*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;

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.

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Patient Care Technician - PCT

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

Lead Charge Nurse - RN - Clinical Coordinator

PURPOSE AND SCOPE: 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). PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED: <ul><li> Participates in the recruitment process for new clinical staff. </li><li> Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to FMS. </li><li> Functions as preceptor in direct patient care training programs to support the delivery of quality patient care as per the standards set forth in the FMS Clinical Services Clinical Training Manual(s) FMS policies and procedures and FMS training standards. </li><li> Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's. </li><li> Collaborates with the Clinical Manager and Education Coordinator in driving FMS quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement. </li><li> Assists in training of applicable direct patient care staff on appropriate programs. </li><li> Provides coaching and developmental support to applicable clinical and facility staff. </li></ul> Education/Communication: <ul><li> Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems as allowed by local regulations. </li><li> Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity including patient and staff safety of the facility. </li><li> Ensures a strong communication process between the Clinical Managers Education Coordinators direct patient care staff and all support staff at the facility regarding appropriate training and organizational development programs and initiatives. </li><li> Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs. </li><li> Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed. </li><li> Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities. </li><li> Ensures all FMS business policies procedures and systems are incorporated into training including compliance with ethical business practices. </li></ul> PATIENT RELATED: Education: 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. Treatment: <ul><li> Welcome assigned patients and inquire as to their wellbeing since their last treatment. </li><li> Evaluate vascular access for patency. </li><li> Obtain necessary pre and post treatment vital signs and weight. </li><li> Perform vascular access evaluation pre-treatment. </li><li> Perform vascular access cannulation. </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. </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 prior to discharge. </li><li> Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. </li><li> Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; 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> INFECTION CONTROL SPECIALIZATION: <ul><li> Assists with facility QAI infection control audits. </li><li> Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices. </li><li> Reinforces new hire employee adherence to infection control Policies and Procedures. </li><li> Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. </li><li> Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters flyers or bulletin boards. </li><li> Under the direction of the Education Dept. participates in education response to internal and external facility surveys. </li><li> Participates in and reinforces infection control education of new patients and families under the direction of the CM or designee. </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> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected 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> 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 Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. </li><li> Day to day work includes desk and personal computer work and interaction with patients facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional Business Unit and Corporate meetings may be required. </li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. </li></ul> EDUCATION AND LICENSES : <ul><li> High School diploma or G.E.D. Bachelor's degree preferred. </li><li> Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or must meet certification requirements within the required state or CMS timeline. </li><li> All appropriate state licensure education and training (if any) required. </li><li> Demonstrated commitment to FMS culture values and customer service standards. </li><li> Attendance and active participation in all applicable preceptor training programs as established by the Regional Directors of Education. </li><li> Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager. </li><li> History of high performance as measured by no lower than a commendable rating on reviews with no recent corrective actions. </li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> At least five years patient care experience in a hospital setting or a related facility preferred. </li><li> Continued employment is dependent on successful completion of the 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 Preceptor, PCT

PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: <ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN. Assists patients in performing self-care as applicable</li></ul> Staff Related <ul><li>Participates in the recruitment process for new clinical staff</li><li>Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.</li><li>May function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.</li><li>Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's.</li><li>Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.</li><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li><li>Provides developmental support to applicable clinical and facility staff. </li></ul> Education/Communication: <ul><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations. </li><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.</li><li>Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives </li><li>Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.</li><li>Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.</li><li>Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities. </li><li>Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices </li></ul><ul><li></li></ul><ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate, and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. </li><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists with facility QAI infection control audits. </li><li> Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices. </li><li> Reinforces new hire employee adherence to infection control Policies and Procedures </li><li> Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. </li><li> Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards. </li><li> Under the direction of the Education Dept. participates in education response to internal and external facility surveys. </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. </li><li>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required. Bachelor's degree preferred </li><li>Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS) All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li><li>Attendance and active participation in all applicable preceptor training programs as established by education leadership </li><li>Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> At least five years patient care experience in a hospital setting or a related facility preferred. </li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul>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: *This role is with the Fresenius National Float Pool *Frequent overnight national travel is required Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: <ul><li> Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. </li><li> Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. </li><li> Superior training, UltraCare&reg; quality control, and certification procedures ensure your potential to succeed and advance as a professional. </li><li> Competitive compensation and exceptional benefits. </li><li> Outstanding tuition reimbursement program. </li><li> Recognized among Fortune's World's Most Admired Companies in 2011. </li><li> National Safety Award from CNA insurance companies for 11 consecutive years. </li><li> Opportunities to give back by participating in philanthropy and community outreach programs. </li></ul> PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment. DUTIES / ACTIVITIES : CUSTOMER SERVICE: <ul><li> Responsible for driving the FMCNA culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES: Patient Related: <ul><li> Provide direct patient care for assigned patient(s). </li><li> Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor. </li><li> Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record. </li><li> Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor. </li><li> Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications. </li><li> Assist with all emergency operational procedures. </li><li> Administer intravenous medication in accordance with physician orders and state nurse practice laws. </li><li> Perform and document pre, interim, and post treatment review of patient condition. </li><li> Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment. </li></ul> Technical: <ul><li> Safely operate all dialysis related equipment according to the proper procedures. </li><li> Provide minor troubleshooting when necessary. </li><li> Ensure a clean, safe and sanitary environment in the dialysis facility treatment area. </li><li> Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Operate all emergency equipment effectively in accordance to the standard operation procedures. </li></ul> Staff Related: <ul><li> Participate in staff meetings as scheduled. </li><li> Assist in short term and long term patient care plan meetings. </li><li> Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes. </li><li> Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. </li><li> Other duties as assigned. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility, staff and physicians. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment weighing up to 200lbs., and may lift chemical water solutions of up to 30lbs., up as high as 5 feet. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noises levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: <ul><li>Graduate of an accredited School of Practical Nursing (LPN, LVN)</li><li>Current appropriate State licensure. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>One year medical-surgical nursing experience preferred.</li><li>Hemodialysis experience preferred but not required.</li><li>ICU experience preferred but not required.</li><li>Successfully complete a training course in the theory and practice of hemodialysis.</li><li>Successfully complete CPR Certification.</li><li>Must complete the Nurses Technical Training Program upon hire or soon thereafter.</li><li>Ability to provide coverage at area facilities during times of short-staffing or as required.</li><li>Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.</li><li>Good communication skills, both verbal and written.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

National Float Licensed Practical Nurse-Future Opportunities

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

Patient Care Technician 1 - PCT

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

Dialysis Clinical Manager Registered Nurse - RN

Patient Care Technician PCT - will train

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

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

Patient Care Technician

PURPOSE AND SCOPE: 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). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Education:<ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access.</li></ul>Patient Treatment:<ul><li>Welcome assigned patients and inquire as to their well-being since their last treatment.</li><li>Evaluate vascular access for patency.</li><li>Obtain necessary pre and post treatment vital signs and weight.</li><li>Perform vascular access evaluation pre-treatment.</li><li>Perform vascular access cannulation.</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.</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 prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification.</li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; 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 PCT III (if applicable) or nurse supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the PCT III (if applicable) or 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 PCT III (if applicable) or 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>Record Keeping:<ul><li>Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.</li><li>Enters all treatment data into the designated clinical application in an accurate and timely manner.</li><li>Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected 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> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.</li><li>Day to day work includes desk and personal computer work and interaction with patients facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional Business Unit and Corporate meetings may be required.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.</li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items.</li></ul>EDUCATION AND LICENSES:<ul><li>High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li>All appropriate state licensure education and training (if any) required.</li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li>At least two years previous patient care experience in a hospital setting or a 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.

Home Therapy Patient Care Technician - PCT

PURPOSE AND SCOPE: The Patient Intake Coordinator requires excellent sales and customer service skills. This position is responsible for placing new and existing patients with Fresenius Kidney Care (FKC). Work in a fast-paced environment managing an average case load of 75 - 100 patients. Coordinating with a variety of referral sources (hospital discharge planners, FKC clinics, non-Fresenius clinics), the Patient Intake Coordinator is responsible for securing a schedule and ensuring that all patients receive financial and medical clearances in order to receive lifesaving dialysis from FKC. Must be able to multi-task and manage cases in Salesforce CRM while receiving and making multiple phone calls to place patients. This is a customer facing" role that is detail oriented. All patient referrals must be done timely and in compliance with company standard operating procedures along with all local, state and federal regulatory requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul> <li>Responsible for placing patients through excellent sales and customer service skills. Perform case management while serving as the primary liaison with referral sources, clinics and discharge planners. Obtains chair times, financial clearance and medical clearance in a timely manner to ensure an expedited admissions process.</li> <li>Serves as the primary contact for the initial administration of patient referral calls and communications regarding patient admission to the clinics (chronic and/or acute) and home programs. Must have excellent phone skills and be able to multi-task. </li> <li>Coordinates the admissions process from the initial request for admission to patient placement in preferred clinic.</li> <li>Ensures all intake data for admissions requests are collected, completed and communicated according to the established standard operating procedures and in compliance with all regulatory requirements. May require navigation with various levels of clinic and management staff. </li> <li>Must be resilient and able to overcome objections and pushback. </li> <li>Obtains the necessary information to place a patient. This includes demographic, financial and clinical information through contact and/or interview with the referral provider, patient or patient representative to complete the admissions process.</li> <li>During transient or busy periods will assist other teams in the processing of referrals/calls. Must be able to work overtime when required.</li> <li>Interviews patient, patient's representative, or referral source to obtain the necessary personal and financial data to determine eligibility for admission.</li> <li>Utilizes appropriate call tracking and admissions program systems applications to ensure accurate documentation of calls. Familiarity with Salesforce, EMR systems a plus.</li> <li>Maintains and updates Salesforce with current data, pertinent information, and status of the admissions referral as appropriate, recording details of the inquiry/referral, complaints and issues. Must have good communication and documentation skills.</li> <li>Completes the preliminary paperwork and standard admissions forms to ensure efficient processing of admissions.</li> <li>Coordinates cross functionally with multiple departments and resources within FKC to successfully place patients across FKC's operational footprint.</li> <li>Promotes the efficiency of admissions process by answering phones and assisting callers in a professional and timely manner. Must be able to handle escalations and collaborate with supervisor/manager as necessary.</li> <li>Works closely with applicable insurance verification teams to ensure patient is financially cleared to be placed in an FKC facility.</li> <li>Communicates with individual clinics as needed based on current admissions process and provides prompt scheduling of patients and forwards necessary documents and records to the appropriate receiving facilities in a timely manner.</li> <li>Collaborates with facility staff and various levels of management to effectively resolve issues impacting a patient's admissions process.</li> <li>Immediately communicates to supervisor/manager any admissions denials from clinics or billing groups for further action and communication with management team.</li> <li>Other duties as assigned.</li></ul>Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SUPERVISION: None EDUCATION: High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred EXPERIENCE AND REQUIRED SKILLS: <ul> <li>2 - 4 years' related experience.</li> <li>Excellent Sales & Customer Service, Communication, Organizational and Interpersonal skills required.</li> <li>Detail oriented with the ability to enter information accurately into a database system.</li> <li>Working knowledge of standard office applications - email, word processing, spreadsheets, and presentations.</li> <li>Completion of and compliance with the Marketing and Business Development Functional Compliance Program.</li> <li>Ability to adapt to change and support new policies and procedures in a positive manner.</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Patient Intake Coord

POSITION FEATURES: May float between other HT clinics in Pinellas County as needed 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. "

Home Therapy Registered Nurse - RN

PURPOSE AND SCOPE: Under supervision is responsible for the operational condition, maintenance, and repair of all water systems, medical equipment, and mechanical/electrical systems so as to ensure safety of the patients as well as the staff operating the equipment. Responsible for inventory and housekeeping as required. Assists in cost containment in the facility. 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. 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 DUTIES AND RESPONSIBILITIES: MAINTENANCE/TECHNICAL:<ul><li>Maintains, tests and repairs all water treatment equipment, dialysis equipment, medical equipment, testing equipment, and mechanical/electrical systems as recommended by the manufacturer and by procedures established by FMCNA Clinical/Technical services as documented in the Technical Policies and Standards manual.</li><li>Documents all maintenance and repairs.</li><li>Ensures safety checks and routine tasks are conducted and documented in a timely fashion according to the established procedures.</li><li>Conducts housekeeping check and follows-up housekeeping problems.</li><li>Responsible for water treatment equipment cleaning and disinfecting.</li><li>Ensures all testing equipment is properly maintained and calibrated.</li><li>Ensures all areas are safe and clean - that environmental integrity and aesthetics are maintained.</li><li>Conducts building maintenance as needed.</li><li>Responsible for coordination of medical waste disposal.</li><li>Collects and organizes supplies restocking relevant areas as needed.</li><li>Assists in ordering and receiving disposable supplies.</li><li>Assists in creating SAP purchase orders for supplies.</li><li>Assists in conducting monthly and quarterly inventory of supplies with cost reporting through facility specific records.</li><li>Evaluates and reports the current equipment inventory to appropriate sources.</li></ul> PATIENT CARE: <ul><li>Ensures visibility to patients with daily walk through during treatment times, when possible.</li><li>Reinforces the concept of UltraCare&trade; and customer service - ensures availability for patient's questions and concerns.</li><li>As requested, provides instructive tours of the water treatment equipment for patients and explains the basics of the machines.</li></ul> CLERICAL & ADMINISTRATIVE: <ul><li>Processes water and dialysate samples according to specified procedures, package samples for shipping.</li><li>Participates in the completion and documentation of ongoing technical QAPI activities as appropriate.</li></ul> OTHER: <ul><li>Provides assistance at other facilities and/or acute programs, transport equipment and supplies as needed.</li><li>Other duties as assigned.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.</li><li>The position involves moderately active work including walking and standing for considerable lengths of time. Bending down to floor level is required for some repair and maintenance of equipment.</li><li>The position requires a considerable amount of physical work. There is a two-person assist program and equipment available for moving the heavier loads/equipment. The employee must regularly move boxes, drums, and equipment of up to 600 lbs. in weight. The use of dollies or other equipment is mandatory while moving items that weigh approximately 600 lbs. The employee must frequently mix and lift chemical and water solutions of up to 50 lbs. up as high as 5 feet. During an emergency, ensuring patient well-being and safety is of the utmost priority so documented FMCNA emergency procedures must be followed. These could include hand cranking the dialysis machines, clamping and disconnecting bloodlines, and moving patients to safety.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. There may be some potential exposure to chemicals and infectious materials, however, proper training will be provided to handle any of these type chemicals and infectious materials.</li></ul> EDUCATION: <ul><li>High school/Vocational diploma or G.E.D.</li><li>Technician training or AA Degree in electronics preferred.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>At least six months experience working in a technical (industry/hospital) setting.</li><li>Must demonstrate organizational and leadership skills, including those required to problem-solve in a medical, health care environment.</li><li>Attend all technical training programs required by state/federal regulations and FMCNA policy.</li><li>Newly hired or promoted incumbents are responsible for the requirements of the respiratory fit policy.</li><li>Valid Driver's License and/or ability to cover at other facilities and transport equipment and supplies as needed.</li><li>Continued employment contingent upon successful completion of the FMCNA Training Program for Technical Staff.</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Biomedical Technician

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

POSITION FEATURES: <ul><li>Mon-Fri Schedule</li></ul> PURPOSE AND SCOPE: Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Under direct/close supervision, performs a variety of basic and routine clerical and secretarial duties. These may include but are not limited to: </li><li> Preparing and typing routine correspondence, form letters and reports </li><li> Answering telephone & routing calls to the appropriate person, </li><li> Greeting visitors and patients as applicable and conducting them to the appropriate location or person as needed. </li><li> Setting up and maintaining filing systems and basic databases as applicable. </li><li> Completing forms and reports as required by the various company offices and outside vendors and agencies. </li><li> Recording the minutes of meetings and providing the resulting documents as necessary. </li><li> Making copies of correspondence and other printed matter as required by manager. </li><li> Preparing purchase orders using the appropriate software application. </li><li> Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed. </li><li> Distributing incoming mail. </li><li> Maintaining calendar and daily schedules. </li><li> Scheduling appointments & arranging meetings. </li><li> Maintaining inventory of the necessary office forms and supplies. </li><li> Assisting with various basic personnel administrative functions as needed. </li><li> Acting as backup to other clerical personnel in office as needed. </li><li> Assists in the collection of Patient Statistical Profile and Continuous Quality Improvement Data. </li><li> Assists with month-end reporting requirements </li><li> Assists in auditing records for ongoing compliance with medical records standards. </li><li> Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc. <ul><li> Prepares medical records for facsimile or mail related to travel, transplant, disability and others. </li><li> Organizes travel for patients by contacting and providing requested medical records. </li><li> Coordinates with transient patient paperwork. </li><li> Coordinates transfer placements and confirmations along with Clinical Manager. </li><li> Confirms admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning. </li><li> Assist with medical appointment referrals and scheduling. </li><li> Assist with transportation coordination and referrals. </li></ul></li><li> Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART. </li><li> Other duties as assigned. </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> Day to day work includes desk and personal computer work and possible interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. The work environment may be characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials </li></ul> EDUCATION : <ul><li> High School Diploma required </li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li> Minimum 6 months relevant experience without a degree - 0-6 months experience with an Associate degree or secretarial school. </li><li> Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills. </li><li> Pleasant telephone manner. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Secretary Receptionist

PURPOSE AND SCOPE: 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 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.

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