Home Health Nurse jobs at Fresenius Medical Care North America Holdings Limited Partnership

Why Join Our Team! - Rated as one of Forbes' U.S. Best Employers - Paid one-on-one training - Tuition reimbursement - Competitive Pay & Benefits - Paid time off - 401(K) and much more - No experience required PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

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

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

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 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. " EOE, disability/veterans

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

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

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

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

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

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

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

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

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

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

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

Join our team! Fresenius is Rated as one of Forbes' U.S. Best Employers - We offer Paid one-on-one training - Tuition reimbursement - Competitive Pay & Benefits - Paid time off - 401(K) and much more! **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 1 year of Nephrology Nursing experience in the last two years as a RN. + Minimum of 9 months experience as a Registered Nurse (preferred). + Chronic/acute hemodialysis experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** " **EOE, disability/veterans**

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

Why Join Our Team! + Rated as one of Forbes' U.S. Best Employers + Paid one-on-one training + Tuition reimbursement + Competitive Pay & Benefits + Paid time off + 401(K) and much more + No experience required **PURPOSE AND SCOPE:** The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. + Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. + Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. + Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. + Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. + Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. + Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. + Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. + Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. + Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record + Initiates or assists with emergency response measures. + Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. + Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. + Promotes infection control, equipment and environmental safety. + Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. + Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. + Ensures patient awareness related to transplant and treatment modality options. + Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. + Checks availability of adequate emergency equipment and supplies as assigned. + Assists with medication tracking and inventory as assigned. + Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. + Participates in all required staff meetings as scheduled. + Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. + Performs all other duties as assigned by supervisor. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. + May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. **SUPERVISION:** + Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: + Successful completion of all FKC education and training requirements for new employees plus + Must have a minimum of 9 months experience as an RN plus + Successful completion of 3 months experience in chronic hemodialysis. **EDUCATION:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS:** + Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. + Minimum of 9 months experience as a Registered Nurse (preferred). + Chronic hemodialysis experience (preferred). + Successful completion of FKC Education and Training requirements for new employees. + Successful completion and maintenance of CPR BLS Certification. + Meet all conditions of employment including Ishihara's Color Blindness Test. + Successful completion of all annual required education/training/competencies. + Successful completion of on-going training and education as assigned or required. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**