*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;

PURPOSE AND SCOPE: This position is for graduates of an accredited school of Nursing working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used will be determined based on the state where the employee is employed. Functions as part of the hemodialysis health care team providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse while working towards obtaining their nursing license. Employees hired into this position will be required to obtain their nursing license within 90 days of their hire date. PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Care:<ul><li>Performs vascular access evaluation pre-treatment.</li><li>Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.</li><li>Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to nurse supervisor.</li><li>Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).</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>Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment and documents appropriately.</li><li>Evaluates patient prior to termination of venous access - standing & sitting blood pressure.</li><li>Obtains hemostasis and applies appropriate dressings. </li><li>Evaluates the patient prior to discharge.</li><li>Documents information related to patient treatment including documentation in the patient health record.</li><li>Reports any significant information and/or change in patient condition directly to the nurse supervisor. </li><li>Performs and documents interventions for unusual patient status and document patients' response to intervention.</li><li>Obtains all prescribed laboratory testing and prepares specimens for collection.</li></ul>Maintenance / Technical:<ul><li>Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.</li><li>Maintains environmental integrity and aesthetics - ensures all areas are safe and clean.</li><li>Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Performs all required pretreatment dialysis machine set up and testing.</li><li>Ensures that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.</li><li>Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste.</li></ul>Clerical & Administrative:<ul><li>Enters all treatment data into the designated clinical application accurately and in a timely manner.</li><li>Reviews health care record for completeness and ensures omitted entries are completed or corrected where appropriate.</li><li>Prepares lab requisitions for prescribed or stat lab specimens according to laboratory destination.</li><li>Collects, labels, appropriately prepares and stores lab samples according required laboratory specifications.</li><li>Ensures collection of lab specimens by appropriate lab courier.</li></ul> Other: <ul><li>As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.</li><li>Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.</li><li>Maintains regular and punctual attendance.</li><li>Performs other related duties as assigned</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.</li><li>Work includes using a desk and personal computer as well as interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.</li><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>SUPERVISION:<ul><li>None</li></ul> EDUCATION AND REQUIRED CREDENTIALS: <ul><li>Must have a nursing degree from an accredited nursing program</li><li>Must obtain nursing license within 90 days of employment</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Previous patient care experience in a hospital setting or a related facility preferred.</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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New Graduate Nurse RN

POSITION FEATURES: Willing to train or Training Provided 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> 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: 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> 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. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. "

Outpatient Registered Nurse - RN

POSITION FEATURES: Willing to train or Training Provided 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.

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.

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.

PURPOSE AND SCOPE: The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1. The CAP RN 2 is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. As a member of the Chronic Kidney Disease (CKD) health care team the CAP RN 2 participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. <ul><li> Performs all essential functions under the direction of the Clinical Manager and with the guidance from the Educator Preceptor or a CAP RN 2 3 4 or 5 for the first 3 months of employment. </li><li> Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3. </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 Clinical Manager or Physician as needed. </li><li> Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. </li><li> Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. </li><li> Directs and provides all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. </li><li> Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record. </li><li> Initiates or assists with emergency response measures. </li><li> Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. </li><li> Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. </li><li> Promotes infection control equipment and environmental safety. </li><li> Assesses collaborates and documents patient/family's basic learning needs including direct and ancillary patient care staff to provide initial and ongoing education to patients and family. </li><li> Serves as a 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 . May serve as a Preceptor to new employees. </li><li> As a Preceptor fulfills the following: <ul><li> Demonstrates reinforces and encourages attitudes and actions which are consistent with FKC Mission and Core Values. </li><li> Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting. </li><li> Seeks opportunities for new employees and communicates progress to Clinical Manager. Provides feedback about new employee's progress to the CM and the Education Department using evaluation tools and direct communication. </li><li> Completes all documentation in a timely manner. </li><li> Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and CM. </li><li> Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills. </li></ul></li><li> Performs essential functions of a Team Leader as assigned by the Clinical Manager or Charge Nurse </li><li> Performs essential functions of a designated Nurse in charge as assigned by the Clinical Manager. </li><li> Collaborates with the interdisciplinary team in the assessment and development of patient plans of care. </li><li> Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. </li><li> Ensures patient awareness related to transplant and treatment modality options. </li><li> Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. </li><li> Checks availability of adequate emergency equipment and supplies daily as assigned. </li><li> Assists with medication tracking and inventory as assigned. </li><li> Serves as a resource for health care team participates in staff training orientation of new staff as assigned. </li><li> Participates in all required staff meetings as scheduled. </li><li> Supports and promotes the FMCNA's mission vision values and customer service philosophy. </li><li> Provides education to staff members regarding updates to policy and procedures as directed by Supervisor. </li><li> Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. </li><li> Performs all other duties as assigned by Supervisor. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work computer work and interaction with patients facility/hospital staff and physicians. The position may require travel to training sites or other facilities. </li><li> May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. </li></ul> SUPERVISION: <ul><li> Assigned oversight of patient care technicians/LPNs as a Team Leader or designated Nurse in charge after the following: <ul><li> Successful completion of all FKC education and training requirements for new employees plus </li><li> Must have a minimum of 3 months experience in chronic hemodialysis plus </li><li> Achieve and maintain all CAP RN 2 level criteria. </li></ul></li></ul> EDUCATION: <ul><li> Graduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Entry level for RNs with 2 years or more of nephrology nursing experience within the last two years or BSN plus 1 year of nephrology nursing experience within the last two years. </li><li> Chronic hemodialysis experience (preferred). </li><li> Successful completion of FKC Education and Training requirements for new employees. </li><li> Successful completion and maintenance of CPR BLS Certification. </li><li> Meet all conditions of employment including Ishihara's Color Blindness Test. </li><li> Successful completion of all annual required education/training/competencies. </li><li> Successful completion of on-going training and education as assigned or required. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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: Willing to Train 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 <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. 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>

POSITION FEATURES: Highlights <ul><li>Schedule allows a great work/life balance with flexibility, and some paid on-call</li><li>Supports peritoneal and home hemodialysis treatments. Training Provided</li></ul><ul><li>Primarily works in the clinic setting, conducts at home visits with patients as needed</li><li>Position functions as a Patient Educator and Case Manager for patients</li></ul> PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li>Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.</li><li>Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.</li><li>Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.</li><li>Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. </li><li>Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. </li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of equipment, patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.</li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>The position may require travel to training sites, other facilities or patient homes.</li><li>May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:<ul><li> Successful completion of all FKC education and training requirements for new employees.</li><li> Must have a minimum of 12 months experience as a RN.</li><li> Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 1-year experience as a Registered Nurse (preferred)</li><li>Home dialysis therapy experience (preferred).</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. "

Registered Nurse - RN

PURPOSE AND SCOPE: Maintains files of medical records and performs other clerical duties as required. Ensures proper maintenance of patient charts/records. Works in compliance with guidelines for release of information. Files and retrieves medical records in appropriate files, maintaining files in a fashion which is conducive to rapid retrieval of records. Prepares lab shipments and files results. Utilizes electronic health record system for inquiry purposes, enters and sends data, and generates reports. Answers phones and greets visitors and patients and assists with scheduling. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Answer telephones & route calls to the appropriate person. </li><li> Monitor and distribute incoming mail, both email and postal delivery. </li><li> Greet visitors and patients as applicable and conducting them to the appropriate location or person as needed. </li><li> Maintain inventory of facility supplies and replenish supply as needed, including ordering staff uniforms & name tags. </li><li> Compile an d maintain medical records of both the in-centerand home patients in the dialysis facility according to company policies and proceduresand in compliance with all applicable regulatory requirements. Ensures patient confidentiality is maintained at all times. </li><li> Store o r dispose of obsolete files when appropriate according to the procedures defined by the Fresenius Medical Care Compliance Records Managementdepartment and in compliance with Federal,state and local regulations. </li><li> Assist with Daily Validation reports/process. </li><li> Coordinate facility accounts receivable and account payable functions, including creating PO's, receiving and scanning all relevant documents and assist with travel reimbursement as needed. </li><li> Prepare la b slips and tube labels for routine and non-routine blood work. </li><li> Pack bo xes for shipment and then direct these to the appropriate laboratory as required. </li><li> Assist i n the collectionof data to support the completion of facility reports, such as Continuous Quality Improvement reports, comorbid documentation, TAP reports. </li><li> Assist s with month-endreporting requirements and generate reports as needed. </li><li> Assist s in auditingrecords for ongoing compliance with medical records standards. </li><li> Maintain s accurate records of hospitalization, patient travel, etc. to facilitatecoordination of patient scheduling, ancillary testing, etc. </li><li> Prepare medical records for facsimile or mail related to travel, transplant, disability and others. </li><li> Organize travel for patients by contacting and providing requested medical records. </li><li> Coordinate s with transientpatient paperwork. </li><li> Coordinates transfer placements and confirmations along with Clinical Manager. </li><li> Confirm admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning. </li><li> Assist with medical appointment referrals and scheduling. </li><li> Assist with transportation coordination and referrals. </li><li> Scan all appropriate medical records into Document Imaging program as needed. </li><li>Ensures data entry has been completed for government reporting (Crown Web related to ESRD 2728, ESRD 2746 and PART). Other duties as assigned which may include, but are not limited to:</li><li> Prepare and type routine correspondence and reports </li><li> Set up and maintain filing system and basic databases as applicable </li><li> Complete forms and reports as required by the various company offices and outside vendors or agencies </li><li> Maintain facility calendar and daily schedule, including arranging meeting and scheduling appointments for staff and patients </li><li> Record the minutes of meeting and provide documentation as needed </li><li> Make copies of correspondence and other printed documents as required by manager </li><li> Assist with various basic personnel and administrative functions as needed </li><li> Act as a backup to other clerical staff in office as needed </li><li> Centrifuge th e blood or refrigerate according to laboratory specifications after the draw is completed </li><li> Assist wit h laboratory work process </li><li> Post/enter th e results from the labs into the electronic database </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li>Day to day work includesdesk and personalcomputer work and interaction with patients, facility staff and physicians. The position requirestravel between assignedfacilities and variouslocations within the community. Travel to regional, Business Unit andCorporate meetings may be required.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noiselevels. May be exposed to infectious and contagious diseases/materials.</li></ul> EDUCATION : <ul><li> High School Diploma required </li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li> 0 - 1 year's related experience </li><li>Computer skills - specifically knowledge of word processing applications.</li><li>Good communication skills - verbal and written</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $14.00 - $22.00"

Ward Clerk

Purpose and Scope: Responsible for the delivery of enterprise data warehouse, data lake and cloud analytical platform solution. Principal Duties and Responsibilities: Designing enterprise warehouse, cloud data platform and data management initiatives. <ul><li>Design and architect enterprise data warehouse following the data-vault and dimensional data modelling methodology.</li><li>Design the architecture to perform data management activities i.e., data extraction, transformation and load (ETL) to enterprise data warehouse. Implement the data management solutions using SQL, SQL procedures, Unix, Python, data management tools like Informatica power center SQL on Oracle exadata database.</li></ul>Designing, implementing, maintaining and supporting data stores used for reporting and analytics (such as data lake, data warehouse systems and related data marts). <ul><li>Design the overall architecture to Extract, Transform and Load (ETL) data into data warehouse or data mart and data lake</li><li>Develop code using SQL, SQL procedures, UNIX, python, ETL tools like Informatica Power center, AWS services like S3, data pipeline, AWS Glue, Python, AWS Lambda and Athena, Azure services like Data Lake, Data factory and Databricks to Load data into Data warehouse/DataMart/Data Lake.</li></ul>Coordinating with peers from other clinical and IT groups to ensure successful design, planning and completion of programs and projects. <ul><li>Understand the Upstream and downstream application process as part of requirement gathering working with peers from other clinical and IT groups.</li></ul>Understanding business requirements and priorities to shape the scope and requirements of the Data Warehouse solution. <ul><li>Gather and understand business requirements and translate business requirements to Functional and technical requirements for data warehouse solution. </li></ul>Performing data analysis and data provisioning against source systems. <ul><li>Perform analysis against source data by running complex SQLs and develop ETL code for getting more insights on source data as part of requirement gathering.</li><li>Perform data analysis on source data to investigate and resolve production issues reported by end users. </li></ul>Designing the processes to acquire and integrate disparate data from multiple sources. <ul><li>Design and develop ETL process using SQL and Informatica to load data into data warehouse on daily basis from various source application on SQL Server, Oracle, Cloud Sources and files </li><li>Design and develop the process in AWS or Microsoft Azure to integrate real-time IOT data and On Premise data into Data Lake. </li></ul>Assisting in the data architecture design to be used for Business Intelligence and Analytical purposes. <ul><li>Assist downstream users with data warehouse related requirements & architecture Questions and provide SQL's and develop ETL code to read data from data warehouse for business intelligence and Analytical needs.</li></ul>Documenting technical specifications for the design of data integration and data architecture. <ul><li>Document functional and technical requirements in technical specification for developing code using SQL, SQL procedure, Unix, Python and ETL tools like Informatica Power center.</li></ul>Performing unit testing to assure quality repeatable, quality processes with accurate data results and Installing processes for auditing target data stores and ensuring data quality. Providing input and experience on the architecture, design and evolution of FMCNA enterprise warehouse and information delivery solutions, including tool selection, migration strategies, and risk mitigation. Education Experience and Required Skills: Position requires a Bachelor's degree (or an equivalent foreign degree) in Computer Science, Electrical Engineering, IT or a closely related field and 8 years of experience as a Data Warehouse Developer. Must also have 5 years of experience (which can have been gained concurrently with the other experience requirements) working with Informatica Power Center, SQL Server, SQL and PLSQL, Dimensional and Data Vault Modeling, ETL design, Python and Unix Scripting; and 2 years of experience (which can have been gained concurrently with the other experience requirements) working with AWS services including S3, data pipeline, AWS Glue, AWS Lambda, EMR and Athena.

Lead Data Warehouse Developer

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner. PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED: <ul><li> Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. </li><li> Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, and Patient Care Technicians </li><li> Assesses daily patient care needs and develops appropriate patient care assignments. </li><li> Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. </li><li> Participates in staff training and orientation of new staff as assigned </li><li> Participates in all required staff meetings as scheduled. </li></ul> PATIENT RELATED: Education: <ul><li> Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). </li><li> Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. </li><li> Discusses with patient, and records education related to diet/fluid and medication compliance. </li><li> Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). </li><li> Ensures transplant awareness, modality awareness, and drive catheter reduction. </li><li> Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. </li></ul> Dialysis Treatment: <ul><li> Provides safe and effective delivery of care to patients with ESRD. </li><li> Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. </li><li> Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. </li><li> Identifies and communicates patient related issues to Team Leader or physician. </li><li> Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. </li><li> Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. </li><li> Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. </li><li> Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. </li><li> Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li> Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. </li></ul> Laboratory-related: <ul><li> Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. </li><li> Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. </li><li> Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. </li><li> Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. </li><li> Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. </li><li> Ensures that all labs are directed and delivered to appropriate labs. </li><li> Reports alert/panic and abnormal labs results to appropriate physician. </li><li> Ensures lab results are forwarded to physicians as requested. </li></ul> General duties: <ul><li> Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. </li><li> Maintains overall shift operation in a safe, efficient, and effective manner. </li><li> Act as a resource for other staff members. </li><li> Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. </li><li> Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. </li><li> Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. </li><li> Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. </li><li> Oversees all documentation of patient information. </li><li> Maintains facility drug list for all required stock medications. </li><li> Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. </li><li> Ensures verification and availability of adequate emergency equipment. </li><li> Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. </li><li> Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. </li><li> Maintains appropriate recording of controlled substances as required by law. </li><li> Assists with the coordination of patient transportation if necessary. </li></ul> MAINTENANCE/TECHNICAL: <ul><li> Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. </li><li> Ensures competency in the operation of all dialysis-related equipment safely and effectively. </li><li> Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. </li><li> Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li></ul> MEDICAL RECORDS & DOCUMENTATION: General <ul><li> Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. </li><li> Ensures all appropriate patient related treatment data is entered into the Medical Information System. </li><li> Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. </li><li> Ensures and verify accuracy of Patient Care Technician documentation. </li></ul> Daily <ul><li> Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. </li><li> Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. </li></ul> Monthly <ul><li> Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. </li><li> Completes monthly nurses' progress note. </li><li> Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). </li><li> Reviews transplant status and follows established procedure regarding appropriate action to be taken. </li><li> Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. </li><li> Completes any long-term programs that are due. Annually </li><li> Completes initial and annual Nursing History and Assessment physical. </li><li> Ensures completion of Annual Standing Order Review with each physician as required. </li></ul> OTHER: <ul><li> As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. </li><li> Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. </li><li> Maintain regular and punctual attendance. </li><li> Perform other related duties as assigned. </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li>The position provides direct patient c a r e tha t regularl y involve s heav y liftin g and moving of patients and assisting with ambulation . Equipmen t aid s and/o r cow o rkers may provide assistance. This po s ition requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machine s an d equipmen t o f u p t o 20 0 lbs. , an d ma y lif t chemica l an d water solutions of up to 30 lbs. up as high as 5 feet.</li><li>The work environment is characteristic of a healt h car e facilit y wit h ai r temperatu r e control and moderate noise levels. May b e exposed to infectious and contagious diseases/materials.</li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION : <ul><li> Current appropriate state Temporary Permit. </li><li> Must meet the practice requirements in the state employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> 0 - 1 year's related experience. </li></ul>

New Graduate Nurse Acutes

New Graduate Nurse- Inpatient Services- Western Group- 2023

POSITION FEATURES: <ul><li>Internal candidates must be in their current role for at least 1 full year to be eligible to request a transfer to travel</li><li>Travel candidates are required to take an assignment at least 100 miles from their permanent tax residence</li></ul> Fresenius Travel Nurse Program: As part of the Fresenius Travel Nurse program, you'll have a unique opportunity to build your career in a flexible, autonomous environment. Working with new and different people and personalities, and with physicians and nurses from various facilities, will make each day an exciting challenge. Through it all, you'll make a profound difference in the lives of patients affected by kidney disease. Come join a leader in Dialysis, where assignments are ongoing, as we have over 2,200 clinics and numerous acute facility programs, so travel with us can be continuous. Benefits: <ul><li> 13 week assignment </li><li> Variety of settings </li><li> Acute or Chronic care positions </li><li> Top salaries </li><li> Paid time off </li><li> Free private housing </li><li> Growth Opportunity </li></ul> Position Summary: The Fresenius Medical Care Healthcare Recruitment registered nurse (RN) is responsible for the delivery of quality patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. The RN is responsible for directing and coordinating all nursing care of patients based on established clinical nursing practice standards. The RN collaborates with other healthcare professionals to ensure effective and efficient patient care delivery and achievement of desired patient outcomes. The RN utilizes knowledge of patient's age and cultural diversity into the provision of patient techniques that demonstrate positive outcomes in patient care. The RN provides care as a temporary employee and understands that travel away from his or her home state may be required for employment, or continues employment with Fresenius Medical Care Healthcare Recruitment. Position Education / Qualifications: <ul><li>Graduated from an accredited school of professional nursing</li><li>Licensure appropriate to the state RN is working in and the appropriate certifications to the position and facility</li><li>Minimum 1 year Dialysis experience. For Inpatient Services (Acutes), the preceding 12 months must be in a hospital setting. For Outpatient (Chronic),2,000 hours in Dialysis in the preceding 2 years.</li><li>Proficient oral and written skills</li><li>Current CPR certification</li><li>Annual Physical</li><li>Two professional references from current / former supervisors</li><li>Citizen of the U.S. or proof to work in the U.S.</li></ul> Job Knowledge / Responsibilities: <ul><li>Ability to utilize the nursing process in the provision of nursing care including but not limited to administering medications and treatments in compliance with the physicians orders and applicable hospital policy, interpreting diagnostic tests, formulating a plan of care, collaborating with other healthcare providers, and provide education to patients and / or significant others (while in compliance with HIPPA).</li><li>The RN must be able to demonstrate the knowledge and skills necessary to provide care appropriate to patients of all age groups. Must demonstrate knowledge of the principals of growth and development through the life span, possess the ability to assess data reflective of the patient's status, and interpret the appropriate information needed to identify each patients needs in relation to age.</li><li>Must document / chart observations and other data related to the clinical condition of the patient. Must properly and accurately chart observations and activities related to patient care.</li><li>Communicates report to appropriate healthcare workers in accordance with hospital policy.</li><li>Performs all required and related duties.</li></ul> Physical Requirements: The individual may be required to pull up or reposition patients, lift supplies, place equipment on supports, push bed or chair through facility. The individual must be able to bend over to perform certain duties, the individual must be able to maneuver throughout the facility in response to any facility emergency. Interpretation of environmental input requires visual and auditory skills. In the event there is a need to evacuate the building, heavy lifting of the patients may be required. 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.

Travel Registered Nurse - All Modalities

PURPOSE AND SCOPE: Responsible for the preparation, setup, and processing of clinical samples to maintain the quality and production output necessary for laboratory testing. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Under close supervision acquires job skills and learns company policies, and procedures to complete routine tasks. </li><li> Works on assignments that are routine in nature. </li><li> Contacts are primarily within the immediate work unit and receives all necessary detailed instructions in the work area. </li><li> Process incoming shipments of specimens, unload trucks, sort & open boxes, and inspect packaging. </li><li> Operating processing equipment and associate software, centrifuge, distributing samples for testing. </li><li> Maintains automation (preventative maintenance, cleaning, etc.) and does basic troubleshooting. </li><li> As per state requirement permits, scans tubes and verifies receipts, processes, add-on tests, and processes specimen conditions. </li><li> Log-in environmental paper requisitions. </li><li> Retrieves specimens for add-on tests. </li><li> Disposes of blood samples and ice packs, archives tubes, resolves pending issues, and performs document imaging. </li><li> Retrieve supplies and loads instruments. </li><li> Review and comply with the Code of Business Conduct and all applicable department and company policies and procedures, local, state, and federal laws and regulations. </li><li> Refers to senior staff for assistance with day-to-day problems that may arise. </li><li> Assist with various projects as assigned by the direct supervisor. </li><li> Other duties as assigned. </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> Must frequently lift and/or move up to 20 pounds and sit/stand for extended periods of time in a laboratory environment, work flexible hours. </li><li> Ability to travel to hospitals and/or dialysis clinics as assigned. </li><li> Ability to work weekends, holidays, and overtime when necessary. </li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION : <ul><li> High School Diploma required. </li><li> Some science and medical college courses preferred. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> 0 - 1 years' related experience. </li><li> Knowledge of medical lab and specimen processing preferred. </li><li> Good verbal communication skills. </li><li> Must be able to multi-task, prioritize, and manage time efficiently. </li><li> Must be highly organized with strong attention to detail. </li><li> Ability to follow precise directions in situations requiring speed, accuracy and efficiency. </li><li> Must be able to work in a fast-paced, high pressure, production like environment. </li><li> Working knowledge of basic computer applications (MS Office/Excel and Word) with strong typing skills. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Associate Specimen Processor

PURPOSE AND SCOPE: Dispenses drugs prescribed by physicians and other health practitioners and provide information to patients about medications and their use. May advise physicians and other health practitioners on the selection, dosage, interactions, and side effects of medications. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Plans, implements, and maintains procedures for mixing, packaging, or labeling pharmaceuticals, according to policy and legal requirements, to ensure quality, security, and proper disposal. </li><li> Monitors drug therapies for drug interactions, allergies and contraindications. </li><li> Controls medications by monitoring drug therapies; advising interventions. </li><li> Ensures accuracy of all prescriptions by checking all orders, identifies any inconsistencies and initiate appropriate action. </li><li> Obtains all licenses required for shipment of Rx products in coordination with Regulatory Affairs. </li><li> Maintains all required files to include: prescription files, patient files and profiles. </li><li> Provides clinical consultations to internal personnel regarding medication for drug interactions, side effects and dosage. Ensures the appropriate storage and security of medicinal products and supplements to provide purity, freshness and potency. </li><li> Maintains continuous knowledge with all current pharmacy practices and new drugs by participating in continuing education programs as required by each state board of pharmacy. Keep up with all company regulatory standards and policies. </li><li> Provides reports as needed, including state required drug monitoring programs. </li><li> Maintains pharmacy supplies. </li><li> Provides pharmacy coverage with daily schedules, vacation schedules, and call offs due to illness during pharmacy business hours. </li><li> Provides documented orientation and training for different departmental staff. Provide review and evaluation of staff if needed. </li><li> May provide assistance to junior level staff with more complex tasks that require a higher level of understanding of functions. </li><li> May escalate issues to supervisor/manager for resolution, as deemed necessary. </li><li> Mentors other staff as applicable. </li><li> Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures, local, state, and federal laws and regulations. </li><li> Assists with various projects as assigned by a direct supervisor. </li><li> Other duties as assigned. </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> Provides coverage for any emergency orders for weekends and after hours. </li><li> Serves as after-hours/on-call pharmacist for counseling. </li></ul> EDUCATION : <ul><li> Bachelor's Degree required; Advanced Degree desirable. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> 1 year experience required. </li><li> Must be willing to secure jurisprudence in individual states which require separate pharmacy licenses before granting reciprocity with their state on an as needed basis. </li><li> Strong computer skills. </li><li> Excellent oral and written communication skills. </li><li> Excellent organizational and analytical skills. </li><li> In-depth knowledge of pharmacy laws for Rx drugs and devices. </li><li> Familiarity with the process involved in the manufacture of dialysis preparation. </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.

PD Pharmacist

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL RESPONSIBILITIES AND DUTIES CLINIC OPERATIONS: <ul><li>Manages the operations of the clinic, including costs, processes, staffing, and quality standards.</li><li>Provides leadership, coaching, and development plans for all direct reports.</li><li>Partners with internal Human Resources, Quality, and Technical Services departments.</li><li>Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program.</li><li>Maintains integrity of medical and operations records and complies with all data collections and auditing activities.</li><li>Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.</li><li>Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.</li><li>Responsible for all required network reporting and on-site state or federal surveys.</li></ul> PATIENT CARE: <ul><li>Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.</li><li>Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care.</li><li>Acts as a resource for the patient and family to address concerns and questions.</li><li>Accountable for timely completion of patient care assessments and care plans.</li><li>Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments.</li><li>Plans, coordinates, and validates patient eligibility for treatment.</li><li>Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. </li></ul> STAFF: <ul><li>Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.</li><li>Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.</li><li>Provides support for all clinical staff members at regular intervals and encourages professional growth.</li><li>Maintains current knowledge regarding company benefits, policies, procedures, and processes.</li><li>Completes employee evaluations and establishes annual goals.</li><li>Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.</li><li>Manages staff scheduling and payroll.</li></ul> PHYSICIANS: <ul><li>Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.</li><li>Responsible for strong physician relationships and ensures regular and effective communication.</li><li>Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.</li></ul>EDUCATION AND REQUIRED CREDENTIALS:<ul><li>Bachelor's Degree or an equivalent combination of education and experience.</li><li>Graduate of an accredited School of Nursing (RN).</li><li>Current appropriate state licensure.</li></ul>EXPERIENCE AND SKILLS: <ul><li>Required:<ul><li>6+ years business operations experience in a healthcare facility.</li><li>12 months experience in clinical nursing.</li><li>6 months chronic or acute dialysis nursing experience.</li><li>Successfully pass the Ishihara Color Blind Test.</li></ul></li><li>Preferred but not required:<ul><li>3+ years supervisory or project/program management experience.</li><li>Med/surg or ICU/CCU experience.</li></ul></li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians</li><li>Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required.</li><li>The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Dialysis Clinical Manager Registered Nurse - RN

PURPOSE AND SCOPE: The student intern supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. The student intern functions as part of the dialysis health care team in providing medical nutrition therapy for patients under the direct supervision of a registered dietitian in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. DUTIES / ACTIVITIES: Dietetic Intern: An individual who currently is enrolled in a Dietetic Internship or a university-based Coordinated Program in Dietetics accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND). The dietetic student/intern may under direct guidance of the Renal Dietitian:<ul><li>Review of Renal Nutrition Basics and other applicable components of the Orientation and Training requirements of staff dietitians</li><li> Review the typical workflow for the Renal Dietitian, and/or Role of the RD </li><li> Conduct a nutrition interview with a patient </li><li> Calculate a diet prescription recommendation </li><li> Provide nutrition counseling to patient/designated caregiver on the prescribed renal diet </li><li> Collect data for initial, 90 day, semi-annual (if applicable by State), and annual Comprehensive Interdisciplinary Assessments </li><li> Assist the registered dietitian in development and implementation of nutrition plan of care </li><li> Review monthly nutrition data with patients and/or designated caregivers </li><li> Practice writing monthly nutrition progress notes </li><li> Provide input to the development and implementation of nutrition plan of care </li><li> Create nutrition related projects for patients or staff (such as, bulletin board, patient/staff education handouts, games, lobby activity) </li><li> Attend Quality Assessment and Performance Improvement and /or other interdisciplinary team meetings with the registered dietitian, and participate as appropriate </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: Bachelors or Master's degree in Nutrition or Dietetics; or current enrollment in an accredited Coordinated Program in Dietetics. EXPERIENCE AND REQUIRED SKILLS: Preferred outstanding customer service to all external and internal customers. Possess the desire to deliver superior care to our patients and embrace Fresenius' mission and values. RELATIONSHIPS: The Intern cannot work under the supervision of a family member. The Intern cannot care for a patient who is a family member. If an Intern's family member is a patient at the facility in which they work, the Intern will be scheduled to work on days the patient is not in the facility or will be assigned to another patient. SUPERVISION: The Clinical Manager assigns and closely monitors all Dietetic Intern assignments with direct supervision from a Registered Dietitian based on the agreed education plan. OTHER: Performs additional duties as assigned. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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