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Acute Registered Nurse - RN
Fresenius Medical Care Kearney, Nebraska
04/16/2026
Full time
PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Administers medications as prescribed and documents appropriate medical justification and effectiveness. Initiates and assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. May be assigned to assist in an Outpatient facility on an as needed basis. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position requires travel to training/meeting sites and between assigned facilities. Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and modality specific training requirements for new employees. Must have a minimum of 9 months experience as a RN. 6 months experience in acute dialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN Minimum 9 months experience as a Registered Nurse, 12 months (preferred). 6 months acute dialysis experience (preferred) Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans
Pediatrician Around North Carolina
AMN Healthcare Dunn, North Carolina
04/16/2026
Full time
Job Description & Requirements Pediatrician Around North Carolina StartDate: ASAP Pay Rate: $250000.00 - $300000.00 A hospital pediatric practice outside of Raleigh, North Carolina seeks a pediatrician to join its experienced team. The opportunity includes 4.5-day work weeks and a base salary plus productivity. Expect mostly outpatient work with only a few healthy peds inpatient and no deliveries/newborn rounding. Opportunity Highlights Base + productivity 4.5 days a week No deliveries required Mostly outpatient Partner with veteran pediatricians + work with students and residents Unrestricted call- never returning Sign-on bonus and full benefits package Community Information Live in the heart of North Carolina! This suburb provides easy access to Raleigh, a city that's known for its exceptional public schools, family life, nightlight, and diversity. Welcoming community and wonderful housing options Cost of living is 20% below the national average Lovely downtown area with local shops and restaurants Endless opportunities to explore the outdoors-enjoy hiking, biking, golfing, kayaking, camping, and much more 45 minutes to Raleigh, 3 hours to Charlotte and the Crystal Coast Raleigh is ranked among fastest-growing metros in the U.S. Job Benefits About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. Pediatrician, Pediatrics, Pediatric Care, Primary Care, Child Care, Internal Medicine, Internal Care, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.
Case Manager RN
Health Source MSO Alhambra, California
04/16/2026
Full time
Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts interdisciplinary care management rounds. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge. Monitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed. Ensure patient centered discharge planning and assessment by communicating the appropriate discharge information and instructions to the primary care giver and primary physician and/or follow-up care agency. Assures patients are transferred to appropriate approved facilities when required. This position requires providing service to medical/surgical, telemetry, critical care, and the geriatric patient population in a manner that demonstrates an understanding of the functional/developmental age of the individual served. Case Management is a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The Case Management process encompasses excellent communication, both verbal and written, and facilitates cases along a continuum through effective resource coordination. The goal of the Case Manager is to advocate for and assist the patient in the achievement of optimal health, access to care and appropriately utilizing resources. The Case Manager utilizes the following processes to meet the patient's individual healthcare needs: assessment, planning, implementation, coordination, monitoring and evaluation of the plan of care. SPECIFIC JOB DUTIES: Discharge planning with the patient, family, and discharge support person within two working days of admission. Completes the initial case management assessment/preliminary plan and documents in the electronic medical record Performs admission and continued stay review by utilizing criteria approved by medical staff to ensure that patients meet Severity of Illness/Intensity of Service criteria per departmental protocol. Confers with the attending/consulting physician(s) as appropriate when the medical necessity for admission or continued stay is not clear. Consults with the Physician Advisor when the admission or continued stay does not meet criteria, care is not being provided timely or does not meet the community standard of care. Provides clinical review information to external review entities or insurance companies to ensure authorization for admission and continued stay is obtained. Obtains authorization from payer and documents in the EMR per established protocol. Accurately completes the MediCal Treatment Authorization Request (TAR) in detail to ensure payment for hospital services. Refers medically complex patients to the insurance's complex case management program as appropriate. Facilitates transfer of patients to other acute care facilities as required either due to third party payer requirements or for higher level of care. Identifies potentially avoidable days, delays in service, over utilization or quality of care issues and completes reports as required. Refers appropriate patients to Social Services for psychosocial assessment/intervention. Monitors progression of care, documents barriers, and modifies care plan as appropriate. Accurately documents the case management process in the electronic medical record. Provides Freedom of Choice per policy and completes the PASRR for all SNF transfers prior to discharge as required. Collaborates with the Inter-disciplinary team members in discharge planning activities on an ongoing basis. Actively prepares and participates in Interdisciplinary Care rounds/conferences to facilitate coordination of care, goal setting, and develop strategies to facilitate the discharge planning process and resolve barriers. Communicates the final discharge date and plan with the patient and family to ensure that they are informed as required by law and documents such notification in the electronic medical record. Provides accurate information and completes referrals as appropriate to implement the discharge plan including but not limited to Home Health Services, Hospice, Skilled Nursing Facilities, Durable Medical Supplies, and other community resources. Maintain confidentiality as required by HIPAA and only provides information relating to payment, hospital operations or continuity of care. Provides "hand off" information to the receiving Case Manager to ensure safe, smooth transitions. Follows Medicare regulatory requirements as it relates to patient appeals (IM Letters, HINN letters), and Condition Code 44. Refers situations requiring immediate intervention to the Director of Case Management, Risk Management, Director of Quality Management, and Physician Advisor. Participates in committee meetings, patient care conferences, and other activities as assigned. Participates in department Performance Improvement activities. Participates in orientation of new employees or cross training other Case Managers as needed. Maintains accurate records and statistics of case management activities, documents all interventions related to case management in EMR. Demonstrates a continuing effort to improve the quality of case management performance through on-going education. Incorporates the core values; dignity, collaboration, justice, stewardship and excellence into daily performance. Performs other related duties as assigned or requested. Minimum Qualifications Valid RN License Valid BLS Card Valid MAB Certificate preferred Four years of recent acute care experience in a critical care setting (preferred) Two years of Utilization Management/Case Management experience in an acute care setting Bedside work experience preferred Working knowledge of Interqual or MCG, and Intensity of Service/Severity of Illness criteria. Working knowledge of Title XXII and Title XIX. Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, and Managed Care. Ability to negotiate orders with the physicians in order to assign alternate levels of care. Working knowledge of community resources. Working knowledge of methods to resolve patient needs such as discharge planning, Home Health, Durable Medical Equipment and Skilled Nursing Facilities. Ability to case manage smoothly and increase patient/physician satisfaction while staying within guidelines. Ability to track outcomes and report findings. Able to problem solve effectively. Ability to use clinical knowledge to identify potential quality issues, delays in service, post-acute care needs required. Must have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. Must have the ability to work in a high volume caseload environment and deal effectively with rapidly changing priorities.