Fresenius Medical Care North America Holdings Limited Partnership jobs in Chicago, IL - 74 jobs

**PURPOSE AND SCOPE:** Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Patient Assessment / Care Planning / Counseling + As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. + Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. + Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. + Provides educational and goal directed counseling to patients who are seeking transplant. + Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. + In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. + Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. + Documents based on MSW interaction and interventions provided to patient and/or family. + Quality + Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. + Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. + Patient Education + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. + Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. + Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. + Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Collaborates with the team on appropriate QAI activities. + Patient Admission and Continuity of Care + Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns. + Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment. + The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership. + Insurance and Financial Assistance + Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. + In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs). + Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. + Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills + Staff Related + Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. + Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). + Provides training to staff pertaining to psychosocial topics as needed. + Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. + Adheres to work defined caseload guidelines based on state regulatory requirements. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel required (if multiple facilities or home visits, if applicable) **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Masters in Social Work + Must have state required license + Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed **EXPERIENCE AND SKILLS** **:** + 0 - 2 years' related experience "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $57000 - $96000 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:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to FMCNA algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $70,000.00 - $117,000.00 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. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

The Home Therapies Area Manager is responsible for management of the Home Therapies business; providing effective leadership to achieve clinical, growth, and financial targets, through partnership with the Administrators, Home Therapies Director and/or Home Therapies Vice President and Regional Vice Presidents. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Develops and drives a growth strategic plan for the assigned territory and each market therein to achieve growth targets and financial goals. Provides oversight to implement plan. Works in partnership with local management to oversee Home operations of assigned clinics/home programs from a fiscal, clinical, technical, regulatory, personnel, business management and growth perspective in accordance with Company goals. Partners with RVPs, Home Therapies and Business Development teams to ensure development of a sustainable and efficient business footprint and identify opportunities for new clinics. Works with Administrators to achieve monthly, quarterly and annual projections based on financial and management objectives. Engages with Physician Partners regularly on existing business, to assess needs and ensure physician satisfaction. Achieves program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics/home programs. In collaboration with IDT, identify opportunities to drive systematic changes in region to aid in achievement of targets. Collaborate with leaders on budget planning and strategies to improve fiscal performance. Responsible for profit and loss management of assigned programs to achieve or exceed budget. Ensures implementation of all corporate initiatives and policies in relation to home therapies. Ensures home programs execute to the highest clinic, patient satisfaction, and operating standards. Knowledge of and remains current with federal, state, local laws and regulations, including health care professionals practice act requirements with regards to Home Therapies. Works with Administrators to ensure compliance with all applicable federal, state, and local laws; continuing certification from all statutory and regulatory agencies; and Company standards, guidelines, rules, policies and procedures. Triage Home operational issues in partnership with Administrators, Director/VP Home Therapies and RVPs as needed. Initiates Corrective Action Plan development, implementation and follow through as required for internal and external surveys. Follows up on any/all deficiencies for all audits done internally (corporate) or externally (CMS & TDH). Assures compliance with required Governing Body meetings, monthly QAPI meetings and care plan conferences and assures documentation of such through recorded minutes. Regular and reliable attendance is required for the job. In partnership with Director/VP Home Therapies and RVPs, develops physician and referral source relationships and oversees local marketing efforts. Maintains a positive/collaborative relationship with physicians, area hospital agencies and the community. Acts as the Home subject matter expert with Medical Directors and physicians to coordinate quality patient Understands, leads and promotes the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives. Develops strong cross-functional partnerships across the internal organization. Collaborates with leaders in budget planning. Implements and monitors appropriate contractual agreements/arrangements with collaborating agencies. Establishes relationships with external customers to promote growth and quality including but not limited to physicians and vendor partners. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Participates in corporate committees or task forces as requested. Respond effectively to inquiries or complaints. Responsible for developing Home Therapies knowledge for RVPs and Administrators. Ensure they are able to effectively operate and grow Home business. Responsible for on-going development of Home RNs, in collaboration with Administrators, Home Directors responsible for development of Home Therapies knowledge. Creates positive culture and support system for Home Administrator, RN and other home staff across region(s). Ensure correct number and quality of RN staff across region(s). Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. Responsible for hiring and supervising program staff as needed in collaboration with Administrators and Human Resources Department. Maintain effective personnel management and employee relations, including evaluating the performance of personnel; approving and submitting time worked and counseling and disciplining employees. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort; perform duties in accordance with company policies and procedures. Effectively communicates expectations; accepts accountability and holds others accountable for performance.

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL DUTIES AND RESPONSIBILITIES: Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options: + Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). + Ensures patients have followed through with the application process. + Obtains premium statements and signatures from patients. + Discusses situation and options if employment status changes or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility. + Discussing the Medicare application with eligible patients and assisting with the application process. + Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements. + Completing the annual open enrollment and Medicare reinstatement papers with the patients. + Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends. + Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts + Works with patients to evaluate personal financial information and make determination for indigent program. + Completes initial Indigent waiver applications. + Tracks and completes annual indigent waiver applications. + Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. + Addresses any identified anomalies or discrepancies, researches and answers questions as needed. + Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius. + Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. + Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes + Completes monthly audit exam to stay current on internal policies. + May present on insurance and financial assistance options to patients as necessary. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License. EDUCATION: + Bachelor's Degree required; Social Work or other Healthcare focus preferred. EXPERIENCE AND REQUIRED SKILLS: + 2 - 5 years' related experience; healthcare industry preferred. + Experience with Medicare, Social Security and Medicaid systems a plus. + Past patient interaction a plus. + Excellent written and communication skills. + A strong customer service philosophy. + Strong organizational and time management skills. + Ability to work independently. + Proficient with PCs and Microsoft Office applications. + Valid Driver's License The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $56,000.00 - $86,000.00 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. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE** This role is responsible for driving sales performance, clinical support, and overall customer service within an assigned territory. The position manages all new and existing dialysis accounts, identifies and closes new business opportunities, and delivers comprehensive solutions across the full product portfolio for both In Center and Home. The role builds and maintains strong customer relationships, leads territory-level collaboration with internal partners, and ensures accurate use of sales tools, forecasting, and contract management. **Job Responsibilities** + **Own all accounts in assigned territory** , new and existing account relationships, and represent the entire product portfolio (In Center and Home). + **Identify and close new opportunities** by developing appropriate solutions and delivering implementation support across all customer types + **Manage and nurture account relationships** to drive expansion and renewals, secure wallet share and demonstrate problem solving to customers as needs arise. Engages in regular face to face customer call activity. + **Leads collaboration and coordination** with all supporting roles to handle customer needs and expectations + **Uses FME sales tools daily** to effectively manage prospects, existing accounts, opportunities, pipeline and forecast in an accurate and timely manner. Maintains timely management of customer contracts. **Core Competencies** + **Selling Agility:** Managing pipeline, identifying and qualifying opportunities, selling creatively and closing business. Accurately forecasts using CRM on regular basis. + **Know The Customer** : understanding markets and customer buying process, uncovering customer needs by active listening , articulating value according to persona and account type + **Self-Leadership** : building and maintaining long-term relationships, demonstrating bias for action, prioritizing daily activities like CRM maintenance and expense accounts to maximize results + **Technical Knowledge:** recommend total solutions to fit customer needs and understand competitive environment to drive results **Expertise Areas** + Selling motions, qualification, negotiation, closing business + Maintains and grows relationships + Collaborating to establish value proposition + Prospecting within territory **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. + **Must be able to physically cover and maintain regular face-to-face contact with customers over a large geographic area.** + **Extensive travel by automobile/train/airplane is often necessary to cover assigned territory which includes overnight stays.** + **Contact with customers by phone alone is not adequate. Occasional weekend work is necessary to support trade show events.** + Lifting requirements involve setting up portable booths, occasional lifting up to 50lbs, and transporting medical equipment and supplies for purposes of in-servicing customers. + **Must reside within assigned territory.** **SUPERVISION** + None **EDUCATION** + Bachelor's Degree required; Advanced Degree desirable **EXPERIENCE AND REQUIRED SKILLS** + 2-5 years' related medical sales experience; or a master's degree with 3 years' experience; or a PhD without experience; or equivalent directly related work experience. + Experience and proven success with consultative selling; approach and methodology + Demonstrates effective presentation skills, professional and executive presence, and effectively establishes credibility with any audience. + Effective communication skills, both verbal and written; demonstrates ability to deliver timely and useful multi-mode communications to both internal and external customers. + Must have basic computer skills including but not necessarily limited to, Word, Excel, Power Point. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Base Salary Rate: $90,000 - 110,000 This role also includes a commission structure and car allowance. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave. **EOE, disability/veterans**

+ Northwestern Clinic address: 710 N. Fairbanks Ct., Chicago, IL 60611 + Clinic hours: Mon, Wed, Fri 4am-8:30pm and Tue, Thur, Sat 4am-4:30pm + Rotating days/shifts + No previous dialysis experience is needed, on the job training is provided! **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. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $17.00 - $27.00 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. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Will be covering both South Holland and Evergreen Park locations! **PURPOSE AND SCOPE:** Collaborates with internal and external customers, to ensure a positive customer experience for every patient from first point of referral, through education, modality options, and access placement and follow up, as applicable, to eventual admission into Fresenius Kidney Care (FKC) or through smooth transition between modalities. Actively promotes home modalities to physicians, patients, and other groups both internal and external directly and through Kidney Care Advocates and Associate Advocates. Supports all aspects of growth within defined regions or areas of a business. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Oversees Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) modality education programs for a designated territory to ensure every patient along with their care giver and support system (if applicable) receives comprehensive education on modality options including hemodialysis treatments both at home and in-center, peritoneal dialysis, kidney transplantation as well as education on hemodialysis access types with a focus on the health and safety benefits of AV-Fistula or AV-Graft compared to central venous catheters. + Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. + Provides monthly reporting on Home Therapies referrals to Director of Operations, Area Team Leads and/or Market Manager. + Responsible for training Kidney Care Advocates on all programs relating to the kidney education process. + Assists with the navigation of patients along the continuum of care from Stage 4 CKD to initiation of dialysis, or in transition from in-center hemodialysis to home therapy, including but not limited to proper and timely access placement. + Maintains high level, routine communication with physicians, partners, the interdisciplinary team members, Chronic and Home Clinic Managers. + Supports and implements processes with physician practices as well as local clinics for patient referrals and evaluates the effectiveness of processes through an ongoing basis. + Ensure timely responses to all referrals for education on modalities. + Assists in the identification, evaluation and selection of Home Dialysis patients and Care Partners. + Coordinates the timely admission of patients, including urgent start placements into Fresenius Kidney Care Home Therapy and In-Center programs. Collaborates with management to identify and resolve admission barriers. + Conducts Home Therapy awareness programs for existing patients and Fresenius staff, as needed or as directed. + Strives to meet growth goals by maintaining strong physician and partner relationships and identifying opportunities for increasing referrals to Fresenius Kidney Care and Home Therapies. + Collaborates with Kidney Care Advocate, RVP, Market Development, and HT DO on the development and implementation of the home therapy strategic plan. + Maintains knowledge of FMCNA Home Therapies products, services and strategies in order to promote FMCNA Home Therapies to the community through outreach programs. + Participates in all pertinent FMS training and development opportunities to grow and develop business knowledge, skills and leadership competencies. + Provides educational programs to physicians, as needed. + Coordinates communication of all corporate and business unit Home Therapies initiatives to physicians in collaboration with the Regional Vice Presidents and home therapy managers. + Fosters relationships with FKC partners such as NxStage, Azura, and Interwell to ensure opportunities for partnerships are developed and utilized. + Ensures accurate and timely documentation of patient interactions and status through maintenance of CTH database and Power BI, and/or electronic medical record. + Provides assistance to junior level staff with general tasks that require a better understanding of functions, as directed my immediate supervisor. + Trains new managers on company standards and procedures, customer experience and how to properly interact with team. + Oversee Manager new hire training and development activities, identify training needs for the organization, supervise trainers work and develop effective manager training programs. + Reports to Director for higher level issues that may arise. + Adheres to the FMCNA Compliance Program and all regulatory and FMCNA policy requirements. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + Requires frequent prolonged periods of standing. + 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. + Travel to regional, business unit, and corporate meetings will be required. + Must be willing to work occasional evening and weekends, as needed, to provide modality education. + Extensive regional travel to physician groups and advocate and associate advocate home base. **SUPERVISION:** + Responsible for the direct supervision of various levels of Kidney Care Advocate staff. **EDUCATION:** + Bachelor's Degree required; Advanced Degree desirable. + Registered Nurse degree desirable. + Subject to state licensure requirements, MSW or RD (or other applicable licensed professionals) may be eligible under the supervision of Qualified Licensed Staff. **EXPERIENCE AND REQUIRED SKILLS** : + Bachelor's Degree plus 6 - 8 years' related experience; or Master's degree with 4+ years' related experience; or RN with 5+ years related experience. + 3+ years' supervisory or project/program management experience preferred. + Minimum of 1 year Nursing experience preferred. + Minimum of 1 year Home Dialysis experience desired. + Minimum 4 years with proven success in the Kidney Care Advocate Manager or similar role. + Demonstrated leadership and management competencies and skills including, but not limited to customer service, patient outcomes, continuous quality improvement, team building and employee motivation, decision-making, relationship development and leading cohesive and productive teams. + Strong interpersonal skills with the ability to communicate with all levels of management through diplomacy and tact. + High level of emotional intelligence and demonstrated ability to relate to persons of all ages and diverse backgrounds, skills and abilities. + Excellent verbal and written communication and presentation skills. + Results oriented to exceed established goals. + Proficiency with PCs and Microsoft Office applications. + Proven ability to be a team player. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $90000.00 - $150000.00 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. **Fresenius Medical Care** **maintains** **a drug-free workplace** **in accordance with** **applicable federal and state laws.** **EOE, disability/veterans**

+ 24hrs/week **PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to FMCNA algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $33 - $56 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. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**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:** The Sr. Pharmacy Technician provides high level support to patients, nurses, pharmacists and other healthcare staff to effectively process and provide relevant information within the assigned function(s). The incumbent ensures all activities are performed in compliance with company policies and procedures, pharmacy regulations and other regulatory requirements. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Ensure customer database is maintained in a timely and accurate manner in compliance with all applicable company policies and procedures; analyzing and reporting data integrity and accuracy as necessary. + Process prescription requests; inputting patient prescription and demographic data in applicable systems as required. + Serve as the primary point of contact for patients and/or healthcare providers to ensure the facilitation of diverse customer requests; collaborating with cross-divisional teams in the coordination of customer service orders in a timely and accurate manner. + Serve as subject matter expert (SME) by providing support to additional staff, cross-divisional teams and customers in the resolution of outstanding issues within the assigned function(s). + Mentor other staff as applicable. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned **Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.** **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be available for inclusion in after hour's on-call program. **EDUCATION:** High School Diploma required; Associate's Degree desirable **EXPERIENCE AND REQUIRED SKILLS:** + 2 - 4 years' related experience. + Pharmacy Technician Certification Board (PTCB) certification or ability to successfully pass the PTCB examination required. + Meet necessary current pharmacy technician requirements. + Detail oriented with strong analytical and organizational skills. + Strong computer skills with advanced proficiency in word processing, spreadsheet and email applications. + Adaptable to a fast-paced environment with changing priorities, tasks and client conditions. + Strong interpersonal skills with the ability to work cohesively within a team environment. + Great leadership skills with the ability to influence diverse audiences through diplomacy and tact. + Excellent customer service skills with a positive, enthusiastic and energetic attitude. + Strong oral and written communication skills to effectively communicate with all levels of management. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. 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. Hourly Rate: $19.28 - $28.94 for Lake Bluff, IL location **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety PRINCIPAL DUTIES AND RESPONSIBILITIES: Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department. Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools. Responsible for addressing and acting on adverse events and action thresholds. Oversees facility's Home Therapies Program if applicable. Accountable for compliance with all applicable federal, state and local laws and regulations. Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff. Maintains integrity of medical records and other FMS administrative and operational records. Complies with all data collections and auditing activities. Maintains facility environmental integrity, including safety. Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals. An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function. Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s). Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization. Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers. Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team. Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. Provides technical guidance. Performs other related duties as assigned. PATIENT CARE: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime. Acts as a resource for the patient to address patient concerns and questions. Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility's Interdisciplinary Team to discuss patient care plans and to resolve patient problems. Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency. Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status. Develops action plans for unexcused and missed treatments in collaboration with the Director. Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. STAFF: Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. Participates in the recruitment and interview process, and decision to hire new personnel. Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates. Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives. Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance. Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff. Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth. Completes timely employee evaluations and establishes annual goals for staff. Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions. Participates in Corporate and Business Unit specific employee recognition and satisfaction programs. Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility. Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving. PHYSICIANS: Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. Responsible for strong Director and physician relationships and facilitating staff relationships with physicians. Ensures regular and effective communication with all physicians, through regular meetings with Directors. Participates in Governing Body. Schedules and coordinates CQI meetings with physicians. MAINTENANCE/TECHNICAL: Responsible for the integrity and safety of the facility water system. Must be knowledgeable in the operation of all facility equipment and technology. ADMINISTRATIVE: Responsible for maintaining and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, and responds as appropriate. Directs information gathering as required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies Participates in the completion and interpretation of the Pl-17 inventory supply use analysis. Reviews and approves facility payroll. Reviews profit and loss statements with Director Responsible for participating in all required Network reporting and on-site state or federal surveys. Participates in the completion of the FMS Administrative Clinical Review. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians Position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. SUPERVISION: Responsible for the direct supervision of various levels of staff as designated by region. EDUCATION AND REQUIRED CREDENTIALS: Bachelor's Degree; Advanced Degree desirable or an equivalent combination of education and experience Graduate of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE AND SKILLS: 6 - 8 years' related experience or an equivalent combination of education and experience. 3+ years' supervisory or project/program management experience preferred. Minimum of 12 months experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred. Minimum of 6 months chronic or acute dialysis nursing experience is required. Must be available as a full-time employee and provide on-call coverage when necessary. Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making. Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients. Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $85000.00 - $143000.00 Non-Bonus Eligible Positions: include language below. 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. Bonus Eligible Positions - include language below. 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. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

+ **Must have healthcare experience.** **Key Responsibilities** + Clean, and transform large healthcare datasets from multiple sources (EHR, PM systems, financial, operational). + Develop, maintain, and optimize SQL queries and stored procedures. + Design, build, and publish Tableau dashboards and data visualizations for executive and operational use. + Conduct population census and growth analyses to identify key trends and improvement opportunities. + Partner with clinical, operational, business development and finance leaders to translate business questions into analytic solutions. + Ensure accuracy, data integrity, and timely delivery of recurring reports and ad hoc requests. + Document processes, metrics definitions, and dashboards for consistency and knowledge sharing. **Preferred Skills & Qualifications** + Strong SQL skills. + Advanced Tableau experience (parameters, LOD calculations, interactive dashboards). + Familiarity with healthcare data (EHR/PM systems, patient flows, claims, outcomes). + Ability to analyze complex data and present insights clearly to non-technical audiences. + Strong problem-solving, critical thinking, and attention to detail. + Excellent communication and collaboration skills across technical and non-technical teams. **Education** + Bachelor's degree in Analytics, Data Science, Statistics, Healthcare Informatics, Accounting / Finance. Exempt Position: Annual Rate: $131,900-$219,800. 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**

The Home Therapies Area Manager is responsible for management of the Home Therapies business; providing effective leadership to achieve clinical, growth, and financial targets, through partnership with the Administrators, Home Therapies Director and/or Home Therapies Vice President and Regional Vice Presidents. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. * Develops and drives a growth strategic plan for the assigned territory and each market therein to achieve growth targets and financial goals. Provides oversight to implement plan. * Works in partnership with local management to oversee Home operations of assigned clinics/home programs from a fiscal, clinical, technical, regulatory, personnel, business management and growth perspective in accordance with Company goals. * Partners with RVPs, Home Therapies and Business Development teams to ensure development of a sustainable and efficient business footprint and identify opportunities for new clinics. * Works with Administrators to achieve monthly, quarterly and annual projections based on financial and management objectives. * Engages with Physician Partners regularly on existing business, to assess needs and ensure physician satisfaction. * Achieves program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics/home programs. * In collaboration with IDT, identify opportunities to drive systematic changes in region to aid in achievement of targets. * Collaborate with leaders on budget planning and strategies to improve fiscal performance. * Responsible for profit and loss management of assigned programs to achieve or exceed budget. * Ensures implementation of all corporate initiatives and policies in relation to home therapies. * Ensures home programs execute to the highest clinic, patient satisfaction, and operating standards. * Knowledge of and remains current with federal, state, local laws and regulations, including health care professionals practice act requirements with regards to Home Therapies. * Works with Administrators to ensure compliance with all applicable federal, state, and local laws; continuing certification from all statutory and regulatory agencies; and Company standards, guidelines, rules, policies and procedures. * Triage Home operational issues in partnership with Administrators, Director/VP Home Therapies and RVPs as needed. * Initiates Corrective Action Plan development, implementation and follow through as required for internal and external surveys. * Follows up on any/all deficiencies for all audits done internally (corporate) or externally (CMS & TDH). * Assures compliance with required Governing Body meetings, monthly QAPI meetings and care plan conferences and assures documentation of such through recorded minutes. * Regular and reliable attendance is required for the job. * In partnership with Director/VP Home Therapies and RVPs, develops physician and referral source relationships and oversees local marketing efforts. Maintains a positive/collaborative relationship with physicians, area hospital agencies and the community. * Acts as the Home subject matter expert with Medical Directors and physicians to coordinate quality patient * Understands, leads and promotes the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives. * Develops strong cross-functional partnerships across the internal organization. * Collaborates with leaders in budget planning. * Implements and monitors appropriate contractual agreements/arrangements with collaborating agencies. * Establishes relationships with external customers to promote growth and quality including but not limited to physicians and vendor partners. * Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. * Participates in corporate committees or task forces as requested. * Respond effectively to inquiries or complaints. * Responsible for developing Home Therapies knowledge for RVPs and Administrators. Ensure they are able to effectively operate and grow Home business. * Responsible for on-going development of Home RNs, in collaboration with Administrators, Home Directors responsible for development of Home Therapies knowledge. * Creates positive culture and support system for Home Administrator, RN and other home staff across region(s). * Ensure correct number and quality of RN staff across region(s). * Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. * Responsible for hiring and supervising program staff as needed in collaboration with Administrators and Human Resources Department. * Maintain effective personnel management and employee relations, including evaluating the performance of personnel; approving and submitting time worked and counseling and disciplining employees. * Uphold management goals of corporation by leading staff in team concepts and promoting a team effort; perform duties in accordance with company policies and procedures. * Effectively communicates expectations; accepts accountability and holds others accountable for performance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Minimum of two (2) years prior management experience of a multi-site health care provider or three (3) to five (5) years of demonstrated excellence in managing a dialysis program as an Administrator. * Bachelor's degree in business or nursing is required. Combination of education, specialty certifications and experience in related area will be considered in lieu of degree. * Excellent leadership and coaching skills. * Strong public relations skills for dealing with physicians, vendors, hospital personnel, Managed Care Organizations, etc. are valuable. * Must have basic computer skills, including Microsoft Office (Word, Excel, and Outlook); proficiency in all USRC applications required within 90 days of hire. * Demonstrated analytical and problem-solving skills are required.

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

**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. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $18.00 - $27.00 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. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** The Sr. Pharmacy Technician provides high level support to patients, nurses, pharmacists and other healthcare staff to effectively process and provide relevant information within the assigned function(s). The incumbent ensures all activities are performed in compliance with company policies and procedures, pharmacy regulations and other regulatory requirements. **Please note: This is a hybrid position located out of our Lake Bluff IL. office.** **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Ensure customer database is maintained in a timely and accurate manner in compliance with all applicable company policies and procedures; analyzing and reporting data integrity and accuracy as necessary. + Process prescription requests; inputting patient prescription and demographic data in applicable systems as required. + Serve as the primary point of contact for patients and/or healthcare providers to ensure the facilitation of diverse customer requests; collaborating with cross-divisional teams in the coordination of customer service orders in a timely and accurate manner. + Serve as subject matter expert (SME) by providing support to additional staff, cross-divisional teams and customers in the resolution of outstanding issues within the assigned function(s). + Mentor other staff as applicable. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned **Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.** **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be available for inclusion in after hour's on-call program. **EDUCATION:** High School Diploma required; Associate's Degree desirable **EXPERIENCE AND REQUIRED SKILLS:** + 2 - 4 years' related experience. + Pharmacy Technician Certification Board (PTCB) certification or ability to successfully pass the PTCB examination required. + Meet necessary current pharmacy technician requirements. + Detail oriented with strong analytical and organizational skills. + Strong computer skills with advanced proficiency in word processing, spreadsheet and email applications. + Adaptable to a fast-paced environment with changing priorities, tasks and client conditions. + Strong interpersonal skills with the ability to work cohesively within a team environment. + Great leadership skills with the ability to influence diverse audiences through diplomacy and tact. + Excellent customer service skills with a positive, enthusiastic and energetic attitude. + Strong oral and written communication skills to effectively communicate with all levels of management. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. 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. Hourly Rate: $19.28 - $28.94 for Lake Bluff, IL location **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality. This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter. Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. Participate in infection control monitoring, implementation, and recording as requested. Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. Assist in obtaining data for the continuous quality improvement activities. Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned. Flexible with staffing locations and hours to accommodate patient and USRC home program needs. Regular and reliable attendance is required for the position. Home Hemodialysis Only: Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. Ensure required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results.

**Schaumburg** - **815 W Wise Rd, Schaumburg, IL 60193** Entry level, Will Train in Dialysis, Must have a flexible schedule Full Time, 36 - 40 hours a week Variety of shifts, that Rotating Clinic Open M - S, 4:30am - 10pm Competitive Pay! **PURPOSE AND SCOPE:** Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). **DUTIES / ACTIVITIES:** CUSTOMER SERVICE: + Responsible for driving the FMS culture through values and customer service standards. + Accountable for outstanding customer service to all external and internal customers. + Develops and maintains effective relationships through effective and timely communication. + Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. **PRINCIPAL RESPONSIBILITIES AND DUTIES** PATIENT CARE: + 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. + Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and report any unusual findings to nurse supervisor. + Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. + Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. + Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. + Perform administration of Heparin as delegated or as allowed by state law. + 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 and report any unusual findings to nurse supervisor. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures + Evaluate patient prior to termination of venous access - standing & sitting blood pressure. + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. + 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; Sodium (Na) modeling; 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 nurse supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse 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 nurse supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. MAINTENANCE/TECHNICAL: + 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. + Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system. + 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. CLERICAL & ADMINISTRATIVE: + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application accurately and in a timely manner. + Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare 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. OTHER: + Perform additional duties as assigned. **ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):** Assisting the HT RN: + May assist HT RN on Home Visit as directed + Reinforces PD / HHD education under supervision of qualified HT RN + Schedules and contacts patients regarding appointments + Weigh patient and obtain vital signs + Collect treatment records and review for completion. Notify RN of incomplete / missing records. + Cleaning and prepping treatment room; prep charts + Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) + Clerical duties as assigned (faxing mailing to physician offices etc.) + Obtain home hemo water sampling as directed by the HT RN + Set-up of the home hemo machine and PD Cycler. + Assist with exit site care when directed by HT RN. + Warm dialysate solution when directed by the HT RN + Draw dialysate solution for testing as directed by the HT RN + Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) + Assembles/breaks down charts/thins charts + Maintains logs as directed and applicable + Inventory of Home Program + Maintains par levels of home department supplies + Files home patient packing slips/invoices + Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. 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. 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 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** + Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. + All appropriate state licensure education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS** + Previous patient care experience in a hospital setting or related facility preferred. + Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $18.00 - $27.00 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. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**