Jobs in Big Spring Howard County Tx Online
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Remote working/work at home options are available for this role.
DocCafe has an immediate opening for the following position: Physician - Medical Director in Big Spring, Texas.
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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.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations.
- Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses.
- Performs ongoing systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed.
- Assesses collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
- Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness.
- Initiates or assists with emergency response measures.
- Serves as a resource for health care team participates in staff training and orientation of new staff as assigned.
- Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
- Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensures patient awareness related to transplant and treatment modality options.
- Required to complete CAP requirements to advance.
- Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent prolonged periods of standing and the employee must be able to bend over.
- The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following:
- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
- Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.
- Minimum of 9 months experience as a Registered Nurse (preferred).
- Chronic/acute hemodialysis experience (preferred).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
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EOE, disability/veterans
CERTIFIED NURSE AIDE
LAMUN LUSK SANCHEZ TEXAS STATE VETERANS HOME | 18096 N. US HWY 87 BIG SPRING, TX
Available Shifts: 6A/6P 6P/6A and $17-$19 DOE (+$2 Shift Differentials)
At Touchstone Communities, caring isn’t just what we do — it’s who we are. Every day, we come together with one shared purpose: Making Lives Better for our residents, patients, Veterans, and for each other. If you’re a Certified Nurse Aide with a heart for meaningful connection, compassionate service, and exceptional care, we’d love to welcome you into our Touchstone family.
Bring Your Heart. Bring Your Purpose.
We’re searching for CNAs who strive for excellence and believe every resident deserves dignity, respect, and individualized care. Here’s what you’ll need:
- A valid Texas CNA certification OR proof of completion of a state-approved NATCEP program (awaiting exam).
- A genuine passion for caring for others and being a bright spot in someone’s day.
- A team-focused mindset and a desire to contribute to a positive, uplifting workplace culture.
Why You’ll Love Being Part of Touchstone
At Touchstone Communities, we don’t just offer a job — we offer belonging. Here’s what you can expect:
- Your voice matters. We listen. We support. We celebrate.
- Competitive pay plus optional paycheck advances for added peace of mind.
Comprehensive Health Benefits including medical, dental, and vision coverage.
Company‑paid life insurance of $20,000 for added peace of mind.
Additional supplemental insurance options, including pet insurance — because family comes in all forms!
- Tuition reimbursement to help you grow in your professional journey.
- 401(k) matching to invest in your future.
- PTO that starts accruing on day one — because balance matters.
- Bonus opportunities that recognize your dedication and exceptional care.
- Emergency Assistance Grants through the Touchstone Foundation — because we care for our own.
Experience the Touchstone Difference
Here, your work is more than a daily task list — it’s a calling. You’ll build relationships, uplift lives, and make a real difference every single day. And with a team that supports you, believes in you, and invests in you, you’ll feel that difference in your own life too.
Ready to Make Lives Better?
If you’re driven by compassion, motivated by purpose, and inspired by service, you belong here. Join a community that values your heart as much as your skill.
We are hiring remote contributors to review consumer finance content focused on budgeting and money-saving strategies.
Your role will involve reading short financial guidance pieces and providing feedback on their usefulness for people managing tight budgets. You may also identify which tips are the most practical for everyday situations.
This position is ideal for people interested in personal finance, budgeting, or improving financial literacy.
The work is flexible and completed online.
Remote working/work at home options are available for this role.
POSITION SUMMARY/RESPONSIBILITIES Serves as a member of the mental health care team that provides specialized health care for selected groups of patients in the Adult Detention Center.
Participates as a part of a multidisciplinary team that includes medical and mental health.
Actively supports and adheres to the University Health policies and procedures.
Ensures efficient, appropriate and adequate mental health care is administered to incarcerated individuals in the Bexar County Adult Detention Center.
Supports and adheres to University Health (UH) and Detention Health Care Services (DHCS) – policies and procedures.
Demonstrates behaviors consistent with UH mission, vision, and values.
Promotes excellent internal and external customer relations.
EDUCATION A Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners.
A Master's degree in nursing is preferred.
Three years of nursing experience is required and two years of advanced practice is preferred.
Certification by a national nursing body is recommended.
LICENSURE Must be currently licensed as a Registered Nurse in Texas and credentialed by the State to practice as a Nurse Practitioner.
Prescriptive authority is required.
Remote working/work at home options are available for this role.
Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.
Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.
Provides support for claim appeals in relation to medical necessity.
Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.
Facilitates member second level appeal process.
Graduate from an accredited school of professional nursing is required.
BSN preferred.
Minimum 2 years acute care experience or managed care experience is required.
Basic knowledge of Medicaid, Medicare preferred.
Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.
Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.
Active Certification in Case Management (CCM) is preferred.
Remote working/work at home options are available for this role.
POSITION SUMMARY/RESPONSIBILITIES
Provides basic leadership skills for assigned patients, collaborates with other departments and begins process of proactive thinking when implementing the plan of care. Serves as mentor to the staff nurse and ancillary personnel; receives mentoring from Staff Nurse II and III; and Patient Care Coordinator.
EDUCATION/EXPERIENCE
Minimum of one year experience required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. BSN highly preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
Remote working/work at home options are available for this role.
Counsels and assists patients and their families with personal and environmental difficulties which predispose illness or hinder the patient from receiving maximum benefits from medical care.
Acts as a therapeutic agent as a member of multi-disciplinary health and mental health teams.
Master's degree in Social Work from a school accredited by the Council on Social Work Education is required.
One year's post master's degree experience in a health care setting is preferred.
Current state licensure from the Texas Department of Human Services is required.
Remote working/work at home options are available for this role.
Provides direct and indirect nursing care to patients in the Ambulatory setting in accordance with UH policies and standards.
Supports and promotes University Health values to ensure patient/guest relations.
Performs the nursing process in a safe therapeutic manner in a designated clinic setting.
Maintains, facilitates and promotes department policies and standards.
At least one year experience in direct patient care is preferred.
Current American Heart Association, Basic Cardiac Life Support and Healthcare Provider card required.
ACLS certification may be required based on site location.
Various certifications may be required based on location site.
Must possess a current license to practice Vocational Nursing in the State of Texas.
Remote working/work at home options are available for this role.
