligible Positions: include language below.
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.

Bonus Eligible Positions – include language below.
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Share this job

Related Jobs

Outpatient

Full-time

3 weeks ago

Nurse Navigator

University of Maryland Medical System Glen Burnie, MD

Job Requirements I. General Summary Under general supervision, provides and coordinates care to patients within the outpatient clinics at BWMC. Serves as a fully effective and participative member of the patient care team. Demonstrates and models the full range of nursing practices in both care provided and in participation in development of strategies to improve patient outcomes, satisfaction with service and cost effectiveness at the departmental level. Is accountable to the patients and families for the processes and outcomes of care, during their care throughout the entire spectrum of cancer services. Patients served include adult through adult-geriatric. Responsibilities II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a role model and clinical resource for expert care and outcomes management of this patient population. Assesses and improves preoperative patient instructions. Responsible for patient and family education. Monitors process and outcomes of patient education; implements improvements as appropriate. Develops strategies to promote continuity, consistency and confidentiality of patient information across organizational boundaries. Develops systems to streamline and improve the patient information management process. Coordinates multidisciplinary approach to screening patient and arranging multimodality therapy. Coordinates weekly multidisciplinary clinics and conference. Participates as an active member of the multidisciplinary team. Assesses and develops staff expertise in functioning in a collaborative role within the team. Takes the lead in assuring consistency and continuity of care. Schedules or coordinates ordering and follow-up of lab work, diagnostic testing, and surgical posting. Monitors patients during and post-procedures. Facilitates discharge preparation and procedures. Assists physicians with procedures and/or exams. Facilitates patient flow through the clinic. Coordinates post-operative care. Responsible for requesting and stocking medical supplies for the clinics. Participates in the Performance Improvement Program. Education III. Education and Experience Graduation from an accredited nursing education program approved by the Board of Nursing or found by the Board to be substantially equivalent to the programs in Maryland. BSN preferred. Currently licensed as an RN in the state of Maryland. Successful completion of a refresher course within past 6 months if nursing practice has not occurred within the past 5 years. Three (3) years of direct patient care experience as a licensed RN required. Current BLS certification or obtained prior to providing direct patient care is required. Skills IV. Knowledge, Skills and Abilities Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Highly effective verbal and written communication skills are required to interact with patient families, departmental units, medical and nursing staff on all essential matters. Demonstrated/documented effective interpersonal skills. Maintains updated hospital safety and other mandatory training. Updated immunizations as recommended per practice area. V. Patient Safety Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives. Takes action to correct observed risks to patient safety. Reports adverse events and near misses to appropriate management authority. Implements policies, procedure, and standards consistently in the performance of assigned duties. Develops effective working relationships and maintains good communication with other team members. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.

Registered Nurse (RN), Oncology Outpatient

University of Maryland Medical System Glen Burnie, MD

Job Requirements General Summary Under limited supervision, the Registered Nurse is responsible for the assessment of patients including the development, evaluation and modification of the plan of care. The RN interprets and performs complex patient-care procedures specific to their area of expertise. RN’s are members of the Care Team and Support Team and have accountability to function as a team to accomplish patient outcomes identified in the pathway/plan of care. The Registered Nurse is a professional care giver who assumes responsibility and accountability for care given to a group of patients for a designated time frame. The RN provides care to those patients via therapeutic use of self, the nursing process, the environment/technology, and other healthcare team member, according to established standards. Patients served include all age groups (Infant through Older Adult as identified in Performance Standards). Principal Responsibilities And Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Participates as a member of the Patient Care Team by providing functional supervision and by delegating duties to other care team members as they provide appropriate direct patient care duties. Carries out performance standards for charge nurse; when assigned that duty, as delineated in the delivery of care methodology. Assigns nursing care responsibilities to staff. Participates as a member of the care team to provide direct care requiring the skills/qualifications of the RN. Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychological and cognitive status. Formulates a goal-directed plan of care with patient/family which is prioritized and based on determined nursing diagnoses/patient care needs/problems and patient outcomes. Functions to establish priorities of patient care based on essential patient needs and available unit resources of time, personnel, equipment and supplies. Identifies patient/family learning needs and implements appropriate measures to meet these. Performs documentation duties on unit and in patient record which are timely, accurate, concise and legible. Demonstrates competency in selected psychomotor skills as outlined in generic and unit specific manuals and performance standards; assists physicians with procedures; implements care in a knowledgeable, skillful, consistent and continuous manner. Demonstrates appropriate delegation of tasks and duties in the direction and coordination of healthcare members, patient care and unit activities. Demonstrates awareness and sensitivity to patient/family rights, as identified with the institution. Demonstrates competence in patient/SO education, as validated by direct clinical observation. Identifies and responds to patients’ need for pain management from arrival to departure. Evaluates effectiveness of care given by all healthcare team members in progressing patient toward outcomes. Collaborates with Case Manager to evaluate outcomes and effectiveness of plan of care. Work Experience Education and Experience Graduation from an accredited nursing education program approved by the Board of Nursing or found by the Board to be substantially equivalent to the programs in Maryland. Currently licensed as an RN in the state of Maryland. Successful completion of a refresher course within past 6 months if nursing practice has not occurred within the past 5 years. Current BLS certification or obtained prior to providing direct patient care is required. Knowledge, Skills And Abilities Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Highly effective verbal and written communication skills are required to interact with patient families, departmental units, medical and nursing staff on all essential matters. Demonstrated/documented effective interpersonal skills. Maintains updated hospital safety and other mandatory training. Updated immunizations as recommended per practice area. Patient Safety Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives. Takes action to correct observed risks to patient safety. Reports adverse events and near misses to appropriate management authority. Implements policies, procedure, and standards consistently in the performance of assigned duties. Develops effective working relationships and maintains good communication with other team members. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.

Outpatient

Full-time

1 month ago

Nurse-RN

Patient First Glen Burnie, MD

$34.50 - $40.50 / hour

The responsibilities of this job include, but are not limited to, the following: Implementing Patient First's policies and procedures; Offering quality nursing care and generating a genuinely warm and friendly atmosphere for patients and employees; Providing nursing care in the ambulatory setting to individual patients and families; Using sound judgment when administering medical care and screening patients; Administering medications and knowing correct dosage, actions, and side effects of each medication administered; Assisting the physician in all emergency cases; Providing positive, warm and friendly customer service in all interactions; Fostering teamwork and a positive, professional atmosphere; Completing other duties as directed. Minimum education and professional requirements include, but are not limited to, the following: Employee must be at least 18 years of age; High school graduate or equivalent; Keyboarding experience required; Excellent verbal and written communication skills; One year of clerical experience preferred; One year of clinical experience with administration of medications preferred; Licensed to practice as a Nurse in the state of Maryland. Salary Range: $34.50 - $40.50, depending on experience. Benefits and Other Compensation: • Health, Dental and Vision insurance for employees and dependents • Disability, Life and Long Term care insurance • Employee Assistance Program, Flexible Spending accounts, 40 1(k) Retirement Plan (with employer match) • Paid Annual Leave, Volunteer Time Off Pay, Bereavement Leave, Emergency Leave Bank • Overtime Pay, Holiday Pay, Double time compensation for all holidays worked • Discounted medical treatment at any Patient First location for employees and immediate family • Bonuses include: - Recruitment bonus - Patient Care Performance bonus (center employees only) - Weekend bonus (center employees only)

Outpatient

Per Diem

3 months ago

Registered Nurse-Hourly

AMSURG Glen Burnie, MD

Pre-op patient prior to Endoscopy procedure to include IV access and review of patient's history and medications. Recover endoscopy patient in PACU and provide education.

Outpatient

Full-time

2 months ago

Registered Nurse Case Manager, Population Health

University of Maryland Medical System Linthicum Heights, MD

Job Requirements We are seeking a dedicated and experienced Registered Nurse Case Manager to join our Population Health team. The ideal candidate will play a critical role in managing patient care, coordinating services, and improving health outcomes across diverse populations. Key Responsibilities Assess and evaluate patient health needs to develop individualized care plans Coordinate with healthcare providers, patients, and families to ensure comprehensive care Monitor patient progress and adjust care plans as necessary Educate patients and families on health management and disease prevention Collaborate with interdisciplinary teams to optimize population health strategies Utilize data and analytics to identify trends and improve care delivery Join us in making a meaningful impact on community health through compassionate and coordinated care. Work Experience Education and Experienc e Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required; BSN preferred. 3 to 5 years of care coordination experience and/or experience working in an outpatient ambulatory setting Experience with educating patients and patient goal setting (essential) Case Management Certification (preferred) Experience in a manage care information environment (preferred) Preferred experience would include knowledge of quality improvement processes (LEAN or PDSA); practice re-design work such as patient centered medical home and Joint Commission and National Committee for Quality Assurance (NCQA) accreditations. Knowledge, Skills And Abilities Knowledge and experience with managing and overseeing the comprehensive assessment, planning, implementation and overall evaluation of individual patient needs Proficient analytical, organization, and problem-solving skills to identify opportunities, to implement efficient work processes as it relates to case management Proficient documentation skills to maintain client records Ability to work effectively in a stressful work environment and handle confidential issues with integrity and discretion Critical thinking skills to analyze and solve problems Strong problem management strategies and issue resolution skills Excellent interpersonal, verbal, and written communication skills Strong organization skills, detail oriented, and knowledgeable Ability to work independently and effectively in a fast-paced environment. Ability to work productively in a stressful environment and effectively handle multiple projects and changing priorities. Ability to effectively present information and respond to questions from families, members, providers, and clients, as well as the ability to relate effectively to upper management Ability to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skills Understands benefit/payer systems and reimbursement structures for patients. Strong clinical knowledge of broad range of medical practice settings and healthcare delivery systems Thorough and solid knowledge of health care and managed care delivery systems. This includes standards of medical practice, insurance benefits structure, and the utilization and case management process. Knowledge of state and federal laws and resources Proficiency in Microsoft Office including Outlook, Word, Excel and PowerPoint; knowledge of or the ability to learn care management/EMRsoftware (e.g., Epic) and other software in order to perform job duties