Outpatient Registered Nurse - RN - Dialysis (Monroe)

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses. Performs ongoing systematic collection and analysis of patient data pre during post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. Assesses collaborates and documents patient/familys basic learning needs to provide initial and ongoing education to patients and family. Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource leader coach mentor and role model for new and incumbent employees by setting examples of appropriate behavior work habits and attitudes towards patients co-workers supervisors and the company at the facility and area level. Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. May serve as a Preceptor to new employees. Required to complete CAP requirements to maintain or advance. Performs all other duties as assigned by Supervisor PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work computer work and interaction with patients facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with minimum of 2 years of Nephrology Nursing experience Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Registered Nurse - Hiring Now! (Durham)

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Health System Clinical Laboratories Pursue your passion for caring and innovation as a team member in the state-of-the-art Duke Health laboratories. Duke Health laboratories are College of American Pathologists accredited and Clinical Laboratory Improvement Amendments certified. The multidisciplinary team is committed to serving the rare and complex testing needs of Duke Health's diverse patient population by providing timely and accurate results, educating the next generation of laboratorians, scientists and physicians, and researching and developing the cutting-edge diagnostics of tomorrow. Medical Lab Scientist in the Microbiology Lab at Duke University Hospital. PRN, as needed, with either weekday or weekend availability. General Description Perform a variety of routine and complex technical tasks in the performance of laboratory tests to obtain data for use in the diagnosis and treatment of disease. Job duties are dependent on the laboratory and may be composed of a combination of the following duties and responsibilities related to the specialization. Tasks are performed according to written procedures and policies with careful monitoring of quality control and quality assurance practices. Work Performed Perform a variety of tests in clinical laboratories using standard techniques and equipment Perform related duties in the laboratory to include specimen handling, using manual and automatic equipment to test specimens, and performing and reporting analytical tests. Operate manual or computerized instrumentation. Calibrate and maintain instrumentation according to standard operating procedure. Process patient samples for testing using appropriate identification techniques and written procedures to ensure quality material for testing. Perform basic troubleshooting of assay problems as directed by senior staff. Communicate problems/issues to appropriate individuals. Maintain inventory of supplies and equipment. Participate in the development of new medical laboratory tests and techniques. Participate in the preparation for lab inspections. Review lab inspection documents and procedures to maintain knowledge. Bring any non-compliance issues to the attention of upper-level staff. Perform proficiency testing as directed to maintain compliance with regulatory agencies. Document quality control and quality assurance results. Notify upper-level personnel of instrument malfunctions or unusual or unexpected data or results. Review written procedures and policies for accuracy and submit changes to the manager or designee. Understand, comply, and perform all necessary safety procedures. Maintain compliance with safety training. Report all safety incidents within 24 hours. Attend all laboratory meetings, safety, and compliance training as required. Comply with competency testing procedures for the laboratory staff. Comply with laboratory training programs. May provide technical guidance and instruction to students, interns, residents, staff, and other employees. Perform other related duties incidental to the work described herein. Use behaviors that support the achievement of balanced scorecard targets and support DUHS (Duke University Health System) values. Consistently cooperate and communicate effectively with co-workers to ensure effective workflow. Knowledge, Skills and Abilities Within the clinical laboratories, we embrace Duke's purpose, placing the patient at the center of everything we do. We do this by demonstrating behaviors that focus on delivering patient- and family-centered care and embodying the values that promote a positive work culture. We expect every team member to commit to these values and hold each other accountable in the spirit of mutual respect and belonging. Minimum Qualifications Education Bachelors of Science/Bachelor of Arts in Chemical, Physical, Biological, or Clinical Laboratory Science; or Medical Technology required. Minimum educational or experience requirements may be modified on a case-by-case basis at the discretion of the CLIA (Clinical Laboratory Improvement Amendment) director if minimal CLIA (Clinical Laboratory Improvement Amendment) requirements are met by the employee for the tasks being performed. Experience None required Degrees, Licensures, Certifications Certification preferred. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideasan exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

RN (Durham)

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Health System Clinical Laboratories Pursue your passion for caring and innovation as a team member in the state-of-the-art Duke Health laboratories. Duke Health laboratories are College of American Pathologists accredited and Clinical Laboratory Improvement Amendments certified. The multidisciplinary team is committed to serving the rare and complex testing needs of Duke Health's diverse patient population by providing timely and accurate results, educating the next generation of laboratorians, scientists and physicians, and researching and developing the cutting-edge diagnostics of tomorrow. Medical Lab Scientist in the Microbiology Lab at Duke University Hospital. PRN, as needed, with either weekday or weekend availability. General Description Perform a variety of routine and complex technical tasks in the performance of laboratory tests to obtain data for use in the diagnosis and treatment of disease. Job duties are dependent on the laboratory and may be composed of a combination of the following duties and responsibilities related to the specialization. Tasks are performed according to written procedures and policies with careful monitoring of quality control and quality assurance practices. Work Performed Perform a variety of tests in clinical laboratories using standard techniques and equipment Perform related duties in the laboratory to include specimen handling, using manual and automatic equipment to test specimens, and performing and reporting analytical tests. Operate manual or computerized instrumentation. Calibrate and maintain instrumentation according to standard operating procedure. Process patient samples for testing using appropriate identification techniques and written procedures to ensure quality material for testing. Perform basic troubleshooting of assay problems as directed by senior staff. Communicate problems/issues to appropriate individuals. Maintain inventory of supplies and equipment. Participate in the development of new medical laboratory tests and techniques. Participate in the preparation for lab inspections. Review lab inspection documents and procedures to maintain knowledge. Bring any non-compliance issues to the attention of upper-level staff. Perform proficiency testing as directed to maintain compliance with regulatory agencies. Document quality control and quality assurance results. Notify upper-level personnel of instrument malfunctions or unusual or unexpected data or results. Review written procedures and policies for accuracy and submit changes to the manager or designee. Understand, comply, and perform all necessary safety procedures. Maintain compliance with safety training. Report all safety incidents within 24 hours. Attend all laboratory meetings, safety, and compliance training as required. Comply with competency testing procedures for the laboratory staff. Comply with laboratory training programs. May provide technical guidance and instruction to students, interns, residents, staff, and other employees. Perform other related duties incidental to the work described herein. Use behaviors that support the achievement of balanced scorecard targets and support DUHS (Duke University Health System) values. Consistently cooperate and communicate effectively with co-workers to ensure effective workflow. Knowledge, Skills and Abilities Within the clinical laboratories, we embrace Duke's purpose, placing the patient at the center of everything we do. We do this by demonstrating behaviors that focus on delivering patient- and family-centered care and embodying the values that promote a positive work culture. We expect every team member to commit to these values and hold each other accountable in the spirit of mutual respect and belonging. Minimum Qualifications Education Bachelors of Science/Bachelor of Arts in Chemical, Physical, Biological, or Clinical Laboratory Science; or Medical Technology required. Minimum educational or experience requirements may be modified on a case-by-case basis at the discretion of the CLIA (Clinical Laboratory Improvement Amendment) director if minimal CLIA (Clinical Laboratory Improvement Amendment) requirements are met by the employee for the tasks being performed. Experience None required Degrees, Licensures, Certifications Certification preferred. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideasan exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Certified Nursing Assistant (York)

Earn an hourly wage of up to $40 as a Certified Nursing Assistant (CNA) in Dover, Pennsylvania, and surrounding areas, and take back control of your life with flexible schedules and the stability of W2 employment. At IntelyCare, we understand the importance of work-life balance and give our nursing professionals the freedom to choose the shifts at our partner facilities that best fit their lifestyle. Maybe you meet up for group bike rides along the Heritage Rail Trail every Wednesday morning, or like to take your dog on morning walks at Brookside Park. We want you to provide excellent patient care at our partner facilities, and we know that flexible schedules and professional support set our nurses up for success. Take a look at our other benefits and perks, and fill out your application today. Benefits CNA pay: $21 to $40 per hour Pay rates that are up to 25% higher on average Get paid when you want, with weekly and daily pay options available Boosted rates for holidays with opportunities for overtime pay Create your own schedule at any of our partner facilities based on when and where you want to work Quickly find weekend/weekday, day/evening/overnight shifts - and more - in any state where you're authorized to practice Eligibility for health, dental, and vision coverage (includes qualifying family members) 401k retirement options Unbeatable tuition discounts (up to 34%) for undergraduate and graduate programs through Excelsior University Workers' comp and malpractice insurance paid for by employer Employer withholding of taxes A free and easy-to-use app to manage all of your job and career needs Access to app-based continuing education modules at no charge to you Opportunities to upskill and hone your patient care best practices with a team of dedicated quality assurance nurses One of the best work benefits that you can have is a job that you love. As a company built by and for nursing professionals, we can't wait for you to see what it's like to be a part of our team. Here's just a glimpse into our work culture, straight from some of our IntelyPros: IntelyCare has exceptionally high rates, a variety of facilities, and an easy and fun App to use. The staff here are all very personable and knowledgeable as well, which makes things so much easier. IntelyCare makes me feel supported! This is not just an agency I work for, they actually care about me, and make sure my voice is heard. I also enjoy having the freedom to pick up shifts on my own that best fit my needs. IntelyCare lets you choose the shifts that work for you. The company does not pressure you into accepting more shifts when you are not available, which is very convenient for those with kids/family. I feel very understood whenever I speak to someone here. Ive been an IntelyPro for a while and I love it! After trying multiple different agencies, I can say that none of the competitors should be compared to you guys IntelyCare is top notch! Job Responsibilities Providing excellent nursing care to post-acute residents in areas nearby Supporting residents with basic activities of daily living (ADLs) like eating, personal hygiene, and grooming Protecting resident health and safety by supporting a clean, sanitary, and hazard-free environment Assisting with the transportation and movement of residents around the facility, as needed Documenting and reporting resident vital signs and updating the nursing team on the physical and mental conditions of residents Being accountable to follow and adhere to care plans for residents and all applicable policies, rules, and regulations Engaging with residents in ways that build relationships based on a sense of security and trust Communicating between, and among, staff, residents, and family members in ways that support transparency and the comfort of residents Qualifications and Skills Current Pennsylvania Certified Nursing Assistant (CNA) certification Ability to lift at least 50 lbs Knowledge of medical terminology and nursing care procedures Strong attention to detail Effective communication and social skills Ready for a Job That Puts Your Priorities First? As you apply to Certified Nursing Assistant (CNA) jobs, IntelyCare is ready to offer you the genuine work-life balance and encouraging team you deserve. See how else we can support you by joining the team ranked 1 in quality today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Dover, Pennsylvania 17315 York-PA CNA Active-Growth IntelyCare Required Preferred Job Industries Healthcare

Certified Nursing Assistant (York)

Make as much as $40 per hour as a Certified Nursing Assistant (CNA) in and around the borough of Marietta, Pennsylvania, and take advantage of our flexible schedules, eligibility for W2 benefits, and commitment to work-life balance. Nursing professionals at IntelyCare have the freedom to choose their own shifts at partner facilities and take time off whenever they like, freeing them up to live full and rich lives. Our scheduling model allows you to take care of personal responsibilities, pursue your interests, and have a little fun, too. Whether you enjoy sampling the wide variety of culinary delights at the Columbia Market House, biking and taking in the views along the Northwest River Trail, or relaxing at home, we've got your back. Check out all we bring to the table and consider becoming an IntelyPro today. Benefits CNA hourly pay: $21 to $40 Enjoy rates that are up to 25% higher on average, with weekly and daily pay options Opportunities for overtime and boosted holiday rates Employer tax withholding each pay period Quickly find shifts in all states where you're authorized to practice Choose the time and place you work, by selecting from a wide range of shifts at any of our partner facilities including weekday/weekend, day/evening/overnight shifts, and more 401k retirement plan Health, dental, and vision insurance eligibility for you and qualifying family members Upskilling opportunities with a truly dedicated team of quality assurance nursing professionals Undergraduate and graduate tuition discounts up to 34% at Excelsior University Malpractice insurance and workers' comp coverage (employer paid) Easily manage your job and access free continuing education courses with our easy-to-use app When you join our team, you'll see firsthand what it's like to have a job that caters to your life. Here are just a few examples of what this has meant for some of our hard-working IntelyPros: I love working with IntelyCare because the app is so easy to use, and I can do everything from there conveniently. I also get a lot of support from the team theyre the best! IntelyCare is easy to work with, and it allows me to maintain a flexible schedule. Having the freedom to pick up shifts based on my needs feels amazing. This job has so much more to offer than a decent pay. The flexibility and large choice of facilities to work for is amazing. I am a single mom and I hated missing out on sports events, holidays, and special moments due to regular schedules. IntelyCare has made it possible for me to enjoy my life, kids, and career. I love IntelyCare! Its a great company to work for due to all the amazing opportunities it offers. The support team is also great - I always get help when its needed. I love seeing how this company is growing and get extremely excited when I meet other IntelyPros at a facility. Job Responsibilities Providing excellent nursing care to post-acute residents in areas nearby Supporting residents with basic activities of daily living (ADLs) like eating, personal hygiene, and grooming Protecting resident health and safety by supporting a clean, sanitary, and hazard-free environment Assisting with the transportation and movement of residents around the facility, as needed Documenting and reporting resident vital signs and updating the nursing team on the physical and mental conditions of residents Being accountable to follow and adhere to care plans for residents and all applicable policies, rules, and regulations Engaging with residents in ways that build relationships based on a sense of security and trust Communicating between, and among, staff, residents, and family members in ways that support transparency and the comfort of residents Qualifications and Skills Current Pennsylvania Certified Nursing Assistant (CNA) certification Demonstrated knowledge of nursing care procedures and clinical terminology Detail-oriented and able to effectively communicate with medical professionals, residents, and family members Ability to lift a minimum of 50 lbs Your Path to Better Work-Life Balance Starts Here As you look for Certified Nursing Assistant (CNA) jobs, remember that you don't have to settle for another job with shifts that won't budge. Join our team ranked 1 in quality to finally find that harmony between your life, your job, and your career. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Marietta, Pennsylvania 17547 York-PA CNA Active-Growth IntelyCare Required Preferred Job Industries Healthcare

Radiology Technologist (Weekend Option Pay) - Part-Time (Saint Louis)

Additional Information About the Role BJC HealthCare System is hiring a Part-Time Radiology Technologist (Weekend Option Pay - WEO) for Christian Hospital ( 11133 Dunn Rd ., St. Louis, MO) Weekend Premium Pay: 50% extra on hourly rate for weekend hours Position Details: Weekend Day Schedule: Work just 2 days a week - MAXMIZE YOUR PAY Weekend Day Shift Hours: Saturday & Sunday (7am-7:30pm) Part-Time (24 hours per week) Benefit eligible Weekend Premium Pay: 50% extra on hourly rate for weekend hours Combine base pay weekend premium = lucrative paycheck Radiologic / Radiology Technologist Requirements: Associate's Degree or Trade School equivalency (or higher level of education) Registered Technologist in Radiography - R.T.(R) One year commitment Experience: GI & Surgery / procedures experience (preferred) New grads, upcoming grad students, and experienced welcome to apply MR, CT, RT, X-ray, Radiology, Medical Imaging, ARRT, BD, CI, N, VI, ASRT, Radiologic, Rad Tech, Student Radiology, Student in clinicals, General Radiology (X-Ray Tech), Entry Level, Radiologic Technologist, Radiographer, Rad Tech, Radiology Tech, Medical Imaging, RT, ARRT, MRI Graduate, magnetic resonance imaging, ARMRIT, MR Training available Why Join Us? Work with a highly skilled, compassionate, supportive, and caring team Growth Opportunities to learn new skills and advance (cross-train) Generous Benefits Package with PTO and Tuition Assistance beginning on day 1 401K plan Next Steps: If selected to move forward with Interview Process, a Talent Advisor will contact you via email for a screen Overview Christian Hospital has been serving St. Louis and the surrounding metro areas since 1903. U.S. News & World Report ranks Christian Hospital No. 5 in St. Louis for overall clinical excellence and No. 9 in Missouri, which puts us in the top 6% of all hospitals in the state! The U.S. News adult methodology ranks clinical specialties and rates common care procedures and conditions. Christian was nationally ranked as high performing in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke. High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition. Northwest HealthCare , six miles west of Christian, offers 24- hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services. The Radiology Department at NWHC, provides out-patient and emergency services. Radiology is equipped with DR & PAC's technology. Our patients range from infant to late adulthood. Digital mammography performs screening, diagnostic & diagnostic follow up services. Diagnostic Radiology offers same day service. Preferred Qualifications Role Purpose The Radiology Technologist performs general imaging radiographic procedures to adult and/or pediatric patients for the purpose of diagnosis and/or treatment of anatomic and physiologic disorders Responsibilities Prepares patient and equipment for procedures. Informs patient on instructions and what the procedure entails with a high level of customer service and professionalism. Performs radiographic imaging examinations independently, in on-call situations (if applicable), portable exams, and other tasks assigned by the department. Minimum Requirements Education Associate or Trade School Equi Experience No Experience Supervisor Experience No Experience Licenses & Certifications IEMA - Illinois only, excl MRI Radiology Technologist - Reg Preferred Requirements Experience Licenses & Certifications Cardiopulmonary Resuscitation Benefits and Legal Statement BJC Total Rewards At BJC were committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted a

Registered Nurse - Hiring Now! (La Junta)

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre during post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/familys basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). The rate of pay for this position will depend on the successful candidates work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $35.00 - $48.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Pediatric Radiology Technologist (Saint Louis)

Additional Information About the Role Newly Approved Increased Compensation Package Now Available! Are you a Radiology Technologist looking for a new opportunity and ready to join a forward-thinking imaging team? We have recently been designated as a Diagnostic Imaging Center of Excellence by the American College of Radiology - and are the first hospital in Missouri to achieve this accreditation ! 40 Hours Per Week 7:30 a.m. to 4:00 p.m. Holiday Rotation Required (2 Per Year) RT(R) Required Pediatric Experience Not Required Overview St. Louis Childrens Hospital is dedicated to improving the health and lives of children. As one of the top-ranked childrens hospitals in the country, St. Louis Childrens provides care in more than 50 specialty areas through a dedicated team of physicians, nurses, staff and volunteers. Along with inpatient and outpatient medical care, the hospital offers education, wellness and injury-prevention programs to fulfill its mission to do whats right for kids. Providing comprehensive, high-quality care and serving as an advocate for children has been St. Louis Childrens commitment since its inception in 1879. Today, the hospital serves patients and families across a 300-mile service area, and has seen patients from all 50 states and more than 80 countries. St. Louis Childrens consistently ranks among Americas Best Childrens Hospitals by U.S.News & World Report in all surveyed categories. In 2021, St. Louis Childrens was one of eight childrens hospitals to rank in the top 25 of all 10 specialties. The hospitals academic and physician partner, Washington University School of Medicine, is one of the top-ranked medical schools in the United States. Since 2005, St. Louis Childrens has been designated as a Magnet hospital for nursing excellence from the American Nurses Credentialing Center (ANCC). Preferred Qualifications Role Purpose The Radiology Technologist performs general imaging radiographic procedures to adult and/or pediatric patients for the purpose of diagnosis and/or treatment of anatomic and physiologic disorders Responsibilities Prepares patient and equipment for procedures. Informs patient on instructions and what the procedure entails with a high level of customer service and professionalism. Performs radiographic imaging examinations independently, in on-call situations (if applicable), portable exams, and other tasks assigned by the department. Minimum Requirements Education Associate or Trade School Equi Experience No Experience Supervisor Experience No Experience Licenses & Certifications IEMA - Illinois only, excl MRI Radiology Technologist - Reg Preferred Requirements Experience Licenses & Certifications Cardiopulmonary Resuscitation Benefits and Legal Statement BJC Total Rewards At BJC were committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary . *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Nurse Manager - Emergency Department (Durham)

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Nurse Manager, Operations - Duke Regional Hospital - Emergency Department Location: Duke Regional Hospital - 3643 N. Roxboro Street, Durham NC 27704 About the department: Emergency Services at Duke Regional Hospital is a 89-bed department caring primarily for patients experiencing ischemic strokes, non-specific chest pains, acute dyspnea, and other acute diagnoses. Emergency Services is comprised of three units: the Emergency Department, Behavioral Health Emergency Department, and Clinical Decision Unit. As part of the team, youll have the opportunity to advance your career through bonuses for certifications and education, such as trauma nurse core or emergency nurse pediatric courses. Emergency Services recently implemented, and continues to refine, an improved intake process designed to improve patient flow and care. Position Summary: Manage and coordinate patient care and personnel needs Plan, develop, implement and evaluate ambulatory health care services, programs and activities Work Performed-manage multi-specialty nursing services delivered within a specific described herein, patients, staff Perform other related duties incidental to the work resolution clinic. Manage various personnel actions including, but not limited to hiring, orientation, performance appraisals, promotions and scheduling; and counsel and conduct formal discipline of clinical Collaborate in the development, implementation, and expansion of learning opportunities and skill development for all Analyze, develop and maintain an effective and efficient nursing care delivery system that reflects patient and family needs across the continuum; achieving desired outcomes Promote education for patients, patient families, and the community; participate in direct patient care activities as a targeted strategy for role modeling or information gathering Collaborate with nursing colleagues in ambulatory care to promote optimal utilization of nursing resources among the various clinics Identify clinical operational needs; manage the appropriate level of equipment and supplies and monitors equipment maintenance Assess the environment and make recommendations to ensure optimal patient comfort, safety and compliance with various regulatory bodies (OSHA, JCAHO, etc.) Collaborate with Health Center Administrator/Nurse Manager in determining the fiscal requirements of the specific unit; submit budgetary recommendations, including necessary nursing personnel and patient care materials necessary for the provision of care Cultivate exemplary customer service throughout the organization; promote effective communication skills to include, but not limited to problem-solving, assertiveness, and support for team members, feedback, active listening and conflict Develop and implement processes to enhance clinic operations and practices for ongoing quality improvement Develop, document, implement and monitor written policies and procedures reflective of the ambulatory health care site mission settlement and objectives Manage specific clinic in the absence of HealthCare Administrator/Practice Manager; and be available on-call for emergencies involving the facility, staff members Knowledge, Skills, and Abilities : Clinical quality management and service management skills Orientation, accountability, planning, prioritization, and time Problem-solving and innovation Initiative financial savvy Active Listening, effective communication Ability to identify, recruit, develop and retain top talent Showing support- teambuilding, conflict prevention, and management Motivating and influencing managing vision and purpose Working knowledge of regulatory requirements including North Carolina Nurse Practice Act Level Characteristics Minimum Qualifications: Education: Bachelor's degree in nursing required; Master's degree in nursing strongly preferred. Experience: Minimum of three years of nursing experience required; Management experience preferred. Emergency Department experience required Licenses and Certifications: Current or compact RN licensure in North Carolina required. BLS certification required. Crisis Prevention Institute Training must be obtained within three months of hire. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideasan exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Registered Nurse - Hiring Now! (Rockford)

This is a float position PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre during post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/familys basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, and area level. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. May serve as a Preceptor to new employees. Required to complete CAP requirements to maintain or advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with minimum of 2 years of Nephrology Nursing experience Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Outpatient Registered Nurse - RN (Saint Louis)

Dialysis Experience Required 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 FMCNAs 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 Technicians 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

Certified Nursing Assistant (Thomasville)

Earn an hourly wage of up to $40 as a Certified Nursing Assistant (CNA) in Dover, Pennsylvania, and surrounding areas, and take back control of your life with flexible schedules and the stability of W2 employment. At IntelyCare, we understand the importance of work-life balance and give our nursing professionals the freedom to choose the shifts at our partner facilities that best fit their lifestyle. Maybe you meet up for group bike rides along the Heritage Rail Trail every Wednesday morning, or like to take your dog on morning walks at Brookside Park. We want you to provide excellent patient care at our partner facilities, and we know that flexible schedules and professional support set our nurses up for success. Take a look at our other benefits and perks, and fill out your application today. Benefits CNA pay: $21 to $40 per hour Pay rates that are up to 25% higher on average Get paid when you want, with weekly and daily pay options available Boosted rates for holidays with opportunities for overtime pay Create your own schedule at any of our partner facilities based on when and where you want to work Quickly find weekend/weekday, day/evening/overnight shifts - and more - in any state where you're authorized to practice Eligibility for health, dental, and vision coverage (includes qualifying family members) 401k retirement options Unbeatable tuition discounts (up to 34%) for undergraduate and graduate programs through Excelsior University Workers' comp and malpractice insurance paid for by employer Employer withholding of taxes A free and easy-to-use app to manage all of your job and career needs Access to app-based continuing education modules at no charge to you Opportunities to upskill and hone your patient care best practices with a team of dedicated quality assurance nurses One of the best work benefits that you can have is a job that you love. As a company built by and for nursing professionals, we can't wait for you to see what it's like to be a part of our team. Here's just a glimpse into our work culture, straight from some of our IntelyPros: IntelyCare has exceptionally high rates, a variety of facilities, and an easy and fun App to use. The staff here are all very personable and knowledgeable as well, which makes things so much easier. IntelyCare makes me feel supported! This is not just an agency I work for, they actually care about me, and make sure my voice is heard. I also enjoy having the freedom to pick up shifts on my own that best fit my needs. IntelyCare lets you choose the shifts that work for you. The company does not pressure you into accepting more shifts when you are not available, which is very convenient for those with kids/family. I feel very understood whenever I speak to someone here. Ive been an IntelyPro for a while and I love it! After trying multiple different agencies, I can say that none of the competitors should be compared to you guys IntelyCare is top notch! Job Responsibilities Providing excellent nursing care to post-acute residents in areas nearby Supporting residents with basic activities of daily living (ADLs) like eating, personal hygiene, and grooming Protecting resident health and safety by supporting a clean, sanitary, and hazard-free environment Assisting with the transportation and movement of residents around the facility, as needed Documenting and reporting resident vital signs and updating the nursing team on the physical and mental conditions of residents Being accountable to follow and adhere to care plans for residents and all applicable policies, rules, and regulations Engaging with residents in ways that build relationships based on a sense of security and trust Communicating between, and among, staff, residents, and family members in ways that support transparency and the comfort of residents Qualifications and Skills Current Pennsylvania Certified Nursing Assistant (CNA) certification Ability to lift at least 50 lbs Knowledge of medical terminology and nursing care procedures Strong attention to detail Effective communication and social skills Ready for a Job That Puts Your Priorities First? As you apply to Certified Nursing Assistant (CNA) jobs, IntelyCare is ready to offer you the genuine work-life balance and encouraging team you deserve. See how else we can support you by joining the team ranked 1 in quality today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Dover, Pennsylvania 17315 York-PA CNA Active-Growth IntelyCare Required Preferred Job Industries Healthcare