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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. 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. · 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. · 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. 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. · 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. Graduate of an accredited School of Nursing. · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

As a part of Duke Healths outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.Duke Advanced Practice Highlights: The nations first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country. The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post masters certificates and certification alignment programs. Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program.APPs are leaders in multiple arenas within Duke. Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties.APPs are expected to work to top of scope in order to contribute to Dukes missions which include clinical practice, education, and research. Practice locations can include Duke Healths three hospitals or over 140 primary care and specialty care clinics throughout North Carolina. Job LocationDuke GI Clinic of Cary, 100 Duke Health Cary Pl, Cary, NCDuke GI Clinic of Brier Creek, 10207 Cerny St, Raleigh, NCJob SummaryWe are seeking an Advanced Practice Provider in our Duke GI Clinics located in Cary and Raleigh, NC to provide medical care to adult patients with both general gastrointestinal conditions and Inflammatory Bowel Disease (IBD) such as ulcerative colitis and Crohns disease. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients.Job Duties & Responsibilities Record the history of present illness, past medical, family, and social history Perform physical examinations Establish and follow plan of care in conjunction with MD Prescribe appropriate medications to a specialty pharmacy that will handle prior authorization and other necessary paperwork; order refills as needed Patient and family teaching Order appropriate labs, tests, and procedures and follow up with patient as needed Coordinate care and refer to other medical professionals as needed Document clinic, telephone, and other patient encounters in the Epic system Review lab results in Epic, communicate and interpret results Collaborate with IBD Resource Nurse regarding IBD patient triage and return patient calls within 24-48 hours; provide feedback regarding scheduling of urgent patient appointments Review outside records including clinic notes, hospital records, outside radiographs, lab, and other test results Collaborate with nursing staff to complete patient paperwork including medication pre-certifications for insurance companies, durable medical equipment requests, disability paperwork, and handicapped permit applications Attendance at GI Grand Rounds, IBD meetings, and IBD conferences is expected.Participation in other divisional educational events is also encouraged. Job Eligibility RequirementsEducation Nurse Practitioners:Work requires completion of an accredited Nurse Practitioner program, with a Masters degree in Nursing. Physician Assistants:Completion of an accredited Physician Assistant program. A Bachelors degree required; Masters degree strongly preferred. Certification BLS required. License Nurse Practitioners:Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required prior to or within 6 months of employment. Physician Assistants:Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants. Experience 1+ years of APP experience strongly preferred. Job HoursMonday-Friday, day shift, with flexibility to meet clinic needsDuke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individuals age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

OverviewWe are seeking a dedicated and compassionate Primary Care Nurse Practitioner/Physician Assistant to join our healthcare team. In this role, you will provide comprehensive care to patients, focusing on preventive health measures and managing chronic conditions. You will work collaboratively with physicians and other healthcare professionals to deliver high-quality patient care in a supportive environment.ResponsibilitiesConduct thorough patient assessments, including medical history and physical examinations.Develop and implement individualized care plans based on patient needs.Perform diagnostic tests and interpret results to guide treatment decisions.Administer treatments, including IV insertion and tube feeding, as necessary.Manage patient care in various settings, including memory care facilities and teaching hospitals.Participate in discharge planning to ensure smooth transitions of care for patients.Maintain accurate medical records and documentation for all patient interactions.Engage in utilization review processes to optimize patient outcomes and resource use.Provide education and support to patients and their families regarding health management.SkillsStrong clinical skills in internal medicine and primary care practices.Proficient in venipuncture techniques and other essential nursing procedures.Excellent communication skills for effective patient interaction and education.Ability to work collaboratively within a multidisciplinary team environment.Knowledge of discharge planning processes and memory care considerations.Familiarity with medical record management systems.Strong organizational skills with attention to detail in patient documentation.Commitment to ongoing professional development and quality improvement initiatives.Join us in making a difference in the lives of our patients by providing exceptional primary care services. Your expertise will be invaluable in fostering a healthy community.Job * Full-time* $90,000.00 - $99,999.00 per year401(k)Dental insuranceHealth insuranceHealth savings accountPaid time offRetirement planVision insuranceMedical *Internal MedicinePrimary CareSupplemental *Bonus opportunitiesYearly bonusAbility to *Cary, NC 27518 (Required)Ability to *Cary, NC 27518: Relocate before starting work (Required)Work In person

Job Description WE ARE LOOKING FOR KICK ASS NURSES THAT WANT TO BE A PART OF OUR TOP NOTCH TEAM!!! COME MAKE ON AVERAGE $9,000 MORE A YEAR WITH OUR TEAM THAN ANY OF OUR COMPETITORS WHILE GETTING TO WORK IN THE COMFORT OF OUR CLIENTS HOME. PAY: $35 - $37 per hr Searching for a company that invests in its team members, both personally and professionally? How about a company that understands flexible schedules and growth opportunities are important in today's workplace? If so, Beacon Care is the company for you! We offer competitive wages, flexible schedules, free training classes to help you meet all state CEU requirements, as well as personal and professional growth opportunities. We believe the best way for us to provide exceptional patient care, is for us to first take care of our caregivers and nurses! Responsibilities * Participate in the planning and coordination of total patient care in conjunction with the RN and the physician's plan of care, and follow the nursing care plan for each patient * Accurately report and record the patient's condition and care, including signs and symptoms which may be indicative of change * Prepare clinical/progress notes and summaries * Assist the patient with the activities of daily living while teaching appropriate self-care techniques * Provides and maintains a safe environment for the patient * Assist the physician and Registered Nurse in complex nursing situations * Follow universal precautions whenever giving any aspect of patient care * Follow emergency procedures in the event of any catastrophic event, incident, e.g., accident, injury or significant change in the patient's condition Qualifications • Tracheotomy experience required 1 year experience as an LPN in a home care setting * Current state license as an LPN * Graduate of an accredited program of practical nursing * Proof of current CPR certification * Ability to work flexible schedule * Excellent interpersonal skills * Valid driver’s license and reliable transportation * Ability to work a flexible schedule and travel locally We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.