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

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

Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: <ul><li> Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. </li><li> Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. </li><li> Superior training, UltraCare&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.

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Licensed Practical Nurse - LPN

PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Patient Assessment / Care Planning / Counseling <ul><li> As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. </li><li> Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. </li><li> Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. </li><li>Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.</li><li>Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.</li><li> Provides educational and goal directed counseling to patients who are seeking transplant. </li><li> Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. </li><li> Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. </li><li> Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. </li><li> In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. </li><li> Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. </li><li> Documents based on MSW interaction and interventions provided to patient and/or family. </li></ul></li><li> Quality <ul><li> Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. </li><li> Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. </li></ul></li><li> Patient Education <ul><li> Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. </li><li> With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. </li><li> Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. </li><li> Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. </li><li> Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. </li><li> Collaborates with the team on appropriate QAI activities. </li></ul></li><li> Patient Admission and Continuity of Care <ul><li> Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns. </li><li> Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment. </li><li>The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership.</li></ul></li><li> Insurance and Financial Assistance <ul><li> Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. </li><li> In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs). </li><li> Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. </li><li> Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills </li></ul></li><li> Staff Related <ul><li> Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. </li><li> Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). </li><li> Provides training to staff pertaining to psychosocial topics as needed. </li><li> Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. </li></ul></li><li> Adheres to work defined caseload guidelines based on state regulatory requirements. </li><li> Performs other related 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>Travel required (if multiple facilities or home visits, if applicable)</li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li> Masters in Social Work </li><li> Must have state required license </li><li> Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed </li></ul> EXPERIENCE AND SKILLS : <ul><li> 0 - 2 years' related 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.

Master Social Worker - MSW

POSITION FEATURES: GREENSBORO AREA FLOAT 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. "

Registered Nurse - RN

POSITION FEATURES: <ul><li>Location: 124 Broadway - Augustine's Plaza, Saugus, MA 01906</li><li>2021 and 2022 America's 'Most Loved Workplaces' by Newsweek</li><li>Clinic Hours: MWF 5a-5p TTHS 5a-5p </li><li>NO Overnight, Sunday or on-call shifts.</li><li>Major holidays off! (Thanksgiving, Christmas and New Years Days)</li><li>No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator</li><li>Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories</li><li>Up to $4,400 tuition reimbursement per calendar year</li><li>F re e parking and near multiple shopping areas/restaurants </li></ul> PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li> Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. </li><li> Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. </li><li> Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. </li><li> Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. </li><li> Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. </li><li> Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. </li><li> Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record </li><li> Initiates or assists with emergency response measures. </li><li> Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. </li><li> Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. </li><li> Promotes infection control, equipment and environmental safety. </li><li> Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </li><li> Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. </li><li> Ensures patient awareness related to transplant and treatment modality options. </li><li> Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. </li><li> Checks availability of adequate emergency equipment and supplies as assigned. </li><li> Assists with medication tracking and inventory as assigned. </li><li> Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. </li><li> Participates in all required staff meetings as scheduled. </li><li> Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. </li><li> Performs all other duties as assigned by supervisor. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. </li><li> May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. </li></ul> SUPERVISION: <ul><li> Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: <ul><li> Successful completion of all FKC education and training requirements for new employees plus </li><li> Must have a minimum of 9 months experience as an RN plus </li><li> Successful completion of 3 months experience in chronic hemodialysis. </li></ul></li></ul> EDUCATION: <ul><li> G raduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic hemodialysis experience (preferred). </li><li> Successful completion of FKC Education and Training requirements for new employees. </li><li> Successful completion and maintenance of CPR BLS Certification. </li><li> Meet all conditions of employment including Ishihara's Color Blindness Test. </li><li> Successful completion of all annual required education/training/competencies. </li><li> Successful completion of on-going training and education as assigned or required. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

POSITION FEATURES: Must have 12+ months RN experience Training in Dialysis Provided Full-Time (40 hours per week) Monday-Friday 7am-3:30pm Our Home Therapy RNs provide patient education and training in a clinic setting with annual home visits Clinic location: 325 N Bluemound Rd Appleton, WI 54914 PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li>Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.</li><li>Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.</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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.</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>Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.</li><li>Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. </li><li>Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. </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 equipment, 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>Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.</li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>The position may require travel to training sites, other facilities or patient homes.</li><li>May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</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: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:<ul><li> Successful completion of all FKC education and training requirements for new employees.</li><li> Must have a minimum of 12 months experience as a RN.</li><li> Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.</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 1-year experience as a Registered Nurse (preferred)</li><li>Home dialysis therapy 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. "

Dialysis Staff Home Therapy Registered Nurse - RN

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as 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: CUSTOMER SERVICE: <ul><li> Responsible for driving the FMS culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: <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><li> Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. </li><li> Evaluate vascular access for patency and report any unusual findings to nurse supervisor. </li><li> Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. </li><li> Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. </li><li> Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. </li><li> Perform administration of Heparin as delegated or as allowed by state law. </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 and report any unusual findings to nurse supervisor. </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, </li><li> 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 for prior to discharge and report any unusual findings to nurse supervisor. </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; Sodium (Na) modeling; 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 nurse supervisor. </li><li> Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse 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 nurse supervisor. </li><li> Obtain all prescribed laboratory testing and prepare specimens for collection. </li></ul> MAINTENANCE/TECHNICAL: <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. </li><li> Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). </li><li> Initiate Solution Delivery System (SDS) system. </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></ul> CLERICAL & ADMINISTRATIVE: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application accurately and in a timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate. </li><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare 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> OTHER: <ul><li> Perform additional duties as assigned. </li></ul> ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: <ul><li> May assist HT RN on Home Visit as directed </li><li> Reinforces PD / HHD education under supervision of qualified HT RN </li><li> Schedules and contacts patients regarding appointments </li><li> Weigh patient and obtain vital signs </li><li> Collect treatment records and review for completion. Notify RN of incomplete / missing records. </li><li> Cleaning and prepping treatment room; prep charts </li><li> Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) </li><li> Clerical duties as assigned (faxing, mailing to physician offices etc.) </li><li> Obtain home hemo water sampling as directed by the HT RN </li><li> Set-up of the home hemo machine and PD Cycler. </li><li> Assist with exit site care when directed by HT RN. </li><li> Warm dialysate solution when directed by the HT RN </li><li> Draw dialysate solution for testing as directed by the HT RN </li><li> Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review) </li><li> Assembles/breaks down charts/thins charts </li><li> Maintains logs as directed and applicable </li><li> Inventory of Home Program </li><li> Maintains par levels of home department supplies </li><li> Files home patient packing slips/invoices </li><li> Inventory for Patients </li><li> Assists patient with supply management and contacting customer service </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, 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 <ul><li> Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. </li><li> All appropriate state licensure, education and training (if any) required. </li></ul> EXPERIENCE AND REQUIRED SKILLS <ul><li> Previous patient care experience in a hospital setting or related facility preferred. </li><li> Continued employment is dependent on successful completion of the FMCNA 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 - Will Train

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

POSITION FEATURES: Location: 2901 E Kilgore Rd, Portage, MI 49002 Candidates must be open to all shifts - 3, 4, or 5 days per week, 8-12 hours per day. Earliest report time 4am, latest end time between 7pm and 9pm. 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.

LPN/LVN

PURPOSE AND SCOPE: Entry level position focuses on the development of Knowledge, Skills, and Abilities (KSA) in a supervised environment with the intent of developing performance and effective, efficient independent functioning under close supervision upon completion of various training processes over time. Under close supervision and consistent with completed training and qualifications, schedules and performs routine repair and maintenance activities of medical equipment, water systems and the physical plant in assigned facilities that ensures patient safety and staff operating equipment in accordance with company policies and procedures, manufacturer's documentation, industry standards and local, state and federal regulatory requirements. Responsible for efficient use of resources related to repair and maintenance costs. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under close supervision and consistent with completed training and qualifications, performs limited scope routine tasks with minimal role in decision-making and judgment, receiving detailed instruction until completion of task specific training and successful demonstration of competency, including but not limited to the following: Repair and Maintenance: <ul> <li>Performs timely routine maintenance, troubleshooting, and repair activities to dialysis equipment and water treatment systems and as required and recommended by the manufacturer and established company policy and procedures, including maintaining aesthetics of the equipment and water room.</li> <li>Coordinates and completes scheduled and unscheduled routine repair and maintenance of physical plant by company approved vendors.</li> <li>Participates in preventive maintenance of all ancillary devices assuring it follows manufacturer's recommendations and in compliance with company policies and procedures, industry standards and local, state and federal regulatory requirements.</li> <li>Purchases and maintains an inventory of service parts using approved sources and ensures RGA and warranty parts are returned in a timely manner.</li> <li>Performs water/dialysate sample collection and processing and reviews and participates in evaluation and reporting of quality results per applicable policies and procedures.</li> <li>Documents all daily, weekly, monthly repair and maintenance activity/repairs per applicable policies and/or procedures.</li> <li>Updates project tracking or other company tracking/documentation systems as assigned.</li></ul> Regulatory Compliance: <ul> <li>Participates in monthly Technical CQI/QAI process, assisting with the analysis, assembly and assimilation of information and data and contributing in technical discussion, including reporting outcomes and creating and implementing improvement plans approved by supervisor.</li> <li>Collaborates with facility staff to ensure all regulatory and OSHA requirements are met.</li> <li>Reviews water system documentation to verify compliance (i.e. readings are within parameters).</li> <li>Performs daily, weekly, and monthly trend analysis on the water system, anticipating appropriate action to assure system functions as designed.</li> <li>Identifies instances where company policy and procedures are not being met including escalation of issues to next level management.</li></ul> Medical Supply Inventory: <ul> <li>Participates in managing Program's Medical Supply Inventory by managing par values, making sure program has the correct inventory to support the patient treatments, performing physical inventory counts and generating a physical inventory report.</li></ul> Miscellaneous, Operational and Educational: <ul> <li>Must obtain and maintain water treatment equipment qualification by completing Annual Water Training.</li> <li>Supports clinical education by administering return demonstrations during Annual Water Training.</li> <li>Must maintain current required certifications.</li> <li>Monitors and reviews patient care staff's technique for testing water system, assuring tests and documentation meet policy and comply with manufacturer's specifications for the devices and test equipment used.</li> <li>Attends and successfully completes all technical training programs required by state/federal regulations and company policy. Refer to Biomedical Technician Career Pathway Department Operating Guideline for full list of training requirements.</li> <li>Transports equipment as needed and with supervisor consent.</li> <li>Escalates issues to supervisor for resolution.</li> <li>Other related 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>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that, failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.</li> <li>Position involves active work including lifting, bending, walking and standing for considerable lengths of time. </li> <li>The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet.</li> <li>There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. </li> <li>Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. </li> <li>Evening and weekend availability, as well as ability to take on-calls are required. Overnight travel may be required.</li></ul>SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS:<ul> <li>High school diploma or G.E.D. required.</li> <li>Associate Degree in electronics / biomedical technology, or equivalent a plus.</li> <li>Valid Driver's License issued in the employee's state of residence required.</li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul> <li>0 - 1 year related experience.</li> <li>Prior experience working in an industrial/dialysis/medical technical setting a plus.</li> <li>Manual dexterity required - ability to use common hand tools and small power equipment.</li> <li>Good verbal and written communication skills with the ability to comprehend and communicate in the English language.</li> <li>Computer literacy with the ability to navigate through common operating systems, such as Microsoft Office products. Familiarity with SAP and TMS a plus but not required.</li> <li>Ability to work a flexible schedule including nights, weekends and holidays.</li> <li>Must successfully complete all required training in the Biomedical Technician I Curriculum. Expected completion goal of the training segments is within the first 24 months of service from date of hire / job start date.</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.

Biomedical Equipment Technician

POSITION FEATURES: <ul><li>Paid Training</li><li>No weekends and Holidays</li></ul>About this role: As a Dietitian with Fresenius Medical Care, you will be a valuable member of the interdisciplinary team and a part of a close-knit, collaborative team responsible for delivering unique nutritional care to patients facing end stage renal disease. Our RDs build strong bonds and lasting relationships with patients, their families, and all team members. How you grow or advance: We offer a Core Curriculum program, which includes CEUs, specifically for dietitians on all the topics of renal nutrition therapy. Our orientation and training program is designed to develop experts in the field of renal nutrition, allowing you to work at the top of your license. 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: <ul><li>Assesses patient's knowledge and provides education regarding the relationship of diet and kidney disease and the impact on the treatment process.</li><li>Provides education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process.</li><li>Completes nutritional assessment and works with the interdisciplinary team to develop an individualized comprehensive plan of care for patients.</li><li>Maintains complete and accurate medical records including progress notes.</li><li>Provides ongoing assessment and counseling necessary to assist patient in achieving and sustaining an effective nutritional status.</li><li>Identifies malnourished or at-risk patients and works collaboratively with the interdisciplinary team to identify appropriate interventions, resources, or solutions. </li><li>Monitors, adjusts, and documents response to nutrition therapy and addresses any issues impacting the patient's ability to achieve the goals.</li><li>Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V.</li><li>Reports on nutrition QAI results and participates in the interdisciplinary QAI program. </li><li>Reviews nutrition related lab results:<ul><li>Counsels patient and/or caregiver and formulates appropriate action.</li><li>Recommends treatment changes to the interdisciplinary team as appropriate.</li><li>Identifies candidates to refer to physician for nutritional supplements. </li><li>Communicates with physician and/or facility staff as appropriate.</li></ul></li></ul><ul><li>Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable.</li></ul> EDUCATION: <ul><li>Registered Dietitian as per Commission on Dietetic Registration. </li><li>Board Certified Specialist in Renal Nutrition encouraged.</li><li>Current state licensure if applicable.</li><li></li></ul> EXPERIENCE AND SKILLS: <ul><li>1+ year experience in clinical nutrition as a Registered Dietitian.</li><li>Previous renal experience preferred.</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></li><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></li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Dialysis Dietitian

Position responsible for and reside the NC/VA region. Purpose: The Therapy Specialist (TS) is a role that combines clinical education and sales to strengthen and expand business with current hospital customers. Responsibilities focus primarily on Continuous Renal Replacement Therapy (CRRT) programs at predetermined accounts in their geographic territory. The TS will develop relationships with key stakeholders to understand their goals and help achieve them with NxStage. Call points include critical care nursing, nursing leadership, nephrologists, critical care intensivists, hemodialysis managers, nursing educators, and biomedical engineering. Roles and Responsibilities: <ul><li> Serve as primary point of contact for accounts, building long-term relationships as a trusted clinical advisor/consultant. </li><li> Provide strong customer service, responding in a timely manner to all requests/concerns. </li><li> Identify customer needs and promote initiatives that address those needs while driving utilization of disposable products (cartridges and dialysate fluids). </li><li> Provide continuous education to customers as it relates to hospital initiatives and NxStage therapies (CRRT, PIRRT, IHD, SCUF and TPE). </li><li> Act as a liaison between customers and cross-functional internal teams to ensure optimal program performance and successful delivery of solutions to meet the customers' needs. </li><li> Utilize resources to monitor and analyze accounts' purchases and usage. </li><li> Work collaboratively with the Area Sales Manager and Clinical Consultant to identify opportunities for new business within their geographical territory. </li><li> Effectively present to both small and large audiences, including being a guest speaker at events such as AACN meetings, fellows talks, and dinner programs. </li><li> Communicate weekly updates to respective Director of Sales regarding progress, quarterly initiatives, obstacles, and recommendations. </li><li> Share best practices internally to raise the bar for the greater field sales team. </li><li> Regularly update activities and account information in Salesforce.com CRM system. </li><li> Achieve KPIs and quota-based metrics. </li></ul> Requirements: <ul><li> Bachelor of Science Degree in Nursing or related degree area. </li><li> Minimum 3 years critical care experience, CRRT experience strongly preferred or strong understanding of renal replacement therapy indications and treatment options. </li><li> Sales experience or account management experience a plus. </li><li> Natural ability to build relationships at different levels and across teams with reliability, integrity, and maturity. </li><li> Critical thinking and problem-solving skills. </li><li> Ability to manage multiple projects at a time and prioritize among competing tasks. </li><li> Attention to detail. </li><li> Excellent listening skills as well as verbal and written communication skills. </li><li> Excellent presentation skills. </li><li> Must be self-motivated, taking accountability for own performance and knowledge. </li><li> Ability to navigate large geographical area and travel with autonomy (up to 60% travel). </li><li> Passion for improving patient care through better renal replacement programs. </li></ul>

Therapy Specialist (Critical Care NC/VA)

About this role: As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment equipment within our kidney care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical supplies required. How you grow or advance in your career: We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a Biomedical Technician specific career ladder with three potential levels of Biomedical Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice President of Technical Services and supported by Corporate Biomedical Support Managers. 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 DUTIES AND RESPONSIBILITIES: &bull; Maintains, troubleshoots, and repairs dialysis equipment, ancillary equipment, and water treatment systems. &bull; Maintains the physical plant, as directed. &bull; Ensures outside vendor services are completed per contract. &bull; Purchases and retain an inventory of service parts. &bull; Performs, evaluates, and reports water/dialysate sample collection and any actions required. &bull; Conducts daily, weekly, and monthly trend analysis on the water system to assure system functions as designed. &bull; Documents all repairs and maintenance activity. &bull; Assists in planning and installing biomedical equipment to assure safe and effective operation of facility. &bull; Transports equipment as needed with supervisor consent. &bull; Participates in monthly technical and regulatory meetings. &bull; Collaborates with facility staff to ensure all regulatory and OSHA requirements are met. &bull; Manages inventory, including receiving and putting up deliveries, inventory counts, transporting goods between clinics as needed and assist clinical management with inventory costs. &bull; Performs initial and annual verification and ongoing monitoring of patient care staff's technique for testing water system, assuring tests and documentation comply with manufacturer's specifications for the devices and test equipment used. &bull; Completes all technical training programs required by state/federal regulations and company policy. &bull; Provides scheduled after hour technical on-call coverage for your clinics as needed. EDUCATION AND CREDENTIALS: <ul><li>High school diploma or G.E.D. required.</li><li>Associate Degree in electronics / biomedical technology, or equivalent (preferred but not required)</li><li>Valid Driver's License issued in the employee's state of residence required.</li><li>Continued employment is dependent on successful completion of Fresenius Biomedical Technician training within the first 24 months of service from date of hire.</li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>Qualities and traits: collaborative, independent, analytical, mechanical, self-motivated, self-starter, continuously strives for staying up to date and increasing their knowledge/skills</li><li>Less than 1-year related experience.</li><li>Prior experience working in a mechanical, automotive, or construction industry, dialysis, or medical technical setting (preferred but not required).</li><li>Manual dexterity required - ability to use common hand tools and small power equipment.</li><li>Good verbal and written communication skills.</li><li>Ability to lift up to 50 lbs. and safely move large/bulky equipment</li></ul>Ability to create a safe and efficient work environment, OSHA - 6S - Infection Control 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. The Company will consider whether reasonable accommodations can be made. &bull; Position involves active work including lifting, bending, walking, and standing for considerable lengths of time. &bull; The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet. &bull; There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. &bull; Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. &bull; Evening, weekend, and holiday availability, as well as ability to take EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and development programs including new employee orientation, preceptor training, facility specific in- services, and clinical, quality, and customer service training programs to promote quality patient care, and achieve Area, Regional and/or Enterprise-wide initiatives & goals. PRINCIPAL DUTIES AND RESPONSIBILITIES: &bull; Aligns with regional, group, and corporate, business-related goals through all activities and actions. &bull; Adheres to standards and scope of nursing practice, company policy, procedures, compliance, regulatory, legal, and ethical, requirements. &bull; Focuses all programs towards achieving a culture of patient safety, clinical quality goals, and improving patient outcomes, using company and industry guidelines and standards. &bull; Develops competency and skills to educate personnel in all chronic kidney disease treatment programs. &bull; Empowers and promotes a culture of lifelong learning through professional programs, coaching, and available technologies. &bull; Collaborates with relevant partners at all levels to schedule, provide, and implement education programs, technologies, and processes for new and current personnel. &bull; Utilizes appropriate educational venues and generational learning techniques to deliver, support, and evaluate training. &bull; Partners in the implementation of action plans through to resolution, as appropriate. &bull; Uses facilitation techniques and the variety of tools and resources available to promote immersive, engaging, learning experiences. &bull; Develops and maintains open, effective, and timely communication with internal and external customers such as company management and facility team, government agencies, physicians, hospitals, and contracted travel personnel. &bull; Demonstrates leadership competencies, excellent communication, customer service, continuous quality improvement, relationship development, critical thinking, team building, motivating employees, performance management, and decision- making skills. &bull; Supports metric / KPI programs, with timely and complete data documentation, reporting, and ongoing quality improvement processes. &bull; Maintains knowledge of products, services, and strategies to support and train staff appropriately in all modalities. &bull; Trains new employees with demonstration and oversight of direct patient care-related activities. &bull; Perform other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: &bull; 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; Day to day work includes desk and personal computer work and interaction with patients, Regional and facility/program employees, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, departmental, and corporate meetings may be required. &bull; 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. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; May be asked to provide essential functions of this position in other locations which may include overnight stays, with the same physical demands and working conditions as described above. &bull; This position requires between 35-90% travel SUPERVISION: &bull; None EDUCATION AND REQUIRED SKILLS: &bull; Associate or Bachelor's degree from an accredited School of Nursing. &bull; Advanced degree BSN or MSN (preferred) &bull; Current appropriate RN state licensure in primary state of residence &bull; Obtain and maintain RN state licensure in assigned states as directed &bull; Must meet the practice requirements in the state of employment &bull; Minimum 1-year dialysis experience as a Registered Nurse &bull; CDN or CNN (preferred) or must attain within 18 months of employment &bull; Successful completion and maintenance of CPR BLS (Basic Life Safety) Certification, all annual and ongoing required education / training / competencies. 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.

Clinical Educator

PURPOSE AND SCOPE: Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Under direct/close supervision, performs a variety of basic and routine clerical and secretarial duties. These may include but are not limited to: </li><li> Preparing and typing routine correspondence, form letters and reports </li><li> Answering telephone & routing calls to the appropriate person, </li><li> Greeting visitors and patients as applicable and conducting them to the appropriate location or person as needed. </li><li> Setting up and maintaining filing systems and basic databases as applicable. </li><li> Completing forms and reports as required by the various company offices and outside vendors and agencies. </li><li> Recording the minutes of meetings and providing the resulting documents as necessary. </li><li> Making copies of correspondence and other printed matter as required by manager. </li><li> Preparing purchase orders using the appropriate software application. </li><li> Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed. </li><li> Distributing incoming mail. </li><li> Maintaining calendar and daily schedules. </li><li> Scheduling appointments & arranging meetings. </li><li> Maintaining inventory of the necessary office forms and supplies. </li><li> Assisting with various basic personnel administrative functions as needed. </li><li> Acting as backup to other clerical personnel in office as needed. </li><li> Assists in the collection of Patient Statistical Profile and Continuous Quality Improvement Data. </li><li> Assists with month-end reporting requirements </li><li> Assists in auditing records for ongoing compliance with medical records standards. </li><li> Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc. <ul><li> Prepares medical records for facsimile or mail related to travel, transplant, disability and others. </li><li> Organizes travel for patients by contacting and providing requested medical records. </li><li> Coordinates with transient patient paperwork. </li><li> Coordinates transfer placements and confirmations along with Clinical Manager. </li><li> Confirms 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></ul></li><li> Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART. </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> Day to day work includes desk and personal computer work and possible interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. The work environment may be characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials </li></ul> EDUCATION : <ul><li> High School Diploma required </li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li> Minimum 6 months relevant experience without a degree - 0-6 months experience with an Associate degree or secretarial school. </li><li> Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills. </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.

Secretary/Receptionist

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

PCT lll, Preceptor

Patient Care Technician - PCT

POSITION FEATURES: Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li>Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.</li><li>Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.</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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.</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>Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.</li><li>Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. </li><li>Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. </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 equipment, 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>Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.</li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>The position may require travel to training sites, other facilities or patient homes.</li><li>May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</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: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:<ul><li> Successful completion of all FKC education and training requirements for new employees.</li><li> Must have a minimum of 12 months experience as a RN.</li><li> Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.</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 1-year experience as a Registered Nurse (preferred)</li><li>Home dialysis therapy 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. "

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, 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. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. 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 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> As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.</li><li>Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff.</li><li>Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.</li><li>Adjusts or modify the treatment plan as indicated and notify supervisor as needed.</li><li>Provides initial and ongoing education to patient and family.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.</li><li>Initiates or assist with emergency response measures.</li><li>Ensures correct laboratory collection, processing, and shipping procedures are performed.</li><li>Collaborates with the Interdisciplinary Team on the patient care plan.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Completes CAP requirements to either maintain or advance within the program.</li><li>Makes referrals to Social Worker and Registered Dietitian as appropriate.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li></ul> EDUCATION AND LICENSURE : &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification. &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS : &bull; Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. &bull; Experience as a Registered Nurse (preferred but not required). &bull; Chronic/acute hemodialysis experience (preferred but not required). &bull; Successfully pass the Ishihara Color Blind Test. 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; 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. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; 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. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position may require travel to training sites or other facilities. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. 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

POSITION FEATURES: Paid one on one training and education provided. Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment. Primarily works in the clinic setting and conducts initial home visits with another staff member present. Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours. PURPOSE AND SCOPE: The professional registered nurse Home Therapies 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 Educator, Preceptor or in collaboration with another Registered Nurse.</li><li>Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.</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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapies 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>Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.</li><li>Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner/ family readiness and ability to perform dialysis treatments in the home. </li><li>Trains home dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through a formal standardized Home Dialysis Training Program.</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 either 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>Rotates coverage with other licensed home therapy staff as assigned to ensure reliable and adequate coverage. </li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>The position may require travel to training sites, other facilities and patient homes.</li><li>May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li></ul> SUPERVISION: Assigned oversight of RNs, LPNs/LVNs, Patient Care Technicians and Home Therapies Care Team Assistants 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 home dialysis therapies 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 a minimum of 2 years or more of Nephrology Nursing experience within the last 2 years as a RN.</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 - RN - Dialysis

POSITION FEATURES: In this role, the RN will participate in our Transitional Care Program. That program entails the following:<ul><li>Following all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care</li><li>Coordinating all education and care related matters as it relates to the new patient; liaisons with appropriate FKC staff members to provide the best patient experience and education to include making sure all disciplines are scheduled to see patient according to plan</li><li>Demonstrating and education on home dialysis products to ensure patient understands the benefits of home and how home dialysis can work for them.</li><li>Ability to set and preform a treatment on all machines used in the transitional care unit. This includes being able to demonstrate peritoneal dialysis set-up.</li><li>Coordinate transition to patient's permanent modality choice.</li></ul> PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. <ul><li> Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses. </li><li> Performs ongoing systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. </li><li> Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </li><li> Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. </li><li> Initiates or assists with emergency response measures. </li><li> Serves as a resource for health care team participates in staff training and orientation of new staff as assigned. </li><li> Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. </li><li> Ensures patient awareness related to transplant and treatment modality options. </li><li> Required to complete CAP requirements to advance. </li><li> Performs all other duties as assigned by Supervisor. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. <ul><li> The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. </li><li> This position requires frequent prolonged periods of standing and the employee must be able to bend over. </li><li> The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. </li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li> May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians. </li><li> The position may require travel to training sites or other facilities. </li><li> May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. </li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following: <ul><li> Successful completion of all FKC education and training requirements for new employees. </li><li> Must have a minimum of 9 months experience as a RN. </li><li> Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. </li></ul> EDUCATION and LICENSURE: <ul><li> Graduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Current or successful completion of CPR BLS Certification. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic/acute hemodialysis experience (preferred). </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. "

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