*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;

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly committed to a foundation of operating excellence, professionalism and financial strength. WM serves nearly 25 million customers in residential, commercial, industrial and municipal markets throughout North America through a network of collection operations, transfer stations, landfills, recycling facilities and waste-based energy production projects. I. Job Summary Conducts inventory assessments for collection and post-collection sites and ensuring that sites� inventories and warranties are updated. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform the essential duties satisfactorily. Other minor duties may be assigned and duties may vary by department. <ul> <li>Establishes inventory minimums and maximums for sites, as determined by Market Area Fleet policy. </li> <li>Identifies overstocked, low usage items, and obsolete inventory. Responsible for monitoring SOP/ILR inventories to ensure none are older than 2 weeks.</li> <li>Negotiates the lowest cost, highest yield option for purging low usage or obsolete inventory from sites.</li> <li>Coordinates and arranges stock transfers between sites and other Market Areas.</li> <li>Files warranty claims, arranges returns, and data-mining the Fleet database for campaign opportunities and ensuring all sites are submitted.</li> <li>Responsible for overall stockroom organization and shelves are faced during visits.</li> </ul> III. Supervisory Responsibilities This job has no supervisory duties. IV. Qualifications The requirements listed below are representative of the qualifications necessary to perform the job. A. Education and Experience <ul> <li>Required: High school diploma or G.E.D. (accredited) and at least 1 year of previous experience.</li> <li>Preferred: 2-3 years of previous experience</li> </ul> B. Certificates, Licenses, Registrations or Other Requirements <ul> <li>None required.</li> </ul> C. Other Knowledge, Skills or Abilities Required <ul> <li>This position may require coaching of other employees and assigning work activities to other employees.</li> </ul> V. Work Environment Listed below are key points regarding environmental demands and work environment of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. <ul> <li>Required to use motor coordination with finger dexterity (such as keyboarding, machine operation, etc.) most of the work day;</li> <li>Required to exert physical effort in handling objects less than 30 pounds rarely;</li> <li>Required to be exposed to physical occupational risks (such as cuts, burns, exposure to toxic chemicals, etc.) rarely;</li> <li>Required to be exposed to physical environment which involves dirt, odors, noise, weather extremes or similar elements rarely;</li> <li>Normal setting for this job is an office setting.</li> </ul>The expected salary range for this position is $22.25 - $30.00 . The specific salary offered to a candidate may be Influenced by a variety of factors including the candidate's relevant experience, education, training, Certifications, qualifications, and work location. Benefits At Waste Management, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site. If this sounds like the opportunity that you have been looking for, please click "Apply.�

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Inventory and Warranty Coordinator

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. Equal Opportunity Employer: Minority/Female/Disability/Veteran What is the value of a WM job? The value of a WM job is more than a paycheck. It's a way to create opportunities for you and your family. We Are Stable: Our WM team is home every day, and our team members perform essential and meaningful work. We Are Committed to Growth: 100% tuition paid for benefits eligible employees and their family, and established career progression. We Are Investing in You: Amazing Medical, Dental & Vision, 401K with match, discounted stock options, dependent day care, and more! Who are we? #WeAreWM Ready to roll with us? Click Apply to join the Waste Management team today. I. Job Summary Safely operates a heavy-duty truck to perform assigned duties on transfer routes. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned. <ul> <li>Operates vehicle in accordance with Occupational and Safety Health Act (OSHA) and Department of Transportation (DOT) requirements as well as all local, state and federal requirements and Company expectations for the Fleet; maintains a clean and safe vehicle.</li> <li>Performs pre- and post-trip inspections of assigned vehicle using utilizing standard DVIR (Driver Vehicle Inspection Report); notes all issues on DVIR form for corrective review/repair.</li> <li>Immediately reports any unsafe situations or service calls to Route Manager or Dispatch before attempting service.</li> <li>Participates and cooperates in all scheduled training, briefings, and meetings as required by Route Manager.</li> <li>Works closely with Route Managers to improve route efficiencies and identify problem or unsafe accounts.</li> <li>Performs all duties as scheduled by Route Manager or Dispatch, assisting other company drivers as directed.</li> <li>Notifies Route Manager of any incidents, accidents, injures, or property damage.</li> <li>Notifies Dispatch or Route Manager of issues as prescribed by Service Machine protocol, including blocked containers, potential missed pick-ups or problems that arise on the route.</li> <li>Communicates customer requests or issues to Dispatch or Route Manager.</li> <li>Completely dumps all containers and leaves the customer's location clean and free of debris. </li> <li>Completes and submits customer tickets when excess yardage must be removed.</li> <li>Positions containers on the customer's property in a manner that ensures lids are properly replaced, containers are set in an upright position, and containers do not block driveway entrances or traffic.</li> <li>Follows route assignments throughout the day and completes all documentation when checking-in at the end of the route.</li> </ul> III. Supervisory Responsibilities This job has no supervisory duties. IV. Qualifications The requirements listed below are representative of the qualifications necessary to perform the job. A. Education and Experience <ul> <li>Education: None required. </li> <li>Experience: No prior work experience required.</li> </ul> B. Certificates, Licenses, Registrations or Other Requirements <ul> <li>Commercial Drivers License B (CDL).</li> <li>The CDL is a requirement, therefore, an applicant must be 18 years of age.</li> <li>Successfully complete pre-employment DOT drug screen, physical, and background check, which will include previous employment check, and motor vehicle record review.</li> <li>Acceptable driving record required. </li> </ul>The expected hourly rate for this position is $32.75. The specific hourly rate offered to a candidate may be influenced by a variety of factors including the candidate's relevant experience, education, training, certifications, qualifications, and work location. Benefits At Waste Management, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site. If this sounds like the opportunity that you have been looking for, please click "Apply.

CDL Truck Driver

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status.<ul> <li>Applicant must live within 2 hours of Philadelphia, PA. Travel to local sites is required quarterly.</li> </ul> I. Job Summary Communicates back and forth with Waste Management Drivers to assist with problem resolution while on route for residential, commercial and roll-off lines of business. Handles incoming service orders, directs drivers, and resolves service issues. Interacts with customers that includes Waste Management customer service, sales, and operational staff (i.e. Route Managers, Mechanics etc.). Uses Waste Management proprietary software to manage same day ticket routing as well as preparing all routes for the next day. Shifts vary with the potential for overtime and Saturday hours depending on each Market area dispatch center needs. Some travel (up to 15%) may be required to work face to face with sites dispatcher is responsible for. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned.<ul> <li>Dispatches drivers to calls as they are received, using information on customer needs, drivers' locations and loads, and daily factors to balance cost and customer satisfaction.</li> <li>Works with sites and the service department to optimize routes based on needs of the customer.</li> <li>Determines the daily level of driver staffing to provide best mix of responsiveness and productivity.</li> <li>Assigns routes and service tickets to appropriate drivers throughout the day and for the next day; manages and determines route actions and assuring route completion.</li> <li>Handles fields incoming calls and e-mails from customer service and sales department; manages requests for all pick-up or delivery on any container movement within the Market area.</li> <li>Initiates communication to customers while drivers are on-site/location, resolving pick-up and other issues delaying the service.</li> <li>Troubleshoots and resolves potential delivery and pick-up problems before they result in service issues.</li> <li>Ensures same-day service on missed pick-ups by managing the routing for all routes and tracking driver movement in the field.</li> </ul> III. Supervisory Responsibilities This job has no supervisory duties. IV. Qualifications The requirements listed below are representative of the qualifications necessary to perform the job. A. Education/Experience <ul> <li>Education: High School Diploma or G.E.D (accredited).</li> <li>Experience: Six (6) months of relevant work experience with working in a team setting, with the ability to communicate to several areas effectively. Multi-tasking in a fast-paced work environment with excellent organizational skills.</li> </ul> B. Certificates, Licenses, Registrations or Other Requirements <ul> <li>None required.</li> </ul> C. Other Knowledge, Skills or Abilities Required <ul> <li>Computer skills with ability to handle multiple programs and systems.</li> <li>Must be able to communicate effectively and professionally via e-mail, telephone, and 2-way devices.</li> <li>Must have the desire and ability to learn Waste Management proprietary software applications.</li> </ul> V. Work Environment Listed below are key points regarding environmental demands and work environment of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.<ul> <li>Required to use motor coordination with finger dexterity (such as keyboarding, machine operation, etc.) most of the work day;</li> <li>Required to exert physical effort in handling objects less than __ pounds rarely;</li> <li>Required to be exposed to physical occupational risks (such as cuts, burns, exposure to toxic chemicals, etc.) rarely;</li> <li>Required to be exposed to physical environment which involves dirt, odors, noise, weather extremes or similar elements rarely;</li> <li>Normal setting for this job is: office setting.</li> </ul>The expected salary for this position is $21.40/hr. The specific salary offered to a candidate may be influenced by a variety of factors including the candidate's relevant experience, education, training, certifications, qualifications, and work location. Benefits At Waste Management, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site. If this sounds like the opportunity that you have been looking for, please click "Apply."

Dispatcher/Router Combo

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. I. Job Summary The Accounting Analyst, Corporate Accounting will be expected to apply accounting principles to prepare journal entries, analyze financial information, and prepare financial reports. Successful candidates should demonstrate strong accounting knowledge, including solid understanding of U.S. GAAP. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned. <ul> <li>Executes moderately complex financial tasks in a timely and accurate manner; and completes individual analytical projects in a satisfactory manner given abstract project guidelines.</li> <li>Performs month-end close activities for assigned areas of responsibility including preparing journal entries of low to high complexity. </li> <li>Analyzes general ledger accounts for accuracy; Prepare monthly/quarterly account reconciliations and adequately document conclusions.</li> <li>Analyzes monthly financial results; able to communicate trends in results and provide meaningful insights into the results. Displays critical thinking skills in preparation of analyses.</li> <li>Collects and analyze financial data and prepare monthly combined financial statements and reports. Coordinate preparation of monthly financial package and reviews for accuracy.</li> <li>Assists with evaluating, documenting, and concluding on the accounting consequences of potential transactions.</li> <li>Participates in monthly financial review meetings.</li> <li>Provides guidance to other Finance personnel for proper internal and external financial accounting procedures and their application.</li> <li>Assists with the maintenance and application of internal controls. Execute internal controls responsibilities timely and accurately.</li> </ul> III. Supervisory Responsibilities This job may require supervisory duties. IV. Qualifications The requirements listed below are representative of the qualifications necessary to perform the job. A. Education and Experience <ul> <li>Education: Bachelor's Degree (accredited), or in lieu of degree, high School Diploma or GED (accredited) and four (4) years of relevant experience.</li> <li>Experience: Three (3) years of relevant work experience (in addition to education requirement).</li> </ul> B. Certificates, Licenses, Registrations or Other Requirements <ul> <li>None required.</li> </ul> C. Other Knowledge, Skills or Abilities Required <ul> <li>General understanding of US GAAP, Sarbanes Oxley and SEC regulations.</li> <li>Strong written and verbal communication skills.</li> <li>Strong business acumen.</li> <li>Must be based in the Houston, TX area; no relocations</li> <li>Must be authorized to work in the US. </li> </ul> V. Work Environment Listed below are key points regarding environmental demands and work environment of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.<ul> <li>Required to use motor coordination with finger dexterity (such as keyboarding, machine operation, etc.) most of the work day; Office and Administrative Support.</li> <li>Normal setting for this job is: office setting/hybrid.</li> </ul> Benefits At WM, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site. If this sounds like the opportunity that you have been looking for, please click Apply."

Accounting Analyst, Corporate Accounting

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. Location Available: Houston, TX What is the value of a WM job? Are you interested in joining a company that puts its people first, is committed to sustainability for this generation and generations to come and invests in your future? If so, then WM is the place for you. The value of a WM job is more than a paycheck. It is a way to create opportunities for you and your family. Start your tomorrow today and apply to join the family. We Are Working for a Sustainable Tomorrow: Our mission is to leave the world a better place than we found it by helping its inhabitants find purpose in becoming its caretakers. We Are People First: The members of the WM family are the foundation for our success. We foster an environment where all teammates feel welcomed, valued and seen. We Are a Family: At WM we are 50,000 people - from many places and many backgrounds, and it is our amazing differences that make us stronger. Who are we? #WeAreWM Ready to join the WM family? Click Apply to join the Waste Management team today. Internship Program at WM We at WM are grounded in our People First commitment which is reflected in our culture and values. Our Internship Program at WM is a 12-week paid program focused on supporting your education with experiential learning. As a WM Intern, you will interact with and conduct various duties and responsibilities for one or more functional teams to develop new skills and learn new areas of the business. Interns gain practical experience, relevant to their field of study, prior to college graduation. Job Summary: Digital - Cybersecurity Strategy and Portfolio Management Intern will participate in Cybersecurity Strategy and Portfolio Management processes and tasks. This area of cybersecurity refers to the strategic and systematic approach of overseeing and organizing cybersecurity initiatives and resources. Functions within this group include Project Management, Metrics, Strategic Roadmaps, Audit Support, Contract Reviews, Tabletop Exercises, and Demand Management. Interns will participate in efforts across these functions including monthly metric reporting, project management tasks across cybersecurity initiatives, and participate in the redesign of Cybersecurity intranet site. Intern will also be introduced to other areas of cybersecurity including: Identity and Access Management; Governance, Risk and Compliance; and how Cybersecurity is aligned with our business partners including Operational Technology, Sustainability, and Corporate. Intern will be working directly with Senior Cybersecurity personnel and managers. This position will be located at Houston corporate headquarters with a standard 40-hour workweek. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the essential duties satisfactorily. Other minor duties may be assigned and may vary by location. <ul> <li> Uses problem solving skills to determines problems and understand fundamental parts of the problem. </li> <li> Conducts analysis as directed and prepares and delivers insights and recommendations based on analysis. </li> <li> Synthesizes findings and draws conclusions from analyses and makes oral/written recommendations to supervisor and/or manager. </li> <li> Executes tasks related to functional projects and/or process improvements. </li> <li> Communicates issues and roadblocks related to areas of responsibility. </li> </ul> Qualifications: Education and Experience: <ul> <li> Education: Interns must have a high school diploma or GED (accredited) and be pursuing a bachelor's degree (accredited) in Computer Science. Preferred Completed Course Work Hours: 60.0 </li> <li> Strong academic credentials. </li> <li> Experience: No prior work experience required. </li> </ul> Certificates, Licenses, Registrations or Other Requirements: <ul> <li> Must be available to participate in the 12-week internship program from start to finish (May 30 - Aug 19, 2024) </li> <li> Must be available to work 40 hours per week/standard working hours </li> <li> Must have completed at least one year of college and be enrolled as a college student in the fall of 2024. </li> </ul> Other Knowledge, Skills or Abilities Required <ul> <li> Knowledge of NIST Cybersecurity Framework (CSF) and NIST 800-53v4 </li> <li> Ability to work efficiently and independently while maintaining attention to detail </li> <li> Able to be flexible and adapt to changing situations while remaining positive </li> <li> Ability to work effectively in a diverse, collaborative team environment </li> <li> Strong verbal and written communication skills </li> <li> Proficient with Microsoft Office suite (Excel, PowerPoint, Outlook, Word) </li> </ul> Work Environment: Listed below are key points regarding environmental demands and work environment of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. <ul> <li> Required to use motor coordination with finger dexterity (such as keyboarding, machine operation, etc.) most of the workday. </li> <li> Required to exert physical effort in handling objects less than 30 pounds </li> <li> Normal setting for this job varies: office and or hybrid model </li> <li> When hybrid, it is required to have a quiet home workspace with internet access to complete job duties. </li> </ul> About WM WM, a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly committed to a foundation of operating excellence, professionalism, and financial strength. WM serves nearly 25 million customers (about the population of Texas) in residential, commercial, industrial, and municipal markets throughout North America through a network of collection operations, transfer stations, landfills, recycling facilities and waste-based energy production projects.

Intern - Cybersecurity

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. I. Job Summary Safely operates a heavy-duty truck to perform assigned duties on transfer routes. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned. <ul> <li>Operates vehicle in accordance with Occupational and Safety Health Act (OSHA) and Department of Transportation (DOT) requirements as well as all local, state and federal requirements and Company expectations for the Fleet; maintains a clean and safe vehicle.</li> <li>Performs pre- and post-trip inspections of assigned vehicle using utilizing standard DVIR (Driver Vehicle Inspection Report); notes all issues on DVIR form for corrective review/repair.</li> <li>Immediately reports any unsafe situations or service calls to Route Manager or Dispatch before attempting service.</li> <li>Participates and cooperates in all scheduled training, briefings, and meetings as required by Route Manager.</li> <li>Works closely with Route Managers to improve route efficiencies and identify problem or unsafe accounts.</li> <li>Performs all duties as scheduled by Route Manager or Dispatch, assisting other company drivers as directed.</li> <li>Notifies Route Manager of any incidents, accidents, injures, or property damage.</li> <li>Notifies Dispatch or Route Manager of issues as prescribed by Service Machine protocol, including blocked containers, potential missed pick-ups or problems that arise on the route.</li> <li>Communicates customer requests or issues to Dispatch or Route Manager.</li> <li>Completely dumps all containers and leaves the customer's location clean and free of debris. </li> <li>Completes and submits customer tickets when excess yardage must be removed.</li> <li>Positions containers on the customer's property in a manner that ensures lids are properly replaced, containers are set in an upright position, and containers do not block driveway entrances or traffic.</li> <li>Follows route assignments throughout the day and completes all documentation when checking-in at the end of the route.</li> </ul> III. Supervisory Responsibilities This job has no supervisory duties. IV. Qualifications The requirements listed below are representative of the qualifications necessary to perform the job. A. Education and Experience <ul> <li>Education: None required. </li> <li>Experience: No prior work experience required.</li> </ul> B. Certificates, Licenses, Registrations or Other Requirements <ul> <li>Commercial Drivers License B (CDL).</li> <li>The CDL is a requirement, therefore, an applicant must be 18 years of age.</li> <li>Successfully complete pre-employment DOT drug screen, physical, and background check, which will include previous employment check, and motor vehicle record review.</li> <li>Acceptable driving record required. </li> </ul> Benefits At Waste Management, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site. If this sounds like the opportunity that you have been looking for, please click "Apply.

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. I. Job Summary Safely operates a heavy-duty truck to perform assigned duties on transfer routes. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned. <ul> <li>Operates vehicle in accordance with Occupational and Safety Health Act (OSHA) and Department of Transportation (DOT) requirements as well as all local, state and federal requirements and Company expectations for the Fleet; maintains a clean and safe vehicle.</li> <li>Performs pre- and post-trip inspections of assigned vehicle using utilizing standard DVIR (Driver Vehicle Inspection Report); notes all issues on DVIR form for corrective review/repair.</li> <li>Immediately reports any unsafe situations or service calls to Route Manager or Dispatch before attempting service.</li> <li>Participates and cooperates in all scheduled training, briefings, and meetings as required by Route Manager.</li> <li>Works closely with Route Managers to improve route efficiencies and identify problem or unsafe accounts.</li> <li>Performs all duties as scheduled by Route Manager or Dispatch, assisting other company drivers as directed.</li> <li>Notifies Route Manager of any incidents, accidents, injures, or property damage.</li> <li>Notifies Dispatch or Route Manager of issues as prescribed by Service Machine protocol, including blocked containers, potential missed pick-ups or problems that arise on the route.</li> <li>Communicates customer requests or issues to Dispatch or Route Manager.</li> <li>Completely dumps all containers and leaves the customer's location clean and free of debris. </li> <li>Completes and submits customer tickets when excess yardage must be removed.</li> <li>Positions containers on the customer's property in a manner that ensures lids are properly replaced, containers are set in an upright position, and containers do not block driveway entrances or traffic.</li> <li>Follows route assignments throughout the day and completes all documentation when checking-in at the end of the route.</li> </ul> III. Supervisory Responsibilities This job has no supervisory duties. IV. Qualifications The requirements listed below are representative of the qualifications necessary to perform the job. A. Education and Experience <ul> <li>Education: None required. </li> <li>Experience: No prior work experience required.</li> </ul> B. Certificates, Licenses, Registrations or Other Requirements <ul> <li>Commercial Drivers License B (CDL).</li> <li>The CDL is a requirement, therefore, an applicant must be 18 years of age.</li> <li>Successfully complete pre-employment DOT drug screen, physical, and background check, which will include previous employment check, and motor vehicle record review.</li> <li>Acceptable driving record required. </li> </ul> Benefits At Waste Management, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site. If this sounds like the opportunity that you have been looking for, please click "Apply.

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. PAY: $20.58+/HR DEPENDING ON EXPERIENCE SHIFT: 1ST 5:30AM-3:30PM - OVERTIME AVAILABLE EXPERIENCE: 6+ MONTHS WELDING EXPERIENCE Equal Opportunity Employer: Minority/Female/Disability/Veteran What is the value of a WM job? The value of a WM job is more than a paycheck. It's a way to create opportunities for you and your family. We Are Stable: Our WM team is home every day, and our team members perform essential and meaningful work. We Are Committed to Growth: 100% tuition paid for benefits eligible employees and their family, and established career progression. We Are Investing in You: Amazing Medical, Dental & Vision, 401K with match, discounted stock options, dependent day care, and more! Who are we? #WeAreWM Ready to roll with us? Click Apply to join the Waste Management team today I. Job Summary Under general supervision, performs preventive maintenance services and inspects, diagnoses and repairs compactors and containers. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned. Works under limited supervision and selects from written instructions and established procedures to accomplish assigned tasks. Performs repairs and assigned preventive maintenance services. Performs inspection, diagnosis and repair of electrical, hydraulic, suspension, brake and air systems as needed. Utilizes computer electronics systems to interpret failure modes to initiate or assign repairs. Estimates time and material costs on compactor and container repairs and requisitions new parts. Performs all work within Standard Repair Times (SRTs). Performs service calls for emergency breakdowns. Conducts safety checks on compactors and containers. Completes required paperwork, documenting parts usage, and accounting for repair times. Assists senior technicians in the completion of project work. Maintains a clean, safe work area in compliance with Corporate / OSHA Standards, and performs all work in accordance with established safety procedures. III. Supervisory Responsibilities This job has no supervisory duties. IV. Qualifications The requirements listed below are representative of the qualifications necessary to perform the job. A. Education and Experience Education: None required Experience: Two (2) years of relevant work experience. B. Certificates, Licenses, Registrations or Other Requirements Valid drivers license and must have a clean driving record. Must be at least 18 years of age Legally eligible to work in the United States. Ability to perform physical requirements of the position with or without reasonable accommodations. Successfully complete and pass pre-employment drug screen and physical. C. Other Knowledge, Skills or Abilities Required None required. V. Work Environment Listed below are key points regarding the physical requirements, and work environment of the job. A reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. Required to use motor coordination with arm, hand, finger, and leg dexterity. Required to exert physical effort in handling objects more than _ pounds frequently. Requires pushing, pulling, bending, twisting and lifting up to _ lbs. Will be exposed to a physical environment, which involves dirt, odors, noise, weather extremes or similar elements most of the workday. Note: The level of physical effort may vary from site to site and in some cases be greater or lesser than documented here. Benefits At Waste Management, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site. If this sounds like the opportunity that you have been looking for, please click "Apply.

Welders

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

Outpatient Registered Nurse - RN

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

Patient Care Technician - PCT

POSITION FEATURES: <ul><li>3 MONTHS FREE PAID DIALYSIS EDUCATION TO BECOME NATIONALLY CERTIFIED!</li><li>Full-time full benefits including RN school program</li><li>Experienced supportive leadership</li></ul> PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: <ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li></ul><ul><li></li></ul><ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. Employee Name (Please Print): Employee Signature: Date: ADDENDUM(S): Home Therapies Program (Not Home Assist) This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN) and in compliance with state laws.<ul><li> May assist HT RN on Home Visit as directed </li><li> Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law </li><li> Schedules and contacts patients regarding appointments </li><li> Weigh patient and obtain vital signs </li><li> Collect patient's treatment records and review for completion. Notify RN of incomplete / missing records. </li><li> Cleaning and prepping treatment room; preparing charts prior to clinic visit </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> Set-up of the home hemodialysis 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> Obtain home hemodialysis water and dialysate samples and process for testing as directed by 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> Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements </li><li> Maintains logs as directed and applicable </li><li> Support patient registration and use of connected health </li><li> Provide patient home support as indicated and permissible under state law and applicable regulations </li></ul> Inventory of Home Program <ul><li> Maintains par levels of home department supplies </li><li> Files home patient packing slips/invoices </li></ul> Inventory for Patients <ul><li> Assists patient with supply management and contacting customer service </li></ul> Employee Name (Please Print): Employee Signature: Date: 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-LNA CLAREMONT

POSITION FEATURES: Paid Training in Dialysis Provided! Full-Time (40 hours per week) Variable schedule Monday-Saturday 5:30am-4:30pm 3-4 shifts per week and e/o Saturday Clinic Location: 300 N Commercial St. Ste 100 Neenah, WI 54956 PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li>Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.</li><li>Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.</li><li>Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position may require travel to training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.</li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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. "

Patient Care Technician - PCT - Dialysis

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

POSITION FEATURES: <ul><li>Willing to Train</li><li>Paid on the job training</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 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

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> ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. Employee Name (Please Print) Employee Signature Date ADDENDUM: Home Therapies Program (Not Home Assist) This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN) and in compliance with state laws.<ul><li> May assist HT RN on Home Visit as directed </li><li> Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law </li><li> Schedules and contacts patients regarding appointments </li><li> Weigh patient and obtain vital signs </li><li> Collect patient's treatment records and review for completion. Notify RN of incomplete / missing records. </li><li> Cleaning and prepping treatment room; preparing charts prior to clinic visit </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> Set-up of the home hemodialysis 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> Obtain home hemodialysis water and dialysate samples and process for testing as directed by 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> Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements </li><li> Maintains logs as directed and applicable </li><li> Support patient registration and use of connected health </li><li> Provide patient home support as indicated and permissible under state law and applicable regulations </li></ul> Inventory of Home Program <ul><li> Maintains par levels of home department supplies </li><li> Files home patient packing slips/invoices </li></ul> Inventory for Patients <ul><li> Assists patient with supply management and contacting customer service </li></ul> Employee Name (Please Print) Employee Signature Date 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.

Home Therapy PCT

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 Nephrology Nurse Advancement Program (NNAP) to grow and advance in your career. By participating in NNAP, 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 NNAP 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. &bull; 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. &bull; 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. &bull; Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record. &bull; Adjusts or modify the treatment plan as indicated and notify supervisor as needed. &bull; Provides initial and ongoing education to patient and family. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness. &bull; Initiates or assist with emergency response measures. &bull; Ensures correct laboratory collection, processing, and shipping procedures are performed. &bull; Collaborates with the Interdisciplinary Team on the patient care plan. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Completes CAP requirements to either maintain or advance within the program. &bull; Makes referrals to Social Worker and Registered Dietitian as appropriate. &bull; Ensures patient awareness related to transplant and treatment modality options. 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 - Dialysis

POSITION FEATURES: <ul><li>Salaried Leadership Position</li><li>Monday-Friday 8 hour a day schedule</li><li>16 Chair Unit-</li></ul> PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigneddirect patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlinedin the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. </li><li> Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. </li><li> Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. </li><li> Participate in patient care plan meetings. </li><li> Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. </li><li> Train and orient staff as necessary. </li><li> Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. </li><li> Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. </li><li> Maintain overall shift operation in a safe, efficient, and effective matter. </li><li> With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. </li><li> Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. </li><li> Supervise all documentation of patient information. </li><li> Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. </li><li> Assess daily patient care needs and develop and distribute patient care assignments appropriately. </li><li> Assume primary responsibility in an emergency situation. </li><li> Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. </li><li> Monitor and supervise all patient care activity during dialysis and assist as necessary. </li><li> Collaborate with direct patient care team in making decisions to benefit patient care. </li><li> Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. </li><li> Administer medications to patients per physician's orders. </li><li> Act as the subject matter expert and as a resource for staff members. </li><li> Supervise and participate in completion of short and long term care plans. </li><li> Admit new patients according to facility procedure. </li><li> Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. </li><li> Supervise the safe and effective use of all equipment involved in direct patient care. </li><li> Operate all dialysis related and emergency equipment safely and efficiently when needed. </li><li> Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. </li><li> Complete Nurse's Technical Training Program/Water Quality Facility </li><li> Assist with special projects or other duties as assigned by the Facility Administrator </li><li> Assist with the interviewing of potential direct patient care staff </li><li> Promote efficient use of medical supplies. </li><li> Attend and participate in monthly Quality Assurance meetings. </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. <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. </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></li><li> Travel to regional, Business Unit and Corporate meetings may be required. </li></ul> SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION : <ul><li> Graduate of an accredited school of Nursing (R.N.) </li><li> Must be registered and licensed to practice in the applicable State. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Minimum of 9 months of nursing experience, plus 3 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. </li><li> Medical/surgical nursing preferred. </li><li> Supervisory or management experience preferred. </li><li> Certified in CPR or successfully complete course in CPR certification. </li><li> Good communication skills - verbal and written. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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