Clinic Registered Nurse jobs at Fresenius Medical Care North America Holdings Limited Partnership

**About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL RESPONSIBILITIES AND DUTIES** CLINIC OPERATIONS: + Manages the operations of the clinic, including costs, processes, staffing, and quality standards. + Provides leadership, coaching, and development plans for all direct reports. + Partners with internal Human Resources, Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program. + Maintains integrity of medical and operations records and complies with all data collections and auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + Responsible for all required network reporting and on-site state or federal surveys. 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. + Acts as a resource for the patient and family to address concerns and questions. + Accountable for timely completion of patient care assessments and care plans. + Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments. + Plans, coordinates, and validates patient eligibility for treatment. + Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. STAFF: + Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings. + Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional growth. + Maintains current knowledge regarding company benefits, policies, procedures, and processes. + Completes employee evaluations and establishes annual goals. + Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. + Manages staff scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for strong physician relationships and ensures regular and effective communication. + Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies. **EDUCATION AND REQUIRED CREDENTIALS:** + Bachelor's Degree or an equivalent combination of education and experience. + Graduate of an accredited School of Nursing (RN). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+ years business operations experience in a healthcare facility. + 12 months experience in clinical nursing. + 6 months chronic or acute dialysis nursing experience. + Successfully pass the Ishihara Color Blind Test. + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + 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 and/or travel to regional, business unit, and corporate meetings may be required. + The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity** **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

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

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

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

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

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

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

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

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

Job Requirements Our Registered Nurses provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient. This role is all about the relationships and bond you will create with patients and their families. Work Experience * Up to $5000 Sign on Bonus based on experience. * Associates Degree in Nursing (A.D.N) from accredited school of nursing required; Bachelor of Science in Nursing (BSN); three year diploma from accredited diploma program may be substituted for nursing degree. * Registered Nurse License in the state of practice. * Current BLS/CPR certification required. * Meets all applicable state/licensing requirements. * Previous dialysis, ICU, CCU, ER, or Med Surg nursing experience is preferred but not required. Benefits At Innovative Renal Care (IRC), our comprehensive benefits program is a key component of our total compensation package. It includes a 401(k) match, healthcare coverage, and a broad range of other benefits that compare favorably within our industry and marketplace. Learn more at IRC Benefits and Perks About Innovative Renal Care We are one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. Our mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions. Our Values: I CARE Integrity & Innovation - Earn trust by keeping promises and embracing new solutions. Compassion - Treat patients, families, and colleagues with respect and empathy. Accountability - Take ownership and recognize the contributions of others. Results-Driven - Strive for excellence and exceed expectations. Everyone Counts - Foster diversity, equity, teamwork, and collaboration. Why Join IRC? * Career Growth - Be part of a values-driven team making a meaningful impact. * Competitive Compensation - Salaries continually benchmarked against market and trends. * Enhanced PTO - Your most recent dialysis experience counts toward PTO accrual. * Team Culture - Thrive in a supportive environment that values innovation, accountability, and compassion. Salary Range: * $__ - $__ / hour depending on experience and qualifications #LI-JH1 Innovative Renal Care is an equal opportunity and a drug free workplace. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origins, citizenship, disability or protected veteran status. All applicants will be subject to a drug screening and background check upon acceptance of an offer. * IRC will only contact you from *************************** or team members with an @innovativerenal.com email address. Please be cautious and aware of spam or fraudulent emails soliciting personal or banking information. IRC will not request this information via email.

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

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

Join our team! - Rated as one of Forbes' U.S. Best Employers - Paid one-on-one training - Tuition reimbursement - Competitive Pay & Benefits - Paid time off - 401(K) and much more **RN-Clinical** **About this role:** As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. **How you grow or advance:** As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations. + As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. + Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff. + Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record. + Adjusts or modify the treatment plan as indicated and notify supervisor as needed. + Provides initial and ongoing education to patient and family. + Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness. + Initiates or assist with emergency response measures. + Ensures correct laboratory collection, processing, and shipping procedures are performed. + Collaborates with the Interdisciplinary Team on the patient care plan. + Ensures patient awareness related to transplant and treatment modality options. + Completes CAP requirements to either maintain or advance within the program. + Makes referrals to Social Worker and Registered Dietitian as appropriate. + Ensures patient awareness related to transplant and treatment modality options. **EDUCATION AND LICENSURE:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Current or successful completion of CPR BLS Certification. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND SKILLS:** + Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. + Experience as a Registered Nurse (preferred but not required). + Chronic/acute hemodialysis experience (preferred but not required). + Successfully pass the Ishihara Color Blind Test. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. + This position requires frequent, prolonged periods of standing and the employee must be able to bend over. + The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. + The position may require travel to training sites or other facilities. + May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** " **EOE, disability/veterans**

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

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

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

+ Become a Member of the Highly Skilled Columbus Acute Team + Provide Dialysis Treatments in a Hospital Setting + Dialysis or Critical Care Experience Preferred + Paid Training Provided + Acute RN's Eligible for an Acute Differential **PURPOSE AND SCOPE:** The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. As a member of the Kidney Disease health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations. + Performs all essential functions under the direction of the Program Manager (PM) and with guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2, 3, 4 or 5 for the first 6 months of employment. + Expected to complete requirements to advance to the next Inpatient CAP level, for which they qualify, within 24 months from date of hire. + Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient's primary nurse and others as may be indicated. + Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse. + Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. + Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. + Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care. + Administers medications as prescribed and in accordance with contractual agreement. + Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record. + Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner. + Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures. + Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. + Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. + Promotes infection control, equipment and environmental safety. + Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. + Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies. + Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients. + Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee. + Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. + Participates in all required staff meetings as scheduled. + May be assigned to assist in an Outpatient facility on an as needed basis. + Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. + Performs all other duties as assigned by manager within state, federal and contractual standards. **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. + Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis. + The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. + Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required. + Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs). **SUPERVISION:** + Assigned oversight of Patient Care Technicians/LPNs as a designated Nurse in charge, after the following: + Successful completion of all FKC education and modality specific training requirements for new employees **_plus_** + Must have a minimum of 9 months experience as an RN **_plus_** + 6 months experience in dialysis **EDUCATION:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Must meet the practice requirements in all states in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS:** + Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. + Minimum of 9 months experience as a Registered Nurse (preferred). + Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN + 6 months dialysis experience required to be on-call. + Hemodialysis and/or ICU experience (preferred). + Successful completion of FKC Education and Training requirements for new employees. + Successful completion and maintenance of CPR BLS Certification. + Meet all conditions of employment including Ishihara's Color Blindness Test. + Successful completion of all annual required education/training/competencies. + Successful completion of on-going training and education as assigned or required **EOE, disability/veterans**

Join our team! - Rated Newsweek's Most Loved Workplaces. - Paid Dialysis Training - Tuition reimbursement - Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. - Generous PTO and ESL leave accrual - 401K Retirement benefits with match - Many perks and discount programs available. PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**