Fresenius Medical Care North America Holdings Limited Partnership jobs in Brownsville, TX

PURPOSE AND SCOPE: The Facility Administrator is responsible for the leadership of the clinical facility ensuring all clinical, operational, and business objectives are met. The Facility Administrator is authorized to make daily decisions to ensure patient and staff safety, the execution of some tasks may be delegated to the nursing leader where appropriate. Develops a culture of trust, empowerment, and collaboration among all center staff. The Facility Administrator shall ensure that the Center complies with the requirements of any governmental or regulatory body having jurisdiction in the premises. Assists the Medical Staff to ensure that medical practices and procedures meets applicable standards. Ensures provision of quality patient care and the role is responsible to the ASC Governing Body for clinical reporting and for operational oversight. PRINCIPAL DUTIES AND RESPONSIBILITIES: Environment of Care & Quality · Manage site employees, environment, clinical processes and procedures, and workflow to deliver high quality of patient care · Ensure compliance of state requirements and licensure updates including understanding of CLIA requirements, pharmacy requirements, and DEA anesthesia regulations · Implement and maintain all aspects of Environment of Care requirements for patient safety and NFPA 101: Life Safety Code · Plan personnel, equipment, and medications needed for medical emergencies; incorporate into Emergency Preparedness Plan; ensure maintenance of equipment · Ensure proper medical records management and HIPAA compliance · Oversees the continuous and data driven Quality Assurance and Performance Improvement Program of the center, including collection and analyzing of data per policy · Through the use of internal tools (SoCA, FA Checklist, etc.) and feedback delivered in external inspections, develop facility-specific action plans to achieve ASC quality standards. · Responsible for managing general liability and risk exposures to patients and employees by conducting risk assessments according standards, regulations and policies, and then developing and implementing an associated center specific management plan. · Ensure adverse events are reported, documented and necessary follow up is provided in compliance with policy and state requirements · Ensure effective communication with patients, dialysis clinics, hospitals and physician(s), to address any concerns/ issues Facility Operations · Participate in Governing Body Meetings; included but not limited to coordination of meetings in compliance with Governing Body Bylaws, documentation preparation and maintaining meeting minutes. · Provide support to the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws. · Maintain compliance with ASC regulations including CMS conditions for coverage, state regulations, and accrediting agency standards where applicable. · Participate in review business and finances of the site, including financial reports, market trends, and staffing models to ensure efficiencies, manage inventory and expenses, and optimize workflow · Engage w/ sales partner to develop strategies to find new markets and develop new business opportunities · Oversee front desk staff to ensure all processes, procedures, and expectations being adhered to, including but not limited to, appropriate scheduling, patient follow-up, and data integrity · Ensures all staff meet organization's customer service standards · Collaborate with ancillary departments within center to ensure alignment in meeting center-specific and company-wide goals · Collaborate with Sales Partner to identify and visit local dialysis clinics as needed to provide information/education on available vascular access services for ESRD patients · Create and continually enhance internal physician partnerships to optimize patient care and business outcomes · Act as a liaison between the local dialysis clinics, the Access Center, and physician practices to meet patient needs. · Facilitate the application process for physician privileges and compliance with Medical Staff By-Laws, including assisting with the credentialing process · Coordinate inventory/supply management and vendor services to ensure cost containment, timely distribution and competitive pricing, as well as maintain the security and integrity of facility · Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals as set forth in the annual budget · Support billing, billing issues and collection activities · Ensure facility is adequately staffed to meet patient needs and the safety and quality of the employees and patients. · May assist w/ patient care on an as needed basis and in accordance w/ professional licensure (if applicable) People Management & Leadership · Lead, coach, and develop employees to optimize performance; partnering with Human Resources on employee matters · Create a highly engaged and motivated culture, resulting in increased retention and employee morale · Identify and address performance gaps as appropriate in accordance with company policy · Drive employee performance review and employee engagement/recognition activities for center · Participate in the recruitment, interview, and decision-making process to hire new highly-skilled staff · Ensure appropriate training and oversight of all staff, including front desk employees · Ensure completion of all employee training, including new hire orientation, compliance training, and mandatory in-service training · Ensure all required and appropriate documentation is completed, including current licensure · 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. · Daily work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Minimal travel to regional, Division and Corporate meetings may be required as well. · The position may provide direct patient care that regularly involves heavy lifting and moving of patients of up to 200 lbs and assisting with ambulation. Coworkers may provide assistance. The position may require frequent prolonged periods of standing and the employee must be able to bend over. 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 and contagious diseases/materials. SUPERVISION: · Responsible for all staff, which may include direct and indirect patient care staff, if incumbent does not possess a RN license, supervision of nursing staff will be provided by a charge nurse/director of nursing. EDUCATION AND REQUIRED CREDENTIALS: · Bachelor's Degree preferred or an equivalent combination of education and experience. · Must meet all state specific requirements for background and education level. · Successfully complete and maintain BLS Certification · ASC certification a plus EXPERIENCE AND SKILLS: · 6-8 years' related experience or an equivalent combination of education and experience · Minimum (3) years direct experience or related experience.in healthcare supervisory or administrative role · Experience in outpatient healthcare operations or an ambulatory surgery center setting preferred · Experience obtaining and maintaining Medicare certification through an accrediting organization is desirable · Experience reading, analyzing, and acting on financial and business reports · Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred · Demonstrated leadership/Management skills, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making · Must be knowledgeable in the operation of all facility equipment and technology, including but not limited to C-arm, patient monitors, defibrillators, medical recording devices and computers, and all emergency equipment. **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:** As the Patient Services Coordinator this position coordinates scheduling pre-procedure communication medical record documents EMR demographic data entry requirements for payers and Revenue Cycle greets patients and answers multi-line telephone and fax. **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES** + Schedule and input all appointments scheduling module in a timely and efficient manner. Assure all pre-procedure/preoperative activities are scheduled or completed. Manages patient cancellations center cancellations (e.g. equipment issues) and additions to schedule in accordance to center scheduling parameters. Printpatientscheduleandpullpatientchartsdaily. + Facilitates the admission process by professionally greeting all patients and visitors and obtain patient identification and insurance information to initiate admissions process. + Assemble file and maintain patient medical records and financial records in a confidential and secure manner + Complete front-end process of billing procedure ensuring all information is entered into the computer registration module. + Performs Insurance Verification process and completes all required processes for prior authorizations or other actions required by payor. + Assistwithpatienttransportationifthepatientqualifiesperthe Company TransportationPolicy. + Ensure appropriate signatures are included on all necessary chart and admissionsdatainaccordancewith FMCNApolicies and procedures. + Ensure accuracy when scanning and filing documents and completes within 24 hours of completed visit including physician reports to referral sources. + Communicate all changes about procedure and insurance which is identified during patient visit to appropriate internal parties and directly to the patient record immediately. + Perform daily encounter checks to assure reporting accuracy. - what is this? + Coordinates collection processing maintenance storage retrieval documentation and distribution of medical records per policy and procedure. + Assures documentation of logs of medical record release. + Provides information to parties engaged in research or study projects involving patient care and utilization of services in accordance with policy. + Oversees the materials going in and out of the office including inventory shipments and deliveries. + Otherdutiesas assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and computer work and interaction with patients facility staff and physicians. **SUPERVISION:** + None **EDUCATION:** + High School Diploma or an equivalent combination of education and experience Associate Degree or higher preferred **EXPERIENCE AND REQUIRED SKILLS:** + 1 - 2 years' related experience preferably in a medical setting with insurance billing. + Proficient in the use of computers and related software such as Microsoft Office is necessary. + Excellentcommunicationskills-verbalandwritten. + Abilitytohandleseveraltaskssimultaneously. + Ability to adapt to supporting software applications. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. " **EOE, disability/veterans**

**No on-call, no weekends, outpatient surgery center, M-F opportunities available: Per Diem/FT/PT** Azura Vascular Care is a national leader in vascular specialty services, and a division of Fresenius Medical Care, the world's largest dialysis provider. We treat a range of vascular disorders using minimally invasive techniques in state-of-the-art outpatient centers to achieve optimal patient outcomes while delivering the best experience possible. We are hiring Certified Registered Nurse Anesthetist (CRNA) in Oklahoma City. Visit our website to learn more about Azura Vascular Clinic: ********************************** Become a CRNA at Azura Vascular Care Join our team as a Certified Registered Nurse Anesthetist (CRNA) to work autonomously and with the healthcare team to provide high-quality, evidence-based anesthesia and pain care. As a vital member of our nursing team, you will care for patients of all acuity levels across various settings for procedures, including surgical, obstetrical, diagnostic, therapeutic, and pain management. Your responsibilities as a CRNA: + Pre-Anesthesia Assessment & Planning: Conduct pre-anesthesia evaluations, obtain informed consent, and develop anesthesia care plans. + Medication & Equipment Management: Select, administer anesthetics, adjuvant drugs, and fluids; manage and perform safety checks on equipment. + Anesthesia Administration: Administer anesthesia and sedation, manage airways, and ensure safe anesthesia delivery during procedures. + Intraoperative & Peri-Anesthetic Monitoring: Monitor patient condition, maintain time-based records, and adjust care to maintain stability. + Post-Anesthesia Care & Discharge: Manage patient emergence and recovery, provide follow-up care, and discharge from the post-anesthesia unit. + Pain Management & Advanced Techniques: Implement pain management strategies, including regional anesthesia and interventional procedures. + Emergency & Critical Interventions: Stabilize patients in emergencies, providing airway, cardiovascular, and respiratory support. + Compliance, Safety, & Collaboration: Ensure patient safety, comply with standards, participate in quality initiatives, and collaborate with teams. Education and required credentials: + Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor. + Current Appropriate State Licensure and complies with any applicable state statutory and regulatory requirements concerning CRNAs. + BLS and ACLS certification + Is currently certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists. + Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state. Experience and skills: + 8-12 years of related experience or equivalent education and experience; 5 years of CRNA experience preferred. + Competent in performing as a CRNA in a clinical setting. + Proficient in operating anesthesia equipment and providing perioperative or operating room support to patients. + Strong verbal and written communication skills for effective interdisciplinary collaboration. + Skilled in providing age- and population-appropriate patient care. + Understands principles of growth and development across the lifespan. + Knowledgeable in infection control practices. + Able to maintain confidentiality and follow facility policies and procedures. What we offer: + Key benefits incl. compensation, working hour flexibility, no-weekend/evening/on-calls, etc. Physical demands and working conditions: The physical demands and work environment described are representative of those required to perform this job's essential functions. Reasonable accommodations may be made for individuals with disabilities. + Work environment is typical of a healthcare facility, with controlled temperature and moderate noise levels. + Potential exposure to infectious diseases, contagious materials, and radiation. + Protective gear may be required in procedure rooms for extended periods. + Majority of time spent on feet. + Role involves lifting and positioning patients. + Must be able to lift objects over 50 pounds. + May require 10-15% travel, primarily during business hours, with occasional overnight travel. SUPERVISION: + None Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. **EOE, disability/veterans**

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Clinical Coordinator is responsible for assisting with management and operation of clinic. This position assumes full responsibility for the dialysis clinic in the absence of the Administrator. Growth: Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Assist with planning/coordinating patient scheduling to assure timely acceptance of patients and effective staffing levels. Demonstrate effective use of supplies and staff labor hours. Responsible for updating all logs and ensuring that dialysis run sheets and logs are sent to billing. Perform duties as assigned to meet the patient care or operational needs of the clinic. Outcomes: Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. Work with Administrator to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician, and other healthcare professionals. Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting as delegated by Administrator or Management. Operational Readiness: Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. Work with Administrator to assure clinic is in compliance with all applicable federal, state, and local laws and regulations. Assist Administrator with development, implementation and follow up of Corrective Action Plans required for internal and external surveys. May assume Charge Nurse's responsibilities as needed. May fulfill responsibility of facility Alternate CEO as delegated by Governing Body. Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff as delegated. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly as delegated. Assure that Quality Assessment & Performance Improvement Program is current at all times as delegated. Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center if delegated by Administrator. Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. Oversee the maintenance of equipment and supplies to meet current laws and regulations. Responds to all emergencies in clinic. Familiar with emergency equipment and all emergency operational procedures. Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. Partnerships: Maintain collaborative working relationship with Medical Director and physicians. Establish and maintain a positive relationship with all Administrators, area hospitals, agencies, vendors and the community. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or complaints. Staff Development: Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. Serves as a resource/subject matter expert for patient needs and concerns, staff education and in-service sessions as necessary. Assists with recruitment, training, development, and supervision of all personnel. Assists with maintaining effective personnel management and employee relations, including evaluating the performance of all personnel and counseling employees. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Effectively communicate expectations; accept accountability and hold others accountable for performance.

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Demonstrate effective use of supplies and staff labor hours. May assist with billing log preparation and updates. Perform duties as assigned to meet the patient care or operational needs of the clinic Obtain blood samples for laboratory analysis as required to complete physician orders. Complete and document monthly review of patient medication profiles. Knowledge of and comply with applicable health care professionals practice act requirements. Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. Report any significant information or change in patient condition to the Charge Nurse. Report machine problems to Biomedical Technician and Administrator. Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. Assist with staff training as requested.

**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**

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Demonstrate effective use of supplies and staff labor hours. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Assist physician during patient rounds and transcribe and implement physician orders timely. Assist with the implementation of anemia management and medication protocols as requested. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act 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. May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations. Responds to all emergencies in clinic. 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 collaborative working relationship with Medical Director and physicians. Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities. Assist in orientation of new staff as a preceptor or in assigning a preceptor. Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated. Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff

PURPOSE AND SCOPE: Performs scrub and circulating duties during interventional proceduresaccording 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 equipmentand machinery post procedure. + May assist with preparing the patient for the surgical procedure by positioning, shaving and prepping. + 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; 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 andafter procedures. + May perform minor equipment repairs and general upkeep. Communicatesproblems to supervisor and documents issues in the communications log. + 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 practiceof 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. + Provides clerical and practical support to physicians and staff: + Works with the physicians and staff to have all necessaryinstruments 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 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. + Responsible for assisting the territory with marketing, educating, promoting and selling Fresenius Vascular Care services to dialysis clinics, Medical Directors, nephrologists and other pertinent members of the medical community in an assigned territory. They work closely with Sales Management team and Clinical Specialist. + Provides sales and relationship support to an assigned FVC territory or territories working in conjunction with the FVC Sales Management team / Clinical Specialist, or Regional Director of Sales identifying new accounts for Fresenius Vascular Care services to generate revenue. + Establish and maintains a close relationship with current user accounts/customers, and researches the local physician market to identify potential candidates/customers for FVC services making the necessary sales calls to these potential customers under the direction of the Regional Director of Sales & Marketing to grow the number of patient procedures performed at the FVC ambulatory centers. + Maintains knowledge of the vascular care business and services programs provided by FVC as well as the competitors in the local market + Acts as the customer relations contact and liaison between the dialysis clinics, specialty clinics and the FVC Center + Occasional evening and weekend hours may be required + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day to day work includesdesk and personalcomputer work and interaction with patients, facility staff and physicians. The work environment is characteristic of a health care facilitywith air temperature control and moderate noiselevels. 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. + Significant travel (up to 50%) within the assigned geography/region may be necessary. EDUCATION: + High School Diploma required + Surgical Technologist Certification, preferred. EXPERIENCE AND REQUIRED SKILLS: + 1 - 2 years' related experience. + Previous patient care experiencepreferred. + Working knowledgeof interventional equipment (including C-Arm and Ultrasound equipment), procedures and materials/supplies needed for each procedure. Knowledge of sterile techniques. + Experience with special procedures utilizinga 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**

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Clinical Coordinator is responsible for assisting with management and operation of clinic. This position assumes full responsibility for the dialysis clinic in the absence of the Administrator. Growth: * Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. * Assist with planning/coordinating patient scheduling to assure timely acceptance of patients and effective staffing levels. * Demonstrate effective use of supplies and staff labor hours. * Responsible for updating all logs and ensuring that dialysis run sheets and logs are sent to billing. * Perform duties as assigned to meet the patient care or operational needs of the clinic. Outcomes: * Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. * Work with Administrator to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician, and other healthcare professionals. * Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. * Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. * Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting as delegated by Administrator or Management. Operational Readiness: * Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. * Work with Administrator to assure clinic is in compliance with all applicable federal, state, and local laws and regulations. * Assist Administrator with development, implementation and follow up of Corrective Action Plans required for internal and external surveys. * May assume Charge Nurse's responsibilities as needed. * May fulfill responsibility of facility Alternate CEO as delegated by Governing Body. * Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff as delegated. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly as delegated. Assure that Quality Assessment & Performance Improvement Program is current at all times as delegated. * Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center if delegated by Administrator. * Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. * Oversee the maintenance of equipment and supplies to meet current laws and regulations. * Responds to all emergencies in clinic. Familiar with emergency equipment and all emergency operational procedures. * Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. Partnerships: * Maintain collaborative working relationship with Medical Director and physicians. * Establish and maintain a positive relationship with all Administrators, area hospitals, agencies, vendors and the community. * Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. * Respond effectively to inquiries or complaints. Staff Development: * Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. * Serves as a resource/subject matter expert for patient needs and concerns, staff education and in-service sessions as necessary. * Assists with recruitment, training, development, and supervision of all personnel. * Assists with maintaining effective personnel management and employee relations, including evaluating the performance of all personnel and counseling employees. * Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. * Effectively communicate expectations; accept accountability and hold others accountable for performance. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Current RN license in applicable state. License must be maintained as current and in good standing. * 12 months experience in providing nursing care, including 3 months of experience in providing nursing care to patients on maintenance dialysis. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire.

**PURPOSE AND SCOPE:** Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing 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 organization quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. + Assists with implementation of organization quality goals and facility specific action plans in order to achieve organization quality standards. + Accountable for outstanding quality of patient care, as defined by the organization quality goals, to ensure that organization 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 organization 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 organization, 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 organization, 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 organization/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 organization/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 organization 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 organization 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 organization/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 preferred. + Office Based Surgical Center/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. + Certified in BLS & ACLS successfully completed course certifications. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. * Demonstrate effective use of supplies and staff labor hours. * May assist with billing log preparation and updates. * Perform duties as assigned to meet the patient care or operational needs of the clinic * Obtain blood samples for laboratory analysis as required to complete physician orders. * Complete and document monthly review of patient medication profiles. * Knowledge of and comply with applicable health care professionals practice act requirements. * Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations * Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. * Report any significant information or change in patient condition to the Charge Nurse. * Report machine problems to Biomedical Technician and Administrator. * Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. * Assist with staff training as requested. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Current LVN/LPN license in applicable state. License must be maintained as current and in good standing. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Previous dialysis experience preferred. * Successful completion of USRC training program approved by the Medical Director, including demonstrated competency, within 8 weeks of hire. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must be able to organize time and tasks well. * Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. * Must meet any practice requirement(s) for the applicable state.

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!

**PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of 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. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **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 policies 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:** + As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. + Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. + Maintain regular and punctual attendance. + Perform other related 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. 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 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. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. **SUPERVISION:** + None **EDUCATION** **:** + Graduate of an accredited School of Nursing. + Current appropriate state Temporary Permit. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS** **:** + 0 - 1 year's related experience. **ACKNOWLEDGEMENT:** I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. **ADDENDUM:** Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: ********************************************************************************************************************************************************** . For additional information please contact your Regional Education Coordinator. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $38.00-$55.36 for the Denver, CO locations. Other locations outside the state of CO will vary from this range. Benefits Overview: This position offers a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Demonstrate effective use of supplies and staff labor hours. May assist with billing log preparation and updates. Perform duties as assigned to meet the patient care or operational needs of the clinic Obtain blood samples for laboratory analysis as required to complete physician orders. Complete and document monthly review of patient medication profiles. Knowledge of and comply with applicable health care professionals practice act requirements. Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. Report any significant information or change in patient condition to the Charge Nurse. Report machine problems to Biomedical Technician and Administrator. Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. Assist with staff training as requested.

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!

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. * Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. * Demonstrate effective use of supplies and staff labor hours. * Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. * Assist physician during patient rounds and transcribe and implement physician orders timely. * Assist with the implementation of anemia management and medication protocols as requested. * Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act 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. * May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations. * Responds to all emergencies in clinic. * 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 collaborative working relationship with Medical Director and physicians. * Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities. * Assist in orientation of new staff as a preceptor or in assigning a preceptor. * Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated. * Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Current RN license in applicable state. License must be maintained as current and in good standing. * 12 months experience in providing nursing care, including 3 months of experience in providing nursing care to patients on maintenance dialysis. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. * Must meet any practice requirement(s) for the applicable state. (See addendum for RN Charge Nurse.)

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. * Demonstrate effective use of supplies and staff labor hours. * May assist with billing log preparation and updates. * Perform duties as assigned to meet the patient care or operational needs of the clinic * Obtain blood samples for laboratory analysis as required to complete physician orders. * Complete and document monthly review of patient medication profiles. * Knowledge of and comply with applicable health care professionals practice act requirements. * Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations * Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. * Report any significant information or change in patient condition to the Charge Nurse. * Report machine problems to Biomedical Technician and Administrator. * Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. * Assist with staff training as requested. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Current LVN/LPN license in applicable state. License must be maintained as current and in good standing. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Previous dialysis experience preferred. * Successful completion of USRC training program approved by the Medical Director, including demonstrated competency, within 8 weeks of hire. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must be able to organize time and tasks well. * Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. * Must meet any practice requirement(s) for the applicable state.

**PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of 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. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **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 policies 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:** + As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. + Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. + Maintain regular and punctual attendance. + Perform other related 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. 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 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. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. **SUPERVISION:** + None **EDUCATION** **:** + Graduate of an accredited School of Nursing. + Current appropriate state Temporary Permit. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS** **:** + 0 - 1 year's related experience. **ACKNOWLEDGEMENT:** I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. **ADDENDUM:** Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: ********************************************************************************************************************************************************** . For additional information please contact your Regional Education Coordinator. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $38.00-$55.36 for the Denver, CO locations. Other locations outside the state of CO will vary from this range. Benefits Overview: This position offers a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**