Registered Nurse jobs at Dialysis Clinic

PURPOSE AND SCOPE: The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. 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 Educator, Preceptor or in collaboration with another Registered Nurse. Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed. 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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapies 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, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility and area level. 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. Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner/ family readiness and ability to perform dialysis treatments in the home. Trains home dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through a formal standardized Home Dialysis Training Program. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. May serve as a Preceptor to new employees. Required to complete CAP requirements to either maintain or 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. Rotates coverage with other licensed home therapy staff as assigned to ensure reliable and adequate coverage. Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. The position may require travel to training sites, other facilities and patient homes. May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of RNs, LPNs/LVNs, Patient Care Technicians and Home Therapies Care Team Assistants 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 3 months experience home dialysis therapies 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 a minimum of 2 years or more of Nephrology Nursing experience within the last 2 years as a RN. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. " EOE, disability/veterans

The incumbent in this role is expected to float based on the needs of the organization determined by the Home Therapies Operations Excellence Team. The expected geography may include Illinois and all states east of Illinois. In addition, floating assignments are at least six (6) weeks and require overnight stays. The incumbent is expected to perform all duties of the role as outlined in the job description (e.g. opening, closing, working weekends, etc.). The Home Therapy Registered Nurse -- Traveler, as qualified by federal and state regulations, travels to various U.S. Renal Care locations to provide patient training and ongoing support for all patients choosing a home dialysis modality. This position provides nursing relief/support for assigned programs on a temporary or short-term basis. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Participate in and support corporate initiatives that promote improved care and increase growth of the home department. · Understand vendor product delivery methods and associated fees. Teach patients the importance of proper and timely order placement. Ensure patients receive all supplies in timely manner to not disrupt care. · Assist with clinic and patient supply inventory, ensuring usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. · May assist with equipment management including equipment tracking and retrieval as needed. · Perform duties as assigned to meet the patient care or operational needs of the program. OUTCOMES · May assist with improving patient outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. May assist in obtaining data for the continuous quality improvement activities. · Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. · May complete and document monthly review of patient medication profiles as directed. Administer medications as ordered by the physician. · Provide patient education and follow up as needed. · Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS OPERATIONAL READINESS (cont.) · Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. · Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. · Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. · May conduct home visits to assess the patient's home environment per policy and as needed to improve care. · Inform (Direct Supervisor) and program Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. · Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. · May assist with developing and implementing the patient plan of care with the interdisciplinary team. · Participate in infection control monitoring, implementation, and recording as requested. · Use personal protective equipment as necessary. · Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. · Communicate on-call system to patients and ensure patients have access to nursing support at all times. Teach patients the importance of timely communication. · May perform on call nursing services, nights and weekends, on a rotational basis as needed or assigned. · Flexible with staffing locations and hours to accommodate patient and USRC home program needs. · Regular and reliable attendance is required for the position. Home Hemodialysis Only: · May coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. · May assist with ensuring required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results. PARTNERSHIPS · Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. · Maintain a positive/collaborative working relationship with physicians, state agencies and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION · Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. · May delegate tasks to competent licensed and unlicensed staff per applicable state practice act. · Assist with staff training as requested. · Lead staff in team concepts and promote a team effort.

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.

Coverage area includes: Lone Tree and Aurora, CO and Ogden, Layton, and Logan, UT. Candidate should live close to major airport. The Home Therapy Registered Nurse -- Traveler, as qualified by federal and state regulations, travels to various U.S. Renal Care locations to provide patient training and ongoing support for all patients choosing a home dialysis modality. This position provides nursing relief/support for assigned programs on a temporary or short-term basis. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Participate in and support corporate initiatives that promote improved care and increase growth of the home department. · Understand vendor product delivery methods and associated fees. Teach patients the importance of proper and timely order placement. Ensure patients receive all supplies in timely manner to not disrupt care. · Assist with clinic and patient supply inventory, ensuring usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. · May assist with equipment management including equipment tracking and retrieval as needed. · Perform duties as assigned to meet the patient care or operational needs of the program. OUTCOMES · May assist with improving patient outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. May assist in obtaining data for the continuous quality improvement activities. · Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. · May complete and document monthly review of patient medication profiles as directed. Administer medications as ordered by the physician. · Provide patient education and follow up as needed. · Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS OPERATIONAL READINESS (cont.) · Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. · Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. · Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. · May conduct home visits to assess the patient's home environment per policy and as needed to improve care. · Inform (Direct Supervisor) and program Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. · Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. · May assist with developing and implementing the patient plan of care with the interdisciplinary team. · Participate in infection control monitoring, implementation, and recording as requested. · Use personal protective equipment as necessary. · Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. · Communicate on-call system to patients and ensure patients have access to nursing support at all times. Teach patients the importance of timely communication. · May perform on call nursing services, nights and weekends, on a rotational basis as needed or assigned. · Flexible with staffing locations and hours to accommodate patient and USRC home program needs. · Regular and reliable attendance is required for the position. Home Hemodialysis Only: · May coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. · May assist with ensuring required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results. PARTNERSHIPS · Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. · Maintain a positive/collaborative working relationship with physicians, state agencies and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION · Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. · May delegate tasks to competent licensed and unlicensed staff per applicable state practice act. · Assist with staff training as requested. · Lead staff in team concepts and promote a team effort.

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**

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'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.

$5,000 Sign-On Bonus (with minimum 1 year registered nursing experience) $7,500 Sign-On Bonus (with minimum 6 months of dialysis experience) Great opportunity to join a company that values our employees and the patients we serve! Centers for Dialysis Care is seeking experienced Registered Nurses to join our Team!Why Choose CDC? We offer a complete benefits package to include medical, dental, vision, 401K, Short/Long Term Disability options, along with company paid life insurance 250 Hours of PTO Tuition Reimbursement Program Employee Perks Program Career Development Opportunities No Dialysis Experience, No Problem! We will PAY you to TRAIN in Dialysis! Starting Salary is $32.00 - $42.00 per hour (DOQ) Position Overview: The Registered Nurse functions as a patient advocate. He/she delivers care based on the nursing process. The Registered Nurse provides leadership through coordination of patient care activities. She/he performs direct patient care according to CDC patient care policies and procedures. This position participates in a team approach, communicates pertinent clinical information to other team members and remains in compliance with all CDC personnel policies and procedures as outlined in the Employee Handbook. Responsibilities: Assists with the maintenance of physiologic functions through the conscientious initiation, monitoring, discontinuation of the hemodialysis treatments and related patient care tasks. Demonstrates a basic knowledge and understanding of the objectives of dialysis therapy Cannulates and provides direct patient care Trouble shoots machine alarm states and cannulation difficulties Demonstrates a basic knowledge and understanding of the importance of water treatment for dialysis. Demonstrates a basic knowledge and understanding of the practices and principles of dialyzer reuse Assesses patients effectively recognizing needs and utilizes the appropriate nursing skills and resources to meet those needs Completes primary patient documentation according to CDC standards and timeline Reviews new patient teaching and ongoing education for the patients and documents information Encourages patients to follow the prescribed dialysis treatment plan, gives explanations Demonstrates and adheres to aseptic techniques, universal precaution guidelines Demonstrates an understanding of the medications utilized for the ESRD population Maintains patient confidentiality and professional boundary guidelines Reviews all verbal orders given by the physician for safety, completeness, and efficacy Documents verbal orders according to CDC guidelines in the EMR Follows CDC hospital discharge policy for review of orders Follows manufacturers guidelines and CDC policy for the administration of medications at CDC Provides leadership in management of patient care through control of operations and personnel in his/her unit. Assists in development and maintenance of an organizational department climate in which the needs of the patient and staff are met with warmth, respect and responsiveness Demonstrates excellent customer service skills with patients, staff and physicians Assesses patients in crisis and initiates emergency response plan as necessary including CPR measures Actively works on quality initiatives to improve patient outcomes Manages CDC resources in an efficient fiscally responsible manner. Qualifications: Graduate from an accredited school of nursing Current Ohio licensure Current CPR certification Independent decision-making skills Good leadership and interpersonal qualities ICU experience preferred Requirements for Sign on Bonus: 1 year of recent dialysis experience

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.

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

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.

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

BASIC PURPOSE: The Home Care RN functions as a patient advocate. He/she delivers care based on the nursing practice guidelines. The Home Care RN provides leadership through coordination of scheduling, training, clinic visits, home supervision, and monthly QA/Ops meetings. She/he performs direct patient care according to CDC patient care policies and procedures. Assures all the team participates and communicates pertinent clinical information to each other and remains in compliance with all CDC personnel policies and procedures as outlined in the Employee Handbook. Performs other related duties as assigned. Utilizes the nursing process to provide comprehensive care. Establishes a therapeutic relationship with patient and families. Assesses patients effectively recognizing needs and utilizes the appropriate nursing skills and resources to meet those needs Develops a plan of care for each patient based on the medical plan and nursing diagnosis Implements the plan of care Evaluates and documents the patient response to the plan of care Performs review of primary patient lab work and plans responses as necessary Completes primary patient documentation according to CDC standards and timeline Schedules and leads patient care conferences to assure an interdisciplinary approach to patient plan of care and annual treatment modality review Provides and oversees all new patient training in home care programs Assures patient competency in home training and encourages patients to follow the prescribed dialysis treatment plan Demonstrates competency with special procedures or equipment Demonstrates and adheres to aseptic technique, universal precautions guidelines Demonstrates an understanding of the medication utilized for the ESRD population Maintains patient confidentiality and professional boundary guidelines Reviews and transcribes all verbal orders given by the physician for safety, completeness and efficacy Documents verbal orders according to CDC guidelines in the EMR Follows CDC hospital discharge policy for review of orders Follows manufacturer's guidelines and CDC policy for the administration of medications at CDC Adheres to CDC and blood bank standards in the ordering administration, and documentation of blood transfusions Provides leadership in management of the home care program through supervision of training and development of the program policy procedure Assesses patients for competency and acceptance to the home care program of their choice Communicates with the MD to coordinate new patient training and transfer to a home program Directs the activity of the RN, LPN or PCT that are working with the home program Schedules monthly patient clinic visits in conjunction with the MD Coordinates the involvement of the interdisciplinary team in the care of the patient at clinic visits and communicates effectively with all members of the health care team to provide continuous quality care Utilizes effective problem solving Delegates and maintains accountability for standard of care Participates in problem identification and the resolution of program issues Serves as a resource nurse in the area of home training for the interdisciplinary team and to CDC as an organization Woks collaboratively to develop and update policies and procedures to operate the home care modalities Serves as a role model in following policy and procedure Demonstrates an understanding of the legal ramifications of documentation Schedules and facilitates monthly QA and Operations meetings with the home care team Demonstrates flexibility and availability in scheduling and response to patient at home/ training needs Schedules and coordinates coverage of the home care pager to assure patient needs are met in emergent off-hour patient care situations Adheres to all CDC personnel policies including attendance control policies Oversees lab work and procedures scheduled to assure all patients in the program have lab work and procedures performed as needed and reschedules as necessary Appropriately enacts CDC's policy and procedure on maintaining positive patient and staff relationships Demonstrates excellent customer service skills with patients, staff and physicians Understands CDC's drug free work place program and utilizes procedures when appropriate Reviews and assure appropriate documentation and follow-up of all employee/patient injuries occurring in their program Provides for an on-going professional growth and development Completes a yearly self-evaluation Maintains CEU's and licensure requirements to practice in the state of Ohio Formulates goals for personal and professional growth Participates in the preceptor program Identifies learning needs and seeks resources to meet these Shares knowledge and experience with peers Completes CDC ongoing education requirements including Healthstream modules as assigned Continues to enhance understanding of home care modalities by attending programs and courses focused on these areas Adheres to nursing and CDC policy and procedures to ensure quality patient care and safety Administers care according to CDC policy and procedure Demonstrates knowledge of CDC's Disaster and Hazmat plans Assesses patients in crisis and initiates emergency response plan as necessary including CPR measures Provides reporting on home care quality indicators and leads the quality team in addressing quality are related issues Provides day to day management of vascular access issues and provides patient education when needed Demonstrates a basic knowledge and understanding of the importance of water treatment for dialysis and its safety Monitors the use of anticoagulation therapy on all patients assigned and utilizes nursing judgment to hold doses or contact the MD for dose adjustment when necessary Share in the responsibility of promoting CDC as a center of quality Maintains a professional appearance and demeanor at all times Manages CDC resources in an efficient fiscally responsible manner Follows protocols for equipment supply use and evaluation of new equipment/supplies Utilizes supplies in a cost conscious manner Assures CDC practices are designed to enhance efficiency in practice Provides all necessary documentation to support billing for patient training, medication administration and home therapy Assures the home care supply budget is managed in a fiscally responsible manner Schedules ancillary staff in the program in a cost effective manner Works with non-compliant patient and the business to remedy financial issues in relation to their care and determine patient need for discharge based on failure to obtain payment or compliance Oversees the adherence to CDC salary and non-salary budgets Assists with the maintenance of physiologic functions through the conscientious training, initiation, monitoring, and discontinuation of CAPD or home hemo therapy Demonstrates a basic knowledge and understanding of the objectives of home dialysis therapy Provides CAPD and home hemodialysis one on one training with patients Oversees training provided to home care patients by ancillary staff i.e. PCT or LPN to assure patient competency is achieved Troubleshoots machine alarm states and cannulation difficulties Troubleshoots emergent CAPD issues i.e. infections or failure to drain Demonstrates assessment skills of the home care patient throughout delivery of either modality Administers, dates and signs off all medications as ordered Assures thorough documentation of all patient competency checklists and training assessments Documents all pertinent data per CDC documentation standards Communicates with all staff involved in the program to assure smooth operations Records treatment information pertinent observations and data onto the electronic medical record or flow sheet accurately and legibly EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS: Graduate from an accredited school of nursing Current Ohio licensure Current CPR certification Independent decision-making skills Good leadership and interpersonal qualities Home Care in the ESRD field preferred

$5,000 Sign-On Bonus (with minimum 1 year registered nursing experience) $7,500 Sign-On Bonus (with minimum 6 months of dialysis experience) Great opportunity to join a company that values our employees and the patients we serve! Centers for Dialysis Care is seeking experienced Registered Nurses to join our Team!Why Choose CDC? We offer a complete benefits package to include medical, dental, vision, 401K, Short/Long Term Disability options, along with company paid life insurance 250 Hours of PTO Tuition Reimbursement Program Employee Perks Program Career Development Opportunities No Dialysis Experience, No Problem! We will PAY you to TRAIN in Dialysis! Position Overview: The Registered Nurse functions as a patient advocate. He/she delivers care based on the nursing process. The Registered Nurse provides leadership through coordination of patient care activities. She/he performs direct patient care according to CDC patient care policies and procedures. This position participates in a team approach, communicates pertinent clinical information to other team members and remains in compliance with all CDC personnel policies and procedures as outlined in the Employee Handbook. Responsibilities: Assists with the maintenance of physiologic functions through the conscientious initiation, monitoring, discontinuation of the hemodialysis treatments and related patient care tasks. Demonstrates a basic knowledge and understanding of the objectives of dialysis therapy Cannulates and provides direct patient care Trouble shoots machine alarm states and cannulation difficulties Demonstrates a basic knowledge and understanding of the importance of water treatment for dialysis. Demonstrates a basic knowledge and understanding of the practices and principles of dialyzer reuse Assesses patients effectively recognizing needs and utilizes the appropriate nursing skills and resources to meet those needs Completes primary patient documentation according to CDC standards and timeline Reviews new patient teaching and ongoing education for the patients and documents information Encourages patients to follow the prescribed dialysis treatment plan, gives explanations Demonstrates and adheres to aseptic techniques, universal precaution guidelines Demonstrates an understanding of the medications utilized for the ESRD population Maintains patient confidentiality and professional boundary guidelines Reviews all verbal orders given by the physician for safety, completeness, and efficacy Documents verbal orders according to CDC guidelines in the EMR Follows CDC hospital discharge policy for review of orders Follows manufacturers guidelines and CDC policy for the administration of medications at CDC Provides leadership in management of patient care through control of operations and personnel in his/her unit. Assists in development and maintenance of an organizational department climate in which the needs of the patient and staff are met with warmth, respect and responsiveness Demonstrates excellent customer service skills with patients, staff and physicians Assesses patients in crisis and initiates emergency response plan as necessary including CPR measures Actively works on quality initiatives to improve patient outcomes Manages CDC resources in an efficient fiscally responsible manner. Qualifications: Graduate from an accredited school of nursing Current Ohio licensure Current CPR certification Independent decision-making skills Good leadership and interpersonal qualities ICU experience preferred Requirements for Sign on Bonus: 1 year of recent dialysis experience

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 * Up to $5000 Sign on Bonus based on 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: * $__ - $__ / hour depending on experience and qualifications #LI-JH1 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.

**PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. 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, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, and area level. + 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. + Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. + May serve as a Preceptor to new employees. + Required to complete CAP requirements to maintain or 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 and 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//LVN/LPNs/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 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 minimum of 2 years of Nephrology Nursing experience **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** " **EOE, disability/veterans**

**_Description_** _Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career._ **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare we know what it takes to create strong bonds among patients their families and our team members-and why it matters. Within this positive environment those in our care can achieve better outcomes-and professionals can achieve their most important objectives. **Why Join the Fresenius Team?** Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: + Fresenius Medical Care is the nation's largest provider of renal care meeting the needs of more than 135 000 patients at 1 800 clinics throughout the country. + Our well-established trusted organization fosters a spirit of camaraderie emphasizing friendly collaboration professional support and career development. + Superior training UltraCare quality control and certification procedures ensure your potential to succeed and advance as a professional. + Competitive compensation and exceptional benefits. + Outstanding tuition reimbursement program. + Recognized among Fortune's World's Most Admired Companies in 2011. + National Safety Award from CNA insurance companies for 11 consecutive years. Opportunities to give back by participating in philanthropy and community outreach programs. **Staff Registered Nurse** This is an exceptional opportunity to succeed with a premier healthcare organization. As a key member of our hemodialysis team this professional will manage our Patient Care Technicians in providing safe effective delivery of chronic hemodialysis therapy. Delegating tasks training and monitoring all direct-patient staff including LVNs/LPNs and Dialysis Assistants this individual will assess care needs and develop assignments. **PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies procedures and training. Supports the FMCNA's mission vision values and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program and FMS patient care and administrative policies. **DUTIES / ACTIVITIES** : **CUSTOMER SERVICE:** + Responsible for driving the FMS culture though values and customer service standards. + Accountable for outstanding customer service to all external and internal customers. + Develops and maintains effective relationships through effective and timely communication. + Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. **PRINCIPAL RESPONSIBILITIES AND DUTIES** **STAFF RELATED:** + Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals as well as regulations set forth by the corporation state and federal agencies. + Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs Patient Care Technicians and Dialysis Assistants. + Assesses daily patient care needs and develops appropriate patient care assignments. + Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. + Participates in staff training and orientation of new staff as assigned + Participates in all required staff meetings as scheduled. **PATIENT RELATED:** Education: + Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). + Provides ongoing education to patients regarding their renal disease vascular access and dialysis therapy and other related health conditions. + Discusses with patient and records education related to diet/fluid and medication compliance. + Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM). + Ensures transplant awareness modality awareness and drive catheter reduction. + Educates patients regarding laboratory values and the relationship to adequate dialysis therapy compliance with treatment schedule medications and fluid. Dialysis Treatment: + Provides safe and effective delivery of care to patients with ESRD. + Accurately implements treatment prescriptions including Sodium (Na) modeling prescription and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. + Assesses patients' response to hemodialysis treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. + Identifies and communicates patient related issues to Team Leader or physician. + Initiates Initial and Annual Nursing Assessment and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. + Actively participates in the pre evaluation initiation monitoring termination access homeostasis and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. + Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. + Provides supervises (if applicable) and monitors hemodialysis access care according to established procedures. + Implements administers monitors and documents patient's response to prescribed interdialytic transfusions including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Laboratory-related: + Reviews transcribes and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. + Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. + Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. + Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. + Ensures that all labs are directed and delivered to appropriate labs. + Reports alert/panic and abnormal labs results to appropriate physician. + Ensures lab results are forwarded to physicians as requested. General duties: + Enforces all company approved polices and procedures as well as regulations set forth by state and federal agencies and departments. + Maintains overall shift operation in a safe efficient and effective manner. + Act as a resource for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status issues and information. + Collaborate and communicate with physicians and other members of the healthcare team to interpret adjust and coordinate care provided to the patient. + Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. + Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. + Oversees all documentation of patient information. + Maintains facility drug list for all required stock medications. + Maintains competency with all emergency operational procedures and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. + Ensures verification and availability of adequate emergency equipment. + Ensures provision of appropriate vaccinations immunizations and annual Tuberculosis (TB) testing. + Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification if indicated. + Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. + Maintains appropriate recording of controlled substances as required by law. + Assists with the coordination of patient transportation if necessary. **MAINTENANCE/TECHNICAL:** + Ensures a clean safe and sanitary environment in the dialysis facility treatment area. + Ensures competency in the operation of all dialysis-related equipment safely and effectively. + Ensures all patient stations including machines and chairs are clean and free of blood and placed appropriately. + Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. **MEDICAL RECORDS & DOCUMENTATION:** General + Ensures all relevant data including physician orders lab results vital signs and treatment parameters and patient status are documented appropriately and entered into Medical Information System. + Ensures all appropriate patient related treatment data is entered into the Medical Information System. + Ensures all FMCNA policies regarding patient admission transfer and discharge are appropriately implemented. + Ensures and verify accuracy of Patient Care Technician documentation. Daily + Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. + Ensures that all appropriate procedures are followed regarding opening and closing procedures inclusive of monitoring that all staff and patients have safely left the premises. Monthly + Initiates documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. + Completes monthly nurses' progress note. + Ensures patient medical records are complete with appropriate information documentation and identification on each page (Addressograph label is on all chart forms). + Reviews transplant status and follows established procedure regarding appropriate action to be taken. + Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. + Completes any long-term programs that are due. Annually + Completes initial and annual Nursing History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + Performs additional 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. **EDUCATION:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS:** + Minimum of one-year medical-surgical nursing experience preferred. + Hemodialysis experience preferred. + ICU experience preferred. + Successfully complete a training course in the theory and practice of hemodialysis. + Successfully complete CPR Certification. + Provide coverage at any or all area facilities as required by management. + Icd-9 coding Training. + Nurses Technical Training. + Must meet appropriate state requirements (if any). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

$5,000 Sign-On Bonus (with minimum 1 year registered nursing experience) $7,500 Sign-On Bonus (with minimum 6 months of dialysis experience) Great opportunity to join a company that values our employees and the patients we serve! Centers for Dialysis Care is seeking experienced Registered Nurses to join our Team!BASIC PURPOSE: Serves as a role model in quality improvement, operational management, and leadership. Works alongside the FM to achieve quality standards and financial performance at their facility, promote teamwork and communication, foster problem solving skills, maintain a positive work environment and stay focused on CDC's customers and their needs. Demonstrates knowledge of and performs correct practice of all CDC patient care policies and procedures and personnel policies and procedures. Is flexible and responds to the needs of the facility. Performance Expectations: Is knowledgeable of current industry standards and maintains knowledge basis to provide leadership Demonstrates a commitment to continuous quality improvement and provides education and support to improve outcomes throughout the organization Provides input to assist in achieving fiscal responsibility for all aspects of the facility operating budgets Demonstrates a positive attitude, good communication skills, and a constant focus on customer satisfaction Communicates appropriately and professionally with staff adhering to the CDC House Rules and Pledge Maintains confidentiality and professionalism in all interactions Demonstrates high-level personnel management skills Quality Management Responsibilities: Trains facility staff on CDC quality program, standards, expectations and methods to improve results Routinely reviews facility quality outcomes and works with facility management and staff to achieve CDC quality outcome goals Provides leadership in implementing quality improvement initiatives at the facility Supports the FM in assuring facility compliance with Medicare conditions of coverage Assists in preparation and facility readiness for ODH survey process Is active in the implementation of plans for correction from ODH as necessary Responds to facility medical record audits and works with FM to create plans to deal with any problems identified Reviews and provides input for revision of patient care policies as directed Assists in the leadership of facility quality teams and participates in a corporate quality team Operational Management Responsibilities: Assists with the facility implementation of patient care policies that are new or revised Collaborates on solutions to address budget variance as needed Provides support and suggestions to help regulate expenses for the facility Performs product and policy evaluation trails on site as directed In the absence of the FM updates biweekly staffing reports and capacity planning Monitors all direct patient care staff to assure adherence with CDC policy and procedure In the absence of the FM conducts monthly quality and operations meetings to maintain communication with facility leadership Performs monthly staff meetings as necessary to communicate, educate, and review facility performance in the areas of quality, operations, and safety Assures adequate staffing for all disciplines that report to the FM Is on-call for emergency issues at the facility as needed Conducts interdisciplinary meetings to maintain communication between departments as needed Collaborates in the creation and maintenance of systems that facilitate smooth operation of the facility Assists in the planning and implementation of facility expansion or downsizing as necessary Assures patient care and human resources manuals and postings are kept up to date in the facility as needed Patient Care Responsibilities: Ability to function in staffing according to schedule and patient load demands as needed Evaluates nursing care plans and CDC nursing documentation requirements for completion and accuracy Maintains the patient schedule per CDC guidelines Manages intake of new patients and admission process Schedules and assure completion of new patient orientation per policy Monitors and to assure patient education completed Maintains suggested dose guidelines and protocol dosing requirements for appropriate medications Reviews monthly labs to make sure patient lab issues are addressed and that labs are complete and accurate Addresses patient complaints and concerns to achieve patient satisfaction Performs rounds in the facility to monitor the delivery of patient care Conducts multidisciplinary team meetings to complete semi-annual patient care conferences and annual long term program review Maintains record of emergency care review and regularly evaluates emergency, CPR, and disaster plans Personnel Management Responsibilities: If needed interviews, evaluates and makes recommendation regarding hire for technician and RN positions Responsible for the daily supervision and at least annual evaluation of all direct reports as delegated Responsible for fair and consistent administration of CDC personnel policies Monitors and completes timekeeping and ACB documentation as delegated by the FM In conjunction with FM provides corrective action through negative anecdotal and first step corrective action process Works continuously on building teamwork principles in the facility Assists with the management of the new staff training on site and assures training documentation completed Helps maintain new and current employee personnel and health files per CDC guidelines Supports the FM in providing for ongoing education and in servicing as needed If needed provides appropriate personnel documentation to payroll and human resources Helps obtain appropriate staff credentialing, licensure, and health requirements for CDC files Safety Responsibilities: Assists the FM to assure compliance with Hazmat Policy for all employees in their direct report Assists the FM in posting and monitoring employee injuries per safety guidelines Collaborates with the FM in investigating employee injuries to prevent and correct safety hazards Assists the FM in assuring safety equipment and guidelines are adhered to in all operations Supports the FM efforts to assure new safety policies and procedures are fully implemented per guidelines Compliance Responsibilities: Demonstrates knowledge of CDC Code of Ethics and Business Conduct and Compliance plan Is part of the leadership team that assures employees are consistently informed about policies and compliance issues As needed participates in audits to measure compliance Supports the FM efforts to develop and implement plans to assure compliance EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS: Needs to function at a basic level in Word/Excel/and Outlook RN, BSN and CNN or CDN preferred 1 year as a nurse in an outpatient dialysis facility required Demonstrated commitment to quality care ACN experience preferred Prior performance management experience is helpful

Job Description$5,000 Sign-On Bonus (with minimum 1 year registered nursing experience) $7,500 Sign-On Bonus (with minimum 6 months of dialysis experience) Great opportunity to join a company that values our employees and the patients we serve! Centers for Dialysis Care is seeking experienced Registered Nurses to join our Team!BASIC PURPOSE: Serves as a role model in quality improvement, operational management, and leadership. Works alongside the FM to achieve quality standards and financial performance at their facility, promote teamwork and communication, foster problem solving skills, maintain a positive work environment and stay focused on CDC's customers and their needs. Demonstrates knowledge of and performs correct practice of all CDC patient care policies and procedures and personnel policies and procedures. Is flexible and responds to the needs of the facility. Performance Expectations: Is knowledgeable of current industry standards and maintains knowledge basis to provide leadership Demonstrates a commitment to continuous quality improvement and provides education and support to improve outcomes throughout the organization Provides input to assist in achieving fiscal responsibility for all aspects of the facility operating budgets Demonstrates a positive attitude, good communication skills, and a constant focus on customer satisfaction Communicates appropriately and professionally with staff adhering to the CDC House Rules and Pledge Maintains confidentiality and professionalism in all interactions Demonstrates high-level personnel management skills Quality Management Responsibilities: Trains facility staff on CDC quality program, standards, expectations and methods to improve results Routinely reviews facility quality outcomes and works with facility management and staff to achieve CDC quality outcome goals Provides leadership in implementing quality improvement initiatives at the facility Supports the FM in assuring facility compliance with Medicare conditions of coverage Assists in preparation and facility readiness for ODH survey process Is active in the implementation of plans for correction from ODH as necessary Responds to facility medical record audits and works with FM to create plans to deal with any problems identified Reviews and provides input for revision of patient care policies as directed Assists in the leadership of facility quality teams and participates in a corporate quality team Operational Management Responsibilities: Assists with the facility implementation of patient care policies that are new or revised Collaborates on solutions to address budget variance as needed Provides support and suggestions to help regulate expenses for the facility Performs product and policy evaluation trails on site as directed In the absence of the FM updates biweekly staffing reports and capacity planning Monitors all direct patient care staff to assure adherence with CDC policy and procedure In the absence of the FM conducts monthly quality and operations meetings to maintain communication with facility leadership Performs monthly staff meetings as necessary to communicate, educate, and review facility performance in the areas of quality, operations, and safety Assures adequate staffing for all disciplines that report to the FM Is on-call for emergency issues at the facility as needed Conducts interdisciplinary meetings to maintain communication between departments as needed Collaborates in the creation and maintenance of systems that facilitate smooth operation of the facility Assists in the planning and implementation of facility expansion or downsizing as necessary Assures patient care and human resources manuals and postings are kept up to date in the facility as needed Patient Care Responsibilities: Ability to function in staffing according to schedule and patient load demands as needed Evaluates nursing care plans and CDC nursing documentation requirements for completion and accuracy Maintains the patient schedule per CDC guidelines Manages intake of new patients and admission process Schedules and assure completion of new patient orientation per policy Monitors and to assure patient education completed Maintains suggested dose guidelines and protocol dosing requirements for appropriate medications Reviews monthly labs to make sure patient lab issues are addressed and that labs are complete and accurate Addresses patient complaints and concerns to achieve patient satisfaction Performs rounds in the facility to monitor the delivery of patient care Conducts multidisciplinary team meetings to complete semi-annual patient care conferences and annual long term program review Maintains record of emergency care review and regularly evaluates emergency, CPR, and disaster plans Personnel Management Responsibilities: If needed interviews, evaluates and makes recommendation regarding hire for technician and RN positions Responsible for the daily supervision and at least annual evaluation of all direct reports as delegated Responsible for fair and consistent administration of CDC personnel policies Monitors and completes timekeeping and ACB documentation as delegated by the FM In conjunction with FM provides corrective action through negative anecdotal and first step corrective action process Works continuously on building teamwork principles in the facility Assists with the management of the new staff training on site and assures training documentation completed Helps maintain new and current employee personnel and health files per CDC guidelines Supports the FM in providing for ongoing education and in servicing as needed If needed provides appropriate personnel documentation to payroll and human resources Helps obtain appropriate staff credentialing, licensure, and health requirements for CDC files Safety Responsibilities: Assists the FM to assure compliance with Hazmat Policy for all employees in their direct report Assists the FM in posting and monitoring employee injuries per safety guidelines Collaborates with the FM in investigating employee injuries to prevent and correct safety hazards Assists the FM in assuring safety equipment and guidelines are adhered to in all operations Supports the FM efforts to assure new safety policies and procedures are fully implemented per guidelines Compliance Responsibilities: Demonstrates knowledge of CDC Code of Ethics and Business Conduct and Compliance plan Is part of the leadership team that assures employees are consistently informed about policies and compliance issues As needed participates in audits to measure compliance Supports the FM efforts to develop and implement plans to assure compliance EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS: Needs to function at a basic level in Word/Excel/and Outlook RN, BSN and CNN or CDN preferred 1 year as a nurse in an outpatient dialysis facility preferred Demonstrated commitment to quality care ACN experience preferred Prior performance management experience is helpful Powered by JazzHR JV3sK2ujN0