Clinical Pharmacist-Clinical and Patient Care Services PRN (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 Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Clinical Pharmacist-Clinical and Patient Care Services PRN Work Location : Duke University Hospital Durham, NC Working hours: Rotating Shifts (PRN) with evening shift frequency Position Summary: This clinical pharmacist position in the Clinical and Patient Care Services Division provides clinical pharmacy services, including order verification, clinical monitoring, and support of clinical pharmacy and departmental programs. Responsibilities include: Practice or research specialty/focus of the position: Adult Inpatient Duties and Responsibilities of this Level Maintains outstanding skills as a clinical pharmacy practitioner and consistently demonstrates the value of pharmacy services. Provides clinical pharmacy services to surgery and medicine services, which may include: Cardiology Pulmonary Critical Care Internal Medicine General Surgery Solid Organ Transplant Orthopedics/Plastics Trauma Vascular Surgery Provides discharge medication reconciliation and contributes to ongoing hospital and department transitions of care initiatives Educates medical, nursing, and pharmacy staff about the management, prescribing and monitoring of therapies used in patient care area(s) of responsibility. Serves as a resource to the Department of Pharmacy for area(s) of expertise. Participates in departmental and hospital committees and initiatives related to practice area. Contributes to student and resident education. Provides educational lectures and/or participates in research (Duke, State/Local, National). Works with peers to achieve division and departmental goals. Takes responsibility for personal and professional growth. Maintains familiarity with all departmental programs and works as integral part of the pharmacy team. Knowledge, Skills and Abilities Ability to communicate clearly in oral and written form. Extensive knowledge of drug products, medical therapeutics, pharmacokinetics, and disease states. Ability to work with information systems, automated and technical equipment. Ability to establish and maintain working relationships with various members of health care teams Level Characteristics N/A Minimum Qualifications Education Doctor of Pharmacy Degree OR BS Pharmacy Degree Experience With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required. With Doctor of Pharmacy degree, no experience is required. PGY1 or Pharmacy Practice Residency preferred 2 years of practice experience preferred Degrees, Licensures, Certifications Licensed Pharmacist or eligible to practice pharmacy in North Carolina Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, c

Pharmacy Technician I/II - OR Pharmacies (Full-Time) (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 Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. $2,500 Commitment Bonus for Newly Hired Team Members Work Location: Duke North OR Pharmacy Duke Medicine Pavilion OR Pharmacy Eye Center OR Pharmacy Working Hours: Full-Time Rotating Shifts (Days/Evenings) Day shift (6:00 am - 2:30 pm) Evening shift (2:00 pm - 10:30 pm) Occasional shift (7:00 am - 3:30 pm) 1 weekend/month General Summary This individual performs, under supervision, a variety of duties in accordance to department procedures, which may be related to the procurement, preparation, distribution and storage of drugs, as well as, provision of clinical pharmacy services according to the Pharmacy's role in ensuring safe medication use. Individuals eligible for pharmacy technician level II are competent in all tasks associated with pharmacy technician level I and have achieved the area specific advanced competency requirements. Pharmacy technician level II staff must achieve and maintain certification by the Pharmacy Technician Certification Board (PTCB) or The Exam for the Certification of Pharmacy Technicians (ExCPT). Duties and Responsibilities of this Level Pharmacy Tech I To accurately and efficiently follow workflow procedures including prescription processing, medication preparation and distribution to patient. Restock automatic dispensing cabinets and anesthesia workstations as needed Answer and screens telephones calls and directs calls to appropriate personnel when needed. Handle medications in accordance to department, regulatory and legal requirements (e.g., medication records, pulling outdated/unusable medications). Collaborates with immediate pharmacy team, insurance companies and customers alike to resolve issues, ensure accuracy and deliver a timely resolution of any medication or insurance related concern. Assist with a variety of basic clinical functions in support of the clinical pharmacist (e.g., medication safety and adherence initiatives, patient follow up calls). Efficient operation and basic level of technical support for specialty machinery, equipment, devices or software necessary in performing job functions (e.g., carousels, automated dispensing cabinets, compounders, drug delivery devices, retail pharmacy systems). Deliver medications and supplies to patient care and ancillary areas. Complete and document all assigned safety and quality activities in compliance with department procedures. Prepare IV solutions using aseptic technique and/or compound non-sterile medications at select locations. Manage individual responsibilities while supporting team members and contributing to broader team goals. Perform other related duties incidental as assigned. Pharmacy Tech II Perform a variety of clinical functions in support of the clinical pharmacist (e.g., patient interviews, medication safety and adherence initiatives, patient follow up calls, collection of clinical data for the pharmacist). Efficient operation and ability to troubleshoot specialty machinery, equipment, devices or software as necessary in performing job functions (e.g., carousels, automated dispensing cabinets, compounders, drug delivery devices, retail pharmacy systems). Manage individual responsibilities while being able to shift to help team members and contribute to broader team goals with minimum supervision. Assist with training of new employees and students, educating them in job-specific functions. Perform other related duties incidental as assigned. Minimum Qualifications Education Pharmacy Tech I: High school diploma or equivalent and completion of an accredited pharmacy technician-training program. or Acceptance into pharmacy school. or High school diploma or equivalent and one year of pharmacy or health care related experience. Pharmacy Tech II: High school diploma or equivalent and completion of an accredited pharmacy technician-training program. or Acceptance into pharmacy school. or High school diploma or equivalent and one year of pharmacy or health care related experience. Experience Pharmacy Tech I: N/A Pharmacy Tech II: Minimum of one years related experience. Hospital pharmacy experience preferred Degrees, Licensures, Certifications Pharmacy Tech I: Must be registered with the North Carolina Board of Pharmacy within the first 180 days. Pharmacy Tech II: North Carolina Board of Pharmacy registration is required. Pharmacy Technician certification is required from the Pharmacy Technician Certification Board (PTCB) or The Exam for the Certification of Pharmacy Technicians (ExCPT). 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.

Outpatient Registered Nurse - RN - Dialysis (Washington)

2 years of dialysis experience required 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 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 - $59.00 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

Registered Nurse (Jennings)

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, andinnovate.Webelieve that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job provides respiratory care treatment, oxygen services, diagnostic testing and ventilation support services to both in-patients and out-patients ranging in age from neonatal to geriatric. Monitors and weans Oxygen Therapy and Artificial ventilation, draws, analyzes and reports Arterial Blood Gases and EKGs, and delivers intermittent therapy. Assists with changing of artificial airways, and provides services as ordered by a physician and in accordance with established policies and procedures. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - Associate's Degree Work Experience Required- None Certifications Required - Current License as a Respiratory Therapist in the state of practice Credentialed by the National Board of Respiratory Care as a Certified Respiratory Therapist Basic Life Support (BLS) Certification from the American Heart Association Neonatal Resuscitation Program (NRP) Certification (only for trained therapists working in the NICU) Advanced Cardiac Life Support (ACLS) must be obtained within 90 days of hire Knowledge Skills and Abilities (KSAs) Must have computer skills and dexterity required for data entry and retrieval of patient information. Must be proficient with Windows-style applications and keyboard. Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals. Strong analytical skills. Strong interpersonal skills. Job Duties Performs routine and advanced therapeutic procedures according to established policy and procedure. Reviews and documents all clinical information regarding each patient. Educates patients and co-workers on procedures and treatment plans. Performs diagnostic procedures. Provides care based on physical, psycho/social, educational, safety and related criteria appropriate to the age of patient served in assigned area. Maintains professional certifications and up-to-date knowledge of technical procedures. Attends staff meetings. Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Duties performed routinely require exposure to blood, body fluid and tissue. The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain communicable diseases. There may be an occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or [email protected] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

Outpatient Registered Nurse - RN - Dialysis (Baltimore)

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 1 year of Nephrology Nursing experience in the last two years as a RN. Minimum of 9 months experience as a Registered Nurse (preferred). 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: $31.00 - $52.00 Non-Bonus Eligible Positions: include language below. 31Benefit 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. Bonus Eligible Positions include language below. 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 and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Clinical Pharmacist-Clinical and Patient Care Services PRN (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 Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Clinical Pharmacist-Clinical and Patient Care Services PRN Work Location : Duke University Hospital Durham, NC Working hours: Rotating Shifts (PRN) with evening shift frequency Position Summary: This clinical pharmacist position in the Clinical and Patient Care Services Division provides clinical pharmacy services, including order verification, clinical monitoring, and support of clinical pharmacy and departmental programs. Responsibilities include: Practice or research specialty/focus of the position: Adult Inpatient Duties and Responsibilities of this Level Maintains outstanding skills as a clinical pharmacy practitioner and consistently demonstrates the value of pharmacy services. Provides clinical pharmacy services to surgery and medicine services, which may include: Cardiology Pulmonary Critical Care Internal Medicine General Surgery Solid Organ Transplant Orthopedics/Plastics Trauma Vascular Surgery Provides discharge medication reconciliation and contributes to ongoing hospital and department transitions of care initiatives Educates medical, nursing, and pharmacy staff about the management, prescribing and monitoring of therapies used in patient care area(s) of responsibility. Serves as a resource to the Department of Pharmacy for area(s) of expertise. Participates in departmental and hospital committees and initiatives related to practice area. Contributes to student and resident education. Provides educational lectures and/or participates in research (Duke, State/Local, National). Works with peers to achieve division and departmental goals. Takes responsibility for personal and professional growth. Maintains familiarity with all departmental programs and works as integral part of the pharmacy team. Knowledge, Skills and Abilities Ability to communicate clearly in oral and written form. Extensive knowledge of drug products, medical therapeutics, pharmacokinetics, and disease states. Ability to work with information systems, automated and technical equipment. Ability to establish and maintain working relationships with various members of health care teams Level Characteristics N/A Minimum Qualifications Education Doctor of Pharmacy Degree OR BS Pharmacy Degree Experience With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required. With Doctor of Pharmacy degree, no experience is required. PGY1 or Pharmacy Practice Residency preferred 2 years of practice experience preferred Degrees, Licensures, Certifications Licensed Pharmacist or eligible to practice pharmacy in North Carolina Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, c

Registered Nurse - Hiring Now! (Washington)

2 years of dialysis experience required 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 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 - $59.00 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

Registered Nurse - Hiring Now! (Hammonton)

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: $33.00 - $56.00 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

RN (Baltimore)

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 1 year of Nephrology Nursing experience in the last two years as a RN. Minimum of 9 months experience as a Registered Nurse (preferred). 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: $31.00 - $52.00 Non-Bonus Eligible Positions: include language below. 31Benefit 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. Bonus Eligible Positions include language below. 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 and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Registered Nurse - Hiring Now! (Rochester)

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical:Multiple plan options. Dental:Delta Dental or reimbursement account for flexible coverage. Vision:Affordable plan with national network. Pre-Tax Savings:HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities Location: Gonda Building This position will be working directly with the Neurosurgeons. Works mainly with adults, but would include some PEDs coverage. Job duties include, but not limited to- surgically list patients, pre and post op teaching, telephone triage/telethealth follow-up. The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The RN supports professional nursing practice across practice settings and across the continuum of care to meet the needs of the patient and family. The RN will function within the Mayo Clinic Nursing Professional Practice Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The ANA Nursing: Scope and Standards of Practice provide a basis for the practice of the RN. The RN provides leadership through activities such as preceptor role, informal and formal leadership roles, and quality improvement efforts. The RN delegates patient care according to skill level, experience, patient acuity, fiscal accountability and availability of resources. The RN possesses excellent communication skills; is skillful in mentoring and teaching; and may participate on committees or projects. For New Graduate Nurses: Please apply through the Nurse Residency Program posting, which is specifically designed to support New Graduate RNs. Within the Nurse Residency application process, you may indicate work units and specialties of interest. If selected to move forward, you will meet with a Nursing Placement Coordinator who will help you explore Mayo Clinic opportunities that are best aligned with your current and future professional goals. Together, well identify a work area that provides an excellent foundation for your nursing career. This role is eligible for TN sponsorship. Successful sponsorship will require state licensure and completion of the VisaScreen or equivalent certification. Qualifications Graduate of a nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). One year of RN experience required. All entry-level associate degree registered nurses with a RN start date of April 1, 2020 and after must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program within five years from the last day of the month of the RN start date. All entry-level associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program as stipulated by the degree requirement program in place at time of hire. Additional Qualifications: One year of professional RN experience required. Previous Neuro or surgical experience helpful. BSN Preferred. Demonstrated leadership, effective communication, and excellent critical thinking skills. Internal applicants should submit their three most recent performance appraisals. License and Certification (Must obtain prior to start date): Current RN license by applicable state requirements. BLS (Basic Life Support) must be valid for 90 days post start date; acceptable certifications include: American Heart Association (AHA)/ Heartcode BLS, Military Training Network, Red Cross (CPR/AED for Professional Rescuers and Health Care Providers). Additional state licensure(s) and/or specialty certification/training as required by the work area. Exemption Status Nonexempt Compensation Detail The pay for this role is $34.84 - $57.84. Mayo Clinic has an innovative nursing compensation model that rewards experience, education, and dedication to the organization. Combined with our competitive tuition reimbursement program, the compensation approach empowers nurses to grow professionally and maximize their earning potential. Benefits Eligible Yes Schedule Full Time Hours/Pay Period 80 Schedule Details Monday Friday; Days (variable start times), 8-hour shifts Weekend Schedule None International Assignment No Site Description Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the EOE is the Law . Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. Recruiter Krithi Kesavan Nursing Ambulatory RN

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 Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Clinical Pharmacist-Clinical and Patient Care Services PRN Work Location : Duke University Hospital Durham, NC Working hours: Rotating Shifts (PRN) with evening shift frequency Position Summary: This clinical pharmacist position in the Clinical and Patient Care Services Division provides clinical pharmacy services, including order verification, clinical monitoring, and support of clinical pharmacy and departmental programs. Responsibilities include: Practice or research specialty/focus of the position: Adult Inpatient Duties and Responsibilities of this Level Maintains outstanding skills as a clinical pharmacy practitioner and consistently demonstrates the value of pharmacy services. Provides clinical pharmacy services to surgery and medicine services, which may include: Cardiology Pulmonary Critical Care Internal Medicine General Surgery Solid Organ Transplant Orthopedics/Plastics Trauma Vascular Surgery Provides discharge medication reconciliation and contributes to ongoing hospital and department transitions of care initiatives Educates medical, nursing, and pharmacy staff about the management, prescribing and monitoring of therapies used in patient care area(s) of responsibility. Serves as a resource to the Department of Pharmacy for area(s) of expertise. Participates in departmental and hospital committees and initiatives related to practice area. Contributes to student and resident education. Provides educational lectures and/or participates in research (Duke, State/Local, National). Works with peers to achieve division and departmental goals. Takes responsibility for personal and professional growth. Maintains familiarity with all departmental programs and works as integral part of the pharmacy team. Knowledge, Skills and Abilities Ability to communicate clearly in oral and written form. Extensive knowledge of drug products, medical therapeutics, pharmacokinetics, and disease states. Ability to work with information systems, automated and technical equipment. Ability to establish and maintain working relationships with various members of health care teams Level Characteristics N/A Minimum Qualifications Education Doctor of Pharmacy Degree OR BS Pharmacy Degree Experience With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required. With Doctor of Pharmacy degree, no experience is required. PGY1 or Pharmacy Practice Residency preferred 2 years of practice experience preferred Degrees, Licensures, Certifications Licensed Pharmacist or eligible to practice pharmacy in North Carolina Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, c

Outpatient Registered Nurse - RN - Dialysis (Washington)

2 years of dialysis experience required 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 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 - $59.00 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