Fresenius Medical Care North America Holdings Limited Partnership jobs in Indianapolis, IN - 39 jobs

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

The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS · Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse's responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.

How you will change lives As a Unit Clerk at US Renal Care, you will be an integral part of a cross-functional team, providing operational support to maintain clinic operations and provide the best customer care for patients living with kidney disease. What you will be doing Customer Care. You will be a critical member of the clinic team, creating a welcoming and professional atmosphere by greeting patients and visitors, answering phones, answering patient questions, and assisting patients with transportation arrangements, as needed. Operational Support. You will maintain clinic operations effectively by updating and maintaining medical records, preparing patient records and charts for treatments, and assisting in auditing records for ongoing compliance. You will support financial operations by entering charges and preparing billing and patient attendance logs. You will also complete forms and reports as required by governmental agencies. You will ensure adequate supplies and inventory and reordering when required. In addition, you will help process lab work by preparing lab slips and tubes and directing labs to the appropriate laboratory.

**Indy South Hospital** Training is Provided in Dialysis (Hospital Setting) Full Time Role, 40 hours week Coverage for area hospitals in Indianapolis South. Competitive Pay! PURPOSE AND SCOPE: The professional registered nurse Inpatient Services 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. · Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. · Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. · Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. · Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. · Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. · Administers medications as prescribed and documents appropriate medical justification and effectiveness. · Initiates and assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. · May be assigned to assist in an Outpatient facility on an as needed basis. · 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. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. · Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position requires travel to training/meeting sites and between assigned facilities. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · 6 months experience in acute dialysis 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 all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN · Minimum 9 months experience as a Registered Nurse, 12 months (preferred). · 6 months acute dialysis experience (preferred) · Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS * Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse's responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment. * Demonstrated analytical and problem-solving skills are required. * Strong time management and organizational skills required. * 1 year previous dialysis management experience preferred. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire. * Must meet applicable, specific state requirements. (See addendum for Administrator. Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications: * Must be full-time employee of the Company and available to clinic staff during time clinic is open. * Current RN license in applicable state. License must be maintained as current and in good standing. * 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse)

How you will change lives As a Unit Clerk at US Renal Care, you will be an integral part of a cross-functional team, providing operational support to maintain clinic operations and provide the best customer care for patients living with kidney disease. What you will be doing Customer Care. You will be a critical member of the clinic team, creating a welcoming and professional atmosphere by greeting patients and visitors, answering phones, answering patient questions, and assisting patients with transportation arrangements, as needed. Operational Support. You will maintain clinic operations effectively by updating and maintaining medical records, preparing patient records and charts for treatments, and assisting in auditing records for ongoing compliance. You will support financial operations by entering charges and preparing billing and patient attendance logs. You will also complete forms and reports as required by governmental agencies. You will ensure adequate supplies and inventory and reordering when required. In addition, you will help process lab work by preparing lab slips and tubes and directing labs to the appropriate laboratory. What we're looking for * Six months of relevant experience in clinical/healthcare setting preferred. * Minimum one year experience in administrative position preferred. * High School diploma or equivalent. * Computer proficiency with Microsoft Office, (including Word and Excel). * Must be able to organize time and tasks efficiently. * Proficiency in all USRC applications required within 90 days of hire. 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!

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Biomedical Technician is responsible for overseeing the overall operational condition, maintenance and repair of all water treatment equipment, all medical equipment and mechanical/electrical systems to ensure patient safety and the safety of all staff operating such equipment for their assigned clinic(s). ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Demonstrate effective use of supplies and staff labor hours. Assist with purchasing as needed: place orders, perform weekly and month end inventory counts. Be familiar with the overall procedures used in Inventory Control (FIFO) and assist in the documentation and control of excess inventory. Perform duties as assigned to meet the patient care or operational needs of the clinic. Troubleshoot, repair and maintain equipment as recommended by the manufacturer. Repair, calibrate, test, clean and disinfect dialysis machines, water distribution loop and RO's according to protocol. Perform water quality checks to include but not limited to: free chlorine, total chlorine, and water hardness testing. Perform safety checks and tests on all pretreatment water equipment including but not limited to carbon tanks, water softeners, RO units, UV lamps and ultrafilters. Collect samples of RO water and dialysate for microbiology testing according to protocol. Collect water samples for AAMI analysis testing according to protocol. Disinfection of central bicarbonate system and mixing tank according to protocol. Disinfection of RO, distribution system, and hemodialysis machines according to protocol. Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. Perform electrical safety on dialysis machines and related equipment. Be familiar with instruction manuals and operation for equipment in accordance with manufacturer's recommendations. Be capable of starting up and shutting down facility's equipment if necessary. Maintain established preventative maintenance programs and required support documentation. Maintain accurate maintenance records for the facility's equipment. Have knowledge of the function and safe operation of water treatment equipment and related mechanical and electrical systems. Address physical environment issues which could impact patient and staff safety. Mix bicarbonate solution according to protocol. Mix acid concentrate solution according to protocol. Assist in receiving, storing and stocking of supplies. Be familiar with all emergency equipment and emergency operational procedures. Use appropriate safety measures including personal protective equipment as necessary. Be familiar with OSHA regulations. Update Material Safety Data Sheets (MSDS) as required. Be aware of all contracts and contacts necessary for the emergency repair of the clinic's equipment and mechanical systems. Obtain quotes from reputable and approved contractors as needed to address physical environment issues. Present technical summaries in QAPI meetings. Maintain collaborative working relationship with Administrator(s). Partner with Administrator(s) to ensure clinic needs are met. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or concerns. Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. Complete initial and annual technical training on clinical staff as required. Instruct staff in use and care of equipment and answer questions. Participate in team concepts and promote a team effort.

**_Home Therapies Program_** Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours **PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. + Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. + Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. + Participate in patient care plan meetings. + Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. + Train and orient staff as necessary. + Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. + Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. + Maintain overall shift operation in a safe, efficient, and effective matter. + With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. + Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. + Supervise all documentation of patient information. + Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. + Assess daily patient care needs and develop and distribute patient care assignments appropriately. + Assume primary responsibility in an emergency situation. + Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. + Monitor and supervise all patient care activity during dialysis and assist as necessary. + Collaborate with direct patient care team in making decisions to benefit patient care. + Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. + Administer medications to patients per physician's orders. + Act as the subject matter expert and as a resource for staff members. + Supervise and participate in completion of short and long term care plans. + Admit new patients according to facility procedure. + Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. + Supervise the safe and effective use of all equipment involved in direct patient care. + Operate all dialysis related and emergency equipment safely and efficiently when needed. + Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. + Complete Nurse's Technical Training Program/Water Quality Facility + Assist with special projects or other duties as assigned by the Facility Administrator + Assist with the interviewing of potential direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality Assurance meetings. **_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. + 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. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. + Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + Direct Patient Care Staff, Ward Clerk as assigned. **EDUCATION** **:** + Graduate of an accredited school of Nursing (R.N.) + Must be registered and licensed to practice in the applicable State. **EXPERIENCE AND REQUIRED SKILLS** **:** + Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. + Medical/surgical nursing preferred. + Supervisory or management experience preferred. + Certified in CPR or successfully complete course in CPR certification. + Good communication skills - verbal and written. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Biomedical Technician is responsible for overseeing the overall operational condition, maintenance and repair of all water treatment equipment, all medical equipment and mechanical/electrical systems to ensure patient safety and the safety of all staff operating such equipment for their assigned clinic(s). ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. * Demonstrate effective use of supplies and staff labor hours. * Assist with purchasing as needed: place orders, perform weekly and month end inventory counts. * Be familiar with the overall procedures used in Inventory Control (FIFO) and assist in the documentation and control of excess inventory. * Perform duties as assigned to meet the patient care or operational needs of the clinic. * Troubleshoot, repair and maintain equipment as recommended by the manufacturer. * Repair, calibrate, test, clean and disinfect dialysis machines, water distribution loop and RO's according to protocol. * Perform water quality checks to include but not limited to: free chlorine, total chlorine, and water hardness testing. * Perform safety checks and tests on all pretreatment water equipment including but not limited to carbon tanks, water softeners, RO units, UV lamps and ultrafilters. * Collect samples of RO water and dialysate for microbiology testing according to protocol. * Collect water samples for AAMI analysis testing according to protocol. * Disinfection of central bicarbonate system and mixing tank according to protocol. * Disinfection of RO, distribution system, and hemodialysis machines according to protocol. * Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. * Perform electrical safety on dialysis machines and related equipment. * Be familiar with instruction manuals and operation for equipment in accordance with manufacturer's recommendations. Be capable of starting up and shutting down facility's equipment if necessary. * Maintain established preventative maintenance programs and required support documentation. * Maintain accurate maintenance records for the facility's equipment. * Have knowledge of the function and safe operation of water treatment equipment and related mechanical and electrical systems. * Address physical environment issues which could impact patient and staff safety. * Mix bicarbonate solution according to protocol. Mix acid concentrate solution according to protocol. * Assist in receiving, storing and stocking of supplies. * Be familiar with all emergency equipment and emergency operational procedures. * Use appropriate safety measures including personal protective equipment as necessary. * Be familiar with OSHA regulations. * Update Material Safety Data Sheets (MSDS) as required. * Be aware of all contracts and contacts necessary for the emergency repair of the clinic's equipment and mechanical systems. * Obtain quotes from reputable and approved contractors as needed to address physical environment issues. * Present technical summaries in QAPI meetings. * Maintain collaborative working relationship with Administrator(s). Partner with Administrator(s) to ensure clinic needs are met. * Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. * Respond effectively to inquiries or concerns. * Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. * Complete initial and annual technical training on clinical staff as required. * Instruct staff in use and care of equipment and answer questions. * Participate in team concepts and promote a team effort. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * High school diploma or equivalent. * Valid driver' license in applicable state. License must be maintained as current, without restrictions and good driving record. * Previous dialysis, hospital, or medical experience preferred. * Confirmation of ability to distinguish all primary colors. * Ability to react and perform under stress and in emergency situations. * Ability to communicate and interface effectively with others. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Ability to work independently as well as with others to plan and organize work assignment. U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.

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

**Indy South Hospital** Training is Provided in Dialysis (Hospital Setting) Full Time Role, 36 to 40 hours week Coverage for area hospitals in Indianapolis South. Competitive Pay! PURPOSE AND SCOPE: The professional registered nurse Inpatient Services 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. · Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. · Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. · Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. · Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. · Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. · Administers medications as prescribed and documents appropriate medical justification and effectiveness. · Initiates and assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. · May be assigned to assist in an Outpatient facility on an as needed basis. · 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. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. · Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position requires travel to training/meeting sites and between assigned facilities. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · 6 months experience in acute dialysis 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 all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN · Minimum 9 months experience as a Registered Nurse, 12 months (preferred). · 6 months acute dialysis experience (preferred) · Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Willing to train! Fresenius offers a competitive compensation and benefits package including wellness plans and health insurance, matching 401(k), flexible schedules, and paid time off. **PURPOSE AND SCOPE:** Functions as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe and clean working environment within the home therapy program. Supports the organization's 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's Quality Enhancement Goals (QEP). **All duties and responsibilities of the PCT II HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with, and as permissible per state laws, regulations, and policies.** **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES (Not Home Assist):** + Reinforces home hemodialysis (HHD) and/or peritoneal dialysis (PD) training as permitted by law. + Identifies and welcomes patients, obtains vital signs, weights, and gathers information needed to complete the Clinic Visit Intake form. + Builds and maintains strong communication and collaboration processes and rapport with patients, care partners, the HT RN, direct and non-direct patient care staff, providers, and other team members. + Obtains treatment records from patients and/or systems, reviews for completion, and reports missing or abnormal data to the HT RN. + Assists with electronic home treatment/medication/oral nutritional supplement reconciliation and reports missing data/orders to the HT RN. + May assist HT RNs with home visits. + Provides home support as applicable and permissible. + Prepares supplies for the collection of prescribed laboratory testing and prepares specimens for shipping. + Assists with the tracking and shipping of transplant-related laboratory specimens and reinforces transplant education. + Completes opening/closing daily chores and documents as appropriate. + Disinfects dialysis machines, chairs, tables, and other equipment in between patient visits, and routinely. + Prepares the exam/training room for home dialysis training, treatment, or other visits. + Stocks exam, training, treatment, and storage rooms with supplies. + Develops or follows a process for the management of supplies to maximize use and minimize waste. + Schedules patient appointments and contacts patients/caregivers regarding dates, times, and reminders. + Supports patient registration and use of connected health. + Assists patients and care partners with supplies/inventory ordering and management. + Maintains logs and tracking. + May order and track clinic/office supplies, as directed. + Participates in medical records, infection control, and other audit processes as directed. + Actively collaborates with others during staff huddles or meetings. + Helps collect required documentation for patient admission, prepares and maintains the electronic and/or hard-copy patient chart, as directed. + Performs other clerical duties, as assigned (answering phones, faxing, email, provider office contact, etc.). **Home Hemodialysis** + Reinforces HHD training. + Sets up, tears down, programs, tests, and disinfects the HHD machine, as directed. + Troubleshoots HHD Machinery/tools and connectivity issues. + Prepares dialysate for use, as directed. + Prepares dialysis supplies for HHD treatment according to standing/provider orders. + Evaluates the dialysis access before treatment, documents all findings in the medical record, and reports abnormal findings to the HT RN. + Initiates HHD treatment, while monitoring and documenting patient status, vital signs, and machine data in the treatment record. + Performs and documents safety checks during treatment at intervals designated by CMS and facility policy. + Reports observed significant changes in patient status during treatment to the HT RN, and documents in the medical record. + Provides interventions during treatment in response to interdialytic events, and documents in the medical record, as directed and permissible. + Obtains pre-treatment termination vitals and documents in the treatment record. + Ensures hemostasis of the patient dialysis access is achieved before leaving the treatment area. + Collects and documents post-treatment vitals in the treatment record and reports to the HT RN. + Assists with quarterly, semi-annual, and annual water and dialysate testing as directed. + Other duties, as assigned. **Peritoneal Dialysis** + Reinforces PD training. + Troubleshoots PD cycler, modem, and connectivity issues. + Performs phlebotomy to obtain prescribed laboratory testing, as directed (must meet state and/or competency requirements to perform). + Sets up PD cycler and prepares and warms PD solutions, as directed. + Assists with exit site care, as directed. + May help with tracking of PD equipment. + Other duties, as assigned. **Staff** **Related** + Participates in the recruitment process for new clinical staff. + Assists with clinical orientation and supports ongoing training of all appropriate home therapies direct patient care personnel as well as the orientation of all facility staff to the organization. + Partners with all IDT members, including Kidney Care Advocates, administrative staff, and others in developing ideas to improve awareness of Home Therapies for in-center staff and patients. **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 essential functions. + Employees are required to take Ishihara's Color Blindness test as a condition of employment. Note: 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 facilitiesand various locations within thecommunity.Traveltoregional, 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/orcoworkersmayassist.This positionrequiresfrequent,prolongedperiods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment,exertingupto15poundsofforce.Theemployeemayberequiredtoliftandlowersolutionsfrequentlyof 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 heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must have a valid PCT national certification or state-specific certification as defined by the Center for Medicaid/Medicare Services (CMS). + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + At least two years of previous patient care experience in a hospital setting or a related facility preferred. + Continued employment is dependent on successful completion of the organization's dialysis training program and successful completion of CPR certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** The professional registered nurse Home Therapies 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 Educator, Preceptor or in collaboration with another Registered Nurse. + Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies 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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapies 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. + Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. + Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner/ family readiness and ability to perform dialysis treatments in the home. + Trains home dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through a formal standardized Home Dialysis Training Program. + 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 either 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. + Rotates coverage with other licensed home therapy staff as assigned to ensure reliable and adequate coverage. + Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. + The position may require travel to training sites, other facilities and patient homes. + May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. + Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. **SUPERVISION:** Assigned oversight of RNs, LPNs/LVNs, Patient Care Technicians and Home Therapies Care Team Assistants 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 home dialysis therapies 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 a minimum of 2 years or more of Nephrology Nursing experience within the last 2 years as a RN. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** " **EOE, disability/veterans**

**PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** **Patient Related** Education: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. Assists patients in performing self-care as applicable **Staff Related** + Participates in the recruitment process for new clinical staff + Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization. + Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards. + Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement. + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. + Provides developmental support to applicable clinical and facility staff. **Education/Communication:** + Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations. + Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility. + Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives + Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs. + Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed. + Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities. + Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices **MAINTENANCE/TECHNICAL:** + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate, 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 with facility QAI infection control audits. + Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices. + Reinforces new hire employee adherence to infection control Policies and Procedures + Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. + Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards. + Under the direction of the Education Dept. participates in education response to internal and external facility surveys. + 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:** + High School diploma or G.E.D. required. Bachelor's degree preferred + Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS) Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards + Attendance and active participation in all applicable preceptor training programs as established by education leadership + Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager. **EXPERIENCE AND REQUIRED SKILLS** **:** + At least five years patient care experience in a hospital setting or a related facility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

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

Willing to train! Fresenius offers a competitive compensation and benefits package including wellness plans and health insurance, matching 401(k), flexible schedules, and paid time off. PURPOSE AND SCOPE: The registered professional nurse Home Therapies 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. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. 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 with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies 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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis 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. · Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. · Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. · Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. · 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 equipment, 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. · Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. · The position may require travel to training sites, other facilities or patient homes. · May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants 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 12 months experience as a RN. · Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis. 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. · Minimum of 1-year experience as a Registered Nurse (preferred) · Home dialysis therapy experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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