*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;

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations 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, granting scholarships to family members, delivering relief when natural disasters strike, or providing 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 RESPONSIBILITIES AND DUTIES CLINIC OPERATIONS: <ul><li>Manages the operations of the clinic, including costs, processes, staffing, and quality standards.</li><li>Provides leadership, coaching, and development plans for all direct reports.</li><li>Partners with internal Human Resources, Quality, and Technical Services departments.</li><li>Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program.</li><li>Maintains integrity of medical and operations records and complies with all data collections and auditing activities.</li><li>Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.</li><li>Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.</li><li>Responsible for all required network reporting and on-site state or federal surveys.</li></ul> PATIENT CARE: <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.</li><li>Acts as a resource for the patient and family to address concerns and questions.</li><li>Accountable for timely completion of patient care assessments and care plans.</li><li>Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments.</li><li>Plans, coordinates, and validates patient eligibility for treatment.</li><li>Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. </li></ul> STAFF: <ul><li>Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.</li><li>Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.</li><li>Provides support for all clinical staff members at regular intervals and encourages professional growth.</li><li>Maintains current knowledge regarding company benefits, policies, procedures, and processes.</li><li>Completes employee evaluations and establishes annual goals.</li><li>Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.</li><li>Manages staff scheduling and payroll.</li></ul> PHYSICIANS: <ul><li>Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.</li><li>Responsible for strong physician relationships and ensures regular and effective communication.</li><li>Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.</li></ul>EDUCATION AND REQUIRED CREDENTIALS:<ul><li>Bachelor's Degree 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>Required:<ul><li>6+ years business operations experience in a healthcare facility.</li><li>12 months experience in clinical nursing.</li><li>6 months chronic or acute dialysis nursing experience.</li><li>Successfully pass the Ishihara Color Blind Test.</li></ul></li><li>Preferred but not required:<ul><li>3+ years supervisory or project/program management experience.</li><li>Med/surg or ICU/CCU experience.</li></ul></li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><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 and/or travel to regional, business unit, and corporate meetings may be required.</li><li>The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. </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.

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Dialysis Clinical Manager Registered Nurse - RN

POSITION FEATURES: Dialysis is a great specialty to get into to! Paid 12 week training with no overnights or on calls! 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.

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. 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, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, and area level. </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>Participates in education and quality improvement projects at the facility and area level as directed by Supervisor.</li><li>May serve as a Preceptor to new employees.</li><li>Required to complete CAP requirements to maintain or 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 and 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</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: <ul><li>Assigned oversight of Patient Care Technicians//LVN/LPNs/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 3 months experience in chronic/acute hemodialysis as a RN.</li></ul></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 minimum of 2 years of Nephrology Nursing experience</li></ul> ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative. ADDENDUM: Clinical Advancement Program (CAP) Quality <ul><li>Competency demonstrated through fostering a Culture of Patient Safety and quality as evidenced by Improved Patient Health Outcomes</li><li>Promotes, facilitates, and collaborates with all members of the interdisciplinary team (IDT) and patient care team on the application of quality improvement principles, activities in the delivery of care, identification of risk areas and opportunities for improvement, and root cause analysis (RCA)</li><li>Promotes, advances, and assists with implementation of FKC clinical, educational, and quality initiatives.</li><li>Mentors and trains team members to monitor the effectiveness of their daily processes.</li><li>Ensures documentation in eQUIP and utilization of data, benchmarking, and graphical representations in performance improvement activities.<ul><li>Analyzes, manages, and reports data as needed to identify improvement opportunities and measure the progress of improvement projects.</li><li>Use quality improvement tools to ensure adherence to QAI activities.</li></ul></li><li>Facilitates program and annual regulatory review audits</li><li>Collaborates with Regulatory to identify and recommend systems and practices that would improve outcomes</li></ul> Clinical Advancement Program (CAP) Preceptor <ul><li>Maintains direct supervision of the new nurse until graduated from new employee training</li><li>Collaborates with team members to identify learning opportunities</li><li>Communicates and collaborates with supervisor and Education Department regarding progress of new nurse</li><li>Continues to mentor and support new nurses once released to work independently</li><li>Mentors new RN Preceptors</li></ul> Clinical Advancement Program (CAP) Multi-modality Cross Trained <ul><li>Cross trained to deliver patient care across multiple modalities</li><li>Responsible for maintaining skill set in each cross-trained modality for the delivery of safe and effective patient care<ul><li>Communicates and collaborates with operational and clinical leaders to support maintenance of skills</li></ul></li><li>Ensures the provision of safe and comprehensive care of patients within the chosen modalities in accordance with all company policies and procedures</li><li>Embraces a commitment to patient satisfaction and actively seeks opportunities to improve the overall patient experience in alignment with established quality and regulatory standards</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. 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Regional Float Nurse

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 - Training Provided

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. </li><li> Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. </li><li> Assesses daily patient care needs and develops appropriate patient care assignments. </li><li> Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. </li><li> Participates in staff training and orientation of new staff as assigned </li><li> Participates in all required staff meetings as scheduled. </li><li> Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). </li><li> Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. </li><li> Discusses with patient, and records education related to diet/fluid and medication compliance. </li><li> Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). </li><li> Ensures transplant awareness, modality awareness, and drive catheter reduction. </li><li> Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. </li><li> Provides safe and effective delivery of care to patients with ESRD. </li><li> Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. </li><li> Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. </li><li> Identifies and communicates patient related issues to Team Leader or physician. </li><li> Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. </li><li> Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. </li><li> Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. </li><li> Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. </li><li> Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li> Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. </li><li> Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. </li><li> Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. </li><li> Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. </li><li> Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. </li><li> Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. </li><li> Ensures that all labs are directed and delivered to appropriate labs. </li><li> Reports alert/panic and abnormal labs results to appropriate physician. </li><li> Ensures lab results are forwarded to physicians as requested. </li><li> Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. </li><li> Maintains overall shift operation in a safe, efficient, and effective manner. </li><li> Act as a resource for other staff members. </li><li> Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. </li><li> Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. </li><li> Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. </li><li> Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. </li><li> Oversees all documentation of patient information. </li><li> Maintains facility drug list for all required stock medications. </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. </li><li> Ensures verification and availability of adequate emergency equipment. </li><li> Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. </li><li> Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. </li><li> Maintains appropriate recording of controlled substances as required by law. </li><li> Assists with the coordination of patient transportation if necessary. </li><li> Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. </li><li> Ensures competency in the operation of all dialysis-related equipment safely and effectively. </li><li> Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. </li><li> Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. </li><li> Ensures all appropriate patient related treatment data is entered into the Medical Information System. </li><li> Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. </li><li> Ensures and verify accuracy of Patient Care Technician documentation. </li><li> Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. </li><li> Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. </li><li> Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. </li><li> Completes monthly nurses' progress note. </li><li> Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). </li><li> Reviews transplant status and follows established procedure regarding appropriate action to be taken. </li><li> Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. </li><li> Completes any long-term programs that are due. </li><li> Completes initial and annual Nursing History and Assessment physical. </li><li> Ensures completion of Annual Standing Order Review with each physician as required. </li><li> Performs additional 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.<ul><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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up 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. May be exposed to infectious and contagious diseases/materials. </li><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 accommodation can be made. SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS: <ul><li> Graduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND SKILLS :<ul><li> Minimum of one-year medical-surgical nursing experience preferred. </li><li> Hemodialysis experience preferred. </li><li> ICU experience preferred. </li><li> Successfully complete a training course in the theory and practice of hemodialysis. </li><li> Successfully complete CPR Certification. </li><li> Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. </li><li> Provide coverage at any or all area facilities as required by management. </li><li> Icd-9 coding Training. </li><li> Nurses Technical Training. </li></ul><ul><li> Must meet appropriate state requirements (if any). </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.

Registered Nurse

POSITION FEATURES: No experience necessary! We offer paid training. 7155 Shadeland Station, Suite 130 Indianapolis IN 46256 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.

Patient Care Technician - PCT

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. "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. Hourly Rate: $15.00 - $24.00"

Ward Clerk

POSITION FEATURES: Join our team! &bull; Rated Newsweek's Most Loved Workplaces. &bull; Paid Dialysis Training &bull; Tuition reimbursement &bull; Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. &bull; Generous PTO and ESL leave accrual &bull; 401K Retirement benefits with match &bull; Many perks and discount programs available. 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.

PCT I

PURPOSE AND SCOPE: The Secretary/ Receptionist performs general clerical support and office duties for the department and its Management. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Performs basic administrative functions including preparation of business correspondence, memorandums, informational packages, training materials and reports.</li><li>Assists with scheduling.</li><li>Maintains calendar and daily schedules.</li><li>Maintains departmental tracking logs.</li><li>Greets visitors and directs them to the appropriate location or person as needed.</li><li>Establishes and maintains filing systems and basic databases as applicable.</li><li>Performs routine general office duties such as filing, copying, and scanning.</li><li>Provides general clerical support to management staff including scheduling meetings, routing phone calls and taking messages.</li><li>Records minutes of meetings and providing the resulting documents as necessary.</li><li>Sorts and distributes mail.</li><li>Maintains inventory of the necessary office forms and supplies.</li><li>Escalates issues to supervisor for resolution, as deemed necessary.</li><li>Assist with various projects as assigned by 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: <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></ul>EDUCATION: High School Diploma required EXPERIENCE AND REQUIRED SKILLS:<ul><li>1 - 2 years' related experience.</li><li>Knowledge of office procedures required.</li><li>Proficient in Microsoft office applications.</li><li>Good interpersonal and communication skills required.</li><li>Pleasant telephone manner.</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. Hourly Rate: $17.00 - $25.00"

Healthcare Admin Secretary

POSITION FEATURES: <ul><li>6 months Dialysis RN Experience Required</li><li>Part-Time </li><li>Union City</li></ul> PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. 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 leader coach mentor and role model for new and incumbent employees by setting examples of appropriate behavior work habits and attitudes towards patients co-workers supervisors and the company at the facility and area level. </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> Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. </li><li> May serve as a Preceptor to new employees. </li><li> Required to complete CAP requirements to maintain or 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 and 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: <ul><li> Assigned oversight of Patient Care Technicians//LVN/LPNs/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 3 months experience in chronic/acute hemodialysis as a RN. </li></ul></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 minimum of 2 years of Nephrology Nursing experience </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. Hourly Rate: $35.00 - $60.00"

POSITION FEATURES: Join our team! &bull; Rated Newsweek's Most Loved Workplaces. &bull; Paid Dialysis Training &bull; Tuition reimbursement &bull; Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. &bull; Generous PTO and ESL leave accrual &bull; 401K Retirement benefits with match &bull; Many perks and discount programs available. 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.

Outpatient Dialysis RN

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.

PURPOSE AND SCOPE: The Supervisor, Office Management is responsible for overall office activities, including reception area for a specific business unit. The incumbent also provides support to executive level staff and coordinates work for a group of administrative level staff. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Supervise the daily operations of the team, including but not limited to: establishing mutual goals, assigning tasks and maintaining schedules.</li><li>Responsible for the organization and coordination of office operations, procedures and resources to facilitate organizational effectiveness and efficiency.</li><li>Supervises and coordinates overall administrative activities for business unit, including administrative assistant assignments and schedules.</li><li>Supervises the scheduling of appointments, conferences and speaking arrangements and other meeting summaries and/or supporting documents in preparation for scheduled appointments.</li><li>Supervises the reception area to ensure effective telephone and mail communications both internally and externally to maintain professional image.</li><li>Oversees the maintenance, alteration and arrangement of office areas and equipment and housekeeping of office facilities.</li><li>Negotiates the purchase of office supplies and furniture, office equipment, etc., in accordance with company purchasing policies and budgetary restrictions.</li><li>Works with division and department leaders to develop, prioritize and implement processes.</li><li>Responsible for coordinating with appropriate parties to ensure building/ office suite access.</li><li>Works with facilities management to ensure building safety, cleanliness and order.</li><li>Provides assistance to junior level staff with general tasks that require a better understanding of functions, as directed by immediate supervisor.</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>Screens incoming calls, determining nature of call and whether or not it requires immediate attention; takes messages and maintains contact lists.</li><li>Processes all incoming correspondence, prioritizing and determining its disposition.</li><li>Reconciles credit card statements and manages all expense reports in a timely manner.</li><li>Serves as a liaison with other departments, affiliate organizations, other agencies and staff.</li><li>Maintains and promotes strong business relationships with key stakeholders in support of management objectives.</li><li>Creates documents through PowerPoint. Excel and other Microsoft applications.</li><li>In conjunction with Human Resources, assists with coordination of employee engagement activities.</li><li>Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. </li><li>Interacts daily with subordinates and/or functional peer groups. Interaction normally involves the exchange or presentation of factual information.</li><li> Assist 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 : <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>May require overnight travel to assist with coordination of executive level meetings.</li></ul> SUPERVISION: <ul><li>May be responsible for the direct supervision of various levels of administrative and office support staff.</li></ul> EDUCATION : <ul><li> Bachelor's Degree required; experience in lieu of educational requirement. </li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>2 - 3 years' experience as a senior individual contributor role; or 1 - 3 years' experience as a Supervisor.</li><li> Experience in a fast-paced environment and ability to manage multiple concurrent tasks. </li><li> Knowledge of business and management principles. </li><li> Strong organization and time management. Able to achieve high performance goals and meet deadlines in fast paced environment. </li><li> Strong communication skills, both verbal and written. </li><li> Proven ability to handle confidential information with discretion. Adaptable to various competing demands. </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.

Centralized PSCs Supervisor

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. "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. Hourly Rate: $13.00 - $20.00"

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.</li><li>Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT.</li><li>Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.</li><li>Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. </li><li>Delivers safe, effective care in a timely an efficient manner.</li><li>Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.</li><li>Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li>Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.</li><li>Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed.</li><li>Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed.</li><li>Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.</li><li>Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.</li><li>Performs all required pre-treatment dialysis machine alarm testing.</li><li>If applicable, initiates Solution Delivery System.</li><li>Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.</li><li>Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies.</li><li>Completes and documents ongoing participation in QAI activities.</li><li>Participates in staff meetings as scheduled.</li><li>Participates in staff training and orientation as assigned.</li><li>Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.</li><li>Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis</li><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li>Assist with various projects as assigned by direct supervisor.</li><li>Other duties as assigned.</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></ul><ul><li>Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events.</li><li>Position requires on call rotation including night, day, weekend, and holidays.</li><li>There is potential for exposure to potentially infectious material and contagious diseases/material. </li><li>Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. </li></ul> SUPERVISION: <ul><li>Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT.</li></ul> EDUCATION: <ul><li>Current appropriate state licensure.</li><li>Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services).</li><li>Must meet the practice requirements in the state in which employed.</li><li>Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li>One year RN experience required and required nursing skills.</li><li>Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.</li><li>Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.</li><li>Demonstrated strong assessment skills related to the critically ill patient.</li><li>ICU experience preferred but not required.</li><li>Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation.</li><li>BLS CPR Recognition.</li><li>ACLS CPR Recognition preferred, but not required.</li><li>Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.</li><li>Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff).</li><li>Successful completion of Nurses Technical Training.</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. Hourly Rate: $36.00 - $62.00"

Dialysis Registered Nurse, Bethpage -Part Time

POSITION FEATURES: Dodgeville/Madison Training Provide 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: Must have medical and IV certification 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&reg; 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. "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. Hourly Rate: $24.00 - $39.00"

Dialysis Outpatient Licensed Practical 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></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 </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. "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. Hourly Rate: $16.00 - $26.00"

Patient Care Technician

PURPOSE AND SCOPE: The Nursing student 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. The Nursing student functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: Nursing students must adhere to all facility and FMCNA policies and procedures. Based on the length of the clinical placement, the student nurses may perform all or some of the duties as time allows after they receive training in the specific functional area. Under the direction and visual supervision of an RN-P, the Student may: During Clinical placements for less than 3 months duration: Required Education: <ul><li> eLearning: Infection Control; Intro to Basic Dialysis; Intro to Water self-study, Blood Glucose Monitoring</li><li></li><li> PREP Classes : Infection Control, Evaluating and Monitoring the Patient, Foot checks, water class</li></ul> Allowable Duties: <ul><li></li><li>Escort patients to and from the scale</li><li>Assist patient with washing access</li><li>Vital signs, including weight</li><li>Attend daily huddles</li><li>Surface disinfection stations/machines</li><li>Hand crank in emergency</li><li>Lab preparation</li><li>Internal machine disinfection</li><li>Check for residual bleach</li><li>Mix bleach water</li><li>Check blood sugars</li><li>Administer ONSP per order</li><li>Pre initiation safety check </li><li>RN Assessment/POC in tandem with preceptor RN</li><li>Attend Care plan meeting</li><li>Crash cart, AED, refrigerator daily checks</li><li>Medication review with preceptor</li><li>Attend QAI Meeting</li><li>Attend POC Meeting</li><li>Foot checks with RN preceptor</li><li>Access assessment with RN preceptor</li><li>Obtain pH and conductivity of machine</li><li>Observe in Home Therapies</li><li>Attend a clinic day in HT</li><li>Attend a day at the access center</li></ul> During Clinical placement for 3-6 months duration: Required Education: <ul><li> PREP Class: Basic Access, Emergency Preparedness, Safety, Complications, Machine Day</li></ul> Allowable Duties: <ul><li>Machine Set up</li><li>Machine tear down</li><li>Post treatment emptying</li><li>Water checks</li><li>Draw blood cultures and labs</li><li>Lead a daily huddle</li><li>Initiate or terminate a treatment on a patient with a mature fistula or graft only (preceptor to cannulate)</li><li>Medication administration: heparin, lidocaine, and NS</li><li>Assist on QAI team project with preceptor RN</li><li>Preparation of dialysate</li></ul>Qualifications - External 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 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 noise levels. May be exposed to infectious and contagious diseases/materials. 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. EDUCATION: An individual who has successfully completed the following as provided by the academic program: &bull; Three quarters of the ADN program, or &bull; Junior year of a BSN program, or &bull; Two years of a nursing school program &bull; Other programs require approval from Clinical Services and Education Note: If a student nurse has completed an approved PCT certification program, please refer to PCT Student Clinical placement Policy that outlines allowable duties for students enrolled in a PCT certification program. EXPERIENCE AND REQUIRED SKILLS Preferred outstanding customer service to all external and internal customers. Possess the desire to deliver superior care to our patients and embrace Fresenius' mission and values. RELATIONSHIPS: The clinical placement student cannot work under the supervision of a family member. The student cannot care for a patient who is a family member. If the student's family member is a patient at the facility in which they work, the student will be scheduled to work on days the patient is not in the facility or will be assigned to another patient. SUPERVISION: Will be supervised by a Clinical Manager and Preceptor. Preceptor: An individual who directly supervises the work of the Nursing student in the dialysis facility. OTHER: Performs additional duties as assigned. 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.

Student Nurse Clinical Placement

PURPOSE AND SCOPE: The student intern 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. The student intern functions as part of the dialysis health care team in providing medical nutrition therapy for patients under the direct supervision of a registered dietitian in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. DUTIES / ACTIVITIES: Dietetic Intern: An individual who currently is enrolled in a Dietetic Internship or a university-based Coordinated Program in Dietetics accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND). The dietetic student/intern may under direct guidance of the Renal Dietitian:<ul><li>Review of Renal Nutrition Basics and other applicable components of the Orientation and Training requirements of staff dietitians</li><li> Review the typical workflow for the Renal Dietitian, and/or Role of the RD </li><li> Conduct a nutrition interview with a patient </li><li> Calculate a diet prescription recommendation </li><li> Provide nutrition counseling to patient/designated caregiver on the prescribed renal diet </li><li> Collect data for initial, 90 day, semi-annual (if applicable by State), and annual Comprehensive Interdisciplinary Assessments </li><li> Assist the registered dietitian in development and implementation of nutrition plan of care </li><li> Review monthly nutrition data with patients and/or designated caregivers </li><li> Practice writing monthly nutrition progress notes </li><li> Provide input to the development and implementation of nutrition plan of care </li><li> Create nutrition related projects for patients or staff (such as, bulletin board, patient/staff education handouts, games, lobby activity) </li><li> Attend Quality Assessment and Performance Improvement and /or other interdisciplinary team meetings with the registered dietitian, and participate as appropriate </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 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 noise levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: Bachelors or Master's degree in Nutrition or Dietetics; or current enrollment in an accredited Coordinated Program in Dietetics. EXPERIENCE AND REQUIRED SKILLS: Preferred outstanding customer service to all external and internal customers. Possess the desire to deliver superior care to our patients and embrace Fresenius' mission and values. RELATIONSHIPS: The Intern cannot work under the supervision of a family member. The Intern cannot care for a patient who is a family member. If an Intern's family member is a patient at the facility in which they work, the Intern will be scheduled to work on days the patient is not in the facility or will be assigned to another patient. SUPERVISION: The Clinical Manager assigns and closely monitors all Dietetic Intern assignments with direct supervision from a Registered Dietitian based on the agreed education plan. OTHER: Performs additional duties as assigned. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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