American Renal Associates Holdings jobs

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for Current nursing license in the applicable state. Confirmation of ability to distinguish all primary colors. One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Preferred One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care! Are you with US? Apply today! All Full Time employees are eligible for the following benefits:* Medical / Pharmacy* Dental* Vision* Voluntary benefits* 401k with employer match* Virtual Care* Life Insurance* Voluntary Benefits* PTOAll Part Time employees are eligible for the following benefits:* 401k with employer match* PTO

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY The Senior Vice President (SVP) of Home Therapies Operations provides national strategic, operational, clinical, and financial leadership over all aspects of home dialysis, including Peritoneal Dialysis (PD) and Home Hemodialysis (HHD). This executive role is responsible for scaling U.S. Renal Care's home therapies programs across all markets, ensuring sustainable growth, best-in-class patient outcomes, and full compliance with regulatory standards. The SVP works cross-functionally with the Office of the Chief Medical Officer (OCMO), Operations, Business Development, Clinical / Technical Services, and other corporate leaders to elevate home dialysis as a core pillar of the USRC's value-based care strategy. A critical element of this role is partnership with the Clinical Services (CS) team to identify and advance quality goals, clinical priorities, and workforce training needs, ensuring alignment between strategy, operations, and quality. The SVP is a passionate advocate for patient-centered, technologically enabled care delivery and plays a key role in shaping the USRC's strategic roadmap for home therapies. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Enterprise Strategy Lead the development and execution of the national strategy for home dialysis, aligned with enterprise goals and emerging industry trends. Identify opportunities to scale home therapies programs through market development, innovative partnerships, payer engagement, and digital care expansion. Collaborate with the executive team to integrate home dialysis into the broader continuum of care, positioning it as a preferred modality for eligible patients. Develop and implement aggressive growth strategies to significantly expand the reach and adoption of home dialysis programs nationally. Identify and execute market penetration and service line expansion initiatives that contribute to year-over-year growth in home therapies. Establish key performance indicators (KPIs) tied to growth, efficiency, and quality to drive scalable operations across diverse geographic regions. Effectively partner with Division Presidents on market strategy and potential joint venture (JV) relationships and strategic expansion efforts. Executive Operations Oversight Oversee national operational performance, ensuring the delivery of consistent, high-quality, and financially sustainable home dialysis services across all markets. Own P&L for the home therapies business segment and ensure alignment of budgetary goals with strategic priorities. Drive standardization, scalability, and operational excellence in home program delivery, training infrastructure, logistics, and workforce deployment. Collaborate with Supply Chain to lead the management of strategic vendors, with a focus on home-specific processes and emerging technologies. Develop and oversee asset management strategies to minimize equipment loss and related financial impacts. Clinical Innovation & Regulatory Leadership Champion the delivery of high-quality care through robust clinical standards, safety protocols, remote monitoring systems, and evidence-based practices. Ensure national compliance with CMS, HIPAA, and all regulatory guidelines relevant to home-based care. Partner with legal, compliance, and quality leaders to anticipate regulatory changes and proactively address risk. Leadership & Talent Development Build and lead a high-performing leadership team across regional home therapy operations, clinical services, and support functions. Develop and scale leadership and training programs to support workforce development in home dialysis roles. Promote a culture of innovation, collaboration, accountability, and continuous improvement. Technology & Digital Enablement Lead the adoption and integration of digital tools and platforms to enhance remote patient care, improve operational visibility, and support patient autonomy. Partner with IT, product, and clinical teams to evaluate and implement emerging technologies that advance the home dialysis experience. Forge strategic partnerships that accelerate growth opportunities, increase patient access to home therapies, and enhance the USRC's market position. Stakeholder Engagement & Industry Leadership Represent the organization in national forums, policy discussions, and strategic partnerships that promote the expansion and adoption of home dialysis. Cultivate strong relationships with nephrologists, provider partners, payers, health systems, and technology vendors.

The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS * Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse's responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment. * Demonstrated analytical and problem-solving skills are required. * Strong time management and organizational skills required. * 1 year previous dialysis management experience preferred. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire. * Must meet applicable, specific state requirements. (See addendum for Administrator. Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications: * Must be full-time employee of the Company and available to clinic staff during time clinic is open. * Current RN license in applicable state. License must be maintained as current and in good standing. * 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse)

Job DescriptionThe PART-TIME (24 hours) Medical Secretary monitors the operation of the administrative office of the facility. The incumbent will function as a secretary/receptionist and is responsible for all duties and functions of the office as dictated by the Policies and Procedures. This role requires a variety of skills and responsibilities that fall into the categories listed below. These duties and responsibilities are not set forth for the purpose of limiting the assignment of work. This is not to be construed as a complete list of duties to be performed by the individual holding this position. The duties listed may be divided among Medical Secretary Staff members to better suit the needs of specific facilities. Responsibilities: Demonstrates appropriate and professional communication skills Greets patients, and visitors and announces their arrival to the appropriate unit Checks patients in on patient schedule and daily calendar Calls appropriate transportation companies for patients when needed Follows appropriate procedures in emergency situations Answers telephone promptly and courteously, refers calls to the appropriate person, takes and relays messages as needed Distributes all incoming mail appropriately, including inter-office Displays a professional manner and demeanor when greeting incoming customers Follows appropriate chain of command Communicates in an appropriate and timely manner with coworkers Office Procedures: Demonstrates appropriate use of office equipment; maintains supplies Maintains postage Assures levels of lab supplies are sufficient for unit operation Medical Records: Maintains medical records according to policy and procedure Makes up new patient charts for the unit and administrative files Sends appropriate information to the business office Does appropriate data entry for all new patients Keeps computer data current for all patients Balances treatment count on a daily basis Audits / verifies ancillaries utilized during treatments Tracks patient hospitalizations and vacations Purges charts in appropriate manner Breaks down charts of non-current patients and runs appropriate reports Maintains facility filing system Does weekly update of Daily Patient Schedule for facility Runs and distributes reports as needed by the unit Prepares blood tubes, labels, and requisitions as needed Performs word processing and Excel tasks as needed Performs other duties as assigned EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS: High school diploma required, college courses preferred Proficient computer skills Good communication and interpersonal skills a must Powered by JazzHR K7W7oEsRXm

We are currently looking for a Social Worker Mentor/Jefferson Why Choose CDC? We offer a complete benefits package to include medical, dental, vision, 401K, Short/Long Term Disability options, along with company paid life insurance, PTO Tuition Reimbursement Program Employee Perks Program Career Development Opportunities Overview: Responsible for the provision and oversight of Social Work services, including counseling and concrete services, to assigned case load of End Stage Renal Disease (ESRD) affected patients and their families. Social Worker is responsible for documentation of services provided, monitoring of patient's needs, and communication with the interdisciplinary team and community service providers. Duties and Responsibilities: Functions in the Greeter Role, or delegate's greeter duties, per policy. Completes assigned assessments and evaluations per Medicare and departmental requirements. Completes appropriate and timely documentation in Patient's Medical Chart in electronic medical record (EMR) and of facility forms. Maintains and encourages maintenance of confidentiality around all patient issues. Negotiates and authors treatment plans and updates within determined guidelines. Oversees provision of concrete services to enhance patient well-being, according to Medicare guidelines, including provisions for transportation, insurance, income maintenance, transient dialysis, securing durable medical equipment and medical services. Completion of these tasks may be delegated according to facility procedures. Offers patient/family and staff education around psychosocial issues. Provides crisis intervention to patients, families, and staff. Provides medically related counseling to patients and family. Coordinates intra-agency and inter-agency referrals and provision of ancillary services. Assists patient/families with income maintenance, securing services and Durable Medical Equipment. Participates in Quality Assurance, Quality Facilitation, and Continuing Education Activities of CDC. Maintains license and seeks continuing education to enhance and maintain expertise. Abides by all facility and departmental policies and procedures, as outlined in CDC Employee. Adheres to professional Social Work Code of Ethics, Code of Conduct, and Laws of Ohio. Completes other duties, as assigned. Shares in the responsibility of maintaining and fostering a positive work environment for co-workers, patients, visitors, physicians, and other customers. Reports to Director of Social Services. Reports to Director of Patient Care Services as unit employee. Education, Experience, Training, and License/Registrations: Minimum of Master's Degree from an accredited school of Social Work Current Ohio Social Work License Preferred: two years post-masters professional experience Preferred: medical setting experience

Title: Senior Sales Executive, Ambulatory Reporting to: VP, Sales Location: This position can be based remotely or out of our HQ in Bethesda, MD. ~50% travel is required. Opportunity: Get Well seeks a high-energy, driven Enterprise Sales Executive with a proven track record of pursuit management, strategic selling, and a keen ability to develop deep client relationships. The successful candidate will have a firm grasp of the healthcare services industry, including health care provider and payer business issues, and the ability to align prospect needs with our platform of patient engagement solutions. The ideal candidate has a successfully demonstrated ability to identify new accounts and opportunities, prospect, lead sales strategy, and value differentiation to close new books of business. Get Well is a client-first culture that develops long-term partnerships with our clients to solve their most pressing business and clinical needs. You will be part of a highly collaborative team that includes Sales, Product Specialists, Solutions Engineers, and Client Service teams. Our team is hard-working and ambitious but also collaborative and respectful as we continue to build the Get Well brand. Through organic and acquisitive growth, you will have access to innovative new patient engagement solutions and technologies to learn about and bring to market. Your ability to build strong relationships across the company and learn quickly is critical to your success. This is a remote position with ~30% travel required. Responsibilities: Full-cycle sales with a focus on new business growth and repeatable revenue Manage complex sales cycles, engaging with C-level buyers and engaging internal stakeholders at Get Well from opportunity to close Learn, use, and build upon the established sales process to grow revenue and achieve scalability Meet and exceed performance expectations, including quotas for personal and team metrics Demonstrate strong expertise in deal negotiation, pricing, and growth strategy to optimize profitable deal structure and creation Develop and execute sales strategies and plans in order to achieve sales targets Build exceptional client relationships Demonstrate and clearly differentiate the product from the competition focusing on our clear and compelling value proposition Forecast and deliver against revenue targets and achieve/exceed the assigned sales volume Conduct market research to stay informed about industry trends, competitor activities, and customer needs. Create compelling emails and power point slides that appeal to prospective customer business goals and needs. Leverage industry relationships to drive deals Other duties as assigned Requirements: Previous success as an Enterprise Sales Executive with a minimum 5 years experience in a healthcare environment Bachelor's degree or equivalent experience Demonstrated understanding of the structure and dynamics of healthcare systems, particularly in ambulatory care settings (e.g., outpatient clinics, physician offices, urgent care) Knowledge of how technology can support population health initiatives, including care coordination, data analytics, and patient engagement tools Deep understanding value-based care models and how technology solutions can support improved patient outcomes, cost-efficiency, and care quality Experience orchestrating from the CXO to the clinicians a value-based selling campaign Exceptional understanding of healthcare environment and demonstrated negotiation ability with finesse in this environment Ability and willingness to travel at least 50% of the time Knowledge of SalesForce.com is strongly desired Understanding of healthcare industry dynamics Adhere to all organizational information security policies and protect all sensitive information, including but not limited to electronic protected health information (ePHI), protected health information (PHI), personally identifiable information (PII), and Get Well information based on data classifications in accordance with organizational policy and Federal, State, local, and international regulations About You: Proven track record of sales success driving revenue through discovering, prospecting, creating new business and attaining/exceeding assigned quota Quota/sales-driven and competitive with a drive for success Customer as the center, always. You are passionate about creating value for your customers Clear ability to identify the right decision makers and influencers as well as the courage to ask the right questions. Finesse in storytelling and driving value based sales Authenticity, confidence, and humility are your hallmarks Deliberate and decisive teammate who drives change and success through positivity. Perseverance and determination in managing difficult situations You're passionate about what we're doing and won't stop at anything to deliver on your goals. Able to motivate and influence others through fact-based client and product understanding, combined with a genuine passion for the product You set the bar high for yourself and how to get the best out of your colleagues Thrive in a self-driven and high-performance culture Devoted to systems, repeatability, efficiency, and measurement About Get Well: Now part of the SAI Group family, Get Well is redefining digital patient engagement by putting patients in control of their personalized healthcare journeys, both inside and outside the hospital. Get Well is combining high-tech AI navigation with high-touch care experiences driving patient activation, loyalty, and outcomes while reducing the cost of care. For almost 25 years, Get Well has served more than 10 million patients per year across over 1,000 hospitals and clinical partner sites, working to use longitudinal data analytics to better serve patients and clinicians. AI innovator SAI Group led by Chairman Romesh Wadhwani is the lead growth investor in Get Well. Get Well's award-winning solutions were recognized again in 2024 by KLAS Research and AVIA Marketplace. Learn more at Get Well and follow-us on LinkedIn and Twitter. When it comes to careers, our approach is simple: empower employees to do their best work and live their best professional and personal lives. Meeting the needs of a diverse group of employees across more than 30 states means offering tools to support financial, physical and emotional well-being and the choice to design what meets your needs. You'll find everything you'd expect and many things you don't: exceptionally generous paid time away from work, a variety of paid leave programs, savings opportunities with 401(k) and incentive plans, internal education programs, full array of health benefits, fitness reimbursement, cell phone subsidy, casual offices with snacks and drinks, peer recognition programs, health advocacy and employee assistance programs, chili cook-offs, pet insurance (yes, really) and so much more. Our most valuable benefit? An environment that supports YOU. The estimated pay range for this position is $125,000-$160,000 in base salary plus commission. Base salary is dependent on many factors including, but not limited to education, experience and skills. This range is subject to change and may be modified in the future. Get Well is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age or veteran status.

Great opportunity to join a company that values our employees and the patients we serve! Centers for Dialysis Care is seeking an experienced Patient Financial Services Representative to work out of our Corporate Office located in Shaker Heights, OH. This position is onsite. Why Choose CDC? We offer a complete benefits package to include medical, dental, vision, 401K, Short/Long Term Disability options, along with company paid life insurance 210 Hours of PTO Tuition Reimbursement Program Employee Perks Program Career Development Opportunities Position Overview: The purpose of this position is to bill and collect insurance accounts receivable for multi-payer sources. Job Description: Prepares and sends claims monthly to payers for dialysis services rendered at our CDC clinics via an electronic billing system. Analyzes Accounts Receivable to ensure timely payment is received for claims billed. This includes root cause analysis, contact with payers (via phone or paper/electronic status inquires), ensuring patient responsibility is properly and timely identified. Follows and reports status of delinquent patient accounts to the Director of Patient Accounts and Chief Financial Officer Works on various revenue collection projects/duties as assigned Qualifications: High school diploma required, some college accounting courses or other field related continuing education Knowledge of electronic billing systems preferably Quadex is required. At least 3 years' experience in a Healthcare Accounts Receivable setting is essential Excellent customer service, interpersonal and communication skills required Knowledge of medical billing/collection practices Knowledge of business office procedures Knowledge of basic medical coding and third-party operating procedures and practices Ability to establish and maintain effective working relationships with patients, employees and the public Centers for Dialysis Care is proud to be an Equal Opportunity Employer.

$10,000 Sign on Bonus Dental Hygienist Dental Care of Solon is looking for a Dental Hygienist to join our team. Hours and Days needed- VERY FLexible... Monday-Thursday OR Tuesday-Friday Why Dental Care of Solon? As an elite clinical provider and patient advocate, you'll receive best in class non-clinical support to provide exceptional lifetime patient care while obtaining unparalleled education to enhance your clinical skills. You'll work in an environment that encourages full clinical autonomy, giving your patients the time and attention they need, with the ability to tap into a hygiene mentor program. You'll work a schedule that inspires work life balance and receive competitive benefits. Provide outstanding patient care, invest in your community, and do it all with the support of Heartland Dental. As a Dental Hygienist, you'll be recognized as an elite clinical provider and patient advocate. You'll be an integral member of the patient care team, giving your patients the time and care they need, deserve and desire. With best-in-class support through our robust Hygiene mentor program and unparalleled educational offerings to enhance your clinical skills - you'll be 100% supported as you provide exceptional lifetime care to your patients! What You'll Gain Competitive benefits including health insurance and retirement savings plans, six paid holidays and PTO (paid time off) Continuing education to provide you opportunity to develop your full potential and enhance your clinical skills to provide education and care to your patients. Access to an expansive network of mentors with 1:1 hygiene mentorship support and networking opportunities available at your fingertips. Unparalleled business support and the highest quality supplies and labs to deliver exceptional patient care. Opportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potential About Dental Care of Solon Dental Care of Solon, like each Heartland Dental supported office, is unique to the community and the patients they serve. With the support of a practice manager, a highly trained team on site, coupled with a vast network of experts across the nation, you'll be completely connected to all the resources and support of Heartland Dental. Join a 13 person team that thrives on collaboration, communication and community. Minimum Qualifications Current dental hygienist license in Ohio and an Associate's or Bachelor's degree in dental hygiene (where required) Excellent working knowledge of dentistry, dental hygiene procedures, dental patient screening and medical history documentation CPR Certification Preferred Experience New Grads and experienced hygienist are encouraged to apply. Experience using Velscope, Diagnodent, digital scanner, digital x-rays and electronic medical record systems Desire to continue learning and grow clinical skills to meet needs of patients and provide preventative care and overall maintenance of patients' dental health Clinical needs as required by office Physical Requirements Ability to perform essential duties as deemed necessary by the Office/ Doctor/ Heartland Dental with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position Prolonged periods sitting and standing Must be able to lift and carry up to 45 pounds at times Availability to attend virtual training sessions (or in-person) periodically throughout the year As part of our commitment to maintaining a safe and healthy environment for both team members and patients, a tuberculosis (TB) test is required for all new hires in dental office positions. This is a standard requirement for dental office roles and must be completed prior to starting employment. The test will be arranged during the pre-employment process, and any necessary guidance or paperwork will be provided. Not applicable in the state of FL & TN. Who is Heartland Dental? Heartland Dental is the nation's largest dental support organization, providing non-clinical administrative support services to more than 3,000 supported doctors across 39 states and the District of Columbia in over 1,800 dental offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported doctors are the leaders of their practice and retain clinical autonomy. All Heartland Dental supported doctors are united by a common goal: delivering the highest quality dental care and experiences to the communities they serve. At Heartland Dental, we're committed to living our core values which promote diversity and inclusion. We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.

**PURPOSE AND SCOPE:** Maintain all manufacturing equipment including automated manufacturing systems, robotic materials handling equipment, production equipment. Support systems throughout the plant including critical utilities needed to support production operation. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Utilize working knowledge of PLC programming and controls hardware + Maintain and program industrial robotics + Perform trouble shooting, system analysis, and repair of electro-mechanical equipment + Rebuild and maintain equipment to meet high production output + As a skilled specialist, completes various tasks in resourceful and effective ways + Executes the repair, maintaining, and operation of utility, electrical, and mechanical systems as required + Works on assignments requiring considerable judgment and initiative + Understands implications of work and makes recommendations for solutions + May act as an informal team leader and provides assistance to other technicians with support tasks that require considerable judgment and initiative + May escalate difficult/complex issues to area Manager for resolution, as deemed necessary. + Assist with various projects as assigned by Manager. + Observe evaluate and suggest operational/design changes or maintenance needs based on performance, and Quality Assurance limits to maintain or increase efficiency of manufacturing equipment. + Responsible for following current Good Manufacturing Practices (cGMPs) and Standard Operating Procedures (SOPs) in performing above duties. + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations + Other duties as assigned **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + While performing the duties of this job, the employee is regularly exposed to moving mechanical parts and extreme heat. The employee is frequently exposed to toxic or caustic chemicals and vibration. The employee is occasionally exposed to wet and/or humid conditions; high, precarious places; fumes or airborne particles; outside weather conditions; extreme cold; and risk of electrical shock. The noise level in the work environment is usually very loud. + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. **SUPERVISION:** + No supervision **EDUCATION:** + High School Diploma required; Associate's or Technical Degree and 3-5 years related experience preferred, or combination equivalent. **EXPERIENCE AND REQUIRED SKILLS:** + Automated manufacturing + PLC programming + Robot programming preferred + 5+ years' related experience + HVAC, plumbing, electrical, and mechanical expertise + Experienced preferred in advanced automated processes, assembly, and packaging + Production manufacturing experience in regulated industry strongly preferred **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY Lead a regional team of clinical team members to drive quality patient outcomes in value-based care. Oversee operations, staffing, compliance, and workflows while partnering with physicians and dialysis facilities. Monitor performance metrics, implement process improvements, and talent management. Collaborate closely with cross-functional colleagues to develop and execute strategies to improve quality and reduce cost of care. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Directly manages a team of Nurse Case Managers and Coordinators, providing direction, mentoring, and professional development. Coaches and mentors the team through regular team meetings, on-site shadowing, and other means. Conducts regular 1:1 meetings, team huddles, and comprehensive team meetings to ensure alignment and address concerns. Routinely reviews team metrics / scorecards with individual team members and the full team. Ensures optimal deployment and daily productivity of the clinical team, including by balancing caseloads and assignments. Supports nurses in optimizing their schedules and patients (e.g., prioritizing on-site work for nurses who have in-person responsibilities). Oversees payroll, PTO, expense management, and other Human Resources processes, ensuring accuracy and compliance. Addresses staffing needs by liaising with Human Resource Business Partners, conducting interviews, overseeing onboarding, and precepting new hires. Monitors compliance with professional licenses and manages credentialing processes. Implements core processes and workflows, including regular reviews of Optimal Starts patients, regular reviews of CVC patients, engagement with dialysis facilities, IDT meetings for key physician practices, and others as needed. Runs effective internal IDT meetings together with Associate CMO to review high risk patients, ensure the presence of strong care plans, and ensure execution against care plans. Partners with Market Operators to design and deploy workflows with each relevant physician practice and dialysis team. Ensures routine engagement of Nurse Case Managers and Coordinators with Risk Adjustment Nurse Practitioners, as appropriate, to support CDMV findings in being processed and acted upon. Monitors, analyzes, and reports on operational performance metrics, suggesting and implementing improvements to enhance efficiency. Leads reporting out on clinical team performance and issues during Monthly Operating Reviews. Develops close working relationships with dialysis facility administrators, and ensures that appropriate communication processes and other workflows are in place with Nurse Case Managers and dialysis teams to maximize impact of interventions for dialysis patients. Develops close relationships with physician practice leaders and administrators, and is seen as a key clinical resource to drive impact with the practice. Is routinely in the field with the team to provide in-person coaching and mentoring; travel required when not geographically close to team and partners. Key Performance Indicators include: Optimal Starts Admissions Readmissions Time on Dialysis CVC Rate

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY As a Project Manager at U.S. Renal Care, you will lead projects from start to finish across various business units. Responsibilities include managing project teams and resources, developing plans, stakeholder communication, risk management, and ensuring quality deliverables. The ideal candidate should have experience with adapting Agile methodologies, managing multiple development projects, and working collaboratively with internal and external teams. Successful candidates must be analytical, solution-oriented, flexible, and engage positively with stakeholders. At U.S. Renal Care, your work has purpose, colleagues care about your well-being, and you have the opportunity to grow and thrive. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Ability to manage multiple concurrent projects from concept to completion using agile mindset and methodologies; accountable to drive velocity and quality in delivery. Lead cross-functional project teams including business and technical stakeholders, third party vendors and contracted resources Develop and execute detailed project plans, including scope, timelines, budgets, and risk strategies Clear communication of project plans, status, and critical issues to Leadership, and the project stakeholders Proactively identify and track issues, risks, and dependencies; partner with teams to develop mitigation strategies Develop communication plans and facilitate regular meetings, including Steering Committee meetings Ability to facilitate Scrum ceremonies, including Sprint Planning, Daily Standups, Sprint Reviews, and Retrospectives Effectively communicate expectations; accepts accountability and holds others accountable for performance. Encourage collaboration amongst team members Facilitate the project change request process, implementation planning, and project cutover activities Lead post-project analysis to capture Lessons Learned to guide future projects Actively promotes GUEST customer service standards; develop effective relationships at all levels of the organization. Regular and reliable attendance is required for the job.

BASIC PURPOSE: Serves as a member of the facility operations team under the direction of the Regional Technical Coordinator. Primary responsibility for the maintenance and repair of technical systems/functions including treated water systems; clinical/biomedical equipment; dialyzer reuse; solution delivery systems (SDS); equipment interfaces with IS devices; supervision of the technical assistants; purchasing functions related to supplies and medications; and facility management issues including building and equipment systems. Administration/Leadership: Create an environment conductive to teamwork Coach direct reports for professional and personal development Set example by exhibition of exemplary behavior Complete performance evaluations, develop and work with reports to implement action plans for improvement and development Oversee technical operations and staff Trains personnel following training program Follow CDC critical notification policy and procedure when applicable Schedule and ensure proper staffing for completion of reuse job functions In-service all technical staff and ensure completion of all required competencies 100% compliance of staff completing Health Stream modules Facility Operations: Perform routine inspections and repairs of the facility's physical plant including basic electrical and plumbing repairs Schedule preventative maintenance of all building systems including annual fire system inspections (smoke detector, sprinkler and fire extinguisher); backflow preventer, HVAC air balancing; standby generator, ground fault circuit interrupter (GFCI), elevator, boiler and security systems Coordinate unscheduled maintenance to maintain physical plant in good condition Direct and ensure compliance with contract obligations for routine service providers including but not limited to exterminator, landscaper, cleaning company Ensure that facility is clean, free of clutter and organized Document all facility issues in the technical services software Follow proper CDC purchasing procedures to ensure prompt payment for services Maintain standby power system to ensure adequate supply of emergency power is available Maintain facility warehouse and storage areas in a safe and organized manner Solution Delivery System and Treated Water System: Understand the theory and operation of the solution distribution system (SDS) and treated water system Perform and document all routine maintenance per CDC policy and procedure Discuss all systems operation and performance issues with facility leadership team and Regional Technical Coordinator Ensure that updated schematics are obtained and posted when modifications are complete Draw cultures using sterile techniques Review culture results and when necessary, take appropriate action per CDC policies and procedures. Document events in the biomed software Ensure that emergency bicarbonate preparation instructions are clearly posted in the SDS room. Dialyzer Reprocessing: Provides initial and ongoing training of newly hired technical assistants Thorough working knowledge of the dialyzer reprocessing equipment and procedures Ensure compliance with AAMI standards and CDC policies and procedures Discuss all reuse operation, performance or quality assurance issues with the facility operations team and Regional Technical Coordinator Dialysis Equipment: Schedule and perform required preventative maintenance per CDC procedures Troubleshoot and repair equipment Draws cultures using sterile techniques Package cultures for transport to the reference laboratory Review culture results and when necessary take appropriate action per CDC policies and procedures. Document events in the biomed software Document all scheduled and unscheduled maintenance in the computerized maintenance management software Provide technical support to the clinical staff for equipment related issues in a timely professional manner Ensure that all equipment is clean and good appearance Ensure that equipment is repaired and an adequate number of backup machines are available to staff to provide all scheduled treatments Discuss all dialysis equipment operation, performance or quality assurance issues with the facility operations team and Regional Technical Coordinator Maintain patient data concentrating systems Supplies and Inventory: Thorough working knowledge of the purchasing system Order supplies following CDC purchasing policies and procedures Ensure that supplies are always available to patient care staff Perform physical inventory count according to CDC policy and procedures Quality Assurance and Risk Management: Reviews all risk management reports Participate in the audits and/or inspections including but not limited to technical services audits, insurance inspections, Fire Marshall inspections, Medicare Correct all deficiencies noted in the audits and inspections if applicable Acute Services: Travel to acute facilities upon request Perform scheduled maintenance of the water systems per CDC procedures and schedule Perform scheduled maintenance of the dialysis machines per CDC procedures and schedule Troubleshoot and repair dialysis equipment Perform disinfection of carts and water system Draw cultures using sterile techniques Review culture results and when necessary, take appropriate action per CDC policies and procedures. Document events in the biomed software Safety: Prepare the facility specific emergency preparedness procedures In-service the staff, conduct drills, analyze results of drills and propose changes when applicable (90%minimum) Maintain proper documentation for all emergency preparedness drills in the biomed software Provide new employees with facility tour, keys, security procedures and systems in-service, emergency preparedness procedures, location of fire extinguishers and parking restrictions Conduct and document chemical spill drills per CDC policies and procedures MSDS book available and up to date EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS: Associate degree preferred Technical expertise in treated water systems Technical expertise in Solution Distribution Systems (SDS) Excellent analytical, critical thinking, problem solving skills Proven communication skills Demonstrated team building skills Demonstrated team support and participation skills Training or experience in basic electronics and mechanics Basic electrical and plumbing knowledge Flexibility with schedule and facility assignment Expertise in technical services reuse procedures and systems Self-motivated and accountable for time management Good organizational skills

The Senior Clinical Research Coordinator (SCRC) is responsible for the facilitation and coordination of daily clinical trial activities. USRC has a research Partnership with the principal investigator (PI) and their physician practice. The local oversight and direction for activities related to the conduct of the clinical research is directed by the PI. The SCRC will work collaboratively with the principal investigator (PI), the clinical site, sponsor(s), clinical research organization(s) (CROs), institutional review boards (IRBs), and study participants to ensure Execution of the clinical trial in accordance with the Study Protocol, the Food and Drug Administration (FDA), International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use (ICH) and applicable state and local regulations. The SCRC will assist the PI in protecting the rights, safety and welfare of all study participants. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Coordinate all aspects of participant care from screening through study completion as defined by the protocol and PI delegation. Ensure and document that the informed consent process has occurred properly according to the Code of Federal Regulations (45 CFR part 46). Maintain and update each study participant's source records, including collection of medical history, assessment of eligibility and documentation of all study related procedures and relevant information. Promptly report adverse events, protocol deviations and unanticipated problems involving risk to human subjects or others to the PI, the Sponsor, the IRB and in accordance with the Federal Code of Regulations (21 CFR 312). Ensure thorough, individualized, protocol-based study subject education on all study processes including but not limited to informed consent, study participation obligations, appropriate use of investigational product(IP), IP side effects and safety, communication with study staff and research rights. Provide timely and accurate exchange of participant information with the PI and research team as it pertains to study conduct and patient safety. Adhere to the Health Insurance Portability and Accountability Act (HIPAA Privacy Rule) and protect participant confidentiality at all times. Dispense, administer and instruct participants on proper use of the investigational product (IP) in accordance with the protocol, coordinator's scope of practice and at the direction of the PI. Engage and collaborate with the USRC clinical team. Provide study specific training, oversee trial implementation, and ensure compliance with the study protocol by our clinical partners. Perform accurate and timely data collection, source documentation, and entry into the USRC databases and sponsor Case Report Forms (CRFs)/ interactive web response systems (IWRS). Address queries and sponsor requests in a timely manner. Coordinate long-term storage of research records in accordance with contractual requirements. Timely preparation for, accommodation of and attendance during site initiation, monitoring visits, audit visits or regulatory authority inspections. Maintains records of all reports as well as the site's response. Responsible for the preparation and ongoing maintenance of Essential Documents (The Trial Master File). This includes those documents that will allow for the evaluation of the clinical trial and demonstrate compliance of the sponsor and PI with the study protocol and GCP. (Including but not limited to: Form FDA 1572, financial disclosures, laboratory certifications, protocol, investigator brochure, institutional review board (IRB) related documents, IND reports delegation of authority (DOA), study specific enrollment logs, monitoring reports. Assists in the coordination of efforts of internal and external resources (industry partners, clinical research organizations) to ensure efficient trial selection, proper patient recruitment, achieving target enrollment goals and trial plan execution. Fosters a patient-care culture that emphasizes patient safety and quality in all aspects. Responsible for the patient stipend automated payment process including registration into the system and processing payments per the USRC policy and ongoing maintenance of payments during the trial. Adheres to the USRC Research quality assurance program guidelines. Travel to Investigator Meetings or similar research related meetings is required. Travel may be required between dialysis facilities or nephrology practices within the community. Maintains a working knowledge of current clinical research practice standards and regulatory requirements. For example, but not limited to; (FDA Federal Code of Regulations Good Clinical Practice (GCP), Health Insurance Portability and Accountability Act (HIPPA), International Air and Transportation Association (IATA) - Shipping of Dangerous Goods. Maintains their industry standard licensures and certifications. May provide training and oversight of Clinical Research Coordinators and/or Research Assistants. Actively promotes GUEST customer service standards; develop effective relationships at all levels of the organization. Participate in team concepts and promote a team effort; perform duties in accordance with company policies and procedures. Participate in staff meetings as required. Regular and reliable attendance is required for the job.

This role will be covering the greater Indianapolis area The Clinical Specialist (CS) is responsible for positively impacting regulatory standards and clinical outcomes of clinics in an assigned geographic region. The CS is also responsible for the training of new employees and current clinical staff. The CS will also be responsible for conducting in-services and review classes, ensuring that the clinics have properly trained staff that meet regulatory standards and provide quality patient care. The CS reports directly to the next level of clinical management which may be the Director of Clinical Operations or Vice President of Clinical Operations/Services, depending on the region/demographics or responsibilities. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Responsible for overseeing overall clinical operation of assigned clinics from regulatory and growth perspective in accordance with Company goals. · Assist in clinical operational development and transition of new or acquired clinic(s) as needed or requested. · Assess and integrate clinical policy and regulatory requirements in acquired clinic(s). · Demonstrate effective use of company resources, i.e. supplies, safety and risk reduction, and best support methodologies. · Work with Administrators and regional management toward the achievement of monthly, quarterly and annual projections based on clinical outcomes and management objectives. · Perform duties as assigned to meet the patient care or operational needs of assigned clinics. OUTCOMES · Assist with developing, implementing and monitoring of quality of care processes for program regulatory compliance in accordance with Company goals. · Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations. · Assist with developing, implementing, and improving quality and productivity goals and measures. · Work with Administrators and regional management to ensure optimal patient care and regulatory compliance. · Remain current with dialysis industry and technology. · Assist with program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics. OPERATIONAL READINESS OPERATIONAL READINESS (cont.) · Knowledge of and remain current with federal, state, local laws and regulations. · Assure that assigned clinics are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies by conducting internal clinical reviews. · Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. · Assist Administrators and regional management with necessary Corrective Action Plan development, implementation and follow through as required for internal and external surveys. · Provide follow up on any/all deficiencies for all audits done internally (corporate) or externally (CMS & state specific). · Assure compliance with required Governing Body meetings, monthly CQI meetings and care plan conferences and assures documentation of such through recorded minutes. · Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards. · Assist with developing, implementing and monitoring of clinical, education and QAPI policies. · May assist with policy/procedure revisions and dissemination of new and revised policies. · Know and understand the function and safe operation of water treatment equipment and related mechanical and electrical systems. · Be familiar with all emergency equipment and emergency operational procedures. · Use appropriate safety measures including personal protective equipment as necessary. · Be familiar with OSHA regulations. PARTNERSHIPS · Understand, lead and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives. · Communicate with clinical operations management and regional management on a consistent basis regarding the status of each clinic in the region. · Communicate completion status of Plans of Correction for internal and external surveys to Administrators, regional management and clinical operations management. · Maintain collaborative working relationship with Administrator(s) and regional management. Partner with Administrator(s) and regional management to ensure clinic needs are met. · Maintain a positive/collaborative relationship with physicians, state agencies and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION · Ensure all clinical staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Orient and mentor Administrators in the QAPI process, outcomes, education programs and operational readiness in accordance with USRC practices. · Review IntraLearn assignments and compliance reports; communicate results to facility management as needed. · Coordinate and conduct PCT certification review programs, CPR certification training (if required), and ongoing mandatory continuing education. · Perform clinical education of new hires as needed or requested. · Provide clinic based in-service programs as needed or requested. · Coordinate and conduct charge nurse training and preceptor training programs as directed. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.

The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS · Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse's responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.

**PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to FMCNA algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **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. + 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. + 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. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

The Medical Secretary monitors the operation of the administrative office of the facility. The incumbent will function as a secretary/receptionist and is responsible for all duties and functions of the office as dictated by the Policies and Procedures. This role requires a variety of skills and responsibilities that fall into the categories listed below. These duties and responsibilities are not set forth for the purpose of limiting the assignment of work. This is not to be construed as a complete list of duties to be performed by the individual holding this position. The duties listed may be divided among Medical Secretary Staff members to better suit the needs of specific facilities. Responsibilities: Demonstrates appropriate and professional communication skills Greets patients, and visitors and announces their arrival to the appropriate unit Checks patients in on patient schedule and daily calendar Calls appropriate transportation companies for patients when needed Follows appropriate procedures in emergency situations Answers telephone promptly and courteously, refers calls to the appropriate person, takes and relays messages as needed Distributes all incoming mail appropriately, including inter-office Displays a professional manner and demeanor when greeting incoming customers Follows appropriate chain of command Communicates in an appropriate and timely manner with coworkers Office Procedures: Demonstrates appropriate use of office equipment; maintains supplies Maintains postage Assures levels of lab supplies are sufficient for unit operation Medical Records: Maintains medical records according to policy and procedure Makes up new patient charts for the unit and administrative files Sends appropriate information to the business office Does appropriate data entry for all new patients Keeps computer data current for all patients Balances treatment count on a daily basis Audits / verifies ancillaries utilized during treatments Tracks patient hospitalizations and vacations Purges charts in appropriate manner Breaks down charts of non-current patients and runs appropriate reports Maintains facility filing system Does weekly update of Daily Patient Schedule for facility Runs and distributes reports as needed by the unit Prepares blood tubes, labels, and requisitions as needed Performs word processing and Excel tasks as needed Performs other duties as assigned EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS: High school diploma required, college courses preferred Proficient computer skills Good communication and interpersonal skills a must

Job Requirements Our Nurse Manager position assists the Clinic Manager in performing professional supervisory nursing practice in the care of patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). The position is responsible for maintaining the quality and adequacy of patient care, for recognizing and assisting in solving professional, administrative, and supervisory problems in the clinic. Position exercises considerable judgment in applying professional knowledge in solving nursing problems within established policies and practices. Work Experience * Registered Professional Nurse (RN) with current state licensure; BSN preferred. * 12 months nursing experience. * Meets all state/licensing requirements. * 6 months experience in kidney failure or transplant care, including dialysis. * Supervisory experience preferred. * 3-5 years in clinical and management roles in ESRD preferred. * Basic Life Support (BLS) certification. * Ability to read and interpret safety rules, operating instructions, and procedure manuals. * Effective communication skills with clients and staff. Benefits At Innovative Renal Care (IRC), our comprehensive benefits program is a key component of our total compensation package. It includes a 401(k) match, healthcare coverage, and a broad range of other benefits that compare favorably within our industry and marketplace. Learn more at IRC Benefits and Perks About Innovative Renal Care We are one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. Our mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions. Our Values: I CARE Integrity & Innovation - Earn trust by keeping promises and embracing new solutions. Compassion - Treat patients, families, and colleagues with respect and empathy. Accountability - Take ownership and recognize the contributions of others. Results-Driven - Strive for excellence and exceed expectations. Everyone Counts - Foster diversity, equity, teamwork, and collaboration. Why Join IRC? * Career Growth - Be part of a values-driven team making a meaningful impact. * Competitive Compensation - Salaries continually benchmarked against market and trends. * Enhanced PTO - Your most recent dialysis experience counts toward PTO accrual. * Team Culture - Thrive in a supportive environment that values innovation, accountability, and compassion. Salary Range: * $28 - $50 / hour depending on experience and qualifications #LI-KW1 Innovative Renal Care is an equal opportunity and a drug free workplace. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origins, citizenship, disability or protected veteran status. All applicants will be subject to a drug screening and background check upon acceptance of an offer. * IRC will only contact you from *************************** or team members with an @innovativerenal.com email address. Please be cautious and aware of spam or fraudulent emails soliciting personal or banking information. IRC will not request this information via email.

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for Current nursing license in the applicable state. Confirmation of ability to distinguish all primary colors. One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Preferred One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care! Are you with US? Apply today! All Full Time employees are eligible for the following benefits:* Medical / Pharmacy* Dental* Vision* Voluntary benefits* 401k with employer match* Virtual Care* Life Insurance* Voluntary Benefits* PTOAll Part Time employees are eligible for the following benefits:* 401k with employer match* PTO