*UPGRADE IN PROGRESS* -- CareerCircle platform upgrades will occur between Monday June 27th 10PM Eastern Time through Tuesday June 28th 4AM Eastern Time.&nbsp; The system may be intermittently unavailable during this timeframe.&nbsp;&nbsp;

*UPGRADE IN PROGRESS* -- CareerCircle is upgrading its capabilities and as a result the system may be temporarily unavailable as we bring new capabilities and infrastructure online to better serve our members.&nbsp; If you receive an error during this timeframe please bear with us as we're working to improve our system and you may need to retry that operation at a later time.&nbsp; &nbsp;

Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: <ul><li>Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. </li><li>Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. </li><li>Superior training, UltraCare quality control, and certification procedures ensure your potential to succeed and advance as a professional. </li><li>Competitive compensation and exceptional benefits. </li><li>Outstanding tuition reimbursement program. </li><li>Recognized among Fortune's World's Most Admired Companies in 2011. </li><li>National Safety Award from CNA insurance companies for 11 consecutive years. </li><li>Opportunities to give back by participating in philanthropy and community outreach programs.</li></ul> PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment. DUTIES / ACTIVITIES : CUSTOMER SERVICE: <ul><li>Responsible for driving the FMCNA culture through values and customer service standards. </li><li>Accountable for outstanding customer service to all external and internal customers. </li><li>Develops and maintains effective relationships through effective and timely communication. </li><li>Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES: Patient Related: <ul><li>Provide direct patient care for assigned patient(s). </li><li>Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor. </li><li>Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record. </li><li>Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor. </li><li>Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications. </li><li>Assist with all emergency operational procedures. </li><li>Administer intravenous medication in accordance with physician orders and state nurse practice laws. </li><li>Perform and document pre, interim, and post treatment review of patient condition. </li><li>Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment.</li></ul> Technical: <ul><li>Safely operate all dialysis related equipment according to the proper procedures. </li><li>Provide minor troubleshooting when necessary. </li><li>Ensure a clean, safe and sanitary environment in the dialysis facility treatment area. </li><li>Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li>Operate all emergency equipment effectively in accordance to the standard operation procedures.</li></ul> Staff Related: <ul><li>Participate in staff meetings as scheduled. </li><li>Assist in short term and long term patient care plan meetings. </li><li>Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes. </li><li>Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. </li><li>Other duties as assigned.</li></ul> 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. Day to day work includes desk and personal computer work and interaction with patients, facility, staff and physicians. The position provides direct patient care that regularly involves heavy lifting and 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 weighing up to 200lbs., and may lift chemical water solutions of up to 30lbs., up as high as 5 feet. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noises levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: <ul><li>Graduate of an accredited School of Practical Nursing (LPN, LVN) </li><li>Current appropriate State licensure. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>One year medical-surgical nursing experience preferred. </li><li>Hemodialysis experience preferred but not required. </li><li>ICU experience preferred but not required. </li><li>Successfully complete a training course in the theory and practice of hemodialysis. </li><li>Successfully complete CPR Certification. </li><li>Must complete the Nurses Technical Training Program upon hire or soon thereafter. </li><li>Ability to provide coverage at area facilities during times of short-staffing or as required. </li><li>Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. </li><li>Good communication skills, both verbal and written.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

public

Licensed Practical or Vocational Nurse  - LPN LVN

PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: <ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li><li>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 </li><li>The position provides direct patient care that regularly involves heavy lifting and 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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Patient Care Technician - PCT

PURPOSE AND SCOPE: 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. <ul><li> 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. </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 makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. </li><li> Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </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 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> Initiates or assists with emergency response measures. </li><li> Serves as a resource for health care team participates in staff training and orientation of new staff as assigned. </li><li> Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </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> Required to complete CAP requirements to advance. </li><li> Performs all other duties as assigned by Supervisor. </li></ul> 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. <ul><li> 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. </li><li> This position requires frequent prolonged periods of standing and the employee must be able to bend over. </li><li> 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. </li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li> May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians. </li><li> 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: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following: <ul><li> Successful completion of all FKC education and training requirements for new employees. </li><li> Must have a minimum of 9 months experience as a RN. </li><li> Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. </li></ul> EDUCATION and LICENSURE: <ul><li> Graduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Current or successful completion of CPR BLS Certification. </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 1 year of Nephrology Nursing experience in the last two years as a RN. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic/acute hemodialysis experience (preferred). </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. "

Outpatient Registered Nurse - RN

Description Inspire and inform each patient. Allow others to achieve their most important objectives while you achieve yours. Improve their prospects-and the vitality of your career. Connect with your goals and change lives with Fresenius Medical Care North America. Create strong, vital connections with your knowledge and kind reassurance. Enhance lives and your potential for success with the global leader in dialysis healthcare: Fresenius Medical Care North America. By forming powerful bonds among patients, their families, and our team members, we have built an atmosphere of clinical excellence and trust. Offering vast resources, we advance careers and the healthcare of countless individuals. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following:<ul><li> Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. </li><li> Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. </li><li> Superior training, UltraCare quality control, and certification procedures ensure your potential to succeed and advance as a professional. </li><li> Competitive compensation and exceptional benefits. </li><li> Outstanding tuition reimbursement program. </li><li> Recognized among Fortune's World's Most Admired Companies in 2011. </li><li> National Safety Award from CNA insurance companies for 11 consecutive years. </li><li> Opportunities to give back by participating in philanthropy and community outreach programs. </li></ul> Staff RN Take this opportunity to build a promising career with a healthcare leader. The professional we select will provide direct patient care, perform all technical dialysis procedures, assess response and make appropriate adjustments as directed by supervisor or physician. This individual will assess patient and document findings, administer medications, as well as assess and address patient/family educational needs regarding end-stage renal disease, dialysis therapy, diet and medications. PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as a member of the Home Dialysis Team as the Home Therapy Staff Nurse.Ensures provision of quality Home Dialysis Training and patient care in accordance with FMS policies, procedures and the UltraCare at Home principles.Supports FMCNA's commitment to the Quality Assessment Performance Improvement Program (QAPI)) and CQI activities, including those related to patient satisfaction. Actively participates in Quality Assessment Performance Improvement (QAPI) process that may enhance the likelihood that patients will achieve established FMCNA Quality Target Goals. DUTIES / ACTIVITIES : CUSTOMER SERVICE: <ul><li> Responsible for driving the FMS culture through values and customer service standards </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES: <ul><li> Provides safe and effective training and oversight of the delivery of home dialysis therapy to the patient in compliance with standards outlined in the FMS Home Peritoneal Dialysis Policy and Procedure Manual, or/Home Hemodialysis Policy and Procedure Manual , as well as regulations set forth by the Corporation, state and federal agencies. Accountable for providing outstanding quality of patient care, as defined by FMS quality goals and standards. </li><li> Assists in the identification, evaluation and selection of Home Dialysis training candidates, and Home Partners as appropriate for the FMS Home Dialysis Program, </li><li> Educates the patient/Home Partner and family regarding ESRD and the availability of the FMS Treatment Options Program.(TOP) </li><li> Performs assessment of the Home Dialysis training candidate's home environment for suitability in the ongoing delivery of home dialysis therapy </li><li> Assesses the Home Dialysis patient and Home Partner/family readiness and potential ability to perform dialysis treatments at home. </li><li> Participates in and ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. </li><li> Admits all new home patients and documents the appropriate processes as required by policy and procedure. </li><li> Provides safe and effective delivery of home dialysis training and education to patients with End Stage Renal Disease (ESRD) who have selected a home modality as a dialysis therapy. </li><li> Trains the home dialysis candidate/Home Partner as appropriate on the safe and effective operation and maintenance of all home dialysis equipment and treatment supplies through an organized and formalized Home Dialysis Training Program. </li><li> Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions. </li><li> Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols. </li><li> Communicates patient related issues to the physician as needed. </li><li> Reports adverse patient events at home or in the clinic, as well as equipment and technology related problems to the Clinical Manager/Home Therapy Program Manager, and physician including the correct documentation of such events. </li><li> Coordinates the transfer or discharge of patients to the hemodialysis or transplant clinic when needed and appropriate. </li><li> Reviews, transcribes, and enters physician lab orders accurately into Proton,AMI or Ecube medical information systems as appropriate. </li><li> Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results. </li><li> Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the dialysis facility. </li><li> Administers medications as prescribed including following prescribed algorithms (as appropriate), and documents appropriate medical justification if indicated and maintains records on controlled substances as required by law. </li><li> Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into the appropriate medical information system. </li><li> Completes all monthly and annual reporting as required by FMS policies and government regulations. </li><li> Submits CQI information to Clinical Manager or Program Manager for completion of HT QAI Template for inclusion in facility QAPI review process. </li><li> Participates in all monthly QAPI meetings and all required staff meetings as scheduled. </li><li> Rotates coverage with other licensed staff to ensure reliable and adequate coverage and participates in 24/7 on-call coverage as assigned. </li><li> Participate in staff training and orientation of new staff as assigned. </li><li> Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone. </li><li> Directs patients in the appropriate routine maintenance of home dialysis equipment, including water systems procedures as appropriate, immediately reporting any water/dialysate problems to the facility Home Dialysis technical support staff. </li><li> Coordinates with the FMCNA RTG the ordering and delivery of the patient's initial dialysis supplies; the ordering of the patient's dialysis equipment as appropriate at the initiation of the training program; and the on-going operation and preventative maintenance of all home dialysis equipment through facility Technical support staff, or through the appropriate equipment vendor as required. </li><li> Other duties as assigned. </li></ul> 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, division and Corporate meetings may be required. 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. EDUCATION: <ul><li>Graduate of an accredited School of Nursing (R.N.)</li><li>Current appropriate state licensure </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Minimum of one year nursing experience required.</li><li>Minimum of three months (twelve weeks) Home Dialysis Training experience required.</li><li>Experience must be specific to the modality of Home Dialysis Training that the staff member will be providing, ie; Peritoneal Dialysis or Home Hemodialysis.</li><li>Must have successfully completed a training course in the theory and practice of dialysis therapy/ hemodialysis or peritoneal dialysis.</li><li>Medical-surgical nursing experience and ICU experience preferred but not required.</li><li>Competent at operating all Home Dialysis related equipment.</li><li>Successfully complete CPR certification with maintenance as required.</li><li>Icd-9 coding Training.</li><li>Demonstrated teaching abilities using Adult Learning principles.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disabled Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Registered Nurse - HHD & PD - Vanderbilt Dialysis Clinic

Patient Care Technician PCT  - will to train

PURPOSE AND SCOPE: 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. <ul><li>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.</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, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.</li><li>Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</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 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>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</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>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> 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.<ul><li>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.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>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.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>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><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.</li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</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 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

POSITION FEATURES: <ul><li> South Chicago clinic address: 9200 S. South Chicago Avenue Chicago, IL 60617 </li><li> Clinic hours: MWF 4a-9p, TThS 4a-5p </li><li> No previous dialysis experienced needed, extensive 12 week paid training provided! </li><li> Rotating days/shifts- 8-12 hour shifts </li></ul> PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: <ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li><li>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 </li><li>The position provides direct patient care that regularly involves heavy lifting and 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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: <ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN. Assists patients in performing self-care as applicable</li></ul> Staff Related <ul><li>Participates in the recruitment process for new clinical staff</li><li>Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.</li><li>May function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.</li><li>Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's.</li><li>Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.</li><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li><li>Provides developmental support to applicable clinical and facility staff. </li></ul> Education/Communication: <ul><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations. </li><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.</li><li>Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives </li><li>Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.</li><li>Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.</li><li>Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities. </li><li>Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices </li></ul><ul><li></li></ul><ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate, and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. </li><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists with facility QAI infection control audits. </li><li> Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices. </li><li> Reinforces new hire employee adherence to infection control Policies and Procedures </li><li> Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. </li><li> Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards. </li><li> Under the direction of the Education Dept. participates in education response to internal and external facility surveys. </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. </li><li>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li><li>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 </li><li>The position provides direct patient care that regularly involves heavy lifting and 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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required. Bachelor's degree preferred </li><li>Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS) All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li><li>Attendance and active participation in all applicable preceptor training programs as established by education leadership </li><li>Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> At least five years patient care experience in a hospital setting or a related facility preferred. </li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Dialysis Patient Care Technician - PCT Preceptor

PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct supervision and coordination of inpatient staff. Responsible for high volume monthly treatments. Utilizes the FMC mission, core values and customer service philosophy to ensure quality service while maintaining a high level of efficiency management . PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Monitor costs/spending in all areas including medical supply inventory, personnel and accounts payable. Determine innovative ways to reduce costs and maintain quality. </li><li> Ensures proper staffing and operations at all contracted facilities. Ensure efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. </li><li> Provide leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. </li><li> Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring, coaching and counseling employees, including performance reviews, development, disciplinary action and terminations. </li><li> Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Reviews profit and loss statements for greater understanding of specific department performance. </li><li> Responsible for Acute Care Electronic System (ACES) include the following: </li><li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li><li> Collaborate with contracted facility representatives to maintain a state of survey readiness for internal and external agency surveys. Work with contracted facility (ies) to resolve specific department issues as suggested/directed as a result of a survey. </li><li> Maintains and prepares QAI data and presentations. Participates and presents at meetings with internal and external representatives, often leading a collaborative effort among members of a project team. Assures provision of facility specific QAI information as appropriate. </li><li> Interacts with internal departments and external customers; particularly in problem resolution and acting as the industry expert on behalf of the customer. </li><li> Ensures compliance with hospital regulations and participates in surveys conducted by TJC, CMS, OSHA and other agencies. </li><li> Ensure a proper orientation and training program for all clinical and technical staff. Ensure that continuing in-services are provided to all clinical and technical staff. Maintain documentation of all training. </li><li> Conduct and document acute staff meetings on a regular basis. </li><li> Ensures provision of dialysis and related services such as hemoperfusion, apheresis, continuous renal replacement therapies, peritoneal dialysis, and UF complete if contracted to do so. </li><li> Ensures that treatment information is documented appropriately by staff performing treatments and oversees billing for services performed is timely and accurate. </li><li> If appropriately licensed, performs treatments as necessary to assist in times of high census, staffing shortages, and/or to assist with managing staffing costs as appropriate. </li><li> Confer routinely with Technical Program Manager and Technical Operations Manager to ensure preventative maintenance program for routine machine maintenance, to ensure the timely repair of disabled machines, to coordinate infection control measures, routine culturing, water testing, logging of results, transportation of equipment and supplies and communicate technical information to the staff. </li><li> Ensure all acute treatments are performed in contracted hospitals according to the established policies and procedures and in compliance with all applicable regulatory requirements. </li><li> Ensure efficient utilization of supplies and equipment. </li><li> Assist with various projects as assigned. </li><li> Other duties as assigned. </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. 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> Availability for night and weekend calls/troubleshooting may be necessary to oversee issues as they arise with management of a 24/7/365 service. </li><li> Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. </li><li> The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Could possibly be exposed to infectious and contagious diseases/materials. </li></ul> SUPERVISION: <ul><li> May be responsible for the direct supervision of various levels of inpatient staff as designated by region. </li></ul> EDUCATION : <ul><li> Graduate of an accredited School of Nursing (RN); Advanced degree desirable </li><li> Current state licensure as applicable </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> 3-5 years' related experience. </li><li> 3+ years' supervisory or project/program management experience preferred. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity &nbsp Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Acute Dialysis Services Program Manager - RN

Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: <ul><li> Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. </li><li> Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. </li><li> Superior training, UltraCare quality control, and certification procedures ensure your potential to succeed and advance as a professional. </li><li> Competitive compensation and exceptional benefits. </li><li> Outstanding tuition reimbursement program. </li><li> Recognized among Fortune's World's Most Admired Companies in 2011. </li><li> National Safety Award from CNA insurance companies for 11 consecutive years. </li><li> Opportunities to give back by participating in philanthropy and community outreach programs. </li></ul> PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment. DUTIES / ACTIVITIES : CUSTOMER SERVICE: <ul><li> Responsible for driving the FMCNA culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES: Patient Related: <ul><li> Provide direct patient care for assigned patient(s). </li><li> Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor. </li><li> Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record. </li><li> Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor. </li><li> Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications. </li><li> Assist with all emergency operational procedures. </li><li> Administer intravenous medication in accordance with physician orders and state nurse practice laws. </li><li> Perform and document pre, interim, and post treatment review of patient condition. </li><li> Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment. </li></ul> Technical: <ul><li> Safely operate all dialysis related equipment according to the proper procedures. </li><li> Provide minor troubleshooting when necessary. </li><li> Ensure a clean, safe and sanitary environment in the dialysis facility treatment area. </li><li> Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Operate all emergency equipment effectively in accordance to the standard operation procedures. </li></ul> Staff Related: <ul><li> Participate in staff meetings as scheduled. </li><li> Assist in short term and long term patient care plan meetings. </li><li> Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes. </li><li> Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. </li><li> Other duties as assigned. </li></ul> 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. Day to day work includes desk and personal computer work and interaction with patients, facility, staff and physicians. The position provides direct patient care that regularly involves heavy lifting and 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 weighing up to 200lbs., and may lift chemical water solutions of up to 30lbs., up as high as 5 feet. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noises levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: <ul><li>Graduate of an accredited School of Practical Nursing (LPN, LVN)</li><li>Current appropriate State licensure. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>One year medical-surgical nursing experience preferred.</li><li>Hemodialysis experience preferred but not required.</li><li>ICU experience preferred but not required.</li><li>Successfully complete a training course in the theory and practice of hemodialysis.</li><li>Successfully complete CPR Certification.</li><li>Must complete the Nurses Technical Training Program upon hire or soon thereafter.</li><li>Ability to provide coverage at area facilities during times of short-staffing or as required.</li><li>Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.</li><li>Good communication skills, both verbal and written.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Outpatient LPN / LVN

Dialysis PCT Patient Care Technician

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul> <li> Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. </li> <li> Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. </li> <li> Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department. </li> <li> Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools. </li> <li> Responsible for addressing and acting on adverse events and action thresholds. </li> <li> Oversees facility's Home Therapies Program if applicable. </li> <li> Accountable for compliance with all applicable federal, state and local laws and regulations. </li> <li> Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff. </li> <li> Maintains integrity of medical records and other FMS administrative and operational records. </li> <li> Complies with all data collections and auditing activities. </li> <li> Maintains facility environmental integrity, including safety. </li> <li> Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals. </li> <li> An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function. </li> <li> Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s). </li> <li> Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization. </li> <li> Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers. </li> <li> Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team. </li> <li> Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. </li> <li> Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. </li> <li> Provides technical guidance. </li> <li> Performs other related duties as assigned. PATIENT CARE: </li></ul><ul> <li> Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. </li> <li> Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime. </li> <li> Acts as a resource for the patient to address patient concerns and questions. </li> <li> Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility's Interdisciplinary Team to discuss patient care plans and to resolve patient problems. </li> <li> Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency. </li> <li> Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status. </li> <li> Develops action plans for unexcused and missed treatments in collaboration with the Director. </li> <li> Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. </li></ul> STAFF: <ul> <li> Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. </li> <li> Participates in the recruitment and interview process, and decision to hire new personnel. </li> <li> Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates. </li> <li> Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives. </li> <li> Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities </li> <li> Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance. </li> <li> Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff. </li> <li> Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth. </li> <li> Completes timely employee evaluations and establishes annual goals for staff. </li> <li> Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions. </li> <li> Participates in Corporate and Business Unit specific employee recognition and satisfaction programs. </li> <li> Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility. </li> <li> Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving. </li></ul> PHYSICIANS: <ul> <li> Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. </li> <li> Responsible for strong Director and physician relationships and facilitating staff relationships with physicians. </li> <li> Ensures regular and effective communication with all physicians, through regular meetings with Directors. </li> <li> Participates in Governing Body. </li> <li> Schedules and coordinates CQI meetings with physicians. </li></ul> MAINTENANCE/TECHNICAL: <ul> <li> Responsible for the integrity and safety of the facility water system. </li> <li> Must be knowledgeable in the operation of all facility equipment and technology. </li></ul> ADMINISTRATIVE: <ul> <li> Responsible for maintaining and updating all FMS manuals. </li> <li> Accountable for completion of the Annual Standing Order Review and ICD coding. </li> <li> Checks correspondence whether electronic, paper or voice mail, and responds as appropriate. </li> <li> Directs information gathering as required supporting billing and collection activities. </li> <li> Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies </li> <li> Participates in the completion and interpretation of the Pl-17 inventory supply use analysis. </li> <li> Reviews and approves facility payroll. </li> <li> Reviews profit and loss statements with Director </li> <li> Responsible for participating in all required Network reporting and on-site state or federal surveys. </li> <li> Participates in the completion of the FMS Administrative Clinical Review. </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> Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. </li> <li> Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians </li> <li> Position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li> <li> 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. </li></ul> SUPERVISION: <ul> <li> Responsible for the direct supervision of various levels of staff as designated by region. </li></ul> EDUCATION AND REQUIRED CREDENTIALS: <ul> <li> Bachelor's Degree; Advanced Degree desirable or an equivalent combination of education and experience </li> <li> Graduate of an accredited School of Nursing (RN). </li> <li> Current appropriate state licensure. </li></ul> EXPERIENCE AND SKILLS: <ul> <li> 6 - 8 years' related experience or an equivalent combination of education and experience. </li> <li> 3+ years' supervisory or project/program management experience preferred. </li> <li> Minimum of 12 months experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred. </li> <li> Minimum of 6 months chronic or acute dialysis nursing experience is required. </li> <li> Must be available as a full-time employee and provide on-call coverage when necessary. </li> <li> Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making. </li> <li> Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients. </li> <li> Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Dialysis Clinical Manager Registered Nurse - RN

PURPOSE AND SCOPE: Maintains files of medical records and performs other clerical duties as required. Ensures proper maintenance of patient charts/records. Works in compliance with guidelines for release of information. Files and retrieves medical records in appropriate files, maintaining files in a fashion which is conducive to rapid retrieval of records. Prepares lab shipments and files results. Utilizes electronic health record system for inquiry purposes, enters and sends data, and generates reports. Answers phones and greets visitors and patients and assists with scheduling. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Answer telephones & route calls to the appropriate person. </li><li> Monitor and distribute incoming mail, both email and postal delivery. </li><li> Greet visitors and patients as applicable and conducting them to the appropriate location or person as needed. </li><li> Maintain inventory of facility supplies and replenish supply as needed, including ordering staff uniforms & name tags. </li><li> Compile an d maintain medical records of both the in-centerand home patients in the dialysis facility according to company policies and proceduresand in compliance with all applicable regulatory requirements. Ensures patient confidentiality is maintained at all times. </li><li> Store o r dispose of obsolete files when appropriate according to the procedures defined by the Fresenius Medical Care Compliance Records Managementdepartment and in compliance with Federal,state and local regulations. </li><li> Assist with Daily Validation reports/process. </li><li> Coordinate facility accounts receivable and account payable functions, including creating PO's, receiving and scanning all relevant documents and assist with travel reimbursement as needed. </li><li> Prepare la b slips and tube labels for routine and non-routine blood work. </li><li> Pack bo xes for shipment and then direct these to the appropriate laboratory as required. </li><li> Assist i n the collectionof data to support the completion of facility reports, such as Continuous Quality Improvement reports, comorbid documentation, TAP reports. </li><li> Assist s with month-endreporting requirements and generate reports as needed. </li><li> Assist s in auditingrecords for ongoing compliance with medical records standards. </li><li> Maintain s accurate records of hospitalization, patient travel, etc. to facilitatecoordination of patient scheduling, ancillary testing, etc. </li><li> Prepare medical records for facsimile or mail related to travel, transplant, disability and others. </li><li> Organize travel for patients by contacting and providing requested medical records. </li><li> Coordinate s with transientpatient paperwork. </li><li> Coordinates transfer placements and confirmations along with Clinical Manager. </li><li> Confirm admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning. </li><li> Assist with medical appointment referrals and scheduling. </li><li> Assist with transportation coordination and referrals. </li><li> Scan all appropriate medical records into Document Imaging program as needed. </li><li>Ensures data entry has been completed for government reporting (Crown Web related to ESRD 2728, ESRD 2746 and PART). Other duties as assigned which may include, but are not limited to:</li><li> Prepare and type routine correspondence and reports </li><li> Set up and maintain filing system and basic databases as applicable </li><li> Complete forms and reports as required by the various company offices and outside vendors or agencies </li><li> Maintain facility calendar and daily schedule, including arranging meeting and scheduling appointments for staff and patients </li><li> Record the minutes of meeting and provide documentation as needed </li><li> Make copies of correspondence and other printed documents as required by manager </li><li> Assist with various basic personnel and administrative functions as needed </li><li> Act as a backup to other clerical staff in office as needed </li><li> Centrifuge th e blood or refrigerate according to laboratory specifications after the draw is completed </li><li> Assist wit h laboratory work process </li><li> Post/enter th e results from the labs into the electronic database </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. 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>Day to day work includesdesk and personalcomputer work and interaction with patients, facility staff and physicians. The position requirestravel between assignedfacilities and variouslocations within the community. Travel to regional, Business Unit andCorporate meetings may be required.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noiselevels. May be exposed to infectious and contagious diseases/materials.</li></ul> EDUCATION : <ul><li> High School Diploma required </li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li> 0 - 1 year's related experience </li><li>Computer skills - specifically knowledge of word processing applications.</li><li>Good communication skills - verbal and written</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Facility Secretary

PURPOSE AND SCOPE: Responsible for meeting established distribution related quality, service, safety, compliance, cost, and management objectives in a designated distribution center. Responsibilities include dispatching, route planning, and customer interaction. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Supervises the functions of the transportation team to ensure established goals are met while adhering to company standards and guidelines, and local, state, and federal regulations. </li><li>Manages the transportation group staff day-to-day activities, providing developmental performance feedback as well as the annual performance evaluation. </li><li>Ensures all employees are properly trained in Good Manufacturing Practices, Health & Safety procedures, Compliance programs (both corporate and DPD specific), and other pertinent policies and procedures.</li><li>Implements succession-planning processes by providing developmental training opportunities to identified personnel.</li><li>Makes the appropriate decisions to ensure the total freight and distribution operating expense budget is met on an annual basis.</li><li>Ensures the achievement of OSHA related targets for recordable incidents and lost time incidents. Identifies trends and issues and address appropriately, including implementing corrective action procedures if necessary.</li><li>Establishes and adjusts work procedures to meet production schedules.</li><li>Ensures the appropriate identification, analysis, and resolution of work problems and issues by employees, providing direct analysis and resolution for the more complex issues.</li><li>Identifies and controls fleet specific key performance indicators to ensure continuous improvement in the operation.</li><li>Makes recommendations to improve methods, performance, and quality of service and suggests changes in working conditions to increase efficiency.</li><li>Files claims on shortages, damages, and overages and performs follow-up as needed.</li><li>Selects and contracts with common carriers when needed, negotiates rates to ensure the lowest possible freight charges are incurred, while meeting company service requirements.</li><li>Oversees implementation and application of all DOT regulatory requirements including, but not limited to, Gross Vehicle Weight (GVW), hours of service, and accident investigation</li><li>Develops and implements strategies to ensure achievement of fleet utilization targets to improve customer service levels.</li><li>Collaborates with sales, customer service, and external customers to resolve issues and drive new revenue.</li><li>Manages and assists with key projects to develop and implement cost containment strategies while improving service and overall compliance.</li><li>May coordinate the transfer of goods between warehouses, plants and cross-docks and schedule shipments of medical supplies with freight forward ocean carriers.</li><li>Responsible for hiring, coaching, and counseling employees, including performance reviews, disciplinary action and terminations. </li><li>Assists with various projects as assigned by a direct supervisor.</li><li>Other duties as assigned.</li></ul>Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. 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. May be required to lift and carry loads of up to 60 pounds. SUPERVISION: Responsible for the direct supervision of various levels of Transportation staff. EDUCATION: Bachelor's Degree required; in lieu of degree an additional 4 years of relevant experience may be considered. EXPERIENCE AND REQUIRED SKILLS: <ul><li>Minimum 2 - 3 years of experience at a senior or lead level; or 1 - 3 years of experience as a Supervisor.</li><li>Budgeting, forecasting, financial planning skills preferred.</li><li>Project management experience preferred.</li><li>Good computer skills - SAP, Microsoft Excel, Word, PowerPoint.</li><li>Familiarity with routing software/fleet management applications required.</li><li>The ability to operate material handling equipment.</li><li>Strong oral and written communication skills.</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. "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 and may fall outside of the range shown. Annual Rate: $67,000 - $113,000"

Supv Transportation

Patient Care Technician, PCT

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic. How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse. &bull; Sets up, tests, and operates hemodialysis machines for patient treatments. &bull; Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient. &bull; Evaluates vascular access pre-treatment and performs vascular access cannulation. &bull; Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed. &bull; Monitors patients' response to dialysis therapy. &bull; Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures. &bull; Reports any significant information and/or change in patient condition directly to supervisor. &bull; Enters all treatment data into the designated clinical application in an accurate and timely manner. &bull; Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications. &bull; Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. &bull; Assists other healthcare members in providing patient education. &bull; Prepares, organizes, and efficiently uses supplies and equipment to prevent waste. EDUCATION AND LICENSES : &bull; High school diploma or G.E.D. required. EXPERIENCE AND REQUIRED SKILLS : &bull; Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable. &bull; Previous patient care experience in a hospital setting or a related facility (preferred but not required). &bull; Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification. 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. &bull; Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. We will consider whether reasonable accommodations can be made. &bull; Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, business unit and corporate meetings may be required. &bull; The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. &bull; The position provides direct patient care that regularly involves heavy lifting and 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 push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist" devices for the heavier items.

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