22 jobs found

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

Description CHRISTUS Santa Rosa Hospital - Westover Hills(CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: This Job meets the minimum CLIA qualifications of a Laboratory General Supervisor, and under the direction of the Laboratory Director and/or Laboratory Manager, coordinates and manages the day-to-day operations of their specific section(s) and shift(s). The Laboratory Supervisor serves in an administrative role with direct reports, and functions in an exempt pay status. In conjunction with the Laboratory Director and/or Laboratory Manager, this Job develops and implements new procedures, instrumentation, quality control, and reagent use. This Job is also responsible for the development and maintenance of policies and procedures that meet the standards of regulatory agencies and implement service quality improvements. The Laboratory Supervisor ensures all personnel are held accountable through ongoing personnel performance reviews and assists in the orientation and development of personnel competencies for their section(s). Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Is responsible for providing day-to-day supervision of high, moderate, and waived complexity test performance by laboratory testing personnel. Must be accessible to address technical problems via on-site, telephone, or electronic consultation with testing personnel at any time that testing is performed in accordance with policies and procedures established by the laboratory Medical Director. Ensures compliance with all policies, procedures, and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities such as CLIA, TJC, CAP, AABB, etc. Plans, organizes and coordinates the work activities of assigned section(s) and shift(s). Keeps accurate attendance records on all associates; maintains time and attendance records for the department. Assists the Director/Manager in maintaining the Laboratory budget to include monthly analysis and variance reporting on expense detail. Assists the Director/Manager in associate performance conversations that drive merit increases. Develops, implements, and maintains current procedural manuals of all tests performed in the section(s) assigned and updates and reviews manuals biennially or more often as necessary. Enforces all safety policies and procedures. Researches, evaluates and implements new and improved procedures, methodologies, instrumentation, and techniques as assigned by the Director/Manager, or Supervisor. Implements an appropriate section and/or shift-specific Quality Control Program and maintains all applicable Quality Control and Functional Verification records. Is responsible for monitoring test analyses and specimen examinations to ensure that acceptable levels of analytic performance are maintained. Reviews the work done by technologists/technicians working in the section(s) or shift(s) assigned to ensure a minimum of errors and corrective action in the interest of good patient care. Refers clinical problems to the laboratory director, manager, or supervisor as appropriate. Assures that all remedial actions are taken whenever test systems deviate from the laboratory's established performance specifications. Ensures that patient test results are not reported until all corrective actions have been taken and the test system is properly functioning. Operates, maintains, and troubleshoots all equipment in assigned section(s) to keep in good working order; makes minor repairs and adjustments when necessary; initiates and follows through with Biomedical Engineering/equipment manufacturer for safety checks and repairs; schedules preventive maintenance within the section with Biomedical Engineering, equipment manufacturer, or an outside contractor. Prepares and submits routine or special administrative and technical reports by due dates as required, requested, or delegated. Orders and maintains inventories for all necessary supplies and reagents in assigned section(s) to always have an adequate amount on hand. Trains new technologists and technicians in the assigned section(s) procedures and policies and provides subsequent training in all new or revised procedures and techniques for assigned shift(s) or provides remedial training as necessary. Responsible for maintaining orientation records on new associates. Assists the Director/Manager in designing, implementing, collecting, and analyzing data, and reporting all phases of a comprehensive performance improvement program that involves laboratory personnel in Performance Improvement activities. Prepares and conducts in-service education either formally or informally for assigned section(s) and shift(s). Provides input on personnel for hire, fire, transfer, interview, disciplinary probation, etc; counsels and documents technical deficiencies. Performs skills review and competency assessments and maintains appropriate documentation on all technical personnel as delegated by the Laboratory Manager/Director. Oversees and enforces expectations of personnel in assigned section(s). Participates in proficiency testing surveys; reviews and evaluates results and maintains copies of survey records in section(s). Coordinates and attends meetings as required to discuss changes and developments regarding policies, equipment, procedures, staffing, etc. Utilizes and has a thorough working knowledge of the Laboratory Information System and applications thereof. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served. Processes patient specimens, including collection, handling, and distribution always cognizant of minimal pediatric specimen volumes (when required). Performs all routine and complicated laboratory procedures in the primary section which assigns age (Pedi) or sex-specific values. Provides notification and documentation of critical laboratory values obtained. Calculates, enters, and/or verifies results of laboratory procedures. Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary for the performance of assigned job duties. Keeps abreast of Medical Technology, by reading Journals, texts, and technical bulletins; attends workshops and seminars; becomes active in local professional associations. Demonstrates adherence to the CORE values of CHRISTUS Health. Performs other duties as assigned. Job Requirements: Education/Skills Bachelor's degree or equivalent education in chemical, physical, biological, clinical laboratory science, or medical technology from a regionally accredited college/university or equivalent years of experience required. Experience 5 years of experience as a Medical Technologist, Clinical Laboratory Scientist, Medical Laboratory Scientist, or Medical Laboratory Technician required. 5 years of full-time primary experience in the specific section of responsibility required. Licenses, Registrations, or Certifications Active certification or certification eligibility for MT (ASCP), CLS (ASCP), MLS (ASCP), MT (AMT), CLS (NCA/ASCP), or MT (AAB) required. Work Schedule: 5 Days - 8 Hours Work Type: Full Time

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 provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety PRINCIPAL DUTIES AND RESPONSIBILITIES: Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department. Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools. Responsible for addressing and acting on adverse events and action thresholds. Oversees facility's Home Therapies Program if applicable. Accountable for compliance with all applicable federal, state and local laws and regulations. Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff. Maintains integrity of medical records and other FMS administrative and operational records. Complies with all data collections and auditing activities. Maintains facility environmental integrity, including safety. Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals. An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function. Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s). Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization. Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers. Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team. Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. Provides technical guidance. Performs other related duties as assigned. PATIENT CARE: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime. Acts as a resource for the patient to address patient concerns and questions. Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility's Interdisciplinary Team to discuss patient care plans and to resolve patient problems. Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency. Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status. Develops action plans for unexcused and missed treatments in collaboration with the Director. Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. STAFF: Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. Participates in the recruitment and interview process, and decision to hire new personnel. Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates. Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives. Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance. Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff. Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth. Completes timely employee evaluations and establishes annual goals for staff. Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions. Participates in Corporate and Business Unit specific employee recognition and satisfaction programs. Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility. Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving. PHYSICIANS: Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. Responsible for strong Director and physician relationships and facilitating staff relationships with physicians. Ensures regular and effective communication with all physicians, through regular meetings with Directors. Participates in Governing Body. Schedules and coordinates CQI meetings with physicians. MAINTENANCE/TECHNICAL: Responsible for the integrity and safety of the facility water system. Must be knowledgeable in the operation of all facility equipment and technology. ADMINISTRATIVE: Responsible for maintaining and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, and responds as appropriate. Directs information gathering as required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies Participates in the completion and interpretation of the Pl-17 inventory supply use analysis. Reviews and approves facility payroll. Reviews profit and loss statements with Director Responsible for participating in all required Network reporting and on-site state or federal surveys. Participates in the completion of the FMS Administrative Clinical Review. 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. . click apply for full job details

Role Summary: The Manager of the Top Advisor Team within Investment Client Services will lead a high-performing group dedicated to supporting the firm's most successful advisors. This role combines strategic leadership, operational excellence, and deep industry expertise to deliver exceptional service and drive advisor success. Key Responsibilities: Leadership & Team Development Lead and develop a team of professionals, including staffing, mentoring, performance management, and succession planning. Foster a culture of accountability, collaboration, and continuous improvement. Strategic Oversight & Operational Excellence Define team purpose, clarify roles, set milestones, and establish success measures. Drive innovation and scalability while ensuring compliance with regulatory and program guidelines. Translate regulatory and program changes into actionable steps to minimize risk and operational disruption. Service Delivery & Risk Management Ensure high-quality, cost-effective service delivery by managing operating plans, budgets, and service-level goals. Oversee complex escalations related to staff, cases, processes, and systems from both home office and field operations. Conduct timely quality reviews and audits to maintain compliance and mitigate risk. Collaboration & Relationship Management Partner closely with financial advisors and staff to resolve complex cases and enhance operational success. Collaborate with internal teams (product, compliance, supervision, engineering) and external vendors to drive improvements. Represent the division in projects and initiatives, serving as SME or project lead from concept through completion. Industry Expertise & Continuous Improvement Apply deep knowledge of securities trading, investment products, and regulatory frameworks. Recommend product and system enhancements to improve advisor productivity and client experience. Identify and implement process or technology improvements to reduce costs and increase efficiency. Field Engagement & Change Leadership Serve as a key liaison to top advisors and their teams, including in-person visits, conferences, and industry events. Lead change management initiatives across the organization, ensuring smooth adoption and minimal disruption. Additional Responsibilities Support dedicated trading platforms and vendor relationships. Assist with planning and execution of home office and field events. Stay current on industry trends and proactively communicate implications to stakeholders. Qualifications: Bachelor's degree in business, investment operations, or equivalent experience. Minimum 7 years of investment experience, including 2+ years in operational management leadership. Strong technical knowledge of financial services operations; brokerage and advisory trading experience preferred. Experience with Pershing and Envestnet a plus. FINRA Series 7 and 24 required. Proven ability to manage complex projects, lead teams, and adapt to changing business needs. Exceptional relationship-building skills and ability to influence across multiple stakeholders. Strong business acumen, strategic thinking, and ability to anticipate future trends. This position has been classified as a Registered Representative under NMIS guidelines and requires fingerprinting.Series 24 - FINRA, Series 7 - FINRA Compensation Range: Pay Range - Start: $84,350.00 Pay Range - End: $156,650.00 Geographic Specific Pay Structure: Structure 110: Structure 115: We believe in fairness and transparency. It's why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you're living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more. Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now! Northwestern Mutual is an equal opportunity employer who welcomes and encourages diversity in the workforce. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives. FIND YOUR FUTURE We're excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and our commitment to a culture of belonging. Flexible work schedules Concierge service Comprehensive benefits Employee resource groups PandoLogic. Category:Finance,