Jobs in Leon Valley, TX

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.

• 
  
• A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient’s home.
  
• We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds. 
  
• Work Schedule – Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility.
  
• Competitive on-call pay when placed in on-call rotation.
  
• Holidays – Home Training Nurses rarely work on a holiday.
  
• We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program.
  
• We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes. 
  

The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.  This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.  
 
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties and tasks may be assigned.

• 
  
• Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.
  
• Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.
  
• Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.  Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.
  
• Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.
  
• Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.  Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.
  
• Participate in infection control monitoring, implementation, and recording as requested.
  
• Be familiar with emergency equipment and all emergency operational procedures.  Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.
  
• Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.
  
• Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.  Assist in obtaining data for the continuous quality improvement activities.
  
• Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.
  
• Complete and document monthly review of patient medication profiles.  Administer medications as ordered by the physician.
  
• Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.
  
• Flexible with staffing locations and hours to accommodate patient and USRC home program needs.
  
• Regular and reliable attendance is required for the position.
  

Home Hemodialysis Only:

• 
  
• Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.
  
• Ensure required and appropriate water sampling is complete per policy and product requirements.  Monitor and report water sample and culture results.           
  

Salary / Compensation Statement

Compensation for the role will depend on several factors, including a candidate's experience, qualifications and skills. U.S. Renal Care offers a comprehensive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits.

QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

• 
  
• Current RN license in applicable state.  License must be maintained as current and in good standing. 
  
• 12 months of clinical experience in providing nursing care and 3 months of experience in the specific modality for which the nurse will provide home dialysis training, except in states with a more stringent requirement such as Texas, which requires at least 6 months experience in the specific home modality.
  
• Previous experience in providing nursing care to patients on maintenance dialysis preferred.
  
• CPR certification required prior to patient care assignment.
  
• Confirmation of ability to distinguish all primary colors.
  
• Must successfully complete the Home Therapy Nurse Orientation program and maintain annual demonstration of skills and competency applicable for the modality assigned.
  
• Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
  
• Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.
  
• Must meet any practice requirement(s) for the applicable state.  
  
• Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.
  

U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.

All Full Time employees are eligible for the following benefits:
* Medical / Pharmacy
* Dental
* Vision
* Voluntary benefits
* 401k with employer match
* Virtual Care
* Life Insurance
* Voluntary Benefits
* PTO
All Part Time employees are eligible for the following benefits:
* 401k with employer match
* PTO

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

• 
  
• Demonstrate effective use of supplies and staff labor hours.
  
• May assist with billing log preparation and updates.
  
• Perform duties as assigned to meet the patient care or operational needs of the clinic
  
• Obtain blood samples for laboratory analysis as required to complete physician orders.
  
• Complete and document monthly review of patient medication profiles.
  
• Knowledge of and comply with applicable health care professionals practice act requirements.
  
• Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations
  
• Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports.
  
• Report any significant information or change in patient condition to the Charge Nurse.
  
• Report machine problems to Biomedical Technician and Administrator.
  
• Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.
  
• Assist with staff training as requested.
  

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

• 
  
• Current LVN/LPN license in applicable state. License must be maintained as current and in good standing.
  
• CPR certification required within 90 days of hire.
  
• Confirmation of ability to distinguish all primary colors.
  
• Previous dialysis experience preferred.
  
• Successful completion of USRC training program approved by the Medical Director, including demonstrated competency, within 8 weeks of hire.
  
• Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
  
• Must be able to organize time and tasks well.
  
• Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.
  
• Must meet any practice requirement(s) for the applicable state.
  

All Full Time employees are eligible for the following benefits:
* Medical / Pharmacy
* Dental
* Vision
* Voluntary benefits
* 401k with employer match
* Virtual Care
* Life Insurance
* Voluntary Benefits
* PTO
All Part Time employees are eligible for the following benefits:
* 401k with employer match
* PTO

• Provide comprehensive nursing care using the nursing process, including assessment, diagnosis, planning, intervention, and evaluation
• Deliver care aligned with professional nursing standards and evidence-based practice
• Address increasingly complex emotional, cultural, psychological, and social needs of patients and families
• Administer medications and treatments according to established protocols while monitoring patient response
• Accurately document patient assessments, interventions, and outcomes
• Educate patients and families, assessing learning needs and connecting them with appropriate resources
• Collaborate with interdisciplinary care teams to ensure safe, coordinated care
• Delegate tasks appropriately to support patient care delivery

• Bachelor of Science in Nursing (BSN) preferred
• Minimum of 1 year of nursing experience in a related specialty preferred
• Prior experience in a perinatal or obstetric setting strongly preferred

• Active Registered Nurse (RN) license in the state of employment or compact license
• Basic Life Support (BLS) required
• Advanced Cardiac Life Support (ACLS) required
• Neonatal Resuscitation Program (NRP) certification required
• One of the following fetal monitoring certifications required:

• Completion of nursing orientation within the first 30 days of hire
• Structured preceptorship with trained clinical staff
• Successful completion of organizational and specialty-specific competency validation
• Ongoing annual competency verification

• Competitive health benefits
• Retirement savings plans
• Performance incentives
• Professional development opportunities
• PTO
• 401k

• Lead onboarding, implementation, and ongoing management of insurance programs with MGAs
• Build and maintain strong MGA relationships; monitor performance, compliance, and contractual adherence
• Oversee program agreements, regulatory filings, rate approvals, and form development
• Conduct quantitative and qualitative program reviews, including financial performance, risk assessment, and ROI analysis
• Define program structures and coordinate cross-functionally with product, actuarial, underwriting, IT, and accounting teams
• Track, analyze, and report program and claims performance to senior leadership, supporting audits and special projects as needed
• Bachelor’s degree in Business, Insurance, Risk Management, or a related field (MBA a bonus).
• 5+ years of experience in insurance program management, MGA operations, or a related field.
• Expertise in program implementation, regulatory compliance, and contract management.
• Technical: Advanced Excel skills (charts, tables, formulas), accounting knowledge, and data analytics expertise.
• Analytical: Strong quantitative and qualitative evaluation capabilities.
• Excellent communication and organizational skills for cross-departmental collaboration.
• Familiarity with statistical reporting, Schedule F penalties, and compliance standards.
• Ability to manage complex data sets, contracts, and program-specific requirements.

• ARM (Associate in Risk Management)
• CPCU (Chartered Property Casualty Underwriter)
• PMP (Project Management Professional)

• Provide preoperative and postoperative nursing care to patients undergoing surgical procedures.
• Administer medications as directed by physicians, monitor patients for adverse reactions, and adjust dosages as necessary.
• Develop and implement individualized care plans, ensuring that each patient's unique needs are met.
• Educate patients and their families about surgical procedures, postoperative care, medication use, and pain management strategies.
• Collaborate with the interdisciplinary healthcare team to coordinate patient care and ensure a seamless transition from the operating room to the recovery room.
• Utilize advanced pain management techniques to ensure patient comfort and improve recovery outcomes.
• Monitor patients' vital signs, respond to changes in patient condition, and initiate emergency interventions as necessary.
• Maintain accurate, detailed patient records, documenting all aspects of patient care, treatment plans, and outcomes.
• Ensure that all nursing activities are carried out in compliance with state and federal regulations, as well as institutional policies and procedures.

• Current TX State RN License.
• Bachelor's degree in Nursing (BSN) preferred.
• Minimum of 2 years of experience as an OR Registered Nurse.
• Excellent knowledge of medication administration, care planning, patient and family education, and postoperative nursing care.
• Advanced skills in pain management techniques.
• Strong critical thinking and problem-solving skills.
• Excellent communication and interpersonal skills, with the ability to educate patients and their families and collaborate effectively with a diverse healthcare team.
• Ability to work effectively in a high-stress, fast-paced environment.
• Commitment to patient safety and quality care.
• CPR/BLS certification.
• ACLS certification preferred.

• Comprehensive medical, dental, and vision insurance options for eligible employees
• Retirement savings plans (401(k) and/or 403(b)) with employer contributions, plus pension eligibility for certain roles
• Paid Time Off (PTO) program covering vacation, holidays, sick, and personal time
• Tuition reimbursement and continuing education support, including certifications and professional development
• Life insurance, short-term disability, and long-term disability coverage
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options, depending on medical plan selection
• Employee wellness and assistance resources supporting work-life balance
• Mission-driven, nonprofit healthcare environment with an emphasis on compassionate, values-based care

• Provide direct nursing care to critically ill neonates, including those requiring ventilator support, CPAP/HFNC management, phototherapy management, and thermoregulation & incubator care.
• Perform and interpret diagnostic tests to monitor the health of neonates, and adjust care plans as necessary.
• Implement and manage neonatal resuscitation protocols as needed.
• Collaborate with a multidisciplinary team of healthcare professionals to formulate, implement, and evaluate a plan of care for each patient.
• Educate and support families, helping them understand their child's condition, treatment plan, and future care needs.
• Maintain accurate and timely EMR documentation, including clinical charting.
• Participate in emergency response and rapid stabilization efforts, ensuring the safety and wellbeing of all patients.
• Adhere to all hospital policies and procedures, as well as nursing best practices and standards of care.

• Registered Nurse (RN) license in good standing.
• A minimum of 2 years of experience as a NICU Nurse.
• Current certification in the Neonatal Resuscitation Program (NRP).
• Demonstrated proficiency in ventilator management, CPAP/HFNC management, phototherapy management, thermoregulation & incubator care.
• Excellent interpersonal skills, with a proven ability to provide family education & support.
• Experience with EMR documentation and clinical charting.
• Ability to respond quickly and effectively to emergencies, demonstrating sound judgement and rapid stabilization skills.
• A compassionate and patient-focused approach to nursing, with a strong commitment to providing the highest level of care to neonates and their families.

• Installing modifications to aircraft electronic systems
• Performing micro-miniature module repair on computer circuit cards
• Performing electrical diagnostics
• Reading electrical system diagrams
• Repairing and maintaining power generators and electric motors
• Performing scheduled maintenance and corrosion control

CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.

Summary:

Provides Occupational Therapy Services to patients referred, including assessment, treatment plan development and implementation with the follow-up and discharge planning. Actively assists with clinical aspects of the department, including program development, department operations and Performance Improvement activities. Assists with supervising and coordinating the Occupational Therapy and Occupational Therapy Assistant Student programs. In addition, supervises Certified Occupational Therapy Assistants, Rehab Technicians, and Volunteers.

Responsibilities:

• Performs comprehensive diagnostic evaluations to determine the status of the physical, cognitive and daily living abilities of inpatients and outpatients, considering diagnosis and age specific needs.
• Develops and implements, with patient/family participation, individualized treatment plans, as indicated, considering diagnosis and age specific needs, with measurable goals and methods to achieve goals.
• Adheres consistently to the P&Ps relating to documentation, to include: Initial Patient Evaluations, Daily and Weekly Progress notes as required, Discharge Summaries and other notations as appropriate.
• Participates in patient care conferences, family conferences, in-service programs, departmental, and interdepartmental meetings.
• Counsels both patient (if appropriate), family and other involved individuals regarding patient evaluation, care and treatment. Initiates and completes discharge planning in a timely manner and provides effective education and training.
• Assists with coordination and supervision of the Occupational Therapy and Occupational Therapy Assistant student programs, as well as the volunteer program.
• Actively assists with clinical aspects of the department including orientation of new associates, scheduling of patients to assure quality patient coverage and appropriate staff supervision, as necessary.
• Demonstrates adherence to the CORE values of CHRISTUS Santa Rosa Health System.
• Understands, supports and participates in Performance Improvement activities.
• Complies with and develops efficient and creative ways to maintain departmental productivity standards.
• Maintains an awareness of other agencies within the community in order to make appropriate referrals, when indicated, to network and to increase knowledge of community resources.
• Identifies and provides educational opportunities for self, department and community. Participates in research activities, as appropriate.
• Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the age-specific and developmental, and population specific needs of patients served by the department.
• Appropriately adapts assigned patient assessment, treatment and/or care methods to accommodate the unique physical, psychological, cultural, age-specific, and other developmental needs of each patient served.
• Fosters and promotes positive and professional relationships with members of the medical staff, physicians, and referral sources.
• Performs other related duties as directed.

Requirements:

Education/Skills

• Bachelor’s, Master’s, Doctoral degree from an accredited college or university in the area of Occupational Therapy is required.
• All modalities/equipment used by an Occupational Therapy Assistant as outlined by the Texas Executive Council of Physical Therapy and Occupational Therapy Examiners.

Experience

• None required.

Licenses, Registrations, or Certifications

• Licensed as an Occupational Therapist by the State Board of Occupational Therapy Examiners of Texas.
• BLS certification is required.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time