Acute Inpatient Registered Nurse - RN - Dialysis

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Administers medications as prescribed and documents appropriate medical justification and effectiveness. Initiates and assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. May be assigned to assist in an Outpatient facility on an as needed basis. 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. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position requires travel to training/meeting sites and between assigned facilities. Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and modality specific training requirements for new employees. Must have a minimum of 9 months experience as a RN. 6 months experience in acute dialysis 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 all states 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 an RN Minimum 9 months experience as a Registered Nurse, 12 months (preferred). 6 months acute dialysis experience (preferred) Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Outpatient Registered Nurse - RN

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

Acute Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Administers medications as prescribed and documents appropriate medical justification and effectiveness. Initiates and assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. May be assigned to assist in an Outpatient facility on an as needed basis. 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. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position requires travel to training/meeting sites and between assigned facilities. Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and modality specific training requirements for new employees. Must have a minimum of 9 months experience as a RN. 6 months experience in acute dialysis 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 all states 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 an RN Minimum 9 months experience as a Registered Nurse, 12 months (preferred). 6 months acute dialysis experience (preferred) Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Acute Inpatient Registered Nurse - RN - Dialysis

7:00 AM - 7:00 PM, Monday - Saturday Rotation. On-call as needed PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis. Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT. Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis. Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. Delivers safe, effective care in a timely an efficient manner. Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment. Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care. Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed. Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed. Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures. Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate. Performs all required pre-treatment dialysis machine alarm testing. If applicable, initiates Solution Delivery System. Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste. Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies. Completes and documents ongoing participation in QAI activities. Participates in staff meetings as scheduled. Participates in staff training and orientation as assigned. Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications. Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events. Position requires on call rotation including night, day, weekend, and holidays. There is potential for exposure to potentially infectious material and contagious diseases/material. Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. SUPERVISION: Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT and clerical staff; provides direction and education to ICU staff for CRRT. EDUCATION: Current appropriate state licensure. Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services). Must meet the practice requirements in the state in which employed. Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged. EXPERIENCE AND REQUIRED SKILLS : One year RN experience required and required nursing skills. Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services. Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services. Demonstrated strong assessment skills related to the critically ill patient. ICU experience preferred but not required. Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation. BLS CPR Recognition. ACLS CPR Recognition preferred, but not required. Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education. Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff). Successful completion of Nurses Technical Training. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Outpatient Registered Nurse - RN

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

Clinical Care Leader - Pediatrics Full Time

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Marsh Weston Ctr Location: Weston, WI Address: 3501 Cranberry Blvd, Weston, WI 54476, USA Shift: Day Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $32.00 - $48.00 Pay Info: May be eligible for a sign-on bonus Job Summary The Registered Nurse in the Clinical Care Leader (CCL) role facilitates health care services for patients in cooperation with the health care team. Demonstrates strong clinical reasoning and critical thinking skills to analyze data and appropriately respond to changing situations. Effective communication skills to collaborate, negotiate, and resolve conflicts, situations, and/or issues with peers, inter-professional colleagues, patients and families. Establishes and maintains effective working relationships with patients, medical staff, clinical support staff and the public. Serves as a mentor to staff while assisting in facilitating the over-all clinic activities. Participates and may serve in leadership roles on department/organizational tasks forces and committees. Responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to patients. Responsible for the coordination of care, patient assessment, patient education, triage, and various other nursing interventions. Collaborates with other inter-professional colleagues, including physicians, to plan, implement and evaluate care. Demonstrates competency and practices within the full scope of nursing expertise/knowledge and utilizes appropriate age and population specific standards as designated in their assigned clinical setting. Functions within the scopes and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure. The Sanford Professional Nursing Practice recognizes the Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as published by the American Nurses Association as the foundation of nursing care delivery and professional conduct. Documents patient history, symptoms, medications and care provided in compliance with applicable standards/regulations. Utilizes technology to enhance quality patient care, to collaborate with physicians and inter-professional team members, and effectively delegates to and supervise unlicensed personnel, assume overall nursing accountability for patient care. Assists in conducting new staff training and orientation regarding operating rules and working standards. Supports and assists in the implementation of established performance improvement policies and trains employees on these policies. Accountable to follow up with risk management and training of clinical staff as needed. Knowledge of common safety hazards and precautions to establish a safe work environment. Learns new concepts, processes and tools related to own personal development and education. Qualifications Bachelor's degree in Nursing strongly preferred in Fargo, Fargo Network, Bemidji, Sioux Falls Network and Rapid City. Required in Bismarck and Sioux Falls (Sanford USD Medical Center and Clinics) Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Minimum of two years' clinical experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Functions within the legal scope of practice. Benefits Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1- or send an email to . Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R- Job Function: Nursing Featured: No

Physical Therapist - Outpatient - Full-Time

Overview: $15,000 Bonus - Your Choice: Sign-on bonus and/or student loan repayment With beautiful lakes, parks, local dining, and a strong sense of community, Eagle River is a welcoming place to live, work, and raise a family-relaxed, friendly, and easy to call home. Enjoy a vibrant Northwoods community that blends outdoor adventure with small-town warmth - all right here! At Confluent Health and our family of affiliated brands, physical therapists practice in an environment built for high quality care, professional growth, and sustainable careers. We support clinicians with innovative tools, strong mentorship, and clear development pathways. What we offer: Student Loan Repayment Program Benefits include generous paid time off, medical, dental, vision, disability, and 401(K) with a 4% employer match. A care model designed to support quality outcomes and efficiency AI clinical documentation support, built to significantly reduce after hours charting - so work stays at work.(coming early 2026) Structured mentorship and career development. Industry-leading continuing education through Evidence in Motion (EIM) including residency, fellowship, and board certification support. Multiple career pathways: clinical excellence, and leadership. Location differential available for longer commutes. Responsibilities: Evaluate patients and create individualized plans of care Providing 1 to 1 patient care Deliver hands-on, patient centered treatment and education Monitor progress and adjust care plans to achieve meaningful outcomes Qualifications: Licensed Physical Therapist (or ability to obtain licensure in the state of WI) Passion for evidence-based, patient centered care About: Compensation: $75,000 - $100,000 inclusive of productivity incentives, with additional compensation opportunities for certifications and location differentials . Benefits include generous paid time off, medical, dental, vision, disability, and 401(K) with a 4% employer match. Confluent Health, LLC and its affiliates are equal opportunity employers committed to building a diverse and inclusive workforce. We do not discriminate based on race, color, religion, sex, sexual orientation, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, national origin, marital status, age, disability, veteran status, or other applicable legally protected characteristics. If you need assistance or would like to request an accommodation due to a disability, please contact us at .

Assistant Director of Rehabilitation Services (ST)

$10,000 Sign-On Bonus or Monthly Student Loan Repayment Benefits Life Care Center of Casper is a dedicated, resident-focused skilled nursing community. As part of a nationwide network of nearly 200 facilities across 26 states , our team benefits from the stability, resources, and professional support of a large organization while maintaining the close-knit feel of a local care center. With an overall CMS rating of 4 stars , Quality Measures rating of 4 stars , and Staffing rating of 5 stars , our facility is committed to delivering high-quality outcomes and compassionate care. We were also awarded "800 Club" membership in 2025, an elite designation of the highest performing businesses on . We take pride in fostering an environment where clinicians can grow, collaborate, and truly make a difference. What makes Life Care Center of Casper a great place to build your career: In-House Rehab Programs - Work closely with an engaged interdisciplinary team in a collaborative therapy environment. Continuing Education - Access ongoing training, CE support, and professional development pathways. Growth Opportunities - Advance your skills and explore leadership tracks within a large, supportive network. Mentorship Programs - New grads and seasoned clinicians alike benefit from structured guidance and peer support. Flexible Scheduling - Full-time and PRN roles available to fit your lifestyle and career goals. Position Summary The Assistant Director of Rehabilitation Services assists the Director of Rehabilitation Services (DOR) in directing the three rehab departments of physical, occupational, and speech therapy to ensure the highest quality rehab services in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements Active license in physical (BSPT, MSPT, DPT, or PTA), occupational (BSOT, MSOT, COTA), or speech (MA, MS, CCC SLP, or CFY SLP) therapy and meet the educational requirements as defined in the job description for that license type Currently registered/licensed with applicable State. Must maintain an active license in good standing throughout employment. Supervisory experience in post acute care or related setting preferred CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment. Specific Job Requirements Liaisons with patients, families, support departments, etc. to adequately plan for patient needs Proficient in Microsoft Word, Excel, and e mail Exercise good body mechanics at all times Make independent decisions when circumstances warrant such action Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility Implement and interpret the programs, goals, objectives, policies, and procedures of the department Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation Maintains professional working relationships with all associates, vendors, etc. Maintains confidentiality of all proprietary and/or confidential information Understand and follow company policies including harassment and compliance procedures Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training Essential Functions Fulfill core competencies of licensed position and provide clinical oversight within discipline and in accordance with rehab practice standards Recruit, select, hire, evaluate, train, counsel, and supervise rehab staff Direct the growth, development, and maintenance of rehab programs Function as staff therapist as caseload requires Maintain appropriate staffing patterns as clinically indicated Utilize therapy software appropriately and accurately Assume the duties of the DOR in his or her absence Exhibit excellent customer service and a positive attitude towards patients Assist in the evacuation of patients Demonstrate dependable, regular attendance Concentrate and use reasoning skills and good judgment Communicate and function productively on an interdisciplinary team Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours Read, write, speak, and understand the English language An Equal Opportunity Employer

Registered Nurse (RN) PACU

St. Mary's Regional Health System: Registered Nurse (RN) PACU/Recovery Job Type: Full-time Days - M-F with no weekends/holidays Your experience matters: Saint Mary's Regional Medical Center At Saint Mary's Regional Medical Center , we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a Registered Nurse (RN) joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. Department/Unit Summary Join our team in the PACU/Recovery Department where you will provide compassionate care to patients alongside a dedicated team of RN's. You will play a crucial role in assessing patient needs, administering treatments, and ensuring patient comfort and safety. This position offers the opportunity to work in a collaborative environment focused on delivering high-quality patient care. How you'll contribute You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing. What we offer Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers : Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts Competitive paid time off Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage Tuition reimbursement, loan assistance, and 401(k) matching Employee assistance program including mental, physical, and financial wellness Professional development and growth opportunities Qualifications and requirements Applicants should have a current state RN license and possess a Associate's degree from an accredited nursing school. Additional requirements include: Basic Life Support certification is required within 30 days of hire. ACLS are required within six months of hire. One year of experience preferred ASLS certification preferred About our Health System Saint Mary's Regional Medical Center is a 170 bed hospital located in Russellville, Arkansas, and is part of Lifepoint Health , a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. EEOC Statement Saint Mary's Regional Medical Center is an Equal Opportunity Employer Saint Mary's Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

LPN Licensed Practical Nurse

Life Care Center of Casper is a dedicated, resident-focused skilled nursing community. As part of a nationwide network of nearly 200 facilities across 26 states , our team benefits from the stability, resources, and professional support of a large organization while maintaining the close-knit feel of a local care center. With an overall CMS rating of 4 stars , Quality Measures rating of 4 stars , and Staffing rating of 5 stars , our facility is committed to delivering high-quality outcomes and compassionate care. We were also awarded "800 Club" membership in 2025, an elite designation of the highest performing businesses on . We take pride in fostering an environment where clinicians can grow, collaborate, and truly make a difference. Come and grow with us! We are affiliated with Life Care Centers of America, which is a privately owned 47-year industry leader in healthcare with more than 200 locations across the U.S. We are currently seeking a qualified Licensed Practical Nurse to add to our team of professionals. We believe that every job in our company plays a vital role in our continued growth and commitment to provide quality patient care. We believe in providing our associates with opportunities to help them reach their maximum potential through working with strong multidisciplinary teams. We invites you to come and join our growing team. As an important member of our interdisciplinary team, the LPN delivers quality nursing care to patients through interpersonal contact and provides care and services to allow patients to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with all applicable laws, regulations, and Life Care standards. Your role will involve monitoring and reporting changes in the patient's condition. On a daily basis you must be able to assign duties, instruct, and provide clinical supervision to CNAs. Education, Experience, and Licensure Requirements Graduated from an accredited LPN program Currently licensed/registered in applicable State. Must maintain an active Licensed Practical/Vocational Nurse (LPN/LVN) license in good standing throughout employment. One (1) year skilled nursing experience preferred CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment. Specific Job Requirements Make independent decisions when circumstances warrant such action Knowledgeably and competently deliver quality nursing care to patients Exhibit excellent customer service and a positive attitude towards patients An Equal Opportunity Employer

Registered Nurse (RN) Supervisor

We are offering a $5,000 sign-on bonus Registered Nurse (RN) Supervisor Evenings/Overnight Ontario Center for Rehabilitation and Nursing is actively seeking an experienced Registered Nurse (RN) Supervisor to work evenings for our Skilled Nursing Facility located in Canandaigua, NY. The ideal candidate will have prior supervisor experience in long-term care and strong communication skills! We now offer Daily Pay through a trusted third-party provider giving you faster access to your earnings. We have Weekends as well! Travel Reimbursement from Rochester for Gas and Tolls! Premium health coverage through Aetna with low out-of-pocket costs! Ontario Center Benefits Include: Tuition Reimbursement Program! Generous pay rates based on experience Career Advancement Opportunities Flexible schedules for Full-Time, Part-Time, or Per-Diem status Two-Tiered Insurance Plan: Medical and Dental! Duties: Maintain nursing guidelines by writing and updating policies and procedures Complete Resident care requirements by scheduling and assigning nursing staff Establish a compassionate environment by providing support to Residents and their families Provide information to Residents and Staff by answering questions and requests Ensure a safe and clean working environment by following procedures, rules, and regulations Promote Resident confidence by monitoring confidential information processing Manage documentation of Resident care services by auditing Resident and department records Sustain nursing supplies inventory and other responsibilities as required Requirements: Must hold valid RN License Long-Term Care Experience Basic computer skills Excellent communication skills and strong team player ONT1996 LB123 Location: Canandaigua, NY About Us: Ontario Center for Rehabilitation and Healthcare is a long-term care facility that provides the highest possible quality of care and quality of life for all Health Facility residents. The facility provides a versatile nursing home environment that encourages creativity among residents, managers, and staff. In addition to an emphasis on individuality and self-determination, the nursing home is viewed as home as much as a medical institution, with the residents' psychosocial needs deserving a prominence at least equal to their medical condition. At Ontario Center, we offer a friendly working environment, excellent compensation, a comprehensive benefits package, professional growth & stability, innovative training programs, and more. Ontario Center is a proud member of the Centers Health Care Consortium.

Registered Nurse (RN) Supervisor

Position Summary The RN Supervisor is responsible for the coordination of the patient's care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of patients. Works together with the patient and family in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements Associate's or bachelor's degree in nursing from an accredited college or university Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment. Two (2) years' nursing experience. Geriatric nursing experience preferred.Must have CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment. CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment. Specific Job Requirements Expert knowledge in field of practice Make independent decisions when circumstances warrant such action Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility Implement and interpret the programs, goals, objectives, policies, and procedures of the department Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation Maintains professional working relationships with all associates, vendors, etc. Maintains confidentiality of all proprietary and/or confidential information Understand and follow company policies including harassment and compliance procedures Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training Essential Functions Provide, manage, and coordinate patient care and services through interpersonal contact, which allows patients to attain or maintain the highest practicable physical, mental, and psychosocial well being Assist patients daily to evaluate quality of patient care rendered Direct licensed staff and CNAs in prioritizing patient care needs/reporting requirements Assess patients' needs and develop plans of care Exhibit excellent customer service and a positive attitude towards patients Assist in the evacuation of patients Demonstrate dependable, regular attendance Concentrate and use reasoning skills and good judgment Communicate and function productively on an interdisciplinary team Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours Read, write, speak, and understand the English language An Equal Opportunity Employer