Nursing Jobs in Guttenberg, NJ
$90,000 - $151,000 / year
PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: General and Staff Related: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients. Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient Care: Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short- and long-term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Technical: Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Training. Other: Assist with special projects or other duties as assigned by the Clinical Manager Assist with the interviewing of potential direct patient care staff as requested. Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Other duties as assigned. Relationships: Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP) External Contacts: Physicians, Back-up Hospitals Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. The duties 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. 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. 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. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires 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. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Current appropriate state licensure. EXPERIENCE AND REQUIRED SKILLS: Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience. Supervisory or management experience preferred. Successfully completea training course in the theory and practice of hemodialysis. Good communication skills - verbal and written. Must meet appropriate state requirements (if any). 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. Annual Rate: $90000.00 - $151000.00 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 
$100,000 - $160,000 / year
182737 Job Description Manages and has 24/7 responsibility for the nursing practice, patient care delivery, human and fiscal resources, and regulatory compliance of a patient care unit. Maintains a professional environment that supports delivery of high-quality patient and family centered care. Job Responsibility Manages and has 24/7 responsibility for the team members, operations and patient care activities of a patient care unit. Assists nursing leadership in setting strategic direction for key programs in alignment with organization mission, vision, and values and nursing strategic plan. Communicates, builds consensus, and guides team toward achieving department objectives. Promotes and maintains high quality patient and family centered care in a healing environment. Creates a professional work environment that fosters team member respect, engagement, accountability and optimal patient outcomes. Promotes appreciative inquiry and evidence-based, ethical and compassionate practice. Acquires and manages staffing for patient care unit. Collaborates with HR for requirements. Provides direction and guidance to patient care unit team members and supervisors. Facilitates performance reviews, promotions, pay and corrective actions. Serves as a role model for standards of professional practice (clinical, educational and leadership). Assists in career development planning for team members. Educates teams in new and existing department procedures and systems (information systems, fiscal responsibility, etc.). Manages patient care unit budget. Monitors expenditures and implements action plans when variances are present. Monitors performance metrics that support decision-making to achieve optimal performance levels. Ensures adherence to the established care delivery model, using knowledge of scope and standards of practice. Facilitates continual compliance for unit with the JC, CMS, New York State, DOH, Public Health Law, HIPPA regulations and System, hospital and department standards. Demonstrates current knowledge of clinical competencies for patient population of oversight in order to manage direct patient care. Maintains current knowledge of scope and standards of practice, healthcare legislation, and population health. Identifies and leads opportunities to make changes to improve operations across teams using evidence-based strategies and solutions. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelors of Science Degree, required. Masters, preferred. (Bachelors or Master’s Degree must be in Nursing) Current license to practice as a Registered Professional Nurse in New York State, required. Specialized certifications, as needed. 6-8 years of nursing experience and 2-5 years of leadership/management experience, required. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
$78,000 - $130,000 / year
176414 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously. Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; assesses level of pain and pain management. Communicates and documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status. Elicits perception of medical/nursing care and expectation of care. Determines coping mechanism, knowledge level, and ability to comprehend. Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction. Communicates and documents psychological status and care plan of support groups, counseling services, and social services. Identifies patient’s need for teaching based on psychosocial and developmental assessment. Identifies patient outcome. Develops criteria for measurement of patient outcomes. Identifies actual/potential patient problems. Develops patient outcome statement (s) and establishes individualized patient goals. Identifies care activities and establishes priorities necessary to achieve expected outcome. Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome. Documents plan of care and collaborates with physicians and other health team members. Implements plan of care. Maintains constant vigilance over patients care to ensure safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.). Exercises professional skills related to the plan of care. Reassesses patients as needed and appropriately revises plan of care. Correctly administers prescribed treatments. Correctly uses equipment necessary for patient care. Provides emotional support to patient and significant other. Applies scientific principles in performing procedures, carrying them out safely, timely and efficiently. Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate. Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions. Uses appropriate methods of documentation according to departmental policy. Acts rapidly and effectively during any emergency situation, managing self, patients and other employees. Provides a calm, quiet, restful atmosphere. Communicates effectively with patient’s family or caretakers. Participates in planning for discharge and coordinates referrals, as appropriate. Provides discharge instructions to patient and significant other. Evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same. Performs variance analysis related to outcome data for performance improvement. Designs, implements, and evaluates systems to improve care in unit. Keeps accurate documentation of patient’s treatment, activity and condition. Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by Physician. Assists Physician during treatments and/or diagnostic procedures. Keeps Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate. Uses clinical judgment in delegating assignments in providing patient care, and ensures assignments are completed in a timely fashion. Performs grade I-IV Decubitus Care; performs preventive skin care measures. Applies simple dressings, maintaining principles of aseptic technique. Applies warm and cold compresses, consistent with facility procedure. Performs irrigations, consistent with facility procedure. Performs other procedures related to skin care, as necessary. Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient. Meets standard on medication administration examination. Demonstrates preparation of local solutions. Administers and documents medication correctly. Educates patients and significant others related to drug and food interactions. Participates in patient and family education. Provides patient with an explanation of his/her condition as indicated. Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies. Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching. Provides for early discharge planning and appropriate referrals for post-hospital care. Evaluates effectiveness of teaching by feedback from patient/family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing, required. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Valid Driver's License in New York State required may be required depending on area of assignment. Min. 1 year of current or recent acute/in-patient care nursing experience preferred. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
