Nurse Jobs in Guaynabo, PR

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 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

A qualified Licensed Practical/Vocational Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Registered Nurse. Services are furnished in accordance with Agency policies. Minimum Requirements 1. Graduate of a state approved school of practical (vocational) nursing and currently licensed in the state(s) in which is practicing. 2. Minimum of one (1) year experience in nursing, preferred. 3. Acceptance of philosophy and goals of this Agency. 4. Ability to exercise initiative and independent judgement.

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).

div class="listing_description show_listing_description"p align="center" style="margin-right:11.95pt; text-align:center"span style="tab-stops:23.05pt 40.5pt"bspan arial="" style="font-family:"REGISTERED NURSE/span/b/span/p p style="margin-right:11.95pt" /p p style="margin-right:11.95pt"span style="tab-stops:23.05pt 40.5pt"span arial="" style="font-family:"WJM Professionals is recruiting for an individual to administer delineated medical services to all beneficiaries receiving care at a Coast Guard clinic. /span/span/p p style="margin-right:21.1pt"span style="tab-stops:22.9pt"bspan arial="" style="font-family:"QUALIFICATIONS:/span/b/span/p pThe individual shall perform a full range of professional nursing services and practices on-site, to a variety of patients./p ul li style="margin-top:.05pt; margin-right:33.15pt; margin-bottom:.0001pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"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./span/span ul style="list-style-type:disc" li style="margin-top:.05pt; margin-right:33.15pt; margin-bottom:.0001pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Documents all nursing care provided to include assessments and evaluations in accordance with applicable regulations and standards of practice./span/span/li li style="margin-top:.05pt; margin-right:33.15pt; margin-bottom:.0001pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Provides patient education and ongoing monitoring in coordination with the Primary Care Manager. /span/span/li li style="margin-right:21.35pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Provides disease management assistance as directed by the Primary Care Manager./span/span/li li style="margin-right:21.35pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Communicates and coordinates with the HSWL-SC Operational Medicine Nurse Consultant regarding all complex cases in accordance with Coast Guard policies and directives. /span/span/li li style="margin-right:21.35pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Provides care coordination care between a variety of partners involved in beneficiary care./span/span/li li style="margin-right:46.5pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Provide nursing triage to acute issues in addition to regularly scheduled appointments, with immediate evaluation and management span style="letter-spacing:-.15pt"of /spanemergent problems as they occur./span/span/li li style="margin-right:68.65pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Administers oxygen, span style="letter-spacing:-.15pt"IV/span fluids, and span style="letter-spacing:-.15pt"prescribed/span oral, subcutaneous, and intra-muscular medication in accordance span style="letter-spacing:-.15pt"with /spanprovider orders and regulations./span/span/li li style="margin-top:.05pt"span style="line-height:12.6pt"span style="tab-stops:41.0pt"span arial="" style="font-family:"Prepares patients for surgical and or diagnostic procedures./span/span/span/li li style="margin-right:83.8pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"Prepares, operates, and monitors specialized equipment such as cardiac monitors, defibrillators, etc./span/span/li lispan style="tab-stops:40.8pt"span arial="" style="font-family:"Inventories medicine and drug stocks to ensure adequate supplies and controls as needed./span/span/li li style="margin-top:.1pt"span style="line-height:12.6pt"span style="tab-stops:40.8pt"span arial="" style="font-family:"Participates in attending and providing (ad hoc) training at the clinic for staff. /span/span/span/li li style="margin-right:38.1pt"span style="tab-stops:40.8pt"span arial="" style="font-family:"Participates in the Health Services Quality span style="letter-spacing:-.15pt"Improvement /span Program, as directed by the span style="letter-spacing:-.15pt"Clinic /span Administrator./span/span/li li style="margin-right:48.75pt"span style="tab-stops:40.8pt"span arial="" style="font-family:"Provide coordination of care in accordance with standards of practice established at the clinic for referral management./span/span/li /ul /li /ul p style="margin-top:0in; margin-right:48.75pt; margin-bottom:.0001pt; margin-left:40.75pt" /p p class="MsoBodyText" style="margin-top:.55pt"bspan arial="" style="font-family:"REQUIREMENTS/span/b/p ul li style="margin-top:.05pt; margin-right:15.1pt; margin-bottom:.0001pt"span style="tab-stops:41.0pt"span arial="" style="font-family:"The Nurse shall meet span style="letter-spacing:-.2pt"or/span exceed the industry standards in accordance with established principles, practices, and ethics of the Registered Nursing Profession. The standards of performance for all span style="letter-spacing:-.15pt"employees /spanshall reflect the degree and care, skill, and learning expected of a reasonably prudent healthcare provider in the Registered Nursing profession./span/span/li li style="margin-right:73.1pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"A diploma span style="letter-spacing:-.15pt"or/span degree from a National Council span style="letter-spacing:-.15pt"of/span State Boards of Nursing (NCSBN) accredited school of Nursing;/span/span ul style="list-style-type:disc" li style="margin-top:.15pt"span style="line-height:12.55pt"span style="tab-stops:41.0pt"span arial="" style="font-family:"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;/span/span/span/li li style="margin-right:31.6pt"span style="tab-stops:41.0pt"span arial="" style="font-family:"Maintain current certification in Basic Cardiac Life Support span style="letter-spacing:-.15pt"(BLS) /spanfor the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), span style="letter-spacing:-.15pt"or /spanthe American College of Emergency Physicians (ACEP)./span/span/li li style="margin-right:26.65pt"span style="tab-stops:40.9pt"span arial="" style="font-family:"A minimum span style="letter-spacing:-.15pt"of/span five (5) years of professional experience in the field in the past 3 years; with at least span style="letter-spacing:-.15pt"one year /spanof ambulatory care span style="letter-spacing:-.15pt"experience /spanin family practice or internal medicine in the past 5 years./span/span/li li style="margin-top:.1pt"span style="tab-stops:40.9pt"span arial="" style="font-family:""No adverse information on file" with the National Practitioners Data Band (NPDB)./span/span/li /ul /li /ul p class="MsoBodyText" style="margin-top:.35pt" /p p style="margin-top:0in; margin-right:9.9pt; margin-bottom:.0001pt; margin-left:5.0pt" /p p style="margin-top:0in; margin-right:9.9pt; margin-bottom:.0001pt; margin-left:5.0pt"span style="tab-stops:26.5pt"bspan arial="" style="font-family:"REQUIRED CREDENTIALS/span/b/span/p p style="margin-top:0in; margin-right:9.9pt; margin-bottom:.0001pt; margin-left:5.0pt" /p ul lispan style="tab-stops:46.05pt"span arial="" style="font-family:"A current span style="letter-spacing:-.15pt"resume /spanincluding AT LEAST the following information:/span/span ul li style="list-style-type:none" ul style="list-style-type:disc" li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Diploma/Degrees earned./span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Professional span style="letter-spacing:-.15pt"Experience./span/span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Social Security Number./span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Date of birth (to be used only for span style="letter-spacing:-.15pt"independent/span query of the NPDB);/span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Career history (with explanations for any gaps in employment);/span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Professional Training/Courses span style="letter-spacing:-.15pt"(CNE or CME) /spanattended in the past two years./span/span/li li style="margin-top:.1pt"span style="tab-stops:.75in"span arial="" style="font-family:"Professional organization affiliations and memberships./span/span/li li style="margin-right:18.65pt"span style="tab-stops:.75in"span arial="" style="font-family:"Previous span style="letter-spacing:-.15pt"work/span references includingspan style="letter-spacing:-.35pt" the /spanname ofspan style="letter-spacing:-.4pt" the /spanorganization, number span style="letter-spacing:-.15pt"of/span span style="letter-spacing:-.15pt"years/span rendered, address, and name span style="letter-spacing:-.15pt"of the point /spanof contract with the telephone number./span/span/li li style="margin-right:18.65pt"span style="tab-stops:.75in"span arial="" style="font-family:"Awards and certifications received./span/span/li /ul /li /ul /li /ul p /p ul li style="list-style-type:none" ul style="list-style-type:disc" lispan style="tab-stops:41.0pt"buspan arial="" style="font-family:"Copies of/span/u/bbspan arial="" style="font-family:":/span/b/span/li /ul /li li style="list-style-type:none" ul li style="list-style-type:none" ul style="list-style-type:disc" li style="margin-top:0in; margin-right:80.3pt; margin-bottom:.0001pt"span style="tab-stops:58.9pt"span arial="" style="font-family:"A diploma span style="letter-spacing:-.15pt"or/span degree from an accredited school span style="letter-spacing:-.15pt"of/span Nursing (a digital picture is acceptable as a copy);/span/span/li li style="margin-top:0in; margin-right:80.3pt; margin-bottom:.0001pt"span style="tab-stops:58.9pt"span arial="" style="font-family:"Copies of all additional post-high school diplomas and/or degrees./span/span/li lispan arial="" style="font-family:"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. 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Virgin Islands;/span/li li style="margin-top:.1pt; margin-right:10.1pt; margin-bottom:.0001pt; text-align:justify"span style="tab-stops:58.55pt"span arial="" style="font-family:"Current certification in span style="letter-spacing:-.15pt"Basic /span Cardiac Life Support (BLS) for the Health Care span style="letter-spacing:-.15pt"Provider/span by the American Heart Association (AHA), span style="letter-spacing:-.15pt"American /span Red Cross (ARC), American Safety amp; Health Institute (ASHI) or the American College of Emergency Physicians (ACEP);/span/span/li li style="margin-top:0in; margin-right:41.45pt; margin-bottom:.0001pt"span style="tab-stops:58.55pt"span arial="" style="font-family:"Social Security Card;/span/span/li li style="margin-top:.45pt; margin-right:41.65pt; margin-bottom:.0001pt"span style="tab-stops:58.9pt"span arial="" style="font-family:"At least three (3) letters of recommendation from recent employers span style="letter-spacing:-.15pt"addressing /spannursing services./span/span/li /ul /li /ul /li /ul /div

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

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.

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

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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.** Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment. **Primary Responsibilities:** + Clinical Case Reviews -75% + Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported + Maintain standards for productivity and accuracy. Standards are defined by the department + Provide clear and concise clinical logic to the providers when necessary + Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization + Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities + Investigate and pursue recoveries + Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance + Use pertinent data and facts to identify and solve a range of problems within area of expertise + Other internal customer correspondence and team needs - 15% + Attend and provide feedback during monthly meetings with assigned internal customer department + Provide continuous feedback on how to improve the department relationships with internal team members and departments + Continuing education - 10% + Keep up required Coding Certificate and/or Nursing Licensure + Complete compliance hours as required by the department ***** ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION ***** You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Coding Certificate or Nursing Licensure, for example: + Puerto Rico Registered Nurse + Certified Professional Coder (CPC) + CPC A + Certified Inpatient Coder (CIC) + Certified Outpatient Auditor (COC) + Certified Professional Medical Auditor (CPMA) + Certified Coding Specialist (CCS) + Proficient with computers, including Microsoft Suite of products + Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL + Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position) **Preferred Qualifications:** + Experience working with medical claims platforms + Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting + Presentation or policy documentation experience + Knowledge of CMS and AMA coding rules specific to CPT, HCPCS + Knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations + Knowledge of Medicaid/Medicare Reimbursement methodologies + Working knowledge of the healthcare insurance/managed care industry + Working knowledge of medical terminology and claim coding _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._

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 $13.00 - $13.00 HourlyDescription Functions as primary intensive outpatient counselor for women with substance abuse or co-occurring disorders. 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 clients. Ensure that each client 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 clients. Help perform regular exams and routine checkups on clients. Observe, understand, and manage health problems peculiar to the clients served. Assist the contracted physician, with basic medical examinations and the administration of prescribed treatments. Help maintain a record for your clients to have accurate records of the client's medical history, treatment plan, and progress.Participates in the creation and implementation of protocols for the treatment of the client and documents the medical record according to the treatment plan. Help perform prescribed tests on your clients, such as vital signs, blood pressure, temperature, breathing, pulse, and blood sugar checks. Responsible for ensuring that clients receive all appropriate services Provide help so that clients 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 clients' observations and contributes to treatment decisions. Other assigned tasks focused on the client. Qualifications Essential Qualifications: Certifications/Licenses: Current professional Nurse license issued by the Nursing Examining Board of Puerto Rico Education: Bachelors Degree in Nursing Experience in substance abuse field is preferred. Experience and Competencies: Experience in substance abuse field is preferred. Working Conditions: Work is primarily performed in an office or residential treatment setting; and Some outdoor activities may be required. Essential Physical and Mental Demands of the Job The employee must be able to perform the following essential duties and activities with or without accommodation: Physical Demands: Requires mobility and physical activity. Having an adequate range of body motion and mobility, to work in the office environment including standing and walking (even and uneven surfaces) to interact with co-workers in the office environment, sitting for extended periods of time, bending, twisting, reaching, balancing, occasional lifting and carrying of up to 30 pounds. Constant use of a computer and telephone system is required, which includes coordination of eye and hand, and fine manipulation by the hands (typing, writing, and working with files). Requires the ability to operate a motor vehicle. Requires talking: Expressing or exchanging ideas by means of the spoken word. Talking is required to impart oral information to employees, clients, and the public and in those activities in which the employee is required to convey detailed or important spoken instructions to others accurately, loudly, or quickly. Requires hearing: Hearing is required to receive and communicate detailed information through oral communication. Requires seeing: Clarity of vision at 20 inches or less as well as vision adequate for driving a motor vehicle. This factor is required to complete paperwork for many of the employee's essential job functions and when driving a motor vehicle. The normal work routine may involve exposure to human blood, body fluids or tissues. Job duties may include performing or assisting in emergency medical care or first aid. Mental Demands: Requires the ability to collect and analyze complex numerical and written data and verbal information to reach logical conclusions. Requires the ability to work and cooperate with clients, co-workers, managers, the public and employees at all levels to exchange ideas, information, instructions, and opinions. Requires the ability to work under stress and in emotionally charged settings. The ability to defend oneself and clients in mentally/verbally abusive situations using approved mental/verbal de-escalation techniques.

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.** **EOE, disability/veterans**

divdivdivdivdivdivdivdivp id="is Pasted"strong Job Description/strong/pp 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./ppstrong Essential Functions:/strong/pulli Handles requests for pre-authorization service coordination./lili Reviews, evaluates, and ensures that requests are complete./lili Meets productivity metrics, quality standards, and applicable regulatory processes./lili Documents transactions in the system./lili Makes calls to members and providers to obtain necessary clinical information to process the request./lili Identifies benefit limitations/exclusions for the authorization process./lili Reviews medical information using criteria, protocols, and/or guidelines for the authorization process./lili Conducts the authorization process based on eligibility criteria and benefit coverage./lili Ensures confidentiality and compliance with all applicable state and federal regulations for Health Call Centers, including HIPAA and internal policies for handling confidential information./lili Promotes quality and service excellence in all management processes./lili 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)./lili Performs other related tasks./li/ulpstrong Requirements:/strong/pulli Bachelor's degree in Nursing with clinical experience./lili Required Credentials: Active nursing license to practice in Puerto Rico, registration, and professional affiliation./lili Advanced knowledge of computer applications and/or Microsoft Office./lili Service-oriented mindset and commitment to customer service./lili Excellent bilingual verbal and written communication skills (Spanish and English)./lili Ability to prioritize tasks./lili Strong teamwork skills./lili Fast documentation and internet navigation skills./lili Availability for rotating shifts (including weekends/holidays), Monday to Saturday from 8:00 AM to 6:00 PM./li/ulpstrong What Are the Benefits of Joining Our Team?/strong/pulli In-service training on regulatory and health-related aspects./lili24/7 telemedicine service./lili Free employee health and wellness programs./lili Opportunities for growth and development./lili Contributing to the health and well-being of the population./li/ulp Job Type: Full-time/pp Contract Type: Professional Services, Fixed-term (6 months), with automatic month-to-month renewal after the initial 6-month period./pp Work Location: On-site job in Guaynabo, PR/pp EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER (EEOC)/p/div/div/div/div/div/div/div /div

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.

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.

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.