Class A CDL Team Truck Driver

Class A CDL Team Drivers: START EARNING TOP PAY Call Us to Learn More (800)- Job Description: You Bring The Team, We'll Bring The Cash At Transco Lines, your team's pay starts with a $15,000 sign-on bonus , and only gets better from there. Our teams can earn industry-leading pay while driving top-of-the-line equipment and benefiting from the best driver support in the business. Let's get your team started today. Class A CDL Team Truck Driver Multiple Locations Join our team as a CDL-A Team Truck Driver! Pay & Details Dedicated Teams - Up to $110,000 Annually Per Driver Guaranteed raise at 6 months, 1 year, and 18 months OR Guaranteed 1st anniversary raise PLUS .05 CPM when you exceed 20,000 monthly miles (depending on location) $15,000 Sign-On Bonus per team for a limited time Great Home Time Solo driver looking to team? We can help! Lease Purchase Opportunities Compensation - CPM: $1.30 - $1.40 / mi FSC - Depending on Location Average age of equipment is 1 year and 2 months Benefits & Advantages Health & Dental Insurance 401(k) Plans Paid Vacation Weekly Settlements Pet/Rider Policy Minimum Requirements Must have valid Class A CDL Must be 23 years of age or older (21 years if prior military) Minimum of 6 months of verifiable OTR tractor-trailer experience in the last 12 months or 12 Months Experience in Last 2 Years Must meet FMCSA/DOT driver regulations Hazmat and Doubles Endorsement Options Available Drive with TLI APPLY NOW or CALL RECRUITING (800)- About Transco Lines: Transco Lines, Inc. was founded in October 1984. The Company is headquartered in beautiful Russellville, AR on I-40 between Little Rock and Fort Smith with additional Full Service Maintenance terminal in North Little Rock. Our locations afford our drivers easy access, modern maintenance facilities, and complete amenities for drivers while they are in town. We regularly win awards for service from our excellent client base. Transco Lines operates over 350 power units and 700 dry van trailers. Our fleet consists of 175 solo drivers and 170 teams. Our niche in the marketplace is customized service for customers requiring Just-In-Time performance. We pride ourselves on providing ultra-modern assets for our drivers and superior service to our customers. You are applying for a job at Transco Lines through the website. By clicking on the "Continue to Application" button, you are granting express written consent to be contacted by Transco Lines about employment or job opportunities via SMS, email or telephone at the number and address provided below. This also constitutes your express written consent to receive text messages, emails and/or calls using automated technology, which may contain recruiting/advertising messages. Consent to these terms is not a condition of being hired, contracted, or leased. You may opt out at any time by texting STOP to unsubscribe.

Class A CDL Team Truck Driver

Class A CDL Team Drivers: START EARNING TOP PAY Call Us to Learn More (800)- Job Description: You Bring The Team, We'll Bring The Cash At Transco Lines, your team's pay starts with a $15,000 sign-on bonus , and only gets better from there. Our teams can earn industry-leading pay while driving top-of-the-line equipment and benefiting from the best driver support in the business. Let's get your team started today. Class A CDL Team Truck Driver Multiple Locations Join our team as a CDL-A Team Truck Driver! Pay & Details Dedicated Teams - Up to $110,000 Annually Per Driver Guaranteed raise at 6 months, 1 year, and 18 months OR Guaranteed 1st anniversary raise PLUS .05 CPM when you exceed 20,000 monthly miles (depending on location) $15,000 Sign-On Bonus per team for a limited time Great Home Time Solo driver looking to team? We can help! Lease Purchase Opportunities Compensation - CPM: $1.30 - $1.40 / mi FSC - Depending on Location Average age of equipment is 1 year and 2 months Benefits & Advantages Health & Dental Insurance 401(k) Plans Paid Vacation Weekly Settlements Pet/Rider Policy Minimum Requirements Must have valid Class A CDL Must be 23 years of age or older (21 years if prior military) Minimum of 6 months of verifiable OTR tractor-trailer experience in the last 12 months or 12 Months Experience in Last 2 Years Must meet FMCSA/DOT driver regulations Hazmat and Doubles Endorsement Options Available Drive with TLI APPLY NOW or CALL RECRUITING (800)- About Transco Lines: Transco Lines, Inc. was founded in October 1984. The Company is headquartered in beautiful Russellville, AR on I-40 between Little Rock and Fort Smith with additional Full Service Maintenance terminal in North Little Rock. Our locations afford our drivers easy access, modern maintenance facilities, and complete amenities for drivers while they are in town. We regularly win awards for service from our excellent client base. Transco Lines operates over 350 power units and 700 dry van trailers. Our fleet consists of 175 solo drivers and 170 teams. Our niche in the marketplace is customized service for customers requiring Just-In-Time performance. We pride ourselves on providing ultra-modern assets for our drivers and superior service to our customers. You are applying for a job at Transco Lines through the website. By clicking on the "Continue to Application" button, you are granting express written consent to be contacted by Transco Lines about employment or job opportunities via SMS, email or telephone at the number and address provided below. This also constitutes your express written consent to receive text messages, emails and/or calls using automated technology, which may contain recruiting/advertising messages. Consent to these terms is not a condition of being hired, contracted, or leased. You may opt out at any time by texting STOP to unsubscribe.

Project Engineer (Principal)

Working at the Naval Nuclear Laboratory we foster pride in belonging to an organization whose culture is made up of these core values: Trust, Empowerment, and Collaboration. Our company promotes a positive culture while ensuring the safety and reliability of our nation's naval nuclear reactors, and training the Sailors who operate those reactors in the U.S. Navy's submarines and aircraft carrier Fleets. Looking for a lifetime career? Apply today! Job Description Do you want to be a part of the dynamic team planning the NPTU Charleston transition to the S9G Next Generation Training Program (NGTP)? The Site Program Office (SPO) within the Site Projects, Planning and Engineering (SPPE) Subdivision is seeking a Principal Project Engineer to join the team in planning the transition to NGTP and managing the Charleston Simulation Expansion Program. The SPO is responsible for the NPTU Charleston Integrated Master Schedule (IMS) and the overall program management for the NPTU Charleston Simulation Expansion Program (CSEP) implementation of the Next Generation Training Program (NGTP). SPO also serves the role of Directorate Management Office (DMO) for the MTS Directorate. SPO provides project management services for major site projects/programs for the Site and facilities planning. This includes interfaces with other DoD agencies and other NNL organizations. The Project Engineer will participate in project planning and engineering evaluations and analyses to develop recommendations and implementation strategies for transition. This is a great professional development opportunity to explore and build project management expertise while leveraging your prior Operator Training experience in the planning and execution of the Site's transition to NGTP. This position is NOT remote and will require presence on site at NPTU Charleston. Individual responsibilities will include: Develop and maintain project plans, project cost/schedule baselines and schedule trending and analysis to support development and implementation of the Next Generation Training Program. Assist in developing, maintaining and coordinating technical proposal cost controls, resource requirements, subcontract cost and schedule reviews, and budget expense functions. Gather cost and schedule information to prepare project reports and analysis in a narrative, graphical or statistical nature. Prepare forecasts for project related equipment, personnel, and space requirements. Attend and/or conduct project scheduling and cost review meetings and serve as the project planning liaison with other organizations. Assist management with the development of yearly objectives and the Site's 20 year strategy. Participate as a technical interface in Training Program Initiatives as required. Support NGTP Training Transition and facility management engineering efforts as needed. Provide technical engineering support as needed to the Site Engineering, Site Operations and Site Projects units. Perform special administrative duties assigned by management. Provide Process Improvement support as needed. Provide Consultation and Project Management leadership to site organizations. Qualification as a member of the NPTU Charleston Emergency Response Organization is required for this position. Required Combination of Knowledge and Skill Bachelors degree from an accredited college or university in a related technical, engineering, science or construction field and a minimum of 9 years of relevant experience; or Masters degree from an accredited college or university in a related technical, engineering, science or construction field and a minimum of 7 years of relevant experience; or Doctorate degree from an accredited college or university in a related technical, engineering, science or construction field and a minimum of 3 years of relevant experience; or Currently a Principal Reactor Training Engineer, Refueling Engineer, or Field (RPCO) Engineer at the Company. Preferred Skills Former S6G Training Experience as a Crew Training Engineer or Supervisor of In-Hull Training or Navy Shift Engineer. S9G fleet experience Excellent communication skills (verbal and written) including development of reports, presentations and visual displays of information. Organizing information, planning and scheduling are key elements of this position. Excel, PowerPoint and other Microsoft tools as well as enterprise planning tools. Training is available for project management and scheduling software tools. Compensation and Benefits Health, Dental, Vision & Voluntary Benefits Disability, Life & Accident Insurance 401(k) Savings program & Capital Accumulation Plan Personal & Medical Time Off Paid Parental Leave Flexible Work Schedules Tuition Assistance for Eligible Employees Student Debt Benefit Personal Time Off Sell Program Employee Assistance Program (EAP) Wellness Program Visit us online to view all NNL benefits! Pay Range $105,200.00 - $164,400.00 annually Salary information provided is a general guideline only. Annual salary is based upon candidate experience and qualifications, as well as market and business considerations. The Naval Nuclear Laboratory is operated for the U.S. Department of Energy (DOE) by Fluor Marine Propulsion, LLC (FMP), a wholly owned subsidiary of Fluor Corporation. Naval Nuclear Laboratory personnel are FMP employees who work at four DOE facilities: Bettis Atomic Power Laboratory, Knolls Atomic Power Laboratory, Kenneth A. Kesselring Site, and Naval Reactors Facility, and at the U.S. Department of Defense-owned Nuclear Power Training Unit-Charleston. FMP employees also have an established presence at numerous shipyards and vendor locations. For nearly 70 years, the Naval Nuclear Laboratory has developed advanced nuclear propulsion technology, provided technical support, and trained world-class nuclear operators to ensure the safe and reliable operation of our nation's submarine and aircraft carrier Fleets. The Naval Nuclear Laboratory is a national asset solely dedicated to the Naval Nuclear Propulsion Program. We rely on the dedication and innovation of our nearly 8000 engineers, scientists, technicians, and support personnel. All candidates must be U.S. citizens. Applicants selected will be subject to a Federal background investigation and must meet eligibility requirements for access to classified matter. FMP is a government contractor and maintains a drug free workplace and workforce. All candidates must be able to pass a drug test in compliance with FMP company policy and 10 CFR 707. Marijuana is a Federal Schedule I controlled substance and illegal under Federal Law. Therefore, FMP is required to test for marijuana. Fluor Marine Propulsion, LLC is an Equal Opportunity Employer, including disability/vets. All qualified applicants will receive consideration for employment without regard to race, color, age, sex, religion, national origin, disability, veteran status, genetic information, or any other criteria protected by federal, state, or local law.

Licensed Practical Nurse - Acute Physical Rehab

Description Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the patient. Responsibilities: Performs general nursing care to patients. Administers treatments in accordance with nursing standards. Assists with the preparation of equipment and aids provider during treatment, examination, and testing of patients. Observes, records, and reports patients' condition and reaction to drugs or treatments to providers. Oversees appointment bookings and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients. Greets patients and obtains well-documented history and vitals. Prepares patients for physical exam. Instructs patients in collection of samples and tests. May perform the following tasks in accordance with established procedures and as prescribed by applicable licensure/certification: Obtain/record vital signs; perform initial assessment on patient; coordinate patient transfer to hospital and/or discharge; give telephone orders; accept telephone test results; perform telephone triage; call in provider approved prescription refills; specimen collection including stool and urine midstream; catheterize patient; indwelling catheter urine collection; obtain throat culture; pregnancy testing; administer urine dip; obtain wound culture; perform Snellen vision screening; eye injury management; administer optic/otic meds; assist with lumbar punctures; sputum collection; occult blood testing; assist with vaginal exam; teach crutch/cane walking; teach use of walker; apply Velcro splint; assist with plaster splint; apply moist heat and/or cold packs; administer enema; remove fecal impaction; administer oxygen; teach respiratory hygiene; administer chest physiotherapy; perform oral suction and/or infant suction bulb; wound care; apply sterile dressing; assist with circumcision; perform umbilical care; apply colloidal dressing; open sterile tray; apply topical medications; administer rectal and/or vaginal medications; give oral medications; and, give sublingual medications to adults and/or pediatric patients. May perform the following tasks only if appropriate training has been obtained: Blood collection by lancet; pulse oximetry; incentive Spirometry; suture and/or staple removal; ear irrigation; administer breathing treatment; give allergy/insulin/immunization medications to adult and/or pediatric patients; give intramuscular and/or subcutaneous injections to adult and/or pediatric patients; give injections Z track to adult patients. May perform the following tasks after providing verification of completion of special training: Blood collection venipuncture; audiometry exam; titmus vision screening; EKG; administer electrical stimulation; assist/process biopsies; draw blood from portocath; assist endoscopy, start saline lock or IV fluids and monitor IV fluids. May administer IV push medications and/or add medications to IV only after completion of special training and only under direct supervision of licensed practitioner. May make arrangements for patient testing and admissions. May be required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care. Responds to incoming telephone calls and (per provider instructions) calls in refills and prescriptions to pharmacy. Per provider and/or established protocol, instructs patients and/or family with regard to medication and treatment and documents the same. Formulates and updates patient care plans. Orders, prepares, and inspects patient charts. Posts tests and examination results. Reviews patient's tests and examination results with provider; documents instructions and notifies patient. Maintains patient files, records and other information in a professional manner following policies and procedures regarding documentation. Ensures preparation of exam rooms including re-stocking of treatment areas. Attends required meetings and participates in committees as requested. Participates in professional development activities and maintains professional licensure and affiliations. Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Maintains strict confidentiality. Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission. Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control. Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group's cultural diversity objectives. Supports and adheres to CPG Service Guarantee. Performs other related work as required. Requirements: Must be able to prioritize workflow on a daily basis. Must be able to communicate effectively in written and spoken form with individuals of various education levels including physicians. Ability to interpret medical terminology and possess an understanding of human anatomy and physiology. Experience in the specialty applied for will be given preference. Licensed to practice Practical Nursing in the State of Louisiana. Current BLS De-Escalation Certification Work Schedule: 7AM - 7PM Work Type: Full Time

Registered Nurse I - Med/Surg (Surgical)

Description Summary: Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period. Provides direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical/clerical associates. By assignment, may function as a charge nurse for the unit. Involves provision of patient care/service to older adolescents, young adults, adults, geriatric and pediatric patients. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Patient Care Planning Develops a comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment. Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference. Reviews and updates nursing care plan and collaborates with team members as changes occur. Patient Care Provision Implements patient care as planned in nursing care plan and interdisciplinary care plan. Sets priorities based on knowledge of patient acuity and patient needs. Provides safe and therapeutic care and seeks resources when appropriate. Safely performs and accurately documents procedures, consistent with established nursing policy and procedure. Patient Care Evaluation Evaluates patient response to interventions and attainment of goals in collaboration with interdisciplinary team. Evaluates progress toward nursing goals and revises goals as needed on a weekly basis. Completes nursing progress note for assigned patients on a daily basis. Completes nursing flow sheets for assigned patients on a daily basis. Teaching Evaluates education needs of patient and significant others and documents their response to teaching. Utilizes, adapts, and revises teaching resources to meet patient education needs. Explains procedures, tests, and disease process to patients and families as needed. Acts as role model for health care students and other team members. Acts as preceptor to assigned orientees. Assists in the orientation of new staff by sharing knowledge and experience. Patient Care Communication Reports and documents accurately and concisely to appropriate persons the patient's condition. Maintains patient confidentiality. Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others. Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed. Gives and accepts constructive feedback appropriately. Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience Six months to a year of experience as a licensed RN or holder of an active GN permit Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Graduate Nurse PermitAssociates with an unsuccessful licensure application or on the 75th day following the effective date of the temporary permit; will be transferred to another position within CHRISTUS Health Work Schedule: 7AM - 7PM Work Type: Full Time

Clinical Nurse - Nursing Float Pool

Description Summary: The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner, consistent with the unit's standards of care. He/she demonstrates performance consistent with the mission, philosophy and goals of the unit and organization. Demonstrates quality and effectiveness in work habits and clinical practice. Treats staff, physicians, patients and families with consideration and respect. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Obtains and records initial assessment and establishes priorities according to patient age, symptoms and psychosocial needs. Re-assesses patients systematically to identify progress and trends that require intervention. Develops and implements a measurable individualized plan of care for the patient within the time frame established by Nursing Standards of Care. Makes comprehensive nursing decisions based on the interpretation of facts and evaluations of patient outcome; modifies the plan of care based upon the evaluations. Participates in patient/significant other health education and discharge planning. Implements and documents timely interventions appropriate to patient needs. Evaluates the plan of care. Performs various Point of Care testing procedures. Requirements: Education/Skills Graduate of an accredited program for Registered Nursing Current knowledge and skills appropriate to age/type of patient population served Knowledgeable and sensitive to patients' rights in the delivery of care Communicates in a clear concise manner appropriate to the developmental age of patient. Experience All newly hired nurses with two or less years of experience as a Registered Nurse will be hired in at a CN I status. A new hire can be considered for a higher clinical ladder level (level II and III only) based on years of relevant experience to the clinical area, national professional nursing certification, achievement of additional nursing education (B.S.N. and MSN). Licenses, Registrations, or Certifications Current New Mexico RN license or current Compact state license. BLS Certification required or within 2 weeks of hire date. All other required certifications must be obtained within 6 months of hire date. If nurse has the required certifications at time of hire, they must maintain the certifications and will not have a grace period to renew. In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: 7AM - 7PM Work Type: Full Time

Registered Nurse - Labor and Delivery

Location: Parkland: 3rd FLR BLK 300 Full Time - Nights PRIMARY PURPOSE The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health condition, by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. MINIMUM SPECIFICATIONS Education Must be a graduate from an accredited school of nursing. Experience If less than 9 months experience, a Nurse residency is required. LVN experience does not waive this requirement. Equivalent Education and/or Experience None Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification from one of the following:American Heart Association American Red Cross Military Training Network Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification upon hire or placement in the role. Certification must be from one of the following:American Heart Association American Red Cross Military Training Network Must have current Neonatal Resuscitation Program (NRP) certification on hire or placement in the role. May be required to have additional specialty certifications. Electronic Fetal MonitoringMust have completed RELIAS or AWHONN (Association of Women's Health, Obstetric and Neonatal) endorsed Basic Electronic Fetal Monitoring Certificate within 90 days of hire or reclassification into the role. Attainment is needed only once and is considered a lifetime event and not subject to renewals. Must obtain AWHONN (Association of Women's Health, Obstetrics Neonatal Nurses) Intermediate Electronic Fetal Monitoring Certificate no later than 1 year from date of hire or reclassification into the role, and before transition into a Sr. RN Spec - L&D position. Skills or Special Abilities Must be able to provide care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, ANA Scope and Standards, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be able to provide continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Utilizes effective verbal and non-verbal communication to facilitate development of a therapeutic relationship and environment that promotes wellness. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. Maintains current knowledge of procedures and practice for patients requiring induction of pregnancy. Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patient's condition and provides appropriate interventions as necessary. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the laboring patient, stable neonate, recovering, ECU and postpartum patient. Performs appropriate duties during the laboring process, during a vaginal delivery, cesarean delivery and during the immediate postpartum period. Supports breastfeeding and provides education related to newborn. Provides safe medication administration using the patient's 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices. Supports appropriate positioning, assessment and management of pain and provides emergency resuscitation care to the neonate and patient in the Labor and Delivery area. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned department and Parkland. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. Seeks and utilizes direction from more experience staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Provides appropriate hand off any time care is relinquished. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals and objectives of the department and Parkland. Any duties deemed competent. Requisition ID: 991488

Interventional Radiology Technologist

Location: Main Hospital Bldg - 1st Flr Primary Purpose This position is accountable for performing quality Interventional Radiology Imaging through the application of advanced technical knowledge while adhering to the standards set by Parkland Health and appropriate regulatory agencies. The shift for this position is four 10 hour days plus participation in "on call" rotation. Minimum Specifications Education Must be a graduate of an accredited Radiology program. Experience Prefer one year experience in Radiology and/or Imaging modality but all experience will be considered. Certification/Registration/Licensure Must have American Registry of Radiologic Technologists (ARRT) with certification in Radiography (R) within 3 months of hire. Advanced Registry in Vascular Interventional (VI) or Cardiovascular Interventional (CV) preferred. Must have a Texas Department of State Health Services (TDSHS) - Medical Radiologic Technologist (MRT) certification 6 months of hire. Must have a current Healthcare Provider (BLS Level) CPR course completion card upon arrival at Parkland from one of the following: American Heart Association American Red Cross Rescuer Military Training Network Skills or Special Abilities Must possess a thorough working knowledge of radiologic interventional procedures and knowledge of computer software applications. Must demonstrate use of aseptic techniques (including recognition and immediate correction of any breaks in aseptic technique) and provide scrub assistance when needed. Must possess knowledge of specialized equipment and instrumentation such as digital imaging, automatic pressure injectors, procedural supplies, and implantable devices. Must demonstrate knowledge of patient assessment and monitoring, contrast administration, medications, and emergency care. Must be able to demonstrate oral and written communication skills, interpersonal skills and time management skills. Responsibilities Conducts specialized examinations in neurological and vascular radiology in order to provide quality patient care. Instructs patients on procedural matters prior to and during examinations to provide optimal information and comfort while effectively completing procedures. Assist the provider during routine and complex procedures by prepping the patient for procedures and functioning in a scrub role as needed to ensure that the activities meet the needs of the team. Performs surgical scrub, and donning gown and gloves. When possible, anticipate Radiologist and patient needs during a procedure. Performs proper patient identification, interprets patient histories and physicians' orders ensuring that all procedures are performed according to Parkland, state and regulatory standards. Set up and prepare room with appropriate instruments, supplies, and equipment specific to procedures. Utilizes advanced knowledge of sterile and surgical techniques by practicing aseptic techniques. Can speak to and perform the process of preparing contaminated instruments for cleaning, transporting contaminated instruments to sterile processing department, and how to retrieve clean sterilized instruments from sterile processing department. Assist with supply inventory by locating expired supplies and informing necessary personnel when inventory is low, depleted, or on backorder and takes appropriate action. Accesses and handles selected medications and administers contrast. Administers contrast material in the correct dosage, route and observes patients for adverse reactions. Informs and assists physicians and radiologists with patient scheduling, patient transfers, and emergency cases ensuring that all pre-exam procedures are followed including allergic reaction and level tests. Processes acquired images onto PACS. Ensures that images and records are properly completed with patient identification data and appropriate labeling. Completes exam charges and image documentation in a timely manner. Operates and maintains equipment including warm-up, running quality assurance checks, calibration, provide routine troubleshooting procedures, request repair and notifying supervisor of maintenance needs. Maintains a record of quality assurance tests to ensure that equipment runs efficiently and effectively. Maintains all passwords to each computer system. Participates in all aspects of The Joint Commission Continual Readiness. Serves as a lead worker and resource to other staff as needed. Instructs students and/or new employees on the use of specialized equipment to ensure adequate training and improved patient care. Maintains patient confidentiality and ensures that all processes and procedures are maintained to secure and protect all workstations in all work areas. Responds to inquiries, calls, emails in a timely and professional manner. Communicates hand off regarding patient information, workflow issues, equipment concerns and/or pending exams. Engages in equitable distribution of departmental workloads. Participates in departmental Performance Improvement Programs, promotes Parkland Health mission, vision, values, and its relationship to the work environment, attends modality meetings satisfactorily. Functions in the department as part of an interdisciplinary team and collaborates in the care and service delivery process of patient care through effective communication with other service lines. Takes responsibility for own professional growth and development by attending seminars, reading appropriate articles relative to the job, and maintaining ARRT certification and integrates this knowledge into the job as appropriate to ensure an optimal level of education. Requisition ID: 985647

Interventional Radiology Technologist

Location: Main Hospital Bldg - 1st Flr Primary Purpose This position is accountable for performing quality Interventional Radiology Imaging through the application of advanced technical knowledge while adhering to the standards set by Parkland Health and appropriate regulatory agencies. The shift for this position is four 10 hour days plus participation in "on call" rotation. Minimum Specifications Education Must be a graduate of an accredited Radiology program. Experience Prefer one year experience in Radiology and/or Imaging modality but all experience will be considered. Certification/Registration/Licensure Must have American Registry of Radiologic Technologists (ARRT) with certification in Radiography (R) within 3 months of hire. Advanced Registry in Vascular Interventional (VI) or Cardiovascular Interventional (CV) preferred. Must have a Texas Department of State Health Services (TDSHS) - Medical Radiologic Technologist (MRT) certification 6 months of hire. Must have a current Healthcare Provider (BLS Level) CPR course completion card upon arrival at Parkland from one of the following: American Heart Association American Red Cross Rescuer Military Training Network Skills or Special Abilities Must possess a thorough working knowledge of radiologic interventional procedures and knowledge of computer software applications. Must demonstrate use of aseptic techniques (including recognition and immediate correction of any breaks in aseptic technique) and provide scrub assistance when needed. Must possess knowledge of specialized equipment and instrumentation such as digital imaging, automatic pressure injectors, procedural supplies, and implantable devices. Must demonstrate knowledge of patient assessment and monitoring, contrast administration, medications, and emergency care. Must be able to demonstrate oral and written communication skills, interpersonal skills and time management skills. Responsibilities Conducts specialized examinations in neurological and vascular radiology in order to provide quality patient care. Instructs patients on procedural matters prior to and during examinations to provide optimal information and comfort while effectively completing procedures. Assist the provider during routine and complex procedures by prepping the patient for procedures and functioning in a scrub role as needed to ensure that the activities meet the needs of the team. Performs surgical scrub, and donning gown and gloves. When possible, anticipate Radiologist and patient needs during a procedure. Performs proper patient identification, interprets patient histories and physicians' orders ensuring that all procedures are performed according to Parkland, state and regulatory standards. Set up and prepare room with appropriate instruments, supplies, and equipment specific to procedures. Utilizes advanced knowledge of sterile and surgical techniques by practicing aseptic techniques. Can speak to and perform the process of preparing contaminated instruments for cleaning, transporting contaminated instruments to sterile processing department, and how to retrieve clean sterilized instruments from sterile processing department. Assist with supply inventory by locating expired supplies and informing necessary personnel when inventory is low, depleted, or on backorder and takes appropriate action. Accesses and handles selected medications and administers contrast. Administers contrast material in the correct dosage, route and observes patients for adverse reactions. Informs and assists physicians and radiologists with patient scheduling, patient transfers, and emergency cases ensuring that all pre-exam procedures are followed including allergic reaction and level tests. Processes acquired images onto PACS. Ensures that images and records are properly completed with patient identification data and appropriate labeling. Completes exam charges and image documentation in a timely manner. Operates and maintains equipment including warm-up, running quality assurance checks, calibration, provide routine troubleshooting procedures, request repair and notifying supervisor of maintenance needs. Maintains a record of quality assurance tests to ensure that equipment runs efficiently and effectively. Maintains all passwords to each computer system. Participates in all aspects of The Joint Commission Continual Readiness. Serves as a lead worker and resource to other staff as needed. Instructs students and/or new employees on the use of specialized equipment to ensure adequate training and improved patient care. Maintains patient confidentiality and ensures that all processes and procedures are maintained to secure and protect all workstations in all work areas. Responds to inquiries, calls, emails in a timely and professional manner. Communicates hand off regarding patient information, workflow issues, equipment concerns and/or pending exams. Engages in equitable distribution of departmental workloads. Participates in departmental Performance Improvement Programs, promotes Parkland Health mission, vision, values, and its relationship to the work environment, attends modality meetings satisfactorily. Functions in the department as part of an interdisciplinary team and collaborates in the care and service delivery process of patient care through effective communication with other service lines. Takes responsibility for own professional growth and development by attending seminars, reading appropriate articles relative to the job, and maintaining ARRT certification and integrates this knowledge into the job as appropriate to ensure an optimal level of education. Requisition ID: 985647

Interventional Radiology Technologist

Location: Main Hospital Bldg - 1st Flr Primary Purpose This position is accountable for performing quality Interventional Radiology Imaging through the application of advanced technical knowledge while adhering to the standards set by Parkland Health and appropriate regulatory agencies. The shift for this position is four 10 hour days plus participation in "on call" rotation. Minimum Specifications Education Must be a graduate of an accredited Radiology program. Experience Prefer one year experience in Radiology and/or Imaging modality but all experience will be considered. Certification/Registration/Licensure Must have American Registry of Radiologic Technologists (ARRT) with certification in Radiography (R) within 3 months of hire. Advanced Registry in Vascular Interventional (VI) or Cardiovascular Interventional (CV) preferred. Must have a Texas Department of State Health Services (TDSHS) - Medical Radiologic Technologist (MRT) certification 6 months of hire. Must have a current Healthcare Provider (BLS Level) CPR course completion card upon arrival at Parkland from one of the following: American Heart Association American Red Cross Rescuer Military Training Network Skills or Special Abilities Must possess a thorough working knowledge of radiologic interventional procedures and knowledge of computer software applications. Must demonstrate use of aseptic techniques (including recognition and immediate correction of any breaks in aseptic technique) and provide scrub assistance when needed. Must possess knowledge of specialized equipment and instrumentation such as digital imaging, automatic pressure injectors, procedural supplies, and implantable devices. Must demonstrate knowledge of patient assessment and monitoring, contrast administration, medications, and emergency care. Must be able to demonstrate oral and written communication skills, interpersonal skills and time management skills. Responsibilities Conducts specialized examinations in neurological and vascular radiology in order to provide quality patient care. Instructs patients on procedural matters prior to and during examinations to provide optimal information and comfort while effectively completing procedures. Assist the provider during routine and complex procedures by prepping the patient for procedures and functioning in a scrub role as needed to ensure that the activities meet the needs of the team. Performs surgical scrub, and donning gown and gloves. When possible, anticipate Radiologist and patient needs during a procedure. Performs proper patient identification, interprets patient histories and physicians' orders ensuring that all procedures are performed according to Parkland, state and regulatory standards. Set up and prepare room with appropriate instruments, supplies, and equipment specific to procedures. Utilizes advanced knowledge of sterile and surgical techniques by practicing aseptic techniques. Can speak to and perform the process of preparing contaminated instruments for cleaning, transporting contaminated instruments to sterile processing department, and how to retrieve clean sterilized instruments from sterile processing department. Assist with supply inventory by locating expired supplies and informing necessary personnel when inventory is low, depleted, or on backorder and takes appropriate action. Accesses and handles selected medications and administers contrast. Administers contrast material in the correct dosage, route and observes patients for adverse reactions. Informs and assists physicians and radiologists with patient scheduling, patient transfers, and emergency cases ensuring that all pre-exam procedures are followed including allergic reaction and level tests. Processes acquired images onto PACS. Ensures that images and records are properly completed with patient identification data and appropriate labeling. Completes exam charges and image documentation in a timely manner. Operates and maintains equipment including warm-up, running quality assurance checks, calibration, provide routine troubleshooting procedures, request repair and notifying supervisor of maintenance needs. Maintains a record of quality assurance tests to ensure that equipment runs efficiently and effectively. Maintains all passwords to each computer system. Participates in all aspects of The Joint Commission Continual Readiness. Serves as a lead worker and resource to other staff as needed. Instructs students and/or new employees on the use of specialized equipment to ensure adequate training and improved patient care. Maintains patient confidentiality and ensures that all processes and procedures are maintained to secure and protect all workstations in all work areas. Responds to inquiries, calls, emails in a timely and professional manner. Communicates hand off regarding patient information, workflow issues, equipment concerns and/or pending exams. Engages in equitable distribution of departmental workloads. Participates in departmental Performance Improvement Programs, promotes Parkland Health mission, vision, values, and its relationship to the work environment, attends modality meetings satisfactorily. Functions in the department as part of an interdisciplinary team and collaborates in the care and service delivery process of patient care through effective communication with other service lines. Takes responsibility for own professional growth and development by attending seminars, reading appropriate articles relative to the job, and maintaining ARRT certification and integrates this knowledge into the job as appropriate to ensure an optimal level of education. Requisition ID: 985647

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). The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $29 - $50 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

Clinical Coordinator - Charge Registered Nurse - Dialysis

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direc t Patien t Car e Staff , War d Cler k a s assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS : Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans