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<h3>Job Description</h3>
Why Join Us?
<ul>
<li>
Newly adjusted Sign On Bonuses 
</li>
<li>
Recently increased market salaries
</li>
<li>
Generous benefits that are effective day one
</li>
<li>
Fleet car program: company paid vehicle, includes insurance, business miles and maintenance. Must meet eligibility requirements
</li>
<li>
Company laptop and phone
</li>
</ul>
Job Overview&nbsp;
Utilizing the nursing process, the Home Health Registered Nurse will manage and deliver comprehensive home health services, including
assessments, interventions, and supportive care to clients within their place of residence. Depending on the circumstances, duties may also
include telephone triage, problem solving, patient/caregiver advocacy and support, with emphasis of avoiding hospitalization. As a key
member of the health care team, this position must interact courteously and effectively with patients and their families as well as with coworkers
from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care
while maintaining their own safety in the home and the community at large.
Location: Malden, MA 
Hours: Full-Time, Days, 40 Hours 
Minimum Qualifications:&nbsp;
1. Massachusetts/New Hampshire RN Licensure.&nbsp;
2. Valid state issued Driver’s License.&nbsp;
3. One (1) year of acute medical/surgical nursing experience.&nbsp;
4. Cardiopulmonary Resuscitation (CPR) Certification.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.&nbsp; Other duties and responsibilities may be assigned.
Essential Functions:
<ul>
<li>Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and VNA procedures.</li>
<li>&nbsp;Assesses patient/family learning needs, style and limitations and adjusts for delivery of information.</li>
<li>Establishes realistic goals and develops plans of treatment in cooperation with the patient, family and members of the health care team.</li>
<li>Adapts to new and unusual situations without affecting work performance negatively.</li>
<li>Utilizes Security when and if needed for any potential unsafe situations.</li>
<li>Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge.</li>
<li>Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies.</li>
<li>Reconciles medications with patient and physician consistently.</li>
<li>Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.</li>
<li>Effectively manages assigned caseload, within the team model of care delivery.</li>
<li>Establishes a daily work plan based upon patient/family priorities of service and total area needs.</li>
<li>Promptly triages patient visits, messages, and phone calls according to priority and urgency.</li>
<li>Demonstrates excellent physical assessment and care planning skills.</li>
<li>Demonstrates current knowledge of pharmacology and medication administration and reconciliation.</li>
<li>Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.</li>
<li>Effectively manages assigned caseload, within the team model of care delivery.</li>
<li>&nbsp;Establishes a daily work plan based upon patient/family priorities of service and total area needs.</li>
<li>Promptly triages patient visits, messages, and phone calls according to priority and urgency.</li>
<li>Coordinates care and discharge planning with other team members during case conferences.</li>
<li>&nbsp;Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided.</li>
<li>&nbsp;Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed.</li>
</ul>
What We Offer:&nbsp;
<ul>
<li>Competitive salaries &amp; benefits that start on day one!</li>
<li>403(b) retirement with company match</li>
<li>Tuition reimbursement</li>
<li>Fleet Car Program </li>
</ul>
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$84,300.22 - $107,481.20

RN-Home Health-Case Manager, Sign on Bonus Eligible!

<h3>Job Description</h3>
This position will cover the Home Therapy program in Medford
It will include both Home Hemo Dialysis and Peritoneal dialysis.
<ul>
<li>America's 'Most Loved Workplaces' by Newsweek</li>
<li>Monday - Friday schedule</li>
<li>Major holidays off!</li>
<li>No prior dialysis experience required; 12 weeks of paid &amp; structured training with an assigned Preceptor &amp; Nurse Educator</li>
<li>Must have at least 1 year experience as an RN</li>
<li>70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America</li>
<li>Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories</li>
<li>Up to $4,400 tuition reimbursement per calendar year</li>
</ul>
PURPOSE AND SCOPE:
The registered professional nurse Home Therapies 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. Assesses and manages patients’ response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. 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 with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
· Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies 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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis 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.
· Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.
· Performs assessment and identifies barriers of the Home Dialysis candidate’s home environment and partner / family readiness and ability to perform dialysis treatments in the home.
· Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.
· 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 equipment, 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.
· Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.
· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
· The position may require travel to training sites, other facilities or patient homes.
· May be asked to provide essential functions of this position in other locations including patient’s home 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.
SUPERVISION:
Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants 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 12 months experience as a RN.
· Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.
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.
· Minimum of 1-year experience as a Registered Nurse (preferred)
· Home dialysis therapy 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.
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: $35.00 - $59.00 31Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans

Registered Nurse - RN

<h3>Job Description</h3>
Job Description
Title: Residential Counselor - MAP 
Location: Prospect St (Down)
Pay Range: $20 - $23.75 
Schedule: 40hrs- Mon-Fri 8a-4p
FLSA: Non Exempt 
Who We Are: 
Founded in Brockton, MA in 1975, BAMSI is a 501(c)3 nonprofit organization “bringing people and services together.” Over the years, we have become one of the most trusted organizations working with children, families, individuals, and seniors to enrich their lives. At its core, BAMSI is about building connections with people and services. Each year, our organization impacts the lives of more than 50,000 individuals. BAMSI’s mission is to meet each person where they are so they can learn, grow, and thrive. BAMSI is committed to Diversity, Equity, Inclusion, Justice, and Accessibility; to creating a holistic system of care; and to abolishing the stigmas surrounding mental illness, disability, and addiction. 
What We Offer: 
<ul>
<li>Time Off - 4 weeks combined vacation, personal and cultural holiday</li>
<li>12 paid holidays</li>
</ul>
<ul>
<li>2 weeks Sick Time</li>
<li>Highly Specialized Paid Trainings including opportunity to earn CEUs</li>
<li>HSA and Competitive Benefit Package</li>
<li>403B plan with discretionary match</li>
<li>Wellness Activities</li>
<li>Employee Assistance Program</li>
<li>Career Development Opportunities</li>
</ul>
Why BAMSI? 
<ul>
<li>Purpose-Driven Work: Make a direct impact on residents’ growth and independence.</li>
<li>Training &amp; Development: Gain skills in mental health support, MAP certification, and more.</li>
<li>Collaborative Culture: Join a team dedicated to dignity, respect, and evidence-based practices.</li>
</ul>
What You’ll Do: Provide rehabilitative support to adults in Group Living Environments (GLE), fostering skills for daily living and community integration. Key responsibilities include: 
<ul>
<li>Teach ADLs (cooking, budgeting, medication management) and socialization skills.</li>
<li>Implement Treatment Plans and behavioral interventions under clinician guidance.</li>
<li>Administer/supervise medications per MAP guidelines and document care.</li>
<li>Transport residents to appointments and community activities.</li>
<li>Advocate for residents’ needs and model healthy coping strategies.</li>
<li>Maintain a safe, clean home environment and complete timely documentation.</li>
</ul>
What You Bring: 
<ul>
<li>High school diploma/GED; mental health experience preferred.</li>
<li>Valid driver’s license and ability to assist with mobility (bending, standing, etc.).</li>
<li>Strong communication skills (English) and basic computer proficiency.</li>
<li>Compassion, patience, and a commitment to trauma-informed care.</li>
<li>Bonus: Lived experience or multilingual abilities (e.g., Spanish, Portuguese).</li>
</ul>
 40hrs- Mon-Fri 8a-4p 40

Residential Counselor MAP

<h3>Job Description</h3>
Job Overview&nbsp;
The Hospice RN Case Manager serves as case manager for the interdisciplinary team (IDT) and is responsible for the delivery of quality hospice nursing care for each patient assigned.&nbsp;
Why Join Us?
<ul>
<li>$15,000 Sign on Bonus!</li>
<li>Generous PTO Packages</li>
<li>Benefits Effective Day 1!</li>
<li>Fleet Car Program</li>
<li>Computer and Phone</li>
</ul>
Location: Malden, MA
Hours: 40 Hours, Full Time, Weekends Required
Job Description&nbsp;
Minimum Qualifications:&nbsp;
1. Massachusetts RN Licensure. 
2. New Hampshire RN Licensure.
3. Current CPR Certification.
4. One (1) year of hospice and home health experience.
Preferred Qualifications:
1. One (1) year of hospice and home health experience.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.&nbsp; Other duties and responsibilities may be assigned.&nbsp;
<ul>
<li>Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes.</li>
<li>Coordinates care in a cost-efficient manner.</li>
<li>Collaborates effectively with other members of IDT.</li>
<li>Utilizes nursing process and current standards of nursing practice in providing hospice care.</li>
<li>Remains competent in technical nursing skills (i.e. IVs, Gtubes, etc.)</li>
<li>Provides effective patient and family teaching.</li>
<li>Communicates with physician and Tufts Medicine Care at Home staff regarding changes in patient’s condition.</li>
<li>Understands family dynamics and works effectively within various types of family systems.</li>
<li>Provides peers with support and mentoring if appropriate.</li>
<li>Demonstrates the ability to act as a patient and family advocate.&nbsp; Provides information to families about all available resources.</li>
<li>Accurately addresses need for additional services.</li>
<li>Performs adequate number of nursing visits and on call/triage necessary to provide superior hospice care under Tufts Medicine Care at Home standards.</li>
<li>Communicates patient reports and status changes concisely and effectively.</li>
<li>Updates Care Plan, Medication Profile and HHA Treatment Plan routinely and as patient condition changes.</li>
<li>Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.</li>
<li>Manages caseload efficiently and effectively.</li>
<li>Involves Clinical Manager and Medical Director in situations appropriately.</li>
<li>Follows guidelines for weekend and evening coverage.</li>
<li>Pursues standards of excellence in performance as a hospice case manager.</li>
<li>Works with Clinical Manager to identify opportunities for improvement in performance and works to address them.</li>
<li>Proactive in increasing knowledge of hospice care and standards of practice.</li>
<li>Assists in hospice education in community.</li>
</ul>
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$84,300.22 - $107,481.20

RN Case Manager, Hospice, Sign on Bonus Eligible!

<h3>Job Description</h3>
Job Overview&nbsp;
This position oversees one of the TM CAH Hospice teams. Assumes a leadership role with clinical staff to ensure that best practices are followed. Works cooperatively with VNA, palliative care, and hospice teams, as well as physicians, referral sources, and the referral department, so that patients meeting established criteria are identified for hospice eligibility or a transition to hospice, ensuring that patients are receiving the right level of care at the right time. This position manages the inpatient hospice house, staff, and facilitates the best patient practices and care for our patients and families. This position is intended to cover our High Pointe House Facility in Haverhill, MA, and Skilled Nursing Facility management and oversight.
Hours: Full Time 40 Hours
Location: Lowell MA and Haverhill MA
Job Description&nbsp;
Minimum Qualifications:&nbsp;
1. Bachelor’s degree in Nursing (BSN).&nbsp;
2. Massachusetts RN Licensure.&nbsp;
3. Five (5) years of palliative, hospice, complex care experience.&nbsp;
4.Two (2) years of progressive management experience.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.&nbsp; Other duties and responsibilities may be assigned.&nbsp;
<ul>
<li>Monitors and evaluates palliative care and hospice patient population census, trends, processes and outcomes at a facility base.&nbsp;&nbsp;&nbsp;</li>
<li>Oversees of the day-to-day clinical operations at High Pointe House in addition to our growing census of patients residing in SNF/ALF settings.</li>
<li>Develops, implements and monitors clinical protocols to achieve desired outcomes promoting palliative care and hospice philosophy, holding staff accountable to current clinical standards of palliative and hospice practice and policies and procedures.&nbsp;&nbsp;</li>
<li>Promotes and maintains full implementation of the palliative care and hospice programs. Develops/revises program-specific policies and procedures as needed.&nbsp;&nbsp;</li>
<li>Communicates with appropriate individuals regarding the palliative care and hospice programs, i.e. Medical Directors, hospital personnel, vendors, director, managers and staff to ensure optimal care.&nbsp;</li>
<li>Ensures staff are aware of the palliative care and hospice programs by actively promoting and training staff through ongoing activities such as individual outreach, care management activities, attendance at team meetings, etc.&nbsp;&nbsp;</li>
<li>Develops and implements Standards of Practice in collaboration with the Director of Hospice and Palliative Care.&nbsp;</li>
<li>Develops and updates weekly, monthly and program reports. Utilizes data to manage costs and outcomes.&nbsp;&nbsp;</li>
<li>Works cooperatively and collaboratively with team members to address individual clinician competency toward the palliative care and hospice clinical protocols, best practice standards, and other processes and outcomes.&nbsp;&nbsp;&nbsp;</li>
<li>Develops effective relationships with referral sources.&nbsp;&nbsp;</li>
<li>Works with UR to ensure availability of documentation and information needed for payment. Approves only invoices related to the delivery of hospice care.&nbsp;</li>
<li>Reviews plan of care with clinicians and ensures primary physician is updated adequately and assists with obtaining orders from physicians as indicated.&nbsp;&nbsp;</li>
<li>Conducts random chart audits.&nbsp; Follows through on any areas that appear to be deficient or incorrect according to the Palliative regulations, Hospice conditions of participation, and agency policies.&nbsp;</li>
<li>Provides Documentation to Meet Patient Needs, Legal and Reimbursement Requirements, and Other Agency Requirements.&nbsp;&nbsp;&nbsp;</li>
<li>Arranges for coverage when not available including providing a detailed report to the covering clinician and obtaining a report from the covering clinician.&nbsp;</li>
<li>Manages palliative and hospice clinicians as well as ancillary staff to assure program and agency goals are met.&nbsp;&nbsp;</li>
<li>Utilizes team building skills and problem solving to promote optimal team performance and effectiveness. Directs and ensures completion of orientation of new staff.&nbsp;</li>
<li>Assesses staff education needs, provides training, provides day-to-day supervision, delegates appropriately, and provides constructive feedback and takes disciplinary action to members of the team when necessary.&nbsp;</li>
<li>Evaluates palliative care and hospice staff according to policies, procedures and position requirements. When appropriate, recommends merit increases and staff assignment according to staff performance.&nbsp;&nbsp;</li>
<li>Communicates effectively and maintains positive working relationships with other members of the health care team, administration and other departments. Educates clinicians on protocols for care.&nbsp;</li>
<li>Maintains effective working relationships with patients, families and referral sources.&nbsp;&nbsp;</li>
<li>Participates in case conferences and participates in/facilitates Interdisciplinary Team Meetings and facilitates&nbsp;</li>
<li>Develops and implements systems to assess patient and physician satisfaction with service.&nbsp;</li>
<li>Reports Compliance concerns to the CEO or Chief Compliance Officer when applicable.&nbsp;</li>
<li>Ensures compliance within guidelines set forth by regulatory agencies (JCAHO, DPH, ERISA, etc.) and demonstrates compliance with Home Health Foundation policies and procedures.&nbsp;&nbsp;</li>
<li>Ensures Program services meet the agency’s objectives.&nbsp;</li>
<li>Monitors utilization of resources and related costs to achieve desired outcomes.&nbsp;</li>
<li>Evaluates the programs’ need for data collection and sets up systems to acquire and maintain information.&nbsp;</li>
<li>Documents findings and actions taken.&nbsp;</li>
<li>Identifies trends and makes recommendations.&nbsp;</li>
<li>Maintains statistics and generates reports on programs to meet outcomes.&nbsp;</li>
<li>Assures that the palliative care and hospice staff complete all appropriate documentation needed for submission for compliance.&nbsp;</li>
<li>Ensures the delivery of quality care by reviewing referrals to determine most appropriate initial course of action, promoting service excellence, maintaining team productivity, and ensures contribution from all members of the IDT in the delivery of hospice care for each patient.&nbsp;</li>
</ul>
What we Offer:
<ul>
<li>Generous PTO</li>
<li>Health Insurance Effective Day 1</li>
<li>403 B with employer match</li>
</ul>
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$111,175.79 - $141,756.53

RN-Clinical Manager Hospice House

<h3>Job Description</h3>
Job Overview&nbsp;
The Hospice RN Case Manager serves as case manager for the interdisciplinary team (IDT) and is responsible for the delivery of quality hospice nursing care for each patient assigned.&nbsp;
Hours: Monday-Friday Days, Weekend and Holiday Rotation
Location: Lowell and Lawrence MA area!
Ask us about our Sign on Bonus! 
Job Description&nbsp;
Minimum Qualifications:&nbsp;
1. Massachusetts RN Licensure. 
2. New Hampshire RN Licensure.
3. Current CPR Certification.
4. One (1) year of hospice and home health experience.
Preferred Qualifications:
1. One (1) year of hospice and home health experience.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.&nbsp; Other duties and responsibilities may be assigned.&nbsp;
1. Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes.
2. Coordinates care in a cost-efficient manner.
3. Collaborates effectively with other members of IDT.
4. Utilizes nursing process and current standards of nursing practice in providing hospice care.
5. Remains competent in technical nursing skills (i.e. IVs, Gtubes, etc.)
6. Provides effective patient and family teaching.
7. Communicates with physician and Tufts Medicine Care at Home staff regarding changes in patient’s condition.
8. Understands family dynamics and works effectively within various types of family systems.
9. Provides peers with support and mentoring if appropriate.
11. Demonstrates the ability to act as a patient and family advocate.&nbsp; Provides information to families about all available resources.
12. Accurately addresses need for additional services.
13. Performs adequate number of nursing visits and on call/triage necessary to provide superior hospice care under Tufts Medicine Care at Home standards.
15. Communicates patient reports and status changes concisely and effectively.
17. Updates Care Plan, Medication Profile and HHA Treatment Plan routinely and as patient condition changes.
18. Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.
20. Manages caseload efficiently and effectively.
21. Involves Clinical Manager and Medical Director in situations appropriately.
22. Follows guidelines for weekend and evening coverage.
26. Pursues standards of excellence in performance as a hospice case manager.
27. Works with Clinical Manager to identify opportunities for improvement in performance and works to address them.
28. Proactive in increasing knowledge of hospice care and standards of practice.
29. Assists in hospice education in community.
What We Offer:
<ul>
<li>Generous Paid Time Off (Effective Day1)</li>
<li>Health, Dental and vision insurance (Effective Day 1)</li>
<li>Competitive Salaries </li>
<li>403 (B) Retirement Plan with employer match (no waiting period) </li>
<li>Mileage Reimbursement </li>
</ul>
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$84,300.22 - $107,481.20

RN-Case Manager Hospice, Sign on Bonus Eligible!

<h3>Job Description</h3>
Additional Job Description
This position will cover the Home Therapy program in Saugus.
Monday- Friday Position
Full Time
PURPOSE AND SCOPE:
The registered professional nurse Home Therapies 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. Assesses and manages patients’ response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. 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 with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
· Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies 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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis 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.
· Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.
· Performs assessment and identifies barriers of the Home Dialysis candidate’s home environment and partner / family readiness and ability to perform dialysis treatments in the home.
· Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.
· 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 equipment, 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.
· Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.
· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
· The position may require travel to training sites, other facilities or patient homes.
· May be asked to provide essential functions of this position in other locations including patient’s home 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.
SUPERVISION:
Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants 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 12 months experience as a RN.
· Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.
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.
· Minimum of 1-year experience as a Registered Nurse (preferred)
· Home dialysis therapy 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.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
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: $35.00 - $59.00 31Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
"
EOE, disability/veterans

<h3>Job Description</h3>
Job Description
At Watermark Retirement Communities, we've been a trusted leader in senior living for over 30 years, driven by our commitment to building an innovative, compassionate culture for both residents and associates. When you step into one of our communities, you’ll immediately feel the difference—a genuine atmosphere of connection, care, and belonging. We call it "Creating Ripples."
Join our forward-thinking team where every day you’re empowered to slow down, find purpose in each moment, and make meaningful impacts that ripple across lives. At Watermark, we celebrate life, stories, and the incredible human connections that make us stronger together. We take pride in our talented, compassionate associates and value the unique contributions each person brings. Be part of something bigger—help us shape culture, one story at a time.
We are without a doubt one of the most premier retirement communities in the area, and are a dream come true for a Certified Nurse Assistant. At a Watermark Community our care staff does so much more than what the title reflects. This is why we choose to call our care staff “NAYAS.” Naya is an ancient Sanskrit word that means GUIDE, PERSON of WISDOM, and LEADER.
Does that sound like the&nbsp;CNA you are?
We are currently looking to hire people who want to make a positive impact on the lives of those we care for. Your job should provide a sense of accomplishment, joy and gratification. We can provide that for you! If you have a passion for working with seniors and have experience as a&nbsp;CNA in assisted living, skilled nursing and memory care then come on board with us.
 We look forward to meeting you!
Job Requirements
<ul>
<li>
Current Certified Nursing Assistant license
</li>
<li>
1 year experience as a CNA in an assisted living, skilled nursing, memory care or home care setting
</li>
<li>
Able to work weekends and holidays
</li>
<li>
Diligent in paper work
</li>
<li>
Excellent work ethic
</li>
<li>
Great assessment skills
</li>
<li>
Computer skills with online systems
</li>
<li>
Interested in learning and growing your skill set
</li>
</ul>
What we can provide for you:
<ul>
<li>
Excellent Benefits
</li>
<li>
Training and continuing education
</li>
<li>
Comprehensive on-boarding program
</li>
<li>
Coaching and mentoring
</li>
</ul>
Watermark Retirement Communities, Inc, is an equal opportunity employer, Minority/Female/Disability/Veteran/LGBTQ/Sexual Orientation/Gender Identity or Expression-proudly embracing diversity in all of its manifestations.
Watermark Retirement Communities, Inc. is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any associate at Watermark or its affiliates via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Watermark Retirement Communities, Inc. No fee will be paid in the event the candidate is hired by Watermark as a result of the referral or through other means.

<h3>Job Description</h3>
Sign On Bonus Eligible!
<ul>
<li>America's 'Most Loved Workplaces' by Newsweek</li>
<li>Major holidays off!</li>
<li>No prior RN dialysis experience required; 12 weeks of paid &amp; structured training with an assigned Preceptor &amp; Nurse Educator</li>
<li>70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America</li>
<li>Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories</li>
<li>Up to $4,400 tuition reimbursement per calendar year</li>
</ul>
PURPOSE AND SCOPE:
The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses.&nbsp; The CAP RN 1 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.&nbsp; 
As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.&nbsp; 
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.
<ul>
<li>
Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. 
</li>
<li>
Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire.&nbsp;&nbsp; 
</li>
<li>
Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed.
</li>
<li>
Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.
</li>
<li>
Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. 
</li>
<li>
Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients.
</li>
<li>
Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
</li>
<li>
Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
</li>
<li>
Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record
</li>
<li>
Initiates or assists with emergency response measures.
</li>
<li>
Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. 
</li>
<li>
Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.
</li>
<li>
Promotes infection control, equipment and environmental safety.
</li>
<li>
Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. 
</li>
<li>
Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
</li>
<li>
Ensures patient awareness related to transplant and treatment modality options.
</li>
<li>
Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.
</li>
<li>
Checks availability of adequate emergency equipment and supplies as assigned.
</li>
<li>
Assists with medication tracking and inventory as assigned. 
</li>
<li>
Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
</li>
<li>
Participates in all required staff meetings as scheduled.
</li>
<li>
Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. 
</li>
<li>
Performs all other duties as assigned by supervisor.
</li>
</ul>
PHYSICAL DEMANDS AND WORKING CONDITIONS:
<ul>
<li>
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.
</li>
<li>
The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation.&nbsp; Equipment aids and/or coworkers may provide assistance.&nbsp; 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.&nbsp; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.&nbsp; May be exposed to infectious and contagious diseases/materials.
</li>
<li>
Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities.
</li>
<li>
May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
</li>
</ul>
SUPERVISION:
<ul>
<li>
Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following:
<ul>
<li>
&nbsp;Successful completion of all FKC education and training requirements for new employees plus
</li>
<li>
&nbsp;Must have a minimum of 9 months experience as an RN plus
</li>
<li>
Successful completion of 3 months experience in chronic hemodialysis.
</li>
</ul>
</li>
</ul>
EDUCATION:
<ul>
<li>
Graduate of an accredited School of Nursing.
</li>
<li>
Current appropriate state licensure.
</li>
<li>
Must meet the practice requirements in the state in which he or she is employed.
</li>
</ul>
EXPERIENCE AND REQUIRED SKILLS:
<ul>
<li>Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.</li>
<li>Minimum of 9 months experience as a Registered Nurse (preferred).</li>
<li>Chronic hemodialysis experience (preferred).</li>
<li>Successful completion of FKC Education and Training requirements for new employees.</li>
<li>Successful completion and maintenance of CPR BLS Certification.</li>
<li>Meet all conditions of employment including Ishihara's Color Blindness Test.</li>
<li>Successful completion of all annual required education/training/competencies.</li>
<li>Successful completion of on-going training and education as assigned or required.</li>
</ul>
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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: $35.00 - $56.00 31Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans

Outpatient Registered Nurse - RN

<h3>Job Description</h3>
Position: Speech-Language Pathologist
Location: Andover, MA
Shift timings: Day 5x8-Hour
Compensation: Salary (Negotiable) + All benefits
Full- time position
 
Roles &amp; Responsibilities:
<ul>
<li>Manage treatment through direct therapeutic services, tracking information, and offering consultative services as needed</li>
<li>Accurately implement Behavior Support Plans for each student as designed</li>
<li>Collect data accurately and demonstrate good problem-solving skills while working with students</li>
<li>Implement IEP objectives as written and designed, ensuring maximum independence growth</li>
</ul>
Required:
<ul>
<li>Minimum of a Master’s Degree as a Speech-Language Therapist from an Educational Services Board approved university program</li>
<li>CCC-SLP certification.</li>
</ul>

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