American Renal Associates Holdings jobs in Richmond, VA - 21 jobs

Job Requirements Our Registered Nurses provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient. This role is all about the relationships and bond you will create with patients and their families. Work Experience * Associates Degree in Nursing (A.D.N) from accredited school of nursing required; Bachelor of Science in Nursing (BSN); three year diploma from accredited diploma program may be substituted for nursing degree. * Registered Nurse License in the state of practice. * Current BLS/CPR certification required. * Meets all applicable state/licensing requirements. * Previous dialysis, ICU, CCU, ER, or Med Surg nursing experience is preferred but not required. 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: * $40- $46 / hour depending on experience and qualifications #LI-NU1 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.

**About this role:** As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment equipment within our kidney care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical supplies required. **How you grow or advance in your career:** We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a Biomedical Technician specific career ladder with three potential levels of Biomedical Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice President of Technical Services and supported by Corporate Biomedical Support Managers. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits; we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** - Maintains, troubleshoots, and repairs dialysis equipment, ancillary equipment, and water treatment systems. - Maintains the physical plant, as directed. - Ensures outside vendor services are completed per contract. - Purchases and retain an inventory of service parts. - Performs, evaluates, and reports water/dialysate sample collection and any actions required. - Conducts daily, weekly, and monthly trend analysis on the water system to assure system functions as designed. - Documents all repairs and maintenance activity. - Assists in planning and installing biomedical equipment to assure safe and effective operation of facility. - Transports equipment as needed with supervisor consent. - Participates in monthly technical and regulatory meetings. - Collaborates with facility staff to ensure all regulatory and OSHA requirements are met. - Manages inventory, including receiving and putting up deliveries, inventory counts, transporting goods between clinics as needed and assist clinical management with inventory costs. - Performs initial and annual verification and ongoing monitoring of patient care staff's technique for testing water system, assuring tests and documentation comply with manufacturer's specifications for the devices and test equipment used. - Completes all technical training programs required by state/federal regulations and company policy. - Provides scheduled after hour technical on-call coverage for your clinics as needed. **EDUCATION AND CREDENTIALS:** + High school diploma or G.E.D. required. + Associate Degree in electronics / biomedical technology, or equivalent (preferred but not required) + Valid Driver's License issued in the employee's state of residence required. + Continued employment is dependent on successful completion of Fresenius Biomedical Technician training within the first 24 months of service from date of hire. **EXPERIENCE AND REQUIRED SKILLS:** + Qualities and traits: collaborative, independent, analytical, mechanical, self-motivated, self-starter, continuously strives for staying up to date and increasing their knowledge/skills + Less than 1-year related experience. + Prior experience working in a mechanical, automotive, or construction industry, dialysis, or medical technical setting (preferred but not required). + Manual dexterity required - ability to use common hand tools and small power equipment. + Good verbal and written communication skills. + Ability to lift up to 50 lbs. and safely move large/bulky equipment Ability to create a safe and efficient work environment, OSHA - 6S - Infection Control **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 for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. - Position involves active work including lifting, bending, walking, and standing for considerable lengths of time. - The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet. - There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. - Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. - Evening, weekend, and holiday availability, as well as ability to take Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. **EOE, disability/veterans**

PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL DUTIES AND RESPONSIBILITIES: Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options: + Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). + Ensures patients have followed through with the application process. + Obtains premium statements and signatures from patients. + Discusses situation and options if employment status changes or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility. + Discussing the Medicare application with eligible patients and assisting with the application process. + Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements. + Completing the annual open enrollment and Medicare reinstatement papers with the patients. + Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends. + Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts + Works with patients to evaluate personal financial information and make determination for indigent program. + Completes initial Indigent waiver applications. + Tracks and completes annual indigent waiver applications. + Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. + Addresses any identified anomalies or discrepancies, researches and answers questions as needed. + Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius. + Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. + Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes + Completes monthly audit exam to stay current on internal policies. + May present on insurance and financial assistance options to patients as necessary. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. 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. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License. EDUCATION: + Bachelor's Degree required; Social Work or other Healthcare focus preferred. EXPERIENCE AND REQUIRED SKILLS: + 2 - 5 years' related experience; healthcare industry preferred. + Experience with Medicare, Social Security and Medicaid systems a plus. + Past patient interaction a plus. + Excellent written and communication skills. + A strong customer service philosophy. + Strong organizational and time management skills. + Ability to work independently. + Proficient with PCs and Microsoft Office applications. + Valid Driver's License **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

How you will change lives As a PatientCare Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure. What you'll be doing Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders. Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed. Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings. What we're looking for High school graduate or equivalent. Desire to work in healthcare and care for patients. Previous healthcare experience in dialysis, phlebotomy, or as a CNA is a plus. Must be comfortable mixing acids and bicarbonate according to protocol. Ability to distinguish all primary colors. Other requirements Successful completion of USRC training program approved by the Medical Director, including demonstrated competency; this includes successful completion of USRC training course in the theory and practice of hemodialysis within 8 weeks of hire. CPR certification required within 90 days of hire or as required by the state. Patient Care Technician certification must be obtained through a state certification program or national commercially available certification program within 18 months of hire date and maintained in good standing thereafter. Specific state requirements may be applicable and required. 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

**PURPOSE AND SCOPE:** Supports the Organization's mission, vision, core values and customer service philosophy. Adheres to the Organization's Compliance Program, including following all regulatory and policy requirements. Assists physicians in performing a variety of interventional radiology procedures. Responsible for the operation and quality control of the radiological equipment in accordance with the Organization's policies, procedures, and training. Assists with the inventory and supply management. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Performs various activities necessary for the preparation of the patient and the procedure room for the radiology procedures in compliance with the organization's policies and procedures and state and federal regulations. + Reviews patient specific procedure orders to determine materials/supplies that will be needed. + Sets up/ stocks the procedure room/procedure trays with all needed supplies and interventional equipment prior to procedure and cleans procedure room post procedure, including but not limited to cleaning of equipment/machinery. + Conducts all necessary preparations of the patient procedure room and documents when appropriate. + Explains procedure to the patient, answers questions and addresses patient concerns. + Assists with preparing the patient for the surgical procedure by positioning, shaving and prepping. + Performs patient transfers and transports patient to and from procedure room. + Inputs patient data into the C-Arm. + Acts as scrub assistant assisting the physician during interventional procedures and administers fluoroscopy to enable the physician to see flow through the blood vessels to identify areas in need of intervention while maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. + Complies with HIPPA policies and standards regarding patient confidentiality. + Draws up intravenous medication and labels as per the organization's medication labeling policy. + Processes x-ray images and archives to the image repository, CD or DVD to comply with the organization's policies and procedures for patient medical records and state regulations. + Provides outstanding quality of patient care by supporting and driving the organization's quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. + Assists with implementing the organization's quality goals and facility specific action plans to achieve the organization's quality standards. + Ensures medical records are accurate, complete and in compliance with the organization's policies and procedures. Maintains integrity of medical records, filing paperwork in patient files according to policies and procedures and performing audits on a regular basis. + Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary, and safe daily Ensures all facility equipment and instruments are in proper working condition by inspecting equipment daily before and after procedures. + Makes recommendations regarding replacement of equipment and repairs. + Assists with disposal of hazardous waste materials, dirty linen, and rugs. + Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. + Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings. + Ensures effective communication with physicians. + Attends and participates in CQI meetings with physicians, reporting on assigned topics. + Works with the physicians and staff to ensure all necessary instruments and equipment are on hand. + Addresses physician concerns in areas of responsibility. + Assists in training and orienting new employees. + Ensures patient billing is accurate and timely by reviewing all procedures, documenting patient equipment charges, and verifying CPT and ICD9 codes are correct. + Assists with inventory, ordering of supplies and re-stocking of supplies. + Acts as Radiation Safety Officer; monitors radiation badges and conducts in-services regarding radiation safety. + Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. + Other 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. Must be able to lift, push and pull up to 50 pounds and to perform patient transfers and positioning of patients up to 400 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. + 10% Travel. **SUPERVISION:** + None **EDUCATION:** + High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred. + Current ARRT Certification and/or State Licensure (as per state regulations) + Interventional Radiology certificate preferred. **EXPERIENCE AND REQUIRED SKILLS** : + 4 - 6 years' related experience desirable. + 1 year experience preferred for Candidates with ARRT. + Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment). + Experience with interventional procedures, using/ordering/maintaining required materials/supplies for each procedure. + Knowledge and experience of sterile techniques. + Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. + Successfully complete BLS certification. + Experience with monitoring and maintaining inventory. + Proficient in the use of computers and related software such as Microsoft Office (Word & Excel). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the USV/FMCNA Compliance Program, including following all regulatory and USV/FMS policy requirements. Under the direct supervision of the Facility Manager or Chief Radiology Technologist, performs scrub and circulating duties during interventional procedures according to USV/FMS policies and procedures. Assists with preparation of procedure room, inventory of supplies and stocking of supplies in the procedure room and stock room. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assists with the maintenance and setting up of the procedure room in compliance with FMCNA/USV policies and procedures and state and federal regulations. + Stocks procedure room and procedure trays with all needed supplies and interventional equipment prior to procedure. + Cleans the procedure room including the equipment and machinery post procedure. + May assist with preparing the patient for the surgical procedure by positioning, shaving and prepping. + Performs additional tasks as designated by Physician, practicing in compliance with state regulations + Prepares and administers medications within the scope of practice and state regulations + Performs patient transfers and positioning of patients and transports patient to and from procedure room. + Acts as scrub assistant assisting the physician during interventional procedures under fluoroscopy; or Vascular Surgery maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. + Draws up intravenous medication and labels as per Medication Labeling Policy, and Medication in the Sterile Field Competency. + Performs circulating duties in the procedure room. + Complies with HIPAA policies and standards in regards to patient confidentiality. + Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary and safe on a daily basis Ensures all facility equipment and instruments are in proper working condition by inspecting equipment on a daily basis before and after procedures. + May perform minor equipment repairs and general upkeep. Communicate problems to supervisor and document issues in the communications log. + Assists with disposal of hazardous waste materials, dirty linen and rugs. + May assist with instrument sterilization and packaging of surgical instruments. + Assists with preparing, organizing, and efficiently utilizing supplies and equipment to prevent wastage. + Provides outstanding quality of patient care by supporting and driving USV quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of USV/FMS CQI tools. + Assists with implementing USV quality goals and facility specific action plans in order to achieve USV quality standards. + Maintains integrity of medical records and other USV administrative and operational records. + Complies with all data collection and auditing activities. + Provides clerical and practical support to physicians and staff: + Works with the physicians and staff to have all necessary instruments and equipment are on hand. + May print images and send to the physician. + May assist with training and orienting new employees on the medical equipment. + Files paperwork in patient files according to policies and procedures. + Assists with inventory, ordering of supplies and re-stocking of supplies. + May process x-ray images after acquisitions. + May archive patient images to a CD or DVD to comply with USV policies and procedures for patient medical records and state regulations. + Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. + Other 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. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. Must be able to lift, push and pull up to 50 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. **EDUCATION** **:** + High School Diploma required + Surgical Technologist Certification as required by state regulation + All appropriate state licensure, and or certification education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS:** + 1 - 2 years' related experience. + Previous patient care experience preferred. + Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment), procedures and materials/supplies needed for each procedure. Knowledge of sterile techniques. + Experience with special procedures utilizing a C-Arm preferred. + Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. + Successfully complete BLS certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

$5000 sign-on bonus for full-time position. ARRT certification required. **PURPOSE AND SCOPE:** Supports the Organization's mission, vision, core values and customer service philosophy. Adheres to the Organization's Compliance Program, including following all regulatory and policy requirements. Assists physicians in performing a variety of interventional radiology procedures. Responsible for the operation and quality control of the radiological equipment in accordance with the Organization's policies, procedures, and training. Assists with the inventory and supply management. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Performs various activities necessary for the preparation of the patient and the procedure room for the radiology procedures in compliance with the organization's policies and procedures and state and federal regulations. + Reviews patient specific procedure orders to determine materials/supplies that will be needed. + Sets up/ stocks the procedure room/procedure trays with all needed supplies and interventional equipment prior to procedure and cleans procedure room post procedure, including but not limited to cleaning of equipment/machinery. + Conducts all necessary preparations of the patient procedure room and documents when appropriate. + Explains procedure to the patient, answers questions and addresses patient concerns. + Assists with preparing the patient for the surgical procedure by positioning, shaving and prepping. + Performs patient transfers and transports patient to and from procedure room. + Inputs patient data into the C-Arm. + Acts as scrub assistant assisting the physician during interventional procedures and administers fluoroscopy to enable the physician to see flow through the blood vessels to identify areas in need of intervention while maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. + Complies with HIPPA policies and standards regarding patient confidentiality. + Draws up intravenous medication and labels as per the organization's medication labeling policy. + Processes x-ray images and archives to the image repository, CD or DVD to comply with the organization's policies and procedures for patient medical records and state regulations. + Provides outstanding quality of patient care by supporting and driving the organization's quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. + Assists with implementing the organization's quality goals and facility specific action plans to achieve the organization's quality standards. + Ensures medical records are accurate, complete and in compliance with the organization's policies and procedures. Maintains integrity of medical records, filing paperwork in patient files according to policies and procedures and performing audits on a regular basis. + Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary, and safe daily Ensures all facility equipment and instruments are in proper working condition by inspecting equipment daily before and after procedures. + Makes recommendations regarding replacement of equipment and repairs. + Assists with disposal of hazardous waste materials, dirty linen, and rugs. + Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. + Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings. + Ensures effective communication with physicians. + Attends and participates in CQI meetings with physicians, reporting on assigned topics. + Works with the physicians and staff to ensure all necessary instruments and equipment are on hand. + Addresses physician concerns in areas of responsibility. + Assists in training and orienting new employees. + Ensures patient billing is accurate and timely by reviewing all procedures, documenting patient equipment charges, and verifying CPT and ICD9 codes are correct. + Assists with inventory, ordering of supplies and re-stocking of supplies. + Acts as Radiation Safety Officer; monitors radiation badges and conducts in-services regarding radiation safety. + Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. + Other 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. Must be able to lift, push and pull up to 50 pounds and to perform patient transfers and positioning of patients up to 400 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. + 10% Travel. **SUPERVISION:** + None **EDUCATION:** + High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred. + Current ARRT Certification and/or State Licensure (as per state regulations) + Interventional Radiology certificate preferred. **EXPERIENCE AND REQUIRED SKILLS** : + 4 - 6 years' related experience desirable. + 1 year experience preferred for Candidates with ARRT. + Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment). + Experience with interventional procedures, using/ordering/maintaining required materials/supplies for each procedure. + Knowledge and experience of sterile techniques. + Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. + Successfully complete BLS certification. + Experience with monitoring and maintaining inventory. + Proficient in the use of computers and related software such as Microsoft Office (Word & Excel). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

How you will change lives As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure. What you'll be doing Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders. Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed. Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.

**PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory and FVC/FMS policy requirements. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **QUALITY:** + Responsible for supporting and driving FVC quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of FVC/FMS CQI tools. + Assists with implementation of FVC quality goals and facility specific action plans in order to achieve FVC quality standards. + Accountable for outstanding quality of patient care, as defined by the FVC quality goals, to ensure that FVC/FMC policies and procedures are followed. + Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management. + Maintains integrity of medical records and other FVC administrative and operational records. + Complies with all data collection and auditing activities. + Maintains facility environmental integrity and safety. **PATIENT:** + Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure. + Provides education to patients and patient's family regarding post procedure care of vascular access. + Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions. + Acts as a resource for the patient to address patient concerns and questions. + Identifies and communicates patient related issues to facility management, as needed. + Completes documentation of patient information from admission to discharge in an accurate manner. + Confirm written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions; delivery to appropriate labs; reporting and forwarding of lab results to appropriate physician. + Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed. + Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with FVC, company, federal, state and local regulations. + Acts as scrub technologist to assist the physician during procedure as needed; maintaining a sterile technique. + Assists with patient workflow by transporting patients as needed. + Performs point - of - care laboratory testing as directed per physician's orders and in compliance with FVC, company, federal, state and local regulations. + Performs IV insertion as per physician orders. + Performs additional tasks as designated by Physician, practicing in compliance with state regulations. **PHYSICIANS:** + Provides regular and effective communication with physicians on an as needed basis. + Attends and participates in CQI meetings with physicians, reporting on assigned topics. + May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment. + Assists the physician in completing and reporting state required adverse event reports and reporting internally as per FVC/FMC policy and procedure. **MAINTENANCE/TECHNICAL:** + Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner. + Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment. + Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager. + Ensures a clean, safe and sanitary environment in the vascular access facility at all times. + Ensures all blood spills are immediately addressed according to the FVC/FMCNA Bloodborne Pathogen Control Policies. **ADMINISTRATIVE:** + Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FVC/FMS formularies. + May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement. + Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required. + Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law. + Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law. + Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed. + Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis. + Completes medical records in an accurate manner in compliance with FVC policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis. + May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies. + Completes state required records for all implanted devices in an accurate and timely manner and in accordance with FVC/FMS records management guidelines. + Participates in staff meetings, training and orientation as assigned. + Complies with HIPPA policies and standards regarding patient information and medical records. + Assist with various projects as assigned by direct supervisor. + Other 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. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. + The 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, patients and equipment of up to 200 lbs. There is a two-person assist program and material assist devices for the heavier items. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious, contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. **EDUCATION** **:** + High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred + Graduate of an accredited School of Nursing (R.N.) + Current appropriate state licensure and ACLS certification required. **EXPERIENCE AND REQUIRED SKILLS** + 4 - 6 years' related experience. + Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred. + Proficient in the use of computers and related software such as Microsoft Office is necessary. + Proficient in IV insertion. + Proficient in cardiac rhythm recognition. + Experience with Medical database software. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**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: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + 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. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. **Staff Related** + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. **Education/Communication:** + Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + 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). + Initiate Solution Delivery System (SDS) system. **RECORD KEEPING:** + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect, label, appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **INFECTION CONTROL:** + Assists in collecting information for infection control audits. + Supports staff and patient Adherence to infection control practices. + Follows infection control Policies and Procedures + Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. **TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care + Reinforces all education and care related matters as it relates to the new patient as allowed by state law + 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. + Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. + Sets and preforms a treatment on all machines used in the transitional care unit. + Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. + Assists with coordination of transition to patient's modality choice. + Assists with supply ordering and inventory for TCU **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 for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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!

How you will change lives As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure. What you'll be doing Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders. Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed. Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings. What we're looking for * High school graduate or equivalent. * Desire to work in healthcare and care for patients. * Previous healthcare experience in dialysis, phlebotomy, or as a CNA is a plus. * Must be comfortable mixing acids and bicarbonate according to protocol. * Ability to distinguish all primary colors. Other requirements * Successful completion of USRC training program approved by the Medical Director, including demonstrated competency; this includes successful completion of USRC training course in the theory and practice of hemodialysis within 8 weeks of hire. * CPR certification required within 90 days of hire or as required by the state. * Patient Care Technician certification must be obtained through a state certification program or national commercially available certification program within 18 months of hire date and maintained in good standing thereafter. Specific state requirements may be applicable and required. 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!

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.

**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: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + 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. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. **Staff Related** + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. **Education/Communication:** + Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + 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). + Initiate Solution Delivery System (SDS) system. **RECORD KEEPING:** + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect, label, appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **INFECTION CONTROL:** + Assists in collecting information for infection control audits. + Supports staff and patient Adherence to infection control practices. + Follows infection control Policies and Procedures + Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. **TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care + Reinforces all education and care related matters as it relates to the new patient as allowed by state law + 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. + Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. + Sets and preforms a treatment on all machines used in the transitional care unit. + Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. + Assists with coordination of transition to patient's modality choice. + Assists with supply ordering and inventory for TCU **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 for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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. · 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. · 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. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · 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. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. 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 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. · 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. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**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: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + 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. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. **Staff Related** + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. **Education/Communication:** + Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + 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). + Initiate Solution Delivery System (SDS) system. **RECORD KEEPING:** + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect, label, appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **INFECTION CONTROL:** + Assists in collecting information for infection control audits. + Supports staff and patient Adherence to infection control practices. + Follows infection control Policies and Procedures + Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. **TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care + Reinforces all education and care related matters as it relates to the new patient as allowed by state law + 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. + Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. + Sets and preforms a treatment on all machines used in the transitional care unit. + Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. + Assists with coordination of transition to patient's modality choice. + Assists with supply ordering and inventory for TCU **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 for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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. · 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. · 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. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · 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. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. 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 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. · 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. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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. · 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. · 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. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · 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. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. 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 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. · 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. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**