*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: Reports to the Western Group Senior Vice President of Operations and also supports Regional Vice President for San Diego Inland Empire Market Person to live in Pacific Time Zone is preferred but not required for support. Salary Range: $29.80/ hour to $49.04/ hour PURPOSE AND SCOPE: Provides advanced administrative support to Senior Vice President or General Manager and senior departmental staff as assigned. Requires minimal direction and routinely responds to enquiries and other communication on behalf of the executive. Performs secretarial and administrative assignments of a complex and confidential nature, and a variety of complicated tasks, relying on judgment and experience to accomplish established goals and objectives. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Under minimal direction, provides advanced secretarial and administrative support to top management and executives in the functional department. Routinely responds on behalf of the executive to written and electronic communication.</li><li>Handles material of a highly confidential and time-sensitive nature, as well as a variety of complex situations involving clerical/administrative functions of the office that do not require the direct attention of the executive.</li><li>Uses considerable judgment and initiative to determine the appropriate action to take in non-routine situations.</li><li>Interprets and adapts guidelines, precedents and practices.</li><li>Anticipates and prepares materials needed by the executive for conferences, appointments, meetings, telephone calls etc.</li><li>May assists in the preparation of reports as required by senior staff by contacting various company personnel at all levels to collect, compile, and analyze complex information.</li><li>Relies on experience and judgment to plan and accomplish goals.</li><li>Within established guidelines, makes independent decisions regarding planning, organizing, and scheduling work. </li><li>May perform some standard administrative functions such as screening mail and telephone calls, scheduling appointments and maintaining the calendar, setting up the office filing system, and coordinating meetings (large, complex, internal or external).</li><li>Keeps records of equipment purchases and maintenance for the department.</li><li>May maintain certifications, memberships, and publications for the department.</li><li>Keeps log of paid time off for staff and other staffing administrative duties as assigned.</li><li>Assist with various projects as assigned.</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. EDUCATION: High School Diploma required; Associate's or Bachelor's Degree desirable Specialized secretarial training/certification preferred. EXPERIENCE AND REQUIRED SKILLS:<ul><li>5+ years related administrative support experience.</li><li>Proven success in supporting administrative functions for senior management.</li><li>Knowledge of business and technical vocabulary.</li><li>Familiarity with standard concepts, practices and procedures within a complex operational environment.</li><li>Ability to employ basic reasoning skills while handling multiple tasks.</li><li>Knowledge of computer software such as word processing, spreadsheet, presentation, database, and Visio programs.</li><li>Knowledge of organizational operations and procedures.</li><li>Ability to communicate (verbally and written) with considerable tact and diplomacy.</li><li>Capable of analyzing complex information requests and determining complex trends.</li><li>Ability to exercise considerable discretion and independent judgment when making decisions and interacting with clients.</li><li>Advanced computer skills to be able to continue to advance processes.</li><li>Detailed knowledge of organizational operations, procedures, policies and practices.</li><li>Wide degree of creativity and latitude expected.</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $29.00 - $49.00

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Executive Assistant

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

Patient Care Technician - PCT

Description Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career. Connect with your goals and change lives with Fresenius Medical Care North America. Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare we know what it takes to create strong bonds among patients their families and our team members-and why it matters. Within this positive environment those in our care can achieve better outcomes-and professionals can achieve their most important objectives. 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></ul> Opportunities to give back by participating in philanthropy and community outreach programs. Staff Registered Nurse This is an exceptional opportunity to succeed with a premier healthcare organization. As a key member of our hemodialysis team this professional will manage our Patient Care Technicians in providing safe effective delivery of chronic hemodialysis therapy. Delegating tasks training and monitoring all direct-patient staff including LVNs/LPNs and Dialysis Assistants this individual will assess care needs and develop assignments. PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies procedures and training. Supports the FMCNA's mission vision values and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: <ul><li> Responsible for driving the FMS culture though 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 STAFF RELATED: <ul><li> Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals as well as regulations set forth by the corporation state and federal agencies. </li><li> Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs Patient Care Technicians and Dialysis Assistants. </li><li> Assesses daily patient care needs and develops appropriate patient care assignments. </li><li> Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. </li><li> Participates in staff training and orientation of new staff as assigned </li><li> Participates in all required staff meetings as scheduled. </li></ul> PATIENT RELATED: Education: <ul><li> Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). </li><li> Provides ongoing education to patients regarding their renal disease vascular access and dialysis therapy and other related health conditions. </li><li> Discusses with patient and records education related to diet/fluid and medication compliance. </li><li> Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM). </li><li> Ensures transplant awareness modality awareness and drive catheter reduction. </li><li> Educates patients regarding laboratory values and the relationship to adequate dialysis therapy compliance with treatment schedule medications and fluid. </li></ul> Dialysis Treatment: <ul><li> Provides safe and effective delivery of care to patients with ESRD. </li><li> Accurately implements treatment prescriptions including Sodium (Na) modeling prescription and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. </li><li> Assesses patients' response to hemodialysis treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. </li><li> Identifies and communicates patient related issues to Team Leader or physician. </li><li> Initiates Initial and Annual Nursing Assessment and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. </li><li> Actively participates in the pre evaluation initiation monitoring termination access homeostasis and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. </li><li> Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. </li><li> Provides supervises (if applicable) and monitors hemodialysis access care according to established procedures. </li><li> Implements administers monitors and documents patient's response to prescribed interdialytic transfusions including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li> Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. </li></ul> Laboratory-related: <ul><li> Reviews transcribes and enters physician lab orders accurately into the Medical Information System. </li><li> Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. </li><li> Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. </li><li> Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. </li><li> Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. </li><li> Ensures that all labs are directed and delivered to appropriate labs. </li><li> Reports alert/panic and abnormal labs results to appropriate physician. </li><li> Ensures lab results are forwarded to physicians as requested. </li></ul> General duties: <ul><li> Enforces all company approved polices and procedures as well as regulations set forth by state and federal agencies and departments. </li><li> Maintains overall shift operation in a safe efficient and effective manner. </li><li> Act as a resource for other staff members. </li><li> Routinely meets with the Clinical Manager to discuss personnel and patient care status issues and information. </li><li> Collaborate and communicate with physicians and other members of the healthcare team to interpret adjust and coordinate care provided to the patient. </li><li> Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. </li><li> Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. </li><li> Oversees all documentation of patient information. </li><li> Maintains facility drug list for all required stock medications. </li><li> Maintains competency with all emergency operational procedures and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. </li><li> Ensures verification and availability of adequate emergency equipment. </li><li> Ensures provision of appropriate vaccinations immunizations and annual Tuberculosis (TB) testing. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification if indicated. </li><li> Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. </li><li> Maintains appropriate recording of controlled substances as required by law. </li><li> Assists with the coordination of patient transportation if necessary. </li></ul> MAINTENANCE/TECHNICAL: <ul><li> Ensures a clean safe and sanitary environment in the dialysis facility treatment area. </li><li> Ensures competency in the operation of all dialysis-related equipment safely and effectively. </li><li> Ensures all patient stations including machines and chairs are clean and free of blood and placed appropriately. </li><li> Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li></ul> MEDICAL RECORDS & DOCUMENTATION: General <ul><li> Ensures all relevant data including physician orders lab results vital signs and treatment parameters and patient status are documented appropriately and entered into Medical Information System. </li><li> Ensures all appropriate patient related treatment data is entered into the Medical Information System. </li><li> Ensures all FMCNA policies regarding patient admission transfer and discharge are appropriately implemented. </li><li> Ensures and verify accuracy of Patient Care Technician documentation. </li></ul> Daily <ul><li> Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. </li><li> Ensures that all appropriate procedures are followed regarding opening and closing procedures inclusive of monitoring that all staff and patients have safely left the premises. </li></ul> Monthly <ul><li> Initiates documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. </li><li> Completes monthly nurses' progress note. </li><li> Ensures patient medical records are complete with appropriate information documentation and identification on each page (Addressograph label is on all chart forms). </li><li> Reviews transplant status and follows established procedure regarding appropriate action to be taken. </li><li> Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. </li><li> Completes any long-term programs that are due. </li></ul> Annually <ul><li> Completes initial and annual Nursing History and Assessment physical. </li><li> Ensures completion of Annual Standing Order Review with each physician as required. </li></ul> OTHER: <ul><li> Performs additional duties as assigned. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. 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. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Minimum of one-year medical-surgical nursing experience preferred.</li><li>Hemodialysis experience preferred.</li><li>ICU experience preferred.</li><li>Successfully complete a training course in the theory and practice of hemodialysis.</li><li>Successfully complete CPR Certification.</li><li>Provide coverage at any or all area facilities as required by management.</li><li>Icd-9 coding Training.</li><li>Nurses Technical Training.</li><li>Must meet appropriate state requirements (if any).</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Outpatient Registered Nurse 1

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.

Patient Care Technician - PCT - Dialysis

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

Outpatient Registered Nurse - RN - Dialysis

PURPOSE AND SCOPE: Supports FMCNA's mission core values expected behaviors and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy and procedure requirements. Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team informs educates and supports staff in understanding the emotional psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. Adheres to all requirements of the FMCNA Compliance Program and all FMS policy requirements. This is an entry level MSW role. PRINCIPAL DUTIES AND RESPONSIBILITIES: CUSTOMER SERVICES: <ul><li> Responsible for driving the FMS culture through values and customer services 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 services issues with all customers in a timely manner. </li></ul> PRINICIPLE RESPONSIBILITIES AND DUTIES RELATED TO PATIENT CARE: Patient Assessment/Care Planning Counseling: <ul><li> As a member of the interdisciplinary team assesses patients' psychosocial status strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. </li><li> Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation treatment goals and improve quality of life. </li><li> Utilizes FMS Ultra Care patient education programs established social work theory and methods and quality of life measurement instruments as part of assessment and care planning to resolve barriers and meet patient treatment goals. </li><li> Provides established outcomes driven psycho-educational counseling methods aimed at improving areas of need treatment adherence vocational/educational rehabilitation and/or quality of life. </li><li> Provides supportive and goal directed counseling to patients who are seeking transplant. </li><li> Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes if necessary with the healthcare team and the patient's family/support persons. </li><li> Will provide general information about Do Not Resuscitate Orders and Advanced Directives </li><li> Provides information and assists the team and patient with referral to community resources (home health services vocational rehabilitation etc.) to facilitate optimal treatment outcomes. </li><li> In collaboration with the physician and nurse participates in the discussion of patient DNR status in the facility to ensure patient understanding and informed decision making. </li><li> Provides usual care and/or Social Work Intensive to address non-adherence and quality of life concerns for all patients </li><li> Knowledgeable of and adheres to FMCNA Social Work Policy including documentation </li></ul> Patient Education: <ul><li> Assess patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient family and health care team to provide education tailored to the patient's learning style and needs. </li><li> With other members of the interdisciplinary team provides appropriate information about all treatment modalities. Facilitates the transplant referral process and collaborates with interdisciplinary team if delegated by Clinical Manager. </li><li> Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. </li><li> Reviewed patient rights and responsibilities grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. </li><li> Collaborates with the team on appropriate QAI activities. </li></ul> Patient Admission: <ul><li> Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment </li></ul> Insurance and Financial Assistance: <ul><li> Collaborates with facility management Financial Coordinators and Billing Group staff to address patient issues related to insurance. </li><li> In collaboration with Financial Coordinators provides information and education to patients about payment to dialysis (federal state commercial insurance state renal programs AKF HIPP and entitlement programs) </li><li> Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed become employed or receive education. </li><li> (Reassess patient demographic and insurance information changes every quarter. Notifies all appropriate departments of changes. </li><li> Understands FMCNA financial policies and procedures as they related to patient services. Collaborate with Financial Coordinators to educate patients about programs that may be available to assist with uncovered services how to resolve billing concerns and understand financial responsibilities. </li></ul> Staff Related: <ul><li> Assist with interview process and decision to hire new personnel if requested by CM or AM/DO. </li><li> Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). </li><li> Develops and provides training to staff pertaining to psychosocial topics as needed. Trains staff in Ultra Care Programs 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. <ul><li> Travel Required (if multiple facilities) </li></ul></li></ul> EDUCATION : <ul><li> Masters In Social Work Required </li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> 0 - 2 years' related experience. </li><li> State Specific Licensure required </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Master Social Worker

POSITION FEATURES: Requires Travel to Facilities in Vero Beach and Melbourne 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.

Inpatient Patient Care Technician - PCT

POSITION FEATURES: <ul><li>Ventura Location</li><li>Overtime Paid at 8 hours per DAY</li></ul>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. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills and competencies and may fall outside of the range shown. Hourly Rate: $16.00 - $26.00"

RN 2

POSITION FEATURES: *West Central Houston, TX *Full Time *Outpatient Dialysis RN PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. As a member of the Chronic Kidney Disease (CKD) health care team the CAP RN 1 participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. <ul><li> Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator Preceptor or a CAP RN 2 3 4 or 5 for the first 6 months of employment. </li><li> Expected to complete requirements to advance to the next CAP level for which they qualify within 24 months from date of hire. </li><li> Performs ongoing systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record adjusts or modifies the treatment plan as indicated and notifies Team Leader Charge Nurse Clinical Manager or Physician as needed. </li><li> Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. </li><li> Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. </li><li> Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. </li><li> Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record </li><li> Initiates or assists with emergency response measures. </li><li> Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. </li><li> Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. </li><li> Promotes infection control equipment and environmental safety. </li><li> Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </li><li> Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. </li><li> Ensures patient awareness related to transplant and treatment modality options. </li><li> Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. </li><li> Checks availability of adequate emergency equipment and supplies as assigned. </li><li> Assists with medication tracking and inventory as assigned. </li><li> Serves as a resource for health care team participates in staff training and orientation of new staff as assigned. </li><li> Participates in all required staff meetings as scheduled. </li><li> Supports and promotes the FMCNA's mission vision values and customer service philosophy. </li><li> Performs all other duties as assigned by supervisor. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work computer work and interaction with patients facility/hospital staff and physicians. The position may require travel to training sites or other facilities. </li><li> May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. </li></ul> SUPERVISION: <ul><li> Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge after the following: <ul><li> Successful completion of all FKC education and training requirements for new employees plus </li><li> Must have a minimum of 9 months experience as an RN plus </li><li> Successful completion of 3 months experience in chronic hemodialysis. </li></ul></li></ul> EDUCATION: <ul><li> G raduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic hemodialysis experience (preferred). </li><li> Successful completion of FKC Education and Training requirements for new employees. </li><li> Successful completion and maintenance of CPR BLS Certification. </li><li> Meet all conditions of employment including Ishihara's Color Blindness Test. </li><li> Successful completion of all annual required education/training/competencies. </li><li> Successful completion of on-going training and education as assigned or required. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Outpatient Registered Nurse - RN

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>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li></ul><ul><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 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 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><li>TRAVEL REQUIRED- CORPUS CHRISTI ARE</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 - Float

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

Patient Care Technician - PCT II

POSITION FEATURES: Join our team! &bull; Rated Newsweek's Most Loved Workplaces. &bull; Paid Dialysis Training &bull; Tuition reimbursement &bull; Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. &bull; Generous PTO and ESL leave accrual &bull; 401K Retirement benefits with match &bull; Many perks and discount programs available. PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program 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, applicable contractual service agreements, state and federal regulations. <ul><li>Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.</li><li>Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated.</li><li>Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.</li><li>Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.</li><li>Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.</li><li>Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. </li><li>Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.</li><li>Administers medications as prescribed and documents appropriate medical justification and effectiveness.</li><li>Initiates and 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>May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.</li><li>May be assigned to assist in an Outpatient facility on an as needed basis. </li><li>Required to complete CAP requirements to advance.</li><li>Performs all other duties as assigned by Supervisor.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. </li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position requires travel to training/meeting sites and between assigned facilities.</li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following:<ul><li> Successful completion of all FKC education and modality specific training requirements for new employees.</li><li> Must have a minimum of 9 months experience as a RN.</li><li> 6 months experience in acute dialysis as a RN.</li></ul> EDUCATION and LICENSURE: <ul><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification</li><li>Must meet the practice requirements in all states 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 an RN</li><li>Minimum 9 months experience as a Registered Nurse, 12 months (preferred).</li><li>6 months acute dialysis experience (preferred)</li><li>Hemodialysis and/or ICU experience (preferred).</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Registered Nurse

POSITION FEATURES: Training provided 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.

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

Patient Care Technician I

POSITION FEATURES: Join our team! &bull; Rated Newsweek's Most Loved Workplaces. &bull; Paid Dialysis Training &bull; Tuition reimbursement &bull; Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. &bull; Generous PTO and ESL leave accrual &bull; 401K Retirement benefits with match &bull; Many perks and discount programs available. PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: <ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Patient Care Technician 1

Registered Nurse - RN

PURPOSE AND SCOPE: The Medical Assistant PPS has duties and responsibilities related to patient care in the ambulatory clinic environment. The incumbent displays responsible behaviors, communicates effectively to others and functions as a member of the healthcare team. The Medical Assistant PPS functions under the direct supervision and authority of the physician when performing clinical tasks during patient care. The incumbent maintains an inventory of examination/procedure room supplies, assists in the organization of efficient patient flow, and organizes the clinic environment to assure patient safety. The Medical Assistant PPS demonstrates problem-solving skills as they relate to patient care activities, provides guidance for and acts as a role model for other medical assistants in the clinical area. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Assists in the performance of patient care:<ul><li>Rooms patients</li><li>Obtains weight, vital signs, BMI, patient history</li><li>Assists patients in collection of specimens</li><li>Assists practitioners with procedures</li><li>Complete forms, requisitions and consents as required</li><li>Documents in EMR</li></ul></li><li>Able to elicit medical information from patients including but not limited to: health history, medication changes, chief complaint and other pertinent health information.</li><li>Records and documents health information accurately, appropriately and timely on a consistent basis.</li><li>Preps chart for patient office appointments, requires retrieving labs, test, imaging, and hospital notes.</li><li>Requests records on all new patients.</li><li>Performs basic filing, scanning, entry of lab result and photocopying duties as required.</li><li>Administers injections as ordered by provider.</li><li>Calls or electronically send prescriptions and refills as required.</li><li>Responsible for daily stocking of equipment and supplies in assigned rooms on a daily basis.</li><li>Able to identify and notifies provider of critical diagnostic data.</li><li>Prepares and closes medical records accurately, appropriately and timely on consistent basis.</li><li>Answers patient's questions regarding procedures and medications under Medical Assistant's scope of practice.</li><li>All phone calls are handled accurately, appropriately, consistently, and in a timely manner.</li><li>Knowledge of all patient programs and scheduling process for all programs such as: chronic kidney disease education, nutrition and other patient-related classes.</li><li>Communicates information in an accurate, concise, and timely and professional manner.</li><li>Travels to various locations as requested.</li><li>Answers telephone in a pleasant manner and deals with all internal and external customer needs expeditiously.</li><li>Coverage for other medical assistants as needed</li><li>Follows all processes and procedures uniformly.</li><li>Demonstrates outstanding customer service skills including empathy and compassion, respect, efficiency and professionalism when interacting with internal and external customers.</li><li>Assures confidentiality of information in written and verbal communications.</li><li>Protects patients' rights and privacy.</li><li>Works independently with integrity on behalf of the company and demonstrates organization of work and the ability to set priorities. Demonstrates a sense of importance on all matters related to our patients.</li><li>Accepts responsibility for individual actions and judgments.</li><li>Conducts all activities in compliance with applicable laws, regulations, standards, and practice policies and procedures.</li><li>Escalates issues to supervisor for resolution, as deemed necessary.</li><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li> Assist with various projects as assigned by direct supervisor. </li><li>Other duties as assigned.</li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> The employee is regularly required to sit, stand, and walk; use hands to finger, handle, and feel; reach with hands and arms; talk and hear. The employee is occasionally required to stoop, kneel, crouch, or crawl. </li><li>Must be able to lift/push/pull up to 50 lbs.</li><li>Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.</li><li>The work environment is a medical practice with a quiet to moderate noise level. While performing the duties of this job, the employee is exposed to various medical equipment.</li></ul> EDUCATION : <ul><li>High School Diploma required.</li><li>Completion of an Accredited Medical Assistant training program, such as courses provided through community colleges and/or vocational schools.</li><li>Current certification in CPR.</li><li>Certified as a Medical Assistant by an approved National Examination Agency.</li><li>Interpersonal and communication skills with patients, families, physicians and other health care team members in order to foster optimal quality of outpatient care.</li><li>The Certified Medical Assistant (CMA) certification from the American Association of Medical Assistants (AAMA) strongly preferred.</li><li>The National Certified Medical Assistant (NCMA) certification from the National Center for Competency Testing (NCCT) strongly preferred.</li><li>The Certified Clinical Medical Assistant (CCMA) certification from the National Healthcare Association (NHA) strongly preferred.</li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li> 1 - 2 years' related experience, preferably in a Nephrology practice setting. </li><li> Ability to interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. </li><li> Ability to write routine reports and correspondence. </li><li> Good verbal and written communication skills. </li><li> General math skills. </li><li> Intermediate computer skills and experience with electronic medical office systems such as electronic medical records, scheduling programs, switchboard, credit card machines, standard office equipment and any new technology that arises. </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.

Medical Assistant

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

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