Fresenius Medical Care North America Holdings Limited Partnership jobs in Elk Grove, CA - 26 jobs

**PURPOSE AND SCOPE:** Under supervision is responsible for the operational condition, maintenance, and repair of all water systems, medical equipment, and mechanical/electrical systems so as to ensure safety of the patients as well as the staff operating the equipment. Responsible for inventory and housekeeping as required. Assists in cost containment in the facility. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. **DUTIES / ACTIVITIES:** **CUSTOMER SERVICE:** + Responsible for driving the FMS culture through values and customer service standards. + Accountable for outstanding customer service to all external and internal customers. + Develops and maintains effective relationships through effective and timely communication. + Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** MAINTENANCE/TECHNICAL: + Maintains, tests and repairs all water treatment equipment, dialysis equipment, medical equipment, testing equipment, and mechanical/electrical systems as recommended by the manufacturer and by procedures established by FMCNA Clinical/Technical services as documented in the Technical Policies and Standards manual. + Documents all maintenance and repairs. + Ensures safety checks and routine tasks are conducted and documented in a timely fashion according to the established procedures. + Conducts housekeeping check and follows-up housekeeping problems. + Responsible for water treatment equipment cleaning and disinfecting. + Ensures all testing equipment is properly maintained and calibrated. + Ensures all areas are safe and clean - that environmental integrity and aesthetics are maintained. + Conducts building maintenance as needed. + Responsible for coordination of medical waste disposal. + Collects and organizes supplies restocking relevant areas as needed. + Assists in ordering and receiving disposable supplies. + Assists in creating SAP purchase orders for supplies. + Assists in conducting monthly and quarterly inventory of supplies with cost reporting through facility specific records. + Evaluates and reports the current equipment inventory to appropriate sources. **PATIENT CARE:** + Ensures visibility to patients with daily walk through during treatment times, when possible. + Reinforces the concept of UltraCare and customer service - ensures availability for patient's questions and concerns. + As requested, provides instructive tours of the water treatment equipment for patients and explains the basics of the machines. **CLERICAL & ADMINISTRATIVE:** + Processes water and dialysate samples according to specified procedures, package samples for shipping. + Participates in the completion and documentation of ongoing technical QAPI activities as appropriate. **OTHER:** + Provides assistance at other facilities and/or acute programs, transport equipment and supplies as needed. + Other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + The position involves moderately active work including walking and standing for considerable lengths of time. Bending down to floor level is required for some repair and maintenance of equipment. + The position requires a considerable amount of physical work. There is a two-person assist program and equipment available for moving the heavier loads/equipment. The employee must regularly move boxes, drums, and equipment of up to 600 lbs. in weight. The use of dollies or other equipment is mandatory while moving items that weigh approximately 600 lbs. The employee must frequently mix and lift chemical and water solutions of up to 50 lbs. up as high as 5 feet. During an emergency, ensuring patient well-being and safety is of the utmost priority so documented FMCNA emergency procedures must be followed. These could include hand cranking the dialysis machines, clamping and disconnecting bloodlines, and moving patients to safety. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. There may be some potential exposure to chemicals and infectious materials, however, proper training will be provided to handle any of these type chemicals and infectious materials. **EDUCATION:** + High school/Vocational diploma or G.E.D. + Technician training or AA Degree in electronics preferred. **EXPERIENCE AND REQUIRED SKILLS:** + At least six months experience working in a technical (industry/hospital) setting. + Must demonstrate organizational and leadership skills, including those required to problem-solve in a medical, health care environment. + Attend all technical training programs required by state/federal regulations and FMCNA policy. + Newly hired or promoted incumbents are responsible for the requirements of the respiratory fit policy. + Valid Driver's License and/or ability to cover at other facilities and transport equipment and supplies as needed. + Continued employment contingent upon successful completion of the FMCNA Training Program for Technical Staff. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $XX - $XX Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The unit secretary provides administrative support to the clinic staff, greets and assists patients with their appointments, and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. Schedule: Full-time, five 8-hour shifts starting at 8am; Sundays off; no overnight shifts Compensation: Pay range from $24-$30 per hour, depending on qualifications and experience Benefits: Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Enters treatment information into the MIS. Initiates, maintains, and completes the medical record. Assists in other data related needs which may include entering episodes of care, responding to requests for data from the Network or DCI request. Prepares meeting agendas and minutes as requested. Maintains accurate treatment statistics, including treatment dates, hospital dates, no-show information, and information on absences. Provides reports to the nurse manager or area operations director. May perform duties of receptionist including sorting and distributing mail, answering and routing phones calls, greeting and directing visitors, and other clerical duties. Works with integrity; upholds organizational goals and values. Reacts appropriately under pressure; accepts responsibility for own actions. Uses equipment and materials properly; adapts to changes in the work environment. Demonstrates attention to detail with accuracy and thoroughness. Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical excellence Desire to collaborate with care teams Ability to problem solve Education/Training: High school diploma or general education degree (GED) preferred. One to three months related experience and/or training; or equivalent combination of education and experience. Should have knowledge of Spreadsheet and Word Processing software. DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in a clinical setting. The Dialysis Chief Technical Area Lead is responsible for overseeing facility and equipment maintenance for multiple dialysis facilities in a designated geographic area. Schedule: Fulltime Monday through Friday, shifts start at 8am, call availability required as needed Compensation: Pay range from $29-$44 per hour, depending on level of experience and coverage area Benefits: Paid training for equipment certifications Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards Educate direct patient care and technical staff on proper use and maintenance of all equipment and document training as appropriate Ensure that building and equipment maintenance is up to date and in good working order, assist with preventive maintenance and repairs as needed Supervise biomedical technical staff to ensure that water treatment systems, dialysis machines and reuse equipment (if applicable) are serviced and maintained according to AAMI standards, and DCI and manufacturer guidelines Maintain proper inventory controls following DCI guidelines to ensure efficient resource utilization Act as liaision during onsite surveys by regulatory agencies, e.g., DOH, OSHA, CMS Coordinate maintenance services from outside vendors as needed Confirm each clinic performs air quality testing according to policy Stay updated on OSHA and other environment-of-care standards to provide a safe workplace Collaborate with patient care staff and encourage open communication between technical and clinical staff Schedule and document routine technical staff meetings Participate in on-call duties and be available during emergencies as required Attend and present technical and water quality data in monthly Quality Assessment Performance Improvement (QAPI) and governing body meetings Qualifications Successful Candidates Bring: Excellent communication and organizational skills Demonstrated dialysis equipment proficiency Desire to collaborate with team members Ability to problem solve Electronics, plumbing or plant maintenance background Education/Training: Associate degree in biomedical applications or equivalent preferred Two to three years' relevant dialysis or biomedical equipment maintenance and repair experience Two years' previous experience working with Fresenius T Machines required Supervisory experience strongly preferred DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in an area near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The Patient Care Technician (CCHT) provides care to patients with end-stage renal disease, supporting clinical staff throughout the dialysis treatment process to deliver prescribed treatments. Our PCTs are an integral part of the interdisciplinary team in ensuring safe care and the highest quality outcomes for every patient. Schedule: Full-time, three 12-hour shifts starting at 5:00am; Sundays off; no overnight shifts Compensation: Pay ranges from $24-$31 per hour, depending on healthcare experience; experience not required Benefits: Paid 12-week training with preceptor Comprehensive medical, dental, and vision benefits Life and long-term care insurance are provided at no additional expense to the employee Paid time off (PTO,) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Actively participate in infection control, risk management and patient education activities Guide new patients through 120-day education plan Obtain and record patient vital signs and machine readings during treatment Role under RN supervision Set up and break down dialysis blood system for treatment Insert and remove patient access needles Monitor patients during dialysis, document changes and inform charge nurse of any concerns Calculate patient's weight loss to reach dry weight Determine patient care priorities and organize work load accordingly Maintain professional working relationship, observing patient privacy and rights Maintain and track inventory Perform laboratory work Qualifications Successful Candidates Bring: Excellent communication skills Desire to collaborate with care teams Ability to problem solve Education/Training: High school diploma or GED required Previous healthcare experience preferred, but not required CNA, EMT, medical assistant, CNT and/or phlebotomy skills desired DCI provides a 3-month comprehensive education program, including classroom group sessions and one-on-one skills training Dialysis experience not required, job shadow opportunities available DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: *************************************

This position is part time. **About this role:** As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive adjustment, rehabilitation, and improved quality of life for our patients. As well as support the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient and family. **How you grow or advance** **in your career:** We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a social work specific career ladder ranging from pre-licensed (in states where permitted), to three potential levels of facility social work, as well as a leadership path from Social Worker to Manager, Senior Manager and Senior Director. **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: As a member of the nephrology health care team, you will assess the patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Collaborates with the patient and health care team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of the assessment and care planning to address barriers and meet patient treatment goals. + Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. + Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. + Provides information and assists the team and patient with referrals to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. + Participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. + Reports on quality indicators related to adherence, such as missed and shortened treatments, quality of life trends, and service recovery. + Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + Provides educational and goal directed counseling to patients who are seeking transplant. + Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. + Provides ongoing education to patient/family regarding psychosocial issues related to end stage renal disease (ESRD) and all support services that are available. + Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Provide training to clinic staff pertaining to psychosocial topics as needed. EDUCATION AND REQUIRED CREDENTIALS: + Masters in Social Work + Must have state required license EXPERIENCE AND SKILLS **:** + 0 - 2 years' related experience PHYSICAL DEMANDS AND WORKING CONDITIONS: + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel required (if multiple facilities or home visits, if applicable) The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24 - $49 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE** This role is responsible for driving sales performance, clinical support, and overall customer service within an assigned territory. The position manages all new and existing dialysis accounts, identifies and closes new business opportunities, and delivers comprehensive solutions across the full product portfolio for both In Center and Home. The role builds and maintains strong customer relationships, leads territory-level collaboration with internal partners, and ensures accurate use of sales tools, forecasting, and contract management. **Job Responsibilities** + **Own all accounts in assigned territory** , new and existing account relationships, and represent the entire product portfolio (In Center and Home). + **Identify and close new opportunities** by developing appropriate solutions and delivering implementation support across all customer types + **Manage and nurture account relationships** to drive expansion and renewals, secure wallet share and demonstrate problem solving to customers as needs arise. Engages in regular face to face customer call activity. + **Leads collaboration and coordination** with all supporting roles to handle customer needs and expectations + **Uses FME sales tools daily** to effectively manage prospects, existing accounts, opportunities, pipeline and forecast in an accurate and timely manner. Maintains timely management of customer contracts. **Core Competencies** + **Selling Agility:** Managing pipeline, identifying and qualifying opportunities, selling creatively and closing business. Accurately forecasts using CRM on regular basis. + **Know The Customer** : understanding markets and customer buying process, uncovering customer needs by active listening , articulating value according to persona and account type + **Self-Leadership** : building and maintaining long-term relationships, demonstrating bias for action, prioritizing daily activities like CRM maintenance and expense accounts to maximize results + **Technical Knowledge:** recommend total solutions to fit customer needs and understand competitive environment to drive results **Expertise Areas** + Selling motions, qualification, negotiation, closing business + Maintains and grows relationships + Collaborating to establish value proposition + Prospecting within territory **PHYSICAL DEMANDS AND WORKING CONDITIONS** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + **Must be able to physically cover and maintain regular face-to-face contact with customers over a large geographic area.** + **Extensive travel by automobile/train/airplane is often necessary to cover assigned territory which includes overnight stays.** + **Contact with customers by phone alone is not adequate. Occasional weekend work is necessary to support trade show events.** + Lifting requirements involve setting up portable booths, occasional lifting up to 50lbs, and transporting medical equipment and supplies for purposes of in-servicing customers. + **Must reside within assigned territory.** **SUPERVISION** + None **EDUCATION** + Bachelor's Degree required; Advanced Degree desirable **EXPERIENCE AND REQUIRED SKILLS** + 2-5 years' related medical sales experience; or a master's degree with 3 years' experience; or a PhD without experience; or equivalent directly related work experience. + Experience and proven success with consultative selling; approach and methodology + Demonstrates effective presentation skills, professional and executive presence, and effectively establishes credibility with any audience. + Effective communication skills, both verbal and written; demonstrates ability to deliver timely and useful multi-mode communications to both internal and external customers. + Must have basic computer skills including but not necessarily limited to, Word, Excel, Power Point. + Responsible for and must live in Northern California to Portland, Oregon (Sacramento to Portland) The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. **Rate:** $94000 - $158000 + performance incentives. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **EOE, disability/veterans**

The Director of 2008 Product manages and sustains the product in the U.S. market and leads a cross-functional development department within the Value Stream Machines, 2008 Product Stream. The function is characterized by strong leadership behavior and a proven business product orientation. The function acts as manager, mentor or idea provider and promotes the development of his organization and its members. It enhances the success of the associated teams through its management skills and technical breadth. The function shares its broad business perspective with others and effectively represents the organization to cross-functional stakeholders, downstream and upstream, customers and external groups. Function is leading upstream stakeholder activities for the US market. - Owns budget for the 2008 cost center and leads 2008 projects (P&L responsibility). - Therapy lead HD portfolio marketed in U.S. - Owning planning, prioritization and allocation funds, sales volumes for 2008Tmarket and/or customer initiative - Leading and developing the development teams with the goal of functional excellence and high motivation. - Promoting a culture of continuous improvement and a lean process landscape. - Definition and further development of methods and infrastructures of the global teams, with the goal of harmonization, increase efficiency. - Management of/ processing of structural projects (i.e. process improvements) within the area of responsibility. - Is knowledgeable and current on SOPs, cGMP, ISO Standards (EN ISO 13485), US Regulations, Canadian Regulations, and other regulatory policies and guidelines. - Serves as transatlantic communication bridge from the Value Stream Team from USA and VSM Headquarters in Schweinfurt, Germany **PURPOSE AND SCOPE:** Leads the global product development group (PDG) in the Product Engineering Center (PEC). Responsible for developing and leading product development teams. Responsible for global product design oversight for the PEC including harmonizing and sustaining global product designs. Conducts research and development towards innovative products and identifying new technology platforms. Applies in-depth understanding to lead multicultural cross-functional activities and project activities in a variety of geographic locations in setting the right priorities and achieves project targets in terms of quality, cost, and time. Meets departmental and organizational objectives, facilitates issue resolution and performs managerial related duties. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **Global Product Development** + Provide strategic leadership of short- and long-term goals using thoughtful techniques in the communication of the company's mission and core values as a means to implement positive change and create organizational structure within the PEC + In collaboration with other senior management, develop, implement, and maintain a global product development strategy. + Develops detailed engineering and scientific specifications for major engineering projects. + Prepares and presents to executive management project updates, design concepts, and other information as needed. **Global Product Oversight** + Acts as a subject matter expert and representative of GRD design ownership for PEC products + Works closely with GMQS and sustaining center to maintain processes/systems to ensure all the product designs are under appropriate control. + Oversees and prioritizes all sustaining projects of commercialized products, which may influence product designs. + Suggests and proposes alternative methods and procedures in solving problems and meeting changing market opportunities. + Interacts with and provides technical support to other functions within the global PEC, GMQS, marketing, regional regulatory, and sustaining center + Develops or revises Standard Operating Procedures (SOPs) and working practices. + Seeks and interacts with external consultants if needed on project related technical matters. **Global Technical Capability Development** + Oversee the development of facilities, working tools, and competence for the PEC and ensure processes required for optimal performance of work are available globally. + Defines the core technical capabilities together with other PEC functional leaders. In collaboration with other PEC functional leaders develops the roadmap for the evolution of technical capabilities required in the future. + Identifies the key technical competencies within PEC. Develops programs to promote collaboration and sharing across regions. + Supports the head of PEC in formulating and establishing strategies, operating process and goals. + Reviews technical problems and procedures of departments and recommend solutions to problems or changes in procedures. **Staffing and Talent Development** + Overall responsibility for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. + Recruits talent and builds up technical team and ensures employee satisfaction via coaching/feedback, training, professional development, and recognition + Collaborate with employees in the establishment of clear and concise development plans to ensure succession planning and the advancement of future leaders within the organization + Ensure all employees within the assigned team(s) understand and comply with the Code of Business Conduct and all applicable company policies and procedures, local and national laws, and regulations; establishes and maintains effective internal systems and controls to promote compliance. + Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance, rewarding and disciplining employees; addressing complaints and resolving problems. **Innovation** + Drives innovation culture and initiatives through PEC innovation program. + Sponsor proposals for new projects. + Contributes to the generation of ideas and potential innovations to be used in new products + Prepares invention disclosures. In collaboration with Global Intellectual Property group, oversees development of patent documentation. Reviews patent literature. + Prepare journal publication submissions, and presentation of abstracts to build external scientific recognition of new product value. + Coordinate technical support to build brand/product value during post-release lifecycle of new products. + Reviews technical publications, articles, and abstracts to stay abreast of technical developments in industry. **PEC Operations and Other** + Participates with other senior managers to establish strategic plans and objectives. Develops strategies for direct departments, and contributes to the development of divisional/business unit strategies. + In collaboration with other senior managers in the PEC, develop annual budget and ensure that budgets and schedules are within company requirements with significant organizational responsibility for the overall control of planning, staffing, budgeting, expense priority management, and recommendation and implementation changes of current methods. + Prepare capital requests and track spending on capital projects + Cultivate a globally harmonized working culture and approach within the business unit. + Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + Ensures all employees within the assigned team(s) understand and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations; establishing and maintaining effective internal systems and controls to promote compliance. + Interprets and provides recommendations for change of company-wide policies and practices. Establishes policies appropriate for the function. + Interacts with all levels within the organization to manage functional area + 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. + Occasionally exposed to fumes or airborne particles and toxic or caustic chemicals. + The noise level in the environment is usually moderate. + May be occasionally exposed to bovine blood and serum and human blood products. + Hepatitis B vaccination is recommended. + Travel up to 20% as required. + Remote work schedule permitted as arranged with SVP of PEC **SUPERVISION:** + Responsible for the direct supervision of various levels of Global R&D staff. + May directly supervise 5+ Managers/Supervisors/Engineers; + May include personnel at different global sites within FME. **EDUCATION:** + Masters (M.S.) Degree in a related technological field required. + Doctoral (Ph.D.) Degree in a related technological field strongly preferred. + Bachelor's Degree may be considered with additional years of relevant experience. **EXPERIENCE AND REQUIRED SKILLS:** + Minimum 10+ years' related experience. + 5+ years' experience as a Manager; or 5+ years' experience in a senior managerial role. + Strong and experienced manager in both direct and indirect people management. Leads through influencing and convincing others rather than using direct authority. Effective negotiation and conflict resolution skills. + Strong interpersonal skills with the ability to communicate with all levels of management through diplomacy and tact. + Experience successfully collaborating with internal and external stakeholders. Excellent team building skills. + Able to delegate activities and manage resources, as well as to multitask, prioritize, and meet deadlines. + Ability to conceptualize ideas, motivate and focus individuals and teams, and drive projects through to completion, on time and on budget. + Must have critical and analytical thinking skills, and ability to drive innovation, process improvements, and change. + Ability to leverage/engage/empower others to accomplish projects. Effective in influencing across functions. + Ability to lead and influence executives and peers to ensure best possible outcomes. + Sensitive to cultural diversity at all levels + Strong drive and results oriented. Ambition to be world class - passion. + Ability to read, analyze, and interpret most complex scientific and technical journals, financial reports, and legal documents. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and general public. + Must have ability to communicate and navigate throughout the organization with a high level of English, both spoken and with scientific writing skills; including preparing and presenting updates to executive management. Other language skills are a great advantage. + Knowledge of the following: internet software, Project Management software, spreadsheet software, and word processing software. [MS Office, PowerPoint, Excel; and Project] + Thorough understanding of corporate and industry practices, processes, standards etc., and their impact on project activities are vital. Including an understanding of current ISO 13485 standards as well as familiarity with Good Laboratory Practices (GLP) and FDA Quality System Requirements, medical device guidelines, and Pharma regulations are essential. Audit experience or experience in a regulated industry is beneficial. + Strong understanding of financials and financial drivers. Deliver accurate financial figures (status reports, cost estimates, etc.) to guide decision-making activities of the Executive Team + Excellent oral and written communication skills. + Must have thorough technical knowledge of design process for single use medical devices. + Knowledge of medical device guidelines, guidance documents and references. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $00.00 - $00.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL DUTIES AND RESPONSIBILITIES: Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options: + Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). + Ensures patients have followed through with the application process. + Obtains premium statements and signatures from patients. + Discusses situation and options if employment status changes or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility. + Discussing the Medicare application with eligible patients and assisting with the application process. + Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements. + Completing the annual open enrollment and Medicare reinstatement papers with the patients. + Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends. + Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts + Works with patients to evaluate personal financial information and make determination for indigent program. + Completes initial Indigent waiver applications. + Tracks and completes annual indigent waiver applications. + Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. + Addresses any identified anomalies or discrepancies, researches and answers questions as needed. + Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius. + Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. + Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes + Completes monthly audit exam to stay current on internal policies. + May present on insurance and financial assistance options to patients as necessary. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License. EDUCATION: + Bachelor's Degree required; Social Work or other Healthcare focus preferred. EXPERIENCE AND REQUIRED SKILLS: + 2 - 5 years' related experience; healthcare industry preferred. + Experience with Medicare, Social Security and Medicaid systems a plus. + Past patient interaction a plus. + Excellent written and communication skills. + A strong customer service philosophy. + Strong organizational and time management skills. + Ability to work independently. + Proficient with PCs and Microsoft Office applications. + Valid Driver's License The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $66,000 - 70,000 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the Fresenius Medical Care commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established Fresenius Medical Care guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established Fresenius Medical Care policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to Fresenius Medical Care algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FME Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $70,491 - $117,499 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with** **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity.** **EOE, disability/veterans**

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states, “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off, and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. A Dialysis Registered Nurse provides specialized nursing care at one of DCI's in-center hemodialysis units as part of a patient care team. Our RNs are integral in ensuring safe care and the highest quality outcomes are prioritized for every patient. Schedule: Per-Diem Compensation: Pay ranges from $49-$60 per hour, depending on nursing and dialysis experience Responsibilities What You Can Expect: Prepare dialysis machine, its alarms, and treatment supplies and ensure quality standards are met Perform hemodialysis treatments per facility policies and procedures Ongoing patient education, training and health coaching Monitor patients during dialysis, assessing and communicating changes with physician and families Administer and chart all prescribed medications Follow CDC/CMS infection control regulations Participate in patient care conferences, rounds and chart reviews Document required patient education efforts Facilitate continuity of care with local hospitals Assist in medication inventory maintenance Lead a small patient care team Contribute to onboarding new staff members as directed Additional tasks as requested Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical excellence Desire to collaborate with care teams Ability to problem solve Education/Training: Accredited nursing degree required Dialysis experience not required, job shadow opportunities available DCI provides 3-months of comprehensive training, including classroom group sessions and one-on-one skills training New graduates encouraged to apply DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

**PURPOSE AND SCOPE:** Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. This is an entry level MSW role. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Patient Assessment / Care Planning / Counseling + As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. + Provide monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life + Provide supportive counseling services to patients as permitted within the scope of their clinical training and state license + Provides educational and goal directed counseling to patients who are seeking transplant. + Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. + In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. + Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. + Documents based on MSW interaction and interventions provided to patient and/or family. + Quality + Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. + Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. + Patient Education + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. + Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. + Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. + Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Collaborates with the team on appropriate QAI activities. + Patient Admission and Continuity of Care + Review Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns + Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment + The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership + Insurance and Financial Assistance + Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. + In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs) + Collaborate with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. + Refer patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills + Staff Related + Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. + Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). + Provides training to staff pertaining to psychosocial topics as needed. + Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. + Adheres to work defined caseload guidelines based on state regulatory requirements. + In states where required works under appropriate supervision to meet state requirements. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel required (if multiple facilities) **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Masters in Social Work + Must have state temporary license, Registered Social Worker Clinical Intern, Associated Social Work license or Provisional LCSW License (if required by state) + Obtains necessary state licensure to work independently without supervision within the first two (2) years or as required by state guidelines. **EXPERIENCE AND SKILLS** **:** + 0 - 2 years' related experience "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $71000 - $96000 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance." **EOE, disability/veterans**

PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL DUTIES AND RESPONSIBILITIES: Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options: + Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). + Ensures patients have followed through with the application process. + Obtains premium statements and signatures from patients. + Discusses situation and options if employment status changes or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility. + Discussing the Medicare application with eligible patients and assisting with the application process. + Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements. + Completing the annual open enrollment and Medicare reinstatement papers with the patients. + Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends. + Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts + Works with patients to evaluate personal financial information and make determination for indigent program. + Completes initial Indigent waiver applications. + Tracks and completes annual indigent waiver applications. + Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. + Addresses any identified anomalies or discrepancies, researches and answers questions as needed. + Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius. + Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. + Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes + Completes monthly audit exam to stay current on internal policies. + May present on insurance and financial assistance options to patients as necessary. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License. EDUCATION: + Bachelor's Degree required; Social Work or other Healthcare focus preferred. EXPERIENCE AND REQUIRED SKILLS: + 2 - 5 years' related experience; healthcare industry preferred. + Experience with Medicare, Social Security and Medicaid systems a plus. + Past patient interaction a plus. + Excellent written and communication skills. + A strong customer service philosophy. + Strong organizational and time management skills. + Ability to work independently. + Proficient with PCs and Microsoft Office applications. + Valid Driver's License The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $66,000 - 70,000 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The Patient Care Technician (CCHT) provides care to patients with end-stage renal disease, supporting clinical staff throughout the dialysis treatment process to deliver prescribed treatments. Our PCTs are an integral part of the interdisciplinary team in ensuring safe care and the highest quality outcomes for every patient. Schedule: Per-Diem Compensation: Pay range from $24-$30 per hour, depending on experience Responsibilities What You Can Expect: Actively participate in infection control, risk management and patient education activities Guide new patients through 120-day education plan Obtain and record patient vital signs and machine readings during treatment Role under RN supervision Set up and break down dialysis blood system for treatment Insert and remove patient access needles Monitor patients during dialysis, document changes and inform charge nurse of any concerns Calculate patient's weight loss to reach dry weight Determine patient care priorities and organize work load accordingly Maintain professional working relationship, observing patient privacy and rights Maintain and track inventory Perform laboratory work Qualifications Successful Candidates Bring: Excellent communication skills Desire to collaborate with care teams Ability to problem solve Education/Training: High school diploma or GED required Previous healthcare experience required CNA, EMT, medical assistant, CNT and/or phlebotomy skills desired DCI provides a 3-month comprehensive education program, including classroom group sessions and one-on-one skills training Dialysis experience required DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in an acute care environment. The Chief Dialysis Equipment Technician coordinates clinic technical and building maintenance, including water treatment systems, dialysis machines and other equipment, to ensure patients receive the safest care with the highest-quality outcomes. Schedule: Fulltime Monday through Friday, shifts start at 8am, on call as needed Compensation: Pay range from $27-$37 per hour, depending on technical equipment and dialysis experience Benefits: Up to 12 weeks' paid training Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards Educate direct patient care and technical staff on all equipment's proper use and maintenance, document training Ensure technical and direct care staff follow equipment and facility policies and procedures Confirm buliding and equipment maintenance is up to date and in good working order Schedule and oversee outside maintenance vendors as needed Maintain proper inventory following DCI guidelines Perform air quality testing according to clinic policy Stay updated on OSHA and other standards to provide a safe workplace Coordinate and document routine technical staff meetings Participate in on-call duties and be available during emergencies as required Attend and present in monthly Quality Assessment Performance Improvement meetings Qualifications Successful Candidates Bring: Excellent communication and organizational skills Demonstrated equipment proficiency Desire to collaborate with team members Ability to problem solve Electronics, plumbing or plant maintenance background Education/Training: Associate degree in biomedical applications or equivalent preferred One year related experience in biomedical equipment maintenance and repair required Managerial or supervisory experience preferred DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

PURPOSE AND SCOPE: 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). The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $33.00 - $46.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL DUTIES AND RESPONSIBILITIES: Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options: + Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). + Ensures patients have followed through with the application process. + Obtains premium statements and signatures from patients. + Discusses situation and options if employment status changes or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility. + Discussing the Medicare application with eligible patients and assisting with the application process. + Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements. + Completing the annual open enrollment and Medicare reinstatement papers with the patients. + Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends. + Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts + Works with patients to evaluate personal financial information and make determination for indigent program. + Completes initial Indigent waiver applications. + Tracks and completes annual indigent waiver applications. + Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. + Addresses any identified anomalies or discrepancies, researches and answers questions as needed. + Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius. + Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. + Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes + Completes monthly audit exam to stay current on internal policies. + May present on insurance and financial assistance options to patients as necessary. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License. EDUCATION: + Bachelor's Degree required; Social Work or other Healthcare focus preferred. EXPERIENCE AND REQUIRED SKILLS: + 2 - 5 years' related experience; healthcare industry preferred. + Experience with Medicare, Social Security and Medicaid systems a plus. + Past patient interaction a plus. + Excellent written and communication skills. + A strong customer service philosophy. + Strong organizational and time management skills. + Ability to work independently. + Proficient with PCs and Microsoft Office applications. + Valid Driver's License The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $66,000 - 70,000 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in an acute care environment. The Chief Dialysis Equipment Technician coordinates clinic technical and building maintenance, including water treatment systems, dialysis machines and other equipment, to ensure patients receive the safest care with the highest-quality outcomes. Schedule: Fulltime Monday through Friday, shifts start at 8am, on call as needed Compensation: Pay range from $27-$37 per hour, depending on technical equipment and dialysis experience Benefits: Up to 12 weeks' paid training Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards Educate direct patient care and technical staff on all equipment's proper use and maintenance, document training Ensure technical and direct care staff follow equipment and facility policies and procedures Confirm buliding and equipment maintenance is up to date and in good working order Schedule and oversee outside maintenance vendors as needed Maintain proper inventory following DCI guidelines Perform air quality testing according to clinic policy Stay updated on OSHA and other standards to provide a safe workplace Coordinate and document routine technical staff meetings Participate in on-call duties and be available during emergencies as required Attend and present in monthly Quality Assessment Performance Improvement meetings Qualifications Successful Candidates Bring: Excellent communication and organizational skills Demonstrated equipment proficiency Desire to collaborate with team members Ability to problem solve Electronics, plumbing or plant maintenance background Education/Training: Associate degree in biomedical applications or equivalent preferred One year related experience in biomedical equipment maintenance and repair required Managerial or supervisory experience preferred DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: *************************************

**PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** **Patient Related** Education: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. **Staff Related** + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. Education/Communication: + Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system. **RECORD KEEPING:** + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect, label, appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **INFECTION CONTROL:** + Assists in collecting information for infection control audits. + Supports staff and patient Adherence to infection control practices. + Follows infection control Policies and Procedures + Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. **TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care + Reinforces all education and care related matters as it relates to the new patient as allowed by state law + Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. + Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. + Sets and preforms a treatment on all machines used in the transitional care unit. + Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. + Assists with coordination of transition to patient's modality choice. + Assists with supply ordering and inventory for TCU **PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24.00 - $30.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. + Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses. + Performs ongoing systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. + Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. + Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. + Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. + Initiates or assists with emergency response measures. + Serves as a resource leader coach mentor and role model for new and incumbent employees by setting examples of appropriate behavior work habits and attitudes towards patients co-workers supervisors and the company at the facility and area level. + Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. + Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. + Ensures patient awareness related to transplant and treatment modality options. + Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. + May serve as a Preceptor to new employees. + Required to complete CAP requirements to maintain or advance. + Performs all other duties as assigned by Supervisor PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. + This position requires frequent prolonged periods of standing and the employee must be able to bend over. + The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk work computer work and interaction with patients facility/hospital staff and physicians. + The position may require travel to training sites or other facilities. + May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. **SUPERVISION:** + Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following: + Successful completion of all FKC education and training requirements for new employees. + Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. **EDUCATION and LICENSURE:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Current or successful completion of CPR BLS Certification + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS:** + Entry level for RNs with minimum of 2 years of Nephrology Nursing experience The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $34.50 - $63.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**