Nurse Jobs in Bayamn, PR

Job Description Department Human Resources Location 342 San Luis St., Suite 304, San Juan, PR 00920 Position Bilingual Nurse Reports to María Miranda De Jesús Title HR & Finance Director Position type: Full time Part time Contract In house Shift hours: 40 weekly Operating: Monday to Friday: 8:00 am to 5:00 pm Extent No extent General purpose The call center and telemedicine nurse will act as a link with the patient, providing effective remote patient monitoring (RPM) and telemedicine services and channel any request or problem that requires attention, providing the corresponding guidance to the attending physician. Among the essential qualities is to promote the use of the health monitoring devices and to provide the patient all the necessary information an empathic way, in order to educate the patient regarding the RPM program. maintaining their ability to have control of the call and efficiently communicate the information. The goal is to ensure quality care and compliance with the RPM and telemedicine services, respond effectively to patient inquiries, and ensure high patient satisfaction. Generate outgoing calls in order to verify patient information and vitals in accordance with the RPM program, through the effective use of the RPM and Telemedicine Software. Also, provide the necessary feedback if in the case of emergent patient care situations, by seeking assistance of the Medical Director or attending physician. RESPONSIBILITIES AND COMPETENCES Administrative, organizational, data management and communication skills. Knowledgeable and able to effectively manage the Remote Patient Monitoring platform system Knowledgeable of all Medicare Guidelines regarding the Remote Patient Monitoring program and Telemedicine programs Manage a large number of outgoing and incoming calls Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance, of the clinical director or MD. Monitor the patient's condition and assess their needs to provide the best care and advice according to their responsibilities. Identify and evaluate the needs of patients to achieve their satisfaction. Manage multiple database systems provided by the company to document all interactions with patients as established. Provide accurate, valid, and complete information. Comply with the level of service and productivity goals established by the campaign / company for which the calls are being answered. Maintain quality and productivity in accordance with the provisions of the Company. Inform your immediate supervisor of any situation that arises, both customers and employees that may affect the proper functioning of the company. Correctly register the information in the contact system. Follow communication procedures, guidelines, and policies. Fully Bilingual ( English and Spanish) - Written and Oral Any other task designated by your supervisor or immediate manager, not limited to the aforementioned. WORK EXPERIENCE REQUIREMENTS Nurse experience Knowledge of EMR system Excellent knowledge of nursing care procedures and methods. Ability to demonstrate empathy, motivation, attention, and support for the patient's needs. Honest and responsible for their actions. Great capacities to maintain telephone contact and for active listening. Customer orientation and ability to adapt / respond to different types of personalities. Knowledge and domain with computerized equipment. Excellent in keyboard handling and data entry. Trained to work under pressure and able to respond to high volume of work. Ability to work in a team. Excellent verbal and written communication skills. Good diction. Schedule availability and rotating shifts. Possess high professionalism and ability to deal with clients and colleagues. Academic requirements

Our associates celebrate lives. We celebrate our associates. Consider the possibilities of joining a Great Place to Work! Responsibilities vary day to day based on business needs but consist of driving, courier, general building maintenance, grounds keeping, and custodial. Flexibility to work in a team environment and help where needed. Exhibit courteous and polite behaviors. JOB RESPONSIBILITIES * Couriers' documents, flowers, or other items. Cleans interior and exterior of vehicles, restocks tissues/water as needed, re-fuel vehicles, identify maintenance issues, and ensures vehicle is ready for use. * Grounds keeping responsibilities may include mowing law, edging, removing debris, and clears walkways. Watering of plants or lawns, adjusting sprinkler heads or timers, and replacing sprinkler heads. Properly maintains and stores equipment after each use. * Performs general facility maintenance that may include painting, unstopping plumbing, replacing light bulbs, or other minor repairs. * Custodial duties including cleaning and sanitizing surfaces, mopping, vacuuming, emptying waste receptacles. * Additional responsibilities as assigned or requested including loading or unloading caskets, those of Funeral Services Assistance Requirements Education & Licenses: * High School Diploma or equivalent Experience & Knowledge: * At least one (1) year general work experience * Current state issued driver's license with an acceptable driving record Work conditions When considering the work environment associated with this job, the following factors may apply: * Environment - Professional attire required when in contact with families * Postures - Frequent continuous period of time sitting or standing up to 6 hours per day; frequently climbing stairs to access buildings; climb on ladders * Physical Demands - Physical effort required to push, pull, or hold/carry various grounds keeping equipment * Safety - courteously and safely drive company owned vehicles; be aware of surroundings to promote safety; use personal protective devices as appropriate; safely use electrical equipment * Hours - May work beyond standard hours or schedule as business needs arise; limited local travel required Postal Code: 00909 Category (Portal Searching): Operations Job Location: US-PR - San Juan

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them-faster.** **_Job Summary_** The Nurse, Individualized Care promotes high-quality patient care and treatment through patient education. With a focus on the products and treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound calls for patients who have begun treatment with one or more of the client's products. The Nurse educates patients on their treatments and disease states, refers patients to a variety of additional services, and reports adverse events in accordance to FDA and client requirements. **_Responsibilities_** + Educates patients during outbound and inbound calls with patients on the treatments that they are receiving as well as their disease states. Counsels patients on standard treatment information, disease symptoms, potential treatment side effects, and what they should expect during visits to patient care facilities. During initial welcome calls, answers patients' initial questions regarding their treatment programs and establishes rapport for future conversations. + Refers patients to additional services in order to improve their treatment experiences, based on lists of referral organizations approved by each client. Assists patients in accessing services such as funding, transportation, lodging, and support groups by placing calls to organizations or providing information to patients. + In accordance with FDA regulations and client requirements, records adverse events for treatments and answers patient questions regarding the events. Completes documentation using internal systems and submits it to the client's Drug Safety department. + Schedules outbound welcome calls and follow-up calls to patients, and leaves voicemail messages when patients are unavailable. Effectively manages both scheduled outbound calls and inbound call queue. + Meets regularly with Supervisor, Individualized Care and/or Senior Nurse, Individualized Care to discuss feedback from call monitoring and quality reviews of adverse event documentation. Discusses progress on productivity and quality goals including number of calls completed, call quality, document quality, and time requirements. + Upon the client's introduction of new treatments, participates in trainings in order to gain an understanding of the treatments. + Be a champion for each patient and consented care partner(s) + Establish an ongoing relationship with each assigned patient, starting with Welcome, onboarding, treatment initiation, continuation, and ongoing interactions **_Qualifications_** + 2-4 years of experience, preferred + Current, unrestricted Registered Nurse license, required + Bachelor's degree in related field, or equivalent work experience, preferred + Previous medical experience is preferred + Demonstrate effective, empathetic and professional communication + Must communicate clearly and effectively in both a written and verbal format + Ability to work with high volume production teams with an emphasis on quality + Able to thrive in a competitive and dynamic environment + Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities **_What is expected of you and others at this level_** + Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks + Works on projects of moderate scope and complexity + Identifies possible solutions to a variety of technical problems and takes action to resolve + Applies judgment within defined parameters + Receives general guidance and may receive more detailed instruction on new projects + Work reviewed for sound reasoning and accuracy **TRAINING AND WORK SCHEDULES** : Your new hire training will take place 8:00am-5:00pm CST the first week of employment, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work a scheduled shift of M-F, 8am- 5pm CST. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router. + Surge protector with Network Line Protection for CAH issued equipment. **Anticipated hourly range:** $67,500 - $96,450 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 5/10/2025 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma get their medicines to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians and patients. A significant part of our business is acting as the biopharma's sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world. We are excited to announce that at this time we are looking for a Field based Nurse Educator to join our team of over 10,000 global field representatives in several regions making over 20 million product details annually for our pharmaceutical and biotech clients. **Multi-Therapeutic Ambassadors:** **Background:** Care Specialist: Background: Patients are at the center of AbbVie's business strategies. The Care Specialists serve as an extension of the AbbVie service platform. Care Specialists have primary responsibility/accountability for providing appropriate product related training and education for patients prescribed PRODUCT. Care Specialists will serve as the link for each patient enrolling in the PROGRAM to better understand and utilize other PRODUCT services, including but not limited to PRODUCT training and adherence education. Each Care Specialist may interact with enrolled patients by telephone, email, in patient home settings, and/or in a public setting that would be conducive to education and protection of privacy. These interactions will be conducted in one on one, group and caregiver included education forums, with patients deciding how and whether to participate. Job Duties: Each Care Specialist is responsible to follow the program's written structure as outlined in the AbbVie document PD21-01-002 Practice Standards for Care Specialists and Care Specialist's Program and PD21-01-001 Practice Standards for Advocates and Advocate's Programs as may be amended from time to time. The Care Specialist will offer only AbbVie approved support, tools, resources and information to enrolled patients. The Care Specialist will be responsible to assist in the development of patient product support programs that will focus on treatment on-boarding and product related education, including supporting adherence to the treatment plan as prescribed. All materials used for this program for any purpose will be approved through the divisional review and approval process (STAR). Additional Multi-therapeutic Care Specialist Duties: · Assistance in the development of STAR-reviewed education plans covering a variety of topics, including: on boarding, product administration, adherence and compliance education to improve the patient-doctor dialogue for patients prescribed PRODUCT · Product related training and patient disease education to patients prescribed PRODUCT · Provide education to support improved health literacy and dialogue between patients prescribed PRODUCT and their respective health care providers · Never provide medical advice, instead referring patients to contact their healthcare provider · Do not interfere with treatment decisions made between the patient and healthcare provider · Education to support prescribed therapy - supplemental injection and administration training, disease state and product-related information, · Educational programs for HCP and office staff introducing the Multi-therapeutic Care Specialist patient support program · Support physician peer-to-peer engagement opportunities about the Care Specialist program by providing input to AbbVie concerning program content and/or by appearing as a speaker using STAR-approved content to introduce physicians to the program and resources available to patients · Managing accounts and patients case-load in a large geography · Management of assigned travel and commercial budgets within OPPF standards · Follow all AbbVie-provided guidelines and policies and procedures · Participate in, complete and follow all assigned training, from AbbVie and Service Provider · Any additional duties as assigned by program management and approved through the STAR team Multi-therapeutic Care Specialist Job Qualifications: Minimum: · BA/BS degree, preferably in behavioral/social sciences, public health, or business-related disciplines · A minimum of 3 years professional experience in social work, case management or disease management in a patient/ health related field · Willing to travel extensively (75-90%) · Very strong time management skills · Strong planning and prioritization skills · Strong and effective presentation skills; excellent communications skills - both written and verbal · Proven success working with or within Community Based Organizations or other patient health-related, community focused organizations providing services to targeted populations · Ability to work and drive for results in cross-functional teams · Initiative and vision: challenge existing assumptions and interpretations · Drive and enthusiasm · Exceptional interpersonal skills · Ability to build relationships with third parties using good negotiation skills · Well-developed networking and influencing abilities to leverage relationships within and outside of the company. · Fully competent in MS Office (Word, Excel, PowerPoint) · Received injection training · Must be licensed nurse (either LPN or RN) AbbVie Contigo Team members are expected to spend approximately ninety percent (90%) of their time in the field and ten percent (10%) of their time on administrative work. **Location:** Field-based (extensive travel required) We know that meaningful results require not only the right approach but also the right people. Regardless of your role, we invite you to reimagine healthcare with us. You will have the opportunity to play an important part in helping our clients drive healthcare forward and ultimately improve human health outcomes. We look forward to the prospect of working with you! Please apply on-line at: ************* IQVIA offers a friendly, progressive work atmosphere and a comprehensive benefits package including medical, dental, life insurance and vision coverage, tuition assistance, bonus plan and 401(k). **\#LI-CES** IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at ********************** IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. **********************/eoe The potential base pay range for this role is $75,000 - $80,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide. To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us. EEO Minorities/Females/Protected Veterans/Disabled

PURPOSE STATEMENT: Responsible for providing professional nursing care to patient in a supportive and therapeutic environment. ESSENTIAL FUNCTIONS: Provide and coordinate care by assessing physical and behavioral health needs of patient, develop and implement nursing care plans, maintain medical records and educate patients and their families about various physical and behavioral health conditions. Provide nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures and protocols, as well as facility and corporate policies and procedures. Ensure physician's orders are legible if taken verbally and transcribed appropriately per policy and procedure. Ensure patient's status is assessed on an ongoing basis and pertinent information gathered is documented. Notify physician of significant changes in status such as difficulties with detox, medical emergency or change in medical status regarding response to medications, etc. Nursing treatment plans are specific to assessed needs. Initial treatment plan is completed upon admission. Demonstrate knowledge and utilization of universal precautions in providing direct patient care. Accurately administer medications per ordered note and document accurate count of controlled substance medication administration on required documents. Responsible for completing admission and discharge processed efficiently and accurately as directed. Exhibit therapeutic rapport with patients by maintaining professional boundaries, being respectful to personal space, giving patient direct attention and maintaining rational detachment. Provide direction or coordinate the activities of the unit as directed. Communicate therapeutically and professionally with patients, visitors, coworkers and others involved in patient treatment in an effective manner. OTHER FUNCTIONS: Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Graduation from an accredited school of nursing. Prefer one year of nursing experience within clinical area of service provided by facility. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current RN license as required by state. First Aid, CPR, de-escalation and restraint certification required (training available upon hire and offered by facility).

Responsible for assessing patient care needs and planning home health care services. JOB DUTIES /KNOWLEDGE Coordinates, screens and assesses home health care needs of patients referred to Agency Completes intake process within established time parameters Collaborates with physicians, nurses and discharge planners to identify patient care needs and to establish the appropriate level of care for patients referred to the Agency Establishes and completes an individualized Plan of Treatment in accordance with MD orders, patient care needs, insurance guidelines and Agency protocol, including the identification of formal/informal supports in carrying out plan Ensures that the needed DME, medical supplies and ancillary services are ordered and documented Contacts managed care personnel when appropriate to obtain necessary initial authorizations Notifies referring party if patient will require alternative discharge plan Delegates specific tasks to support staff providing clear, timely direction to ensure continuity of care Serves as a resource to all persons contacting the agency for information Treats all referral parties, patients, family members and hospital staff courteously and in a non-discriminatory manner Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed care, charity care and other third-party payers Demonstrates cultural sensitivity Maintains patient confidentiality at all times Demonstrates working knowledge of State and Federal regulations Participates in Quality and Performance Improvement activities and in the orientation process for agency staff Performs other related duties as required Demonstrates a high degree of commitment to customer relations and quality service Utilizes community resources as appropriate to meet patient care needs JOB PERFORMANCE Demonstrates ability to perform quality and effective services. Demonstrates ability to set and meet objectives, and to find increasingly efficient ways to perform task. Completes work, and documentation with accuracy and within agency time frames. Requires minimal supervision and is self-directed. Understands the delivery of service within home care.

Responsible for assessing patient care needs and planning home health care services. JOB DUTIES /KNOWLEDGE Coordinates, screens and assesses home health care needs of patients referred to Agency Completes intake process within established time parameters Collaborates with physicians, nurses and discharge planners to identify patient care needs and to establish the appropriate level of care for patients referred to the Agency Establishes and completes an individualized Plan of Treatment in accordance with MD orders, patient care needs, insurance guidelines and Agency protocol, including the identification of formal/informal supports in carrying out plan Ensures that the needed DME, medical supplies and ancillary services are ordered and documented Contacts managed care personnel when appropriate to obtain necessary initial authorizations Notifies referring party if patient will require alternative discharge plan Delegates specific tasks to support staff providing clear, timely direction to ensure continuity of care Serves as a resource to all persons contacting the agency for information Treats all referral parties, patients, family members and hospital staff courteously and in a non-discriminatory manner Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed care, charity care and other third-party payers Demonstrates cultural sensitivity Maintains patient confidentiality at all times Demonstrates working knowledge of State and Federal regulations Participates in Quality and Performance Improvement activities and in the orientation process for agency staff Performs other related duties as required Demonstrates a high degree of commitment to customer relations and quality service Utilizes community resources as appropriate to meet patient care needs Requirements JOB PERFORMANCE Demonstrates ability to perform quality and effective services. Demonstrates ability to set and meet objectives, and to find increasingly efficient ways to perform task. Completes work, and documentation with accuracy and within agency time frames. Requires minimal supervision and is self-directed. Understands the delivery of service within home care. QUALIFICATIONS License to practice as a registered nurse in the state, BSN preferred Effective verbal and written communication skills Excellent problem-solving skills Ability to organize multiple responsibilities and set priorities Excellent skills in customer relations Two years of home health nursing preferred

REGISTERED NURSE WJM Professionals is recruiting for an individual to administer delineated medical services to all beneficiaries receiving care at a Coast Guard clinic. QUALIFICATIONS: The individual shall perform a full range of professional nursing services and practices on-site, to a variety of patients. Assesses patient's needs for nursing care, plans for nursing interventions, assess the effectiveness of the interventions and alters the nursing plan and interventions appropriately. Documents all nursing care provided to include assessments and evaluations in accordance with applicable regulations and standards of practice. Provides patient education and ongoing monitoring in coordination with the Primary Care Manager. Provides disease management assistance as directed by the Primary Care Manager. Communicates and coordinates with the HSWL-SC Operational Medicine Nurse Consultant regarding all complex cases in accordance with Coast Guard policies and directives. Provides care coordination care between a variety of partners involved in beneficiary care. Provide nursing triage to acute issues in addition to regularly scheduled appointments, with immediate evaluation and management of emergent problems as they occur. Administers oxygen, IV fluids, and prescribed oral, subcutaneous, and intra-muscular medication in accordance with provider orders and regulations. Prepares patients for surgical and or diagnostic procedures. Prepares, operates, and monitors specialized equipment such as cardiac monitors, defibrillators, etc. Inventories medicine and drug stocks to ensure adequate supplies and controls as needed. Participates in attending and providing (ad hoc) training at the clinic for staff. Participates in the Health Services Quality Improvement Program, as directed by the Clinic Administrator. Provide coordination of care in accordance with standards of practice established at the clinic for referral management. REQUIREMENTS The Nurse shall meet or exceed the industry standards in accordance with established principles, practices, and ethics of the Registered Nursing Profession. The standards of performance for all employees shall reflect the degree and care, skill, and learning expected of a reasonably prudent healthcare provider in the Registered Nursing profession. A diploma or degree from a National Council of State Boards of Nursing (NCSBN) accredited school of Nursing; A current unrestricted active license to practice as a Registered Nurse from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands; Maintain current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP). A minimum of five (5) years of professional experience in the field in the past 3 years; with at least one year of ambulatory care experience in family practice or internal medicine in the past 5 years. "No adverse information on file" with the National Practitioners Data Band (NPDB). REQUIRED CREDENTIALS A current resume including AT LEAST the following information: Diploma/Degrees earned. Professional Experience. Social Security Number. Date of birth (to be used only for independent query of the NPDB); Career history (with explanations for any gaps in employment); Professional Training/Courses (CNE or CME) attended in the past two years. Professional organization affiliations and memberships. Previous work references including the name of the organization, number of years rendered, address, and name of the point of contract with the telephone number. Awards and certifications received. Copies of: A diploma or degree from an accredited school of Nursing (a digital picture is acceptable as a copy); Copies of all additional post-high school diplomas and/or degrees. A current unrestricted active license to practice as a Registered Nurse from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands; Current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety & Health Institute (ASHI) or the American College of Emergency Physicians (ACEP); Social Security Card; At least three (3) letters of recommendation from recent employers addressing nursing services.

Job Description Performs a variety of tasks for the Service Authorizations Unit of the Department of Health Services. The Service Authorization Nurse is responsible for ensuring that members receive the optimal level of benefit coverage for services requiring coordination. Oversees the quality and proper utilization of services. Acts as the primary liaison between enrolled beneficiaries and providers to manage the service request process that requires coordination. Essential Functions: Handles requests for pre-authorization service coordination. Reviews, evaluates, and ensures that requests are complete. Meets productivity metrics, quality standards, and applicable regulatory processes. Documents transactions in the system. Makes calls to members and providers to obtain necessary clinical information to process the request. Identifies benefit limitations/exclusions for the authorization process. Reviews medical information using criteria, protocols, and/or guidelines for the authorization process. Conducts the authorization process based on eligibility criteria and benefit coverage. Ensures confidentiality and compliance with all applicable state and federal regulations for Health Call Centers, including HIPAA and internal policies for handling confidential information. Promotes quality and service excellence in all management processes. Completes core and functional training, as well as all procedures established by regulatory agencies, contractual requirements, and applicable certification standards (including but not limited to URAC). Performs other related tasks. Requirements: Bachelor's degree in Nursing with clinical experience. Required Credentials: Active nursing license to practice in Puerto Rico, registration, and professional affiliation. Advanced knowledge of computer applications and/or Microsoft Office. Service-oriented mindset and commitment to customer service. Excellent bilingual verbal and written communication skills (Spanish and English). Ability to prioritize tasks. Strong teamwork skills. Fast documentation and internet navigation skills. Availability for rotating shifts (including weekends/holidays), Monday to Saturday from 8:00 AM to 6:00 PM. What Are the Benefits of Joining Our Team? In-service training on regulatory and health-related aspects. 24/7 telemedicine service. Free employee health and wellness programs. Opportunities for growth and development. Contributing to the health and well-being of the population. Job Type: Full-time Contract Type: Professional Services, Fixed-term (6 months), with automatic month-to-month renewal after the initial 6-month period. Work Location: On-site job in Guaynabo, PR EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER (EEOC)

Per Diem Medial - Flight Med and Avi Responsibilities include evaluation, coordination, and delivery of medical care provided to patients during transport; also is familiar with the scope of practice of the transport team members and the State rules and regulations in which the transport team operates. Works with the other transport team members to coordinate care of the patient during transport; once called, readily available/arrive at specified location, within 45 minutes before wheels. RESPONSIBILITIES: The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. Provides pre-hospital advanced life support care from initial contact until patient care is relinquished to the receiving medical facility Maintain thorough electronic charting of patient care. Attends pre-mission briefings and mission debriefing and completes necessary documentation Complies with safety standards to assure safety of self, medical personnel, patient, and equipment prior to takeoff. Must be familiar with scope of practice of the transport team and the State rules and regulations in which the transport team operates. Requirements: Minimum of 3 years of ICU/ED/Trauma experience within the last 5 years Previous flight experience preferred. Flight experi

We are seeking a caring and experienced nurse to join our team as a school nurse. The successful candidate will be responsible for providing high-quality health care services to students, promoting health education, and maintaining accurate health records. Responsibilities: Administering medication and providing first aid to students and staff as needed Managing student health records and ensuring they are up-to-date Developing and implementing health and wellness programs Providing health education to students and staff Collaborating with teachers, administrators, and parents to promote student health Responding to health-related emergencies and providing appropriate care Maintaining a clean and safe health office environment Requirements: Registered Nurse (RN) license in Puerto Rico Experience working as a nurse in a school or pediatric setting Strong assessment, diagnostic, and treatment skills Excellent communication and interpersonal skills Knowledge of state and federal laws and regulations related to school health Ability to work independently and as part of a team Ability to maintain confidentiality and professionalism Preferred Qualifications: Bachelor's or Master's degree in nursing or related field Certification in pediatric nursing or school nursing Experience working with children with special health needs Bilingual in English and Spanish About the School: Our school is committed to providing high-quality education and supporting the health and well-being of our students. We value a collaborative and inclusive environment, and our team is dedicated to ensuring that every student has access to the resources they need to succeed.

Job Details Caguas - CARR 763 KM 60 Bo Borinquen - Caguas, PR Full Time 4 Year Degree $13.00 - $13.00 Nonprofit - Social ServicesDescription Person in this position is responsible for the intensive outpatient for women with substance abuse or co-occurring disorders. Essential Job Functions include those listed below. ESSENTIAL JOB FUNCTIONS: Maintains and demonstrates a comprehensive understanding of the concepts of a patient's care and supervision. Responsible for supervising each medical and general health history of all participants. Ensure that each individual receives the best possible care. Oversees the administration of medications according to policies and procedures, controlling schedules and doses and ensuring that they are administered to clients when necessary. Verify, keep up to date and sign the medication record of the participants. Help perform regular exams and routine checkups on participants. Observe, understand and manage health problems peculiar to the participants served. Assist the contracted physician, with basic medical examinations and the administration of prescribed treatments. Help maintain a record for your participants in order to have accurate records of the participant's medical history, treatment plan, and progress. Participates in the creation and implementation of protocols for the treatment of the participant and documents the medical record according to the treatment plan. Help perform prescribed tests on your participants, such as vital signs, blood pressure, temperature, breathing, pulse, and blood sugar checks. Responsible for ensuring that participants receive all appropriate services Provide help so that participants feel that their physical, social and affective needs are resolved. You must be an understanding, loving person with positive energy. Completes required documentation, including progress notes, behavioral observations, incident reports, and other appropriate documentation and within set deadlines. Reports and/or documents participants' observations and contributes to treatment decisions. Other assigned tasks focused on the participant. Must Embrace and embody the mission, vision, guiding principles, clinical vision, and goals of WestCare Foundation; and Perform all other duties as assigned. Qualifications ESSENTIAL QUALIFICATIONS: To perform this job successfully, an individual must be able to perform the duties and responsibilities satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Experience and Competencies: Ability to exercise good judgment and discretion. Ability to work well in a team environment. Superior organizational skills. Excellent written and verbal communication skills. Proficiency in word processing programs, preferably MS Word, and spreadsheet programs. Internet skills. Ability to work independently. High level of initiative. Adherence to the highest standard of ethical conduct, especially to standards governing confidentiality. Professional appearance and demeanor. Bilingual (fluent in English and Spanish) preferred. Ability to obtain and maintain a criminal history background check. CPR Certification, First Aid Certification, and an annual Tuberculosis test. EDUCATION and/or EXPERIENCE: Experience and knowledge working with the substance abuse population and services. As required per licensing board of Puerto Rico. LICENSURE/CERTIFICATION: Professional RN license in good standing issued by the Nursing Examination Board of Puerto Rico. WORKING CONDITIONS: Work is primarily performed in an office or in a Residential/Outpatient treatment setting. Some outdoor activities may be required. Must be able to de-escalate situations in the program.

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as 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. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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 assigned Participates in all required staff meetings as scheduled. 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. 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. 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. 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. 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. Ensures 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. Reviews 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. Initiates, 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. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional duties as assigned. 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 the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS: Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). 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. EOE, disability/veterans

San Juan Capestrano Hospital is an Acadia facility that takes pride in giving quality patient care. We offer competitive benefits and pay. Please join our team and help change the future of Puerto Rico. PURPOSE STATEMENT: Responsible for day-to-day operations of the unit and ensure staffing is adequate to provide care. ESSENTIAL FUNCTIONS: * Provide, delegate, coordinate and evaluate care of patient through the collaborative efforts of team members and in accordance with the nursing process and standards of care and practice. Provide general nursing care in a facility. * Function as the lead nurse on assigned shift. * Responsible for staff assignments and/or direction of duties, tasks or projects. * Provide professional and administrative leadership to staff. * Accountable for the oversight of staffing performance. * Coordinate nursing, medical and/or behavioral health care activities with all staff to ensure smooth and complete coordination of efforts during shared shift. * Supervisory responsibility for assigning staff according to education and ability. * Provide mentoring and training as needed. * Coordinate all care rendered to patients, including physician orders and diagnostic information, and ensure consultations are ordered. * Document medical, behavioral health information and nursing care. * Administer medications and maintain records in accordance with company policies and procedures. * Assist in developing a plan of care with specific and measurable goals, objectives and interventions defining actions unique to each patient's needs. Assist in updating and revising the plan of care as goals/objectives are met or when the patient's condition changes. * Provide structure and maintain a therapeutic environment in collaboration with the patients and other care providers. * Consistently utilize universal precautions, environmental safety guidelines and applicable level system as applicable. OTHER FUNCTIONS: * Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Graduation from an accredited school of nursing required. * Three or more years' experience in nursing practice required. * Two or more years' experience in behavioral health preferred. * One or more years' experience in a hospital supervisory or charge position preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Current RN license as required by state. * CPR certification required (training available upon hire and offered by facility). * De-escalation/restraint certification required (training available upon hire and offered by facility). * First aid may be required based on state or facility. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Our associates celebrate lives. We celebrate our associates. Consider the possibilities of joining a Great Place to Work! Responsibilities vary day to day based on business needs but consist of driving, courier, general building maintenance, grounds keeping, and custodial. Flexibility to work in a team environment and help where needed. Exhibit courteous and polite behaviors. **JOB** **RESPONSIBILITIES** + Couriers' documents, flowers, or other items. Cleans interior and exterior of vehicles, restocks tissues/water as needed, re-fuel vehicles, identify maintenance issues, and ensures vehicle is ready for use. + Grounds keeping responsibilities may include mowing law, edging, removing debris, and clears walkways. Watering of plants or lawns, adjusting sprinkler heads or timers, and replacing sprinkler heads. Properly maintains and stores equipment after each use. + Performs general facility maintenance that may include painting, unstopping plumbing, replacing light bulbs, or other minor repairs. + Custodial duties including cleaning and sanitizing surfaces, mopping, vacuuming, emptying waste receptacles. + Additional responsibilities as assigned or requested including loading or unloading caskets, those of Funeral Services Assistance **Requirements** Education & Licenses: + High School Diploma or equivalent Experience & Knowledge: + At least one (1) year general work experience + Current state issued driver's license with an acceptable driving record **Work conditions** When considering the work environment associated with this job, the following factors may apply: + Environment - Professional attire required when in contact with families + Postures - Frequent continuous period of time sitting or standing up to 6 hours per day; frequently climbing stairs to access buildings; climb on ladders + Physical Demands - Physical effort required to push, pull, or hold/carry various grounds keeping equipment + Safety - courteously and safely drive company owned vehicles; be aware of surroundings to promote safety; use personal protective devices as appropriate; safely use electrical equipment + Hours - May work beyond standard hours or schedule as business needs arise; limited local travel required Postal Code: 00909 Category (Portal Searching): Operations Job Location: US-PR - San Juan Job Profile ID: P00003 Time Type: Full time Location Name: OH Market Puerto Rico

PURPOSE AND SCOPE: Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY: * Responsible for supporting and driving organization quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. * Assists with implementation of organization quality goals and facility specific action plans in order to achieve organization quality standards. * Accountable for outstanding quality of patient care, as defined by the organization quality goals, to ensure that organization policies and procedures are followed. * Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management. * Maintains integrity of medical records and other organization administrative and operational records. * Complies with all data collection and auditing activities. * Maintains facility environmental integrity and safety. PATIENT: * Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure. * Provides education to patients and patient's family regarding post procedure care of vascular access. * Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions. * Acts as a resource for the patient to address patient concerns and questions. * Identifies and communicates patient related issues to facility management, as needed. * Completes documentation of patient information from admission to discharge in an accurate manner. * Confirm written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions; delivery to appropriate labs; reporting and forwarding of lab results to appropriate physician. * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed. * Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with organization, company, federal, state and local regulations. * Acts as scrub technologist to assist the physician during procedure as needed, maintaining a sterile technique. * Assists with patient workflow by transporting patients as needed. * Performs point - of - care laboratory testing as directed per physician's orders and in compliance with organization, company, federal, state and local regulations. * Performs IV insertion as per physician orders. * Performs additional tasks as designated by Physician, practicing in compliance with state regulations. PHYSICIANS: * Provides regular and effective communication with physicians on an as needed basis. * Attends and participates in CQI meetings with physicians, reporting on assigned topics. * May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment. * Assists the physician in completing and reporting state required adverse event reports and reporting internally as per organization/FMC policy and procedure. MAINTENANCE/TECHNICAL: * Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner. * Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment. * Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager. * Ensures a clean, safe and sanitary environment in the vascular access facility at all times. * Ensures all blood spills are immediately addressed according to the organization/FMCNA Bloodborne Pathogen Control Policies. ADMINISTRATIVE: * Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies. * May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement. * Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required. * Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law. * Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law. * Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed. * Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis. * Completes medical records in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis. * May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies. * Completes state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines. * Participates in staff meetings, training and orientation as assigned. * Complies with HIPPA policies and standards regarding patient information and medical records. * Assist with various projects as assigned by direct supervisor. * Other duties as assigned. 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. * Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. * The 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, patients and equipment of up to 200 lbs. There is a two-person assist program and material assist devices for the heavier items. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious, contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. EDUCATION: * High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred * Graduate of an accredited School of Nursing (R.N.) * Current appropriate state licensure and ACLS certification required. EXPERIENCE AND REQUIRED SKILLS * 4 - 6 years' related experience preferred. * Office Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred. * Proficient in the use of computers and related software such as Microsoft Office is necessary. * Proficient in IV insertion. * Proficient in cardiac rhythm recognition. * Experience with Medical database software. * Certified in BLS & ACLS successfully completed course certifications. 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 STATEMENT: Responsible for providing professional nursing care to patient in a supportive and therapeutic environment. ESSENTIAL FUNCTIONS: Provide and coordinate care by assessing physical and behavioral health needs of patient, develop and implement nursing care plans, maintain medical records and educate patients and their families about various physical and behavioral health conditions. Provide nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures and protocols, as well as facility and corporate policies and procedures. Ensure physician's orders are legible if taken verbally and transcribed appropriately per policy and procedure. Ensure patient's status is assessed on an ongoing basis and pertinent information gathered is documented. Notify physician of significant changes in status such as difficulties with detox, medical emergency or change in medical status regarding response to medications, etc. Nursing treatment plans are specific to assessed needs. Initial treatment plan is completed upon admission. Demonstrate knowledge and utilization of universal precautions in providing direct patient care. Accurately administer medications per ordered note and document accurate count of controlled substance medication administration on required documents. Responsible for completing admission and discharge processed efficiently and accurately as directed. Exhibit therapeutic rapport with patients by maintaining professional boundaries, being respectful to personal space, giving patient direct attention and maintaining rational detachment. Provide direction or coordinate the activities of the unit as directed. Communicate therapeutically and professionally with patients, visitors, coworkers and others involved in patient treatment in an effective manner. OTHER FUNCTIONS: Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Graduation from an accredited school of nursing. Prefer one year of nursing experience within clinical area of service provided by facility. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current RN license as required by state. First Aid, CPR, de-escalation and restraint certification required (training available upon hire and offered by facility).

We are seeking a caring and experienced nurse to join our team as a school nurse. The successful candidate will be responsible for providing high-quality health care services to students, promoting health education, and maintaining accurate health records. Responsibilities: Administering medication and providing first aid to students and staff as needed Managing student health records and ensuring they are up-to-date Developing and implementing health and wellness programs Providing health education to students and staff Collaborating with teachers, administrators, and parents to promote student health Responding to health-related emergencies and providing appropriate care Maintaining a clean and safe health office environment Requirements: Registered Nurse (RN) license in Puerto Rico Experience working as a nurse in a school or pediatric setting Strong assessment, diagnostic, and treatment skills Excellent communication and interpersonal skills Knowledge of state and federal laws and regulations related to school health Ability to work independently and as part of a team Ability to maintain confidentiality and professionalism Preferred Qualifications: Bachelor's or Master's degree in nursing or related field Certification in pediatric nursing or school nursing Experience working with children with special health needs Bilingual in English and Spanish About the School: Our school is committed to providing high-quality education and supporting the health and well-being of our students. We value a collaborative and inclusive environment, and our team is dedicated to ensuring that every student has access to the resources they need to succeed.

**PURPOSE AND SCOPE:** Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **QUALITY:** + Responsible for supporting and driving organization quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. + Assists with implementation of organization quality goals and facility specific action plans in order to achieve organization quality standards. + Accountable for outstanding quality of patient care, as defined by the organization quality goals, to ensure that organization policies and procedures are followed. + Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management. + Maintains integrity of medical records and other organization administrative and operational records. + Complies with all data collection and auditing activities. + Maintains facility environmental integrity and safety. **PATIENT:** + Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure. + Provides education to patients and patient's family regarding post procedure care of vascular access. + Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions. + Acts as a resource for the patient to address patient concerns and questions. + Identifies and communicates patient related issues to facility management, as needed. + Completes documentation of patient information from admission to discharge in an accurate manner. + Confirm written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions; delivery to appropriate labs; reporting and forwarding of lab results to appropriate physician. + Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed. + Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with organization, company, federal, state and local regulations. + Acts as scrub technologist to assist the physician during procedure as needed, maintaining a sterile technique. + Assists with patient workflow by transporting patients as needed. + Performs point - of - care laboratory testing as directed per physician's orders and in compliance with organization, company, federal, state and local regulations. + Performs IV insertion as per physician orders. + Performs additional tasks as designated by Physician, practicing in compliance with state regulations. **PHYSICIANS:** + Provides regular and effective communication with physicians on an as needed basis. + Attends and participates in CQI meetings with physicians, reporting on assigned topics. + May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment. + Assists the physician in completing and reporting state required adverse event reports and reporting internally as per organization/FMC policy and procedure. **MAINTENANCE/TECHNICAL:** + Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner. + Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment. + Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager. + Ensures a clean, safe and sanitary environment in the vascular access facility at all times. + Ensures all blood spills are immediately addressed according to the organization/FMCNA Bloodborne Pathogen Control Policies. **ADMINISTRATIVE:** + Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies. + May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement. + Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required. + Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law. + Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law. + Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed. + Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis. + Completes medical records in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis. + May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies. + Completes state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines. + Participates in staff meetings, training and orientation as assigned. + Complies with HIPPA policies and standards regarding patient information and medical records. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. **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. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. + The 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, patients and equipment of up to 200 lbs. There is a two-person assist program and material assist devices for the heavier items. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious, contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. **EDUCATION:** + High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred + Graduate of an accredited School of Nursing (R.N.) + Current appropriate state licensure and ACLS certification required. **EXPERIENCE AND REQUIRED SKILLS** + 4 - 6 years' related experience preferred. + Office Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred. + Proficient in the use of computers and related software such as Microsoft Office is necessary. + Proficient in IV insertion. + Proficient in cardiac rhythm recognition. + Experience with Medical database software. + Certified in BLS & ACLS successfully completed course certifications. **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.** **EOE, disability/veterans**