Fresenius Medical Care North America Holdings Limited Partnership jobs in Charlotte, NC - 28 jobs

**PURPOSE AND SCOPE:** The **Strategic Total Rewards Business Partner** serves as a strategic advisor and subject matter expert to our CDNA, ensuring that our total rewards strategies align with business objectives, attract top talent, and drive employee engagement. This role will provide comprehensive leadership and consultation on global compensation, benefits, and recognition programs, ensuring these initiatives are competitive, equitable, and compliant with local regulations across the regions where the business unit operates. **PRINCIPAL DUTIES AND** **RESPONSIBILITIES:** **_Strategic Business Partnership_** **:** + Partner with business leaders and Strategic HR Business Partners (HRBPs) to understand the function's goals, challenges, and business priorities. + Owns business strategy for own area of responsibility to inform to TR Ops. and SME. + Implement total rewards strategies that support business objectives and align with the company's global total rewards philosophy. + Provide thought leadership on emerging trends and innovative practices in total rewards to address global talent needs. + Primary contact of Total Rewards and our Business. + Liaison to business on escalations (ambassadors) + Expert in our business specific-structures. + Training/delivering of HR teams & Mgrs on TR Programs + Partnership with other HR CoEs + Functions + Develop TR budgets with the main stakeholders: business leaders, SHRBP's, Finance Business Partners, etc. + Influence stakeholders, who regularly have divergent interests, to achieve short-term global / country objectives; represent the CoE on global / and national level. + Problems faced are difficult and are often complex. + Improve existing methods, techniques and / or processes across job áreas. **_Compensation_** **:** + Co-Lead/Support the design, implementation, and communication of competitive compensation programs, including base pay, incentive plans, and executive compensation for the functions. + Establish a library of all existing business-specific incentive or pay-related programs and ensure alignment with best practices and the establishment of globally consistent structures and processes. + Collaborate with the global TR operations team to ensure consistent application of job architecture, leveling, and market benchmarking. + Analyze market trends, internal equity, and pay-for-performance outcomes to make data-driven recommendations. **_Benefits_** **:** + Partner with global benefits teams to ensure benefit programs meet the needs of employees in diverse geographies while remaining cost-effective and compliant. + Serve as a liaison between the functions and corporate benefits teams, identifying opportunities for enhancements and efficiencies. + Drive initiatives to improve employee understanding and appreciation of benefit offerings. **_Governance and Compliance_** **:** + Ensure compliance with local regulations and internal governance policies in all total rewards programs. + Partner with legal and compliance teams to mitigate risks and address emerging regulatory changes. **_Leadership and Collaboration_** **:** + Act as a change agent to influence and support cultural alignment with total rewards strategies. + Collaborate with cross-functional teams, including Finance, Legal, HR Operations, and regional HR leaders, to ensure seamless program delivery. **_Analytics and Reporting_** **:** + Leverage data analytics to monitor the effectiveness of total rewards programs and recommend adjustments as needed. + Provide business leaders with insights on trends, forecasts, and competitive positioning. **EXPERIENCE AND REQUIRED SKILLS:** + Bachelor's degree in Human Resources, Business Administration, or related fields. + 8+ years' related experience. + Experience supporting global business units in a complex, matrixed organization. + Deep knowledge of global compensation and benefits practices, regulatory environments, and market trends. + Strong interpersonal skills with the ability to communicate with all levels of management through diplomacy and tact. + Demonstrated ability to manage multiple priorities and deliver results in a fast-paced environment. + Interpreting and applying understanding of key financial indicators to recommend appropriate business solutions + Comfortable in working within a global environment, across multiple geographies and time-zones + High level of integrity, discretion, and professionalism If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (smartsheet.com) (******************************************************************* Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance **EOE, disability/veterans**

PURPOSE AND SCOPE: + Support FME's mission, vision, core values, and customer service philosophy. Adhere to the FMCNA Compliance Program, including following all regulatory and company policy requirements. + Drive the success of the Medical Information & Communication group (MIC) within the RTG Medical Department. Ensure compliance of all Medical Information & Communication (MIC) materials with medical best practices and internal and external regulations and guidance. + Provide excellence in medical information to ensure optimal use of FME products PRINCIPAL DUTIES AND RESPONSIBILITIES: + Provide excellence in medical writing of medical information and educational materials + Develop non-product related clear and concise scientific presentations and manuscripts on disease state and best treatment practices + Regularly update the existing library of educational materials based on current published evidence and proven clinical best practices in the field of nephrology and dialysis + Apply scientific expertise in daily self-dependent professional medical writing and in-depth literature searches + Keep up-to-date with and provide expertise on current applicable FME and FDA legal and compliance guidance + Ensure and document compliance of medical information and educational materials for internal and external auditing + Ensure all current materials are approved in the FME document management system (Windchill) + Other duties as assigned. + Assist with various projects as assigned by a direct supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: Perform duties typically associated with working in an office environment (i.e., sitting, typing, and light lifting). Reasonable accommodations may be made for individuals with disabilities to perform the essential functions. Ability to invest time, as required to expediting or completing assignments that may necessitate working evening and/or weekend hours as necessary to meet business demands. Some domestic travel required up to 10% of the time. EDUCATION: + Minimum of a Master of Science degree in an allied healthcare field with a strong background in academic medical and scientific research + PharmD., Ph.D. or MD strongly preferred EXPERIENCE AND REQUIRED SKILLS: + 5 - 8 years' related experience; or a Master's degree with 3 years' experience; or a PhD without experience; or equivalent directly related work experience. + Documented strong expertise in literature evaluation, data analysis and self-dependent professional medical writing is required. + Documented strong expertise in literature evaluation, data analysis and self-dependent professional medical writing is required. + Preferably, the candidate will have publications in relevant journals and experience in presenting at medical or scientific symposia and congresses. + Expertise in Nephrology and Dialysis strongly preferred + Good understanding of the pharmaceutical industry and health care environment and its regulations + Excellent proficiency and experience in medical and scientific literature identification and evaluation + Excellent medical writing and editorial skills, validated by past work experience. + Ability to present papers and communications in the professional medical environment. + Organizational and time management skills + Ability to handle frequent interruptions, changing priorities and multiple projects with tight deadlines + Team orientation and collaboration paired with independent and sound judgment + Familiarity with PC-based applications, including Microsoft Word, Excel and PowerPoint **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in an acute care environment. The Chief Dialysis Equipment Technician coordinates clinic technical and building maintenance, including water treatment systems, dialysis machines and other equipment, to ensure patients receive the safest care with the highest-quality outcomes. Schedule: Fulltime Monday through Friday, on call as needed Compensation: Pay range from $18.00-$25.66 per hour, depending on technical equipment and dialysis experience Benefits: Up to 12 weeks' paid training Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards Educate direct patient care and technical staff on all equipment's proper use and maintenance, document training Ensure technical and direct care staff follow equipment and facility policies and procedures Confirm buliding and equipment maintenance is up to date and in good working order Schedule and oversee outside maintenance vendors as needed Maintain proper inventory following DCI guidelines Perform air quality testing according to clinic policy Stay updated on OSHA and other standards to provide a safe workplace Coordinate and document routine technical staff meetings Participate in on-call duties and be available during emergencies as required Attend and present in monthly Quality Assessment Performance Improvement meetings Qualifications Successful Candidates Bring: Excellent communication and organizational skills Demonstrated equipment proficiency Desire to collaborate with team members Ability to problem solve Electronics, plumbing or plant maintenance background Education/Training: Associate degree in biomedical applications or equivalent preferred One year related experience in biomedical equipment maintenance and repair required Managerial or supervisory experience preferred DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

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

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in a clinical setting. The Dialysis Area Technical Manager is responsible for overseeing facility and equipment maintenance for multiple dialysis facilities in a designated geographic area. Schedule: Fulltime Monday through Friday, call availability required as needed Compensation: Pay range from $50,000-$71,000 annually depending on level of experience and coverage area Benefits: Paid training for equipment certifications Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards Educate direct patient care and technical staff on proper use and maintenance of all equipment and document training as appropriate Ensure that building and equipment maintenance is up to date and in good working order, assist with preventive maintenance and repairs as needed Supervise biomedical technical staff to ensure that water treatment systems, dialysis machines and reuse equipment (if applicable) are serviced and maintained according to AAMI standards, and DCI and manufacturer guidelines Maintain proper inventory controls following DCI guidelines to ensure efficient resource utilization Act as liaision during onsite surveys by regulatory agencies, e.g., DOH, OSHA, CMS Coordinate maintenance services from outside vendors as needed Confirm each clinic performs air quality testing according to policy Stay updated on OSHA and other environment-of-care standards to provide a safe workplace Collaborate with patient care staff and encourage open communication between technical and clinical staff Schedule and document routine technical staff meetings Participate in on-call duties and be available during emergencies as required Attend and present technical and water quality data in monthly Quality Assessment Performance Improvement (QAPI) and governing body meetings Qualifications Successful Candidates Bring: Excellent communication and organizational skills Demonstrated dialysis equipment proficiency Desire to collaborate with team members Ability to problem solve Electronics, plumbing or plant maintenance background Education/Training: Associate degree in biomedical applications or equivalent preferred Two to three years' relevant dialysis or biomedical equipment maintenance and repair experience Supervisory experience strongly preferred DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in an area near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

$5,000 SIGN ON BONUS! Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The Dialysis Nurse Manager is responsible for dialysis facility management and nursing personnel supervision to ensure safe, efficient dialysis treatments for all DCI patients. Compensation: Pay range from $80,000-$98,000 annually, depending on nursing and dialysis experience ($5,000 SIGN ON BONUS) Benefits: Nurse manager and leadership training program for new and experienced managers Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Schedule patients and staff and provide direct patient care when needed Ensure all hemodialysis treatments in the dialysis facility follow DCI policies and procedures Develop and implement standards of care, providing patient care in accordance with ESRD Network, regulatory agencies, DCI's Quality Assessment Performance Improvement (QAPI) program and the individual clinic's requirements Plan and provide training and assessments for patient care staff alongside nurse educator Coordinate DCI, QAPI and risk management program implementation with the quality and risk manager Collaborate on patient care initiatives with medical director, social worker, dietitian, charge nurses, technical managers, staff nurses and equipment technicians Integrate unit activities as they relate to patient care, staff education, research projects and unit expansions with clinic operations director and medical director Manage nursing, social work, dietitian, and technical staff supervision with medical director Fulfill supervisory responsibilities in accordance to DCI's policies and procedures and applicable laws Work closely with area operations director on identifying operational efficiencies Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical excellence Ability to multitask and prioritize Desire to collaborate with care teams Ability to problem solve Education/Training: Accredited nursing degree required (BSN, AA, RN) Six months' dialysis experience required, one year dialysis experience preferred One year clinical nursing experience required Supervisory experience preferred Current NC Registered Nurse license DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

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

$5,000 Sign on Bonus Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care. DCI offers paid training, competitive pay, weekends off, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The Dialysis Registered Dietitian is an integral part of the interdisciplinary team, using nutrition education to help improve quality of life for our patients. RDs are responsible for assessing, monitoring and educating patients and their families on the importance of diet and nutrition in managing chronic kidney disease. Schedule: Fulltime Monday through Friday, shifts start at 8:00am; weekends off Benefits: Training, support and mentorship opportunities provided by clinic and corporate teams for individuals new to renal care Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education financial support Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Assist patients with making diet and nutrition choices that improve their quality of life Complete comprehensive nutrition assessment for all new and at-risk patients Collaborate with interdisciplinary team and patient to develop and implement individualized care plans based on nutritional assessment; review monthly and document progress toward established goals Identify specific interventions necessary to meet nutritional needs based on evidence-based guidelines, best practices and current research Educate patient and family/caregiver about renal diet and fluid management Monitor monthly laboratory results and weight changes, make recommendations to meet established goals Utilize a patient-centered care approach, respecting and responding to individual and cultural preferences while encouraging engagement Participate in Quality Assessment Performance Improvement process, documenting and attending meetings per clinic policy Compile and create nutrition materials to promote adherence to renal diet guidelines Communicate nutrition concerns with care team, including attending physicians Share kidney disease and nutrition advances with care team as needed Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical proficiency Desire to collaborate with care teams Ability to problem solve Education/Training: Must be a Registered Dietitian Nutritionist with Commission on Dietetic Registration Minimum one year professional work experience in clinical nutrition as a registered dietitian (after successful completion of registration exam) required Previous renal care experience preferred, not required Job shadow opportunities available DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

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

$5,000 SIGN ON BONUS! Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The Dialysis Nurse Manager is responsible for dialysis facility management and nursing personnel supervision to ensure safe, efficient dialysis treatments for all DCI patients. Compensation: Pay range from $80,000-$98,000 annually, depending on nursing and dialysis experience ($5,000 SIGN ON BONUS) Benefits: * Nurse manager and leadership training program for new and experienced managers * Comprehensive medical, dental and vision benefits * Life and long-term disability insurance provided at no additional expense to employee * Paid time off (PTO) including holidays * Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave * Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent * Education reimbursement * Employee assistance program * Wellness program * Among others Responsibilities What You Can Expect: * Schedule patients and staff and provide direct patient care when needed * Ensure all hemodialysis treatments in the dialysis facility follow DCI policies and procedures * Develop and implement standards of care, providing patient care in accordance with ESRD Network, regulatory agencies, DCI's Quality Assessment Performance Improvement (QAPI) program and the individual clinic's requirements * Plan and provide training and assessments for patient care staff alongside nurse educator * Coordinate DCI, QAPI and risk management program implementation with the quality and risk manager * Collaborate on patient care initiatives with medical director, social worker, dietitian, charge nurses, technical managers, staff nurses and equipment technicians * Integrate unit activities as they relate to patient care, staff education, research projects and unit expansions with clinic operations director and medical director * Manage nursing, social work, dietitian, and technical staff supervision with medical director * Fulfill supervisory responsibilities in accordance to DCI's policies and procedures and applicable laws * Work closely with area operations director on identifying operational efficiencies Qualifications Successful Candidates Bring: * Excellent communication skills * Demonstrated clinical excellence * Ability to multitask and prioritize * Desire to collaborate with care teams * Ability to problem solve Education/Training: * Accredited nursing degree required (BSN, AA, RN) * Six months' dialysis experience required, one year dialysis experience preferred * One year clinical nursing experience required * Supervisory experience preferred * Current NC Registered Nurse license DCI's Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: *************************************

within the Home Therapies Department.** + Dialysis RN experience preferred. + This person will educate patients on in-center, home dialysis and transplant. They will also run their treatment on both in-center dialysis machines and home dialysis machines so they can educate patients on the difference. + Hours: MON, TUE, THU, FRI (6am-7am start time, 3pm - 4pm end time). PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

CCHT Certification Required **PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN. + Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). + Promotes and assists in meeting Total Area Productivity goals (TAP). + With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies). + Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN. + Evaluates vascular access for patency and reports any unusual findings to FMCNA RN. + Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN. + Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to FMCNA RN. + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160). + Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. + Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist. + Collects, labels specimens and ensures timely delivery to laboratory per facility policy. + Evaluates intradialytic problems and provides intervention as prescribed by physician's order or as directed by FMCNA RN. Monitors patient's response to dialysis therapy and report any unusual findings to FMCNA RN. + Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation. + Reports any change or unusual findings to FMCNA RN. + Performs and document any intervention for unusual patient status and document patients' response to intervention. + Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents and reports any unusual findings to the FMCNA RN. + Discontinues dialysis treatment according to established procedures. + Evaluates patient prior to termination of venous access - standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN + Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification. + Other duties as required. **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, interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. + Travel to meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. 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 assist in moving machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. + There is a two-person assist program and "material assist" devices for the heavier items. **SUPERVISION:** + None **EDUCATION** **:** + High School Diploma required **EXPERIENCE AND REQUIRED SKILLS** **:** + 1 - 2 years' related experience. + Certified Clinical Hemodialysis Certification (CCHT) certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** QUALITY: + Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. + Assists with implementing quality goals and develops facility specific action plans to achieve quality standards. + Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives. + Responsible for aggressively addressing and acting on adverse events and action thresholds. + Ensures all Quality policies and procedures are communicated to and implemented by the facility staff. + Maintains integrity of medical records and other administrative and operational records. + Complies with all data collections and auditing activities. + Maintains facility environmental integrity, including safety. PATIENT RELATED: + Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge. + May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure. + Ensures patients and patient's families are educated regarding post procedure care of vascular access. + Acts as a resource for the staff to address patient concerns and questions. + Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently. + As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure. + Identifies and communicates patient related issues to the Facility Manager. + Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge. + Confirms 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. + Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed. + Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations. PHYSICIANS: + Ensures regular and effective communication with all physicians on an as needed basis. + Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings. + Attends and participates in CQI meetings with physicians, reporting on assigned topics. + Works with the physicians and staff to ensure possession of all necessary instruments and equipment. MAINTENANCE/TECHNICAL + Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers. + Ensures the inspection of all facility equipment on a regular basis. Report any malfunctions or maintenance issues immediately. + Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility. + Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times. + Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies. ADMINISTRATIVE: + Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies. + Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement. + Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required. + Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. + Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. + Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis. + Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff. + Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. + Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines. + Coordinates the collection and forwarding of all vendor invoices to the accounting department. + Acts as the Facility Manager in the absence of the manager or at the direction of management. + Ensure nurses' progress notes are accurate and complete. + Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills. + Complies with HIPPA policies and standards regarding patient information and medical records. + 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 includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. **SUPERVISION:** + May be responsible for the direct supervision of various levels of direct patient care staff. **EDUCATION** **:** + Bachelor's Degree preferred; Advanced Degree desirable + Graduate of an accredited School of Nursing (R.N.). + Current appropriate state licensure and ACLS certification. **EXPERIENCE AND REQUIRED SKILLS:** + 6 - 8 years' related experience. + 3+ years' supervisory or project/program management experience preferred. + Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience. + Minimum of three years of Interventional Radiology, scrub experience preferred. + Supervisory or management experience within a medical or vascular access environment preferred. + Proficiency with the Microsoft office suite is necessary. Experience with Medical database software. + Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. + Good communication skills - verbal and written. + Certified in CPR or successfully complete course in CPR certification **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

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

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

**PURPOSE AND SCOPE:** The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. + Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse. + Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as indicated. + Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. + Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse. + Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. + Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. + Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. + Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Administers medications as prescribed and documents medical justification and effectiveness. + Initiates and assists with emergency response measures. + Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility and area level. + May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually. + May be assigned to assist in an Outpatient facility on an as needed basis. + May serve as a Preceptor to new employees. + Required to complete CAP requirements to maintain or advance. + Performs all other duties as assigned by Supervisor. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. + This position requires frequent, prolonged periods of standing and the employee must be able to bend over. + The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. + Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. + The position requires travel to training/meeting sites and between assigned facilities. + Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. + 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:** Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a designated Nurse in Charge, after meeting all the following: + Successful completion of all FKC education and modality specific training requirements. + 6 months experience in acute dialysis as a RN. **EDUCATION AND LICENSURE:** + Current appropriate state licensure. + Current or successful completion of CPR BLS Certification + Must meet the practice requirements in all states employed. **EXPERIENCE AND REQUIRED SKILLS** : + Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN. + Acute dialysis experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**