Fresenius Medical Care North America Holdings Limited Partnership jobs in Orange, CA

PURPOSE AND SCOPE: Supports the consolidation, analysis and reporting of commercial revenue. Develops standards of review and analysis to facilitate accurate and timely analysis of all commercial revenue. Identifies trends, variances, discrepancies, and issues and consults with management and executives to determine appropriate plan of action. Supports Managed Care staff in budgeting and forecasting activities. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Participates in and communicates the FMCNA culture through customer service standards with billing groups, finance, IT, facilities and payers. + Develops and maintains relationships through effective and timely communication with all. + Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. + Responsible for complying with all related FMCNA policies and procedures. + Responsible for timely and accurate communication of revenue reporting to Managed Care Management Team. + Responsible for compliance with all related data collections and auditing activities. + Performs various national and global financial analyses to assist with contract proposals including determining project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis of rate structure conversion. + Consolidates patient insurance download data including developing standards for field review of data and reporting. + Provides consolidated business / payer mix / revenue by payer / treatment mix on a monthly basis including developing departmental policies for data collection and reporting. + Develops and produces analytical reports to support managed care efforts on a monthly or as needed basis. + Coordination of requests for proposals including collection of data, evaluation of proposals and recommended course of action. + Responsible for monthly review of P&L accounts to identify loss and marginal facilities tied to payer mix. + Reviews billing accuracies to ensure that projected revenue is being realized. + Maintains consolidated report which specifically lists and tracks all patients reimbursing according to commercial rates or single patient Letters of Agreement. + Develops and maintains consolidated payer class revenue per treatment report and payer mix reports. + Development and maintenance of contract and commercial patient database(s). + Responsible for preparing and updating monthly consolidated revenue per treatment templates and charts. + Performs quarterly analysis of network data for growth. + Performs and maintains competitive insurance analysis of individual markets and competitive provider activity. + Maintains database on health plan membership by product. + Other duties as required. 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 internal and external customers SUPERVISION: May be responsible for the direct supervision of various levels of revenue cycle staff. EDUCATION: Bachelor's Degree in Accounting / Finance or Business or Health Management EXPERIENCE AND REQUIRED SKILLS: + Minimum 6 years of experience to include financial analysis in healthcare environment. + 3+ years' experience as a Manager; or 3+ years' experience in a senior managerial role. + Demonstrated experience managing one or more departments. + Strong management skills with the ability to lead cohesive and productive teams. + Strong interpersonal skills with the ability to communicate with all levels of management through diplomacy and tact. + Excellent oral and written communication skills. + Proficient with PCs and Microsoft Office applications. + Familiarity with Revenue Cycle Management systems, program languages, reporting, and business intelligence systems. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $100,000.00 - 200,000.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **EOE, disability/veterans**

How you'll change lives As a Dietitian at U.S. Renal Care, you will be an integral part of an interdisciplinary team, providing excellent care for patients living with kidney disease. U.S. Renal care dietitians work under the supervision of a RDN Regional Manager. What you'll be doing Patient Nutrition. Using the most current, science-based practices, you will recommend therapeutic diets based on patient nutritional needs, preferences, and changes in treatment, in consultation with the patient's physician. You will review lab results and provide appropriate education for nutritional interventions on such topics as fluid and sodium, potassium, and CKD-Mineral and Bone Disorder management. You will also conduct patient assessments and care planning activities, as well as participating in monthly interdisciplinary patient care conferences. Teamwork. You will collaborate with the Medical Director, physician/advanced practice provider, facility administrator, social worker, nurse, and patient care technician to maintain positive relationships with area hospitals, skilled nursing facilities, agencies, vendors, and the community. Safety & Quality. You will help with clinical and operational processes, with a focus on improving patient health and achieving target goals for patient outcomes. You will also help maintain a productive quality assurance program and participate in monthly Quality Assessment and Performance Improvement (QAPI) activities. What we're looking for Current Registered Dietitian (RD/RDN) certification showing proof of registration with Commission on Dietetic Registration (includes Baccalaureate or Advanced degree). Minimum of one-year experience in clinical nutrition as a Registered Dietitian. Current Dietitian (LD/LDN) license in applicable state is required unless employed in the state of AZ, CA, CO, HI, IN, MI, NJ or VA. State certification (Certified Dietitian/Nutritionist) required in CT and NY. License must be maintained as current and in good standing. 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 company clinical applications required within 90 days of hire. Must meet any practice requirement(s) for the applicable state. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care! Are you with US? Apply today! All Full Time employees are eligible for the following benefits: * Medical / Pharmacy * Dental * Vision * Voluntary benefits * 401k with employer match * Virtual Care * Life Insurance * Voluntary Benefits * PTO All Part Time employees are eligible for the following benefits: * 401k with employer match * PTO

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Home Therapy Administrator is responsible for the overall daily management and operation of assigned home dialysis modality program(s). 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. Develop and implement processes for program growth in accordance with Company goals. Implement clinical and operational processes to improve patient health and continuity of care. Oversee equipment management, including equipment tracking and retrieval. Responsible for active Renal Care Options program to ensure patients are educated on all modality options. Achieve financial targets to include budget, labor costs, supply costs and expenditures. 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. Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. Assure that the program(s) is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. May assume Home Therapy Nurse's responsibilities as needed. Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the program(s). Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. Oversee on-call system for patients; ensure patients have access to nursing support at all times. Ensure proper documentation of all nursing services in the Electronic Medical Record (EMR) including but not limited to training sessions, routine and non-routine in-person interactions, home visits and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. Supervise the maintenance of equipment, building areas occupied by the program and other property belonging to the program. Regular and reliable attendance is required for the position. Monitor all contractual agreements; update as needed with corporate oversight. Maintain collaborative working relationship with Medical Director and physicians. Oversee communication of overall results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Effectively communicates expectations; accepts accountability and holds others accountable for performance. ADMINISTRATOR STATE SPECIFIC REGULATIONS ALABAMA IF DESIGNATED CEO FOR THE CLINIC, MUST: Hold at least a baccalaureate degree and has at least one (1) year of experience in a dialysis unit OR Meets the qualifications for a qualified physician director or qualified registered supervising nurse. GEORGIA Hold at least a baccalaureate degree and has at least one (1) year experience in an end stage renal disease facility OR Meets the qualifications for a physician director or a nurse responsible for nursing services for an end stage renal disease facility OR Has been acting for at least two (2) years as a facility administrator for an end stage renal disease facility which has been certified for the federal Medicare program. MARYLAND IF NOT THE DESIGNATED CEO FOR THE CLINIC, MUST: Be 21 years old or older. Possess a high school diploma or a high school equivalency diploma. Have at least one (1) year of dialysis experience. Have no criminal conviction or other criminal history that indicates behavior that is potentially harmful to patients, documented through either a criminal history records check or criminal background check completed within one (1) month before employment. NEW JERSEY A baccalaureate degree from an accredited college or university and the equivalent of at least one (1) year experience in supervising renal dialysis services OR Five (5) years full-time experience in the provision of renal dialysis services and documentation of supervisory experience for at least one (1) year. SOUTH CAROLINA Hold at least a baccalaureate degree or have a minimum of an associate degree in a health-related field with at least two (2) years experience in ESRD within the past five (5) years. WYOMING PERSON IN CHARGE OF THE OPERATION OF THE FACILITY TWENTY-FOUR (24) HOURS PER DAY AND IS: A physician OR A Registered Nurse who has at least six (6) months of experience working in a renal dialysis center OR An individual with a bachelors degree and one (1) year experience in health service administration, preferably in a renal dialysis center. REGISTERED SUPERVISING NURSE STATE SPECIFIC REGULATIONS GEORGIA RN with twelve (12) months of experience in clinical nursing, and an additional six (6) months of experience in nursing care of the patient with permanent kidney failure or undergoing kidney transplantation, including training in and experience with the dialysis process OR RN with eighteen (18) months of experience in nursing care of the patient with on maintenance dialysis, or the nursing care of the patient with a kidney transplant, including training in and experience with the dialysis process. Where the RN responsible for nursing services is also in charge of self-care dialysis training, at least three (3) months of the total required dialysis experience is in training patients in self-care. NEW JERSEY THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF NJ AND MUST: Have twelve (12) months full time experience in nursing supervision and/or nursing administration obtained in a dialysis setting within the last twenty-four (24) months. SOUTH CAROLINA THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF SC AND MUST: Be a registered nurse with at least eighteen (18) months of experience in clinical nursing, with at least six (6) months experience in care of patients with ESRD. TEXAS THIS POSITION ALSO MAY BE KNOWN AS THE DIRECTOR OF NURSING IN THE STATE OF TX AND MUST: Have at least eighteen (18) months experience as an RN, which includes at least twelve (12) months experience in dialysis within the last twenty-four (24) months; OR Have at least eighteen (18) months experience as an RN, and holds a current certification from a nationally recognized board in nephrology nursing or dialysis.

How you will change lives As a Social Worker at US Renal Care, you will be an integral part of a cross-functional team, working to help patients living with kidney disease achieve maximum social functioning and psychological adjustment to dialysis treatment and rehabilitation. What you will be doing Advocate & Support. You will be part of an interdisciplinary team working to ensure patients receive the best care, including conducting all required patient assessment and care planning activities such as assessing new patient psychosocial needs and completing the KDQOL in accordance with company policy and all state/CMS regulations. You will identify and counsel psychosocial issues and provide patient and family education. As an advocate for your patients' needs, you will coordinate communities of support for patients and their families, identify social agencies and other resources (e.g., financial/funding), provide information and referrals, coordinate transient arrangements, and represent your patient as needed with appropriate local, state, and federal agencies. Teamwork. As part of the interdisciplinary clinic team, promote teamwork, educate staff, and provide training around patient psychosocial care. You will participate in all required continuing education and staff meetings. You will collaborate with the Medical Director and physicians and maintain positive relationships with area hospitals, agencies, vendors, and the community. Safety & Quality. You will help with clinical and operational processes to improve patient health and minimize missed treatments and hospitalizations, achieving target goals for patient outcomes. You will also participate in monthly Quality Assessment and Performance Improvement (QAPI) activities and ensure compliance with federal, state, and local laws and regulations.

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.

PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL DUTIES AND RESPONSIBILITIES: Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options: + Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). + Ensures patients have followed through with the application process. + Obtains premium statements and signatures from patients. + Discusses situation and options if employment status changes or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility. + Discussing the Medicare application with eligible patients and assisting with the application process. + Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements. + Completing the annual open enrollment and Medicare reinstatement papers with the patients. + Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends. + Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts + Works with patients to evaluate personal financial information and make determination for indigent program. + Completes initial Indigent waiver applications. + Tracks and completes annual indigent waiver applications. + Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. + Addresses any identified anomalies or discrepancies, researches and answers questions as needed. + Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius. + Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. + Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes + Completes monthly audit exam to stay current on internal policies. + May present on insurance and financial assistance options to patients as necessary. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License. EDUCATION: + Bachelor's Degree required; Social Work or other Healthcare focus preferred. EXPERIENCE AND REQUIRED SKILLS: + 2 - 5 years' related experience; healthcare industry preferred. + Experience with Medicare, Social Security and Medicaid systems a plus. + Past patient interaction a plus. + Excellent written and communication skills. + A strong customer service philosophy. + Strong organizational and time management skills. + Ability to work independently. + Proficient with PCs and Microsoft Office applications. + Valid Driver's License The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $64,000.00 - $86,000.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

PURPOSE AND SCOPE: Directs organization's activities of strategic planning, evaluation, coordination, and implementation of various managed health care programs (HMOs, PPOs, POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate structures for services, clinical and financial reporting obligations, establishment of other business terms per the FMCNA Guidelines, contract maintenance such as facility list updates and amendments. Develops and directs regional marketing efforts to third party payors in order to support growth and profitability in the region. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. + Reviews and analyzes potential contracts for financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed. + Presents contract proposals and market and industry analyses to internal parties and responds to Requests for Proposals from third party payors. + Manages activities concerned with contracts for delivery systems. + Works on issues where analysis of situations or data requires an in-depth knowledge of organizational objectives. Has significant project/process responsibility within the function. + Interprets company-wide policies and procedures. Involved in the development, modification and execution of company policies that affect immediate operations with potential company-wide effect. Implements strategic policies when selecting methods, techniques, and evaluation criteria for obtaining results. + Ensures compliance of facilities with all managed care organization requirements ensures credentialing processes are implemented. + Ensures all facilities meet and maintain appropriate credentialing requirements and licenses. + Develops and implements methods and procedures for monitoring work activities and informs management of current work activity status. + Responsible for continuous communication and coordination of all required ongoing documentation with appropriate staff. + Works with internal and external counsel as needed to resolve issues and support FMS. + Negotiates and implements contracts with payors that require clinical and quality outcomes measurements. + Contributes to the design and implementation of third party payor compensation structures. + Assists in the development of report cards that can be shared with third party payors illustrating outstanding quality of patient care through associated outcomes. Ensures quality outcomes are reported accurately and in a timely manner. + Assists with designing Quality Improvement Projects that will improve outcomes in facilities that are not meeting goals. + Develops and implements regional marketing plans to support regional growth and profitability and marketing of FMS services to third party payors and potential referral sources. + Maintains knowledge of FMCNA products, services and strategies in order to market appropriately. + Maintains current knowledge regarding community healthcare market and industry issues that may impact the business. + Generally manages department budget and day-to-day functions. Develops budgets, schedules and performance standards. Exercises supervision in terms of costs, methods, and staffing. + Responsible for implementation and achievement of business plan, budget, key performance indicators and communication to appropriate executives. + Interacts frequently with internal departments and external customers/vendors; particularly in problem resolution. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. + Provide technical guidance. + Assist with various projects as assigned. + Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to travel to various locations within California. SUPERVISION: May be responsible for the direct supervision of various levels of managed care and marketing staff. EDUCATION: Bachelor's Degree in Business or Health management required; Advanced Degree desirable. EXPERIENCE AND REQUIRED SKILLS: + 6 - 8 years' direct experience in contract negotiation and operational experience in a multiple site outpatient facility setting including profit and loss responsibility. + 3+ years' experience as a Manager preferred. + Demonstrated ability to manage one or more departments. + Ability to manage databases and provide analysis. + Proficient with PCs, Microsoft Office applications and business computer systems. + Strong oral and written communication skills. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Range: $120,000 - $200,000 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Supports FMCNA's mission core values expected behaviors and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy and procedure requirements. Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team informs educates and supports staff in understanding the emotional psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. Adheres to all requirements of the FMCNA Compliance Program and all FMS policy requirements. This is an entry level MSW role. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** CUSTOMER SERVICES: + Responsible for driving the FMS culture through values and customer services standards. + Accountable for outstanding customer service to all external and internal customers. + Develops and maintains effective relationships through effective and timely communication. + Takes initiative and action to respond resolve and follow up regarding customer services issues with all customers in a timely manner. PRINICIPLE RESPONSIBILITIES AND DUTIES RELATED TO PATIENT CARE: Patient Assessment/Care Planning Counseling: + As a member of the interdisciplinary team assesses patients' psychosocial status strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation treatment goals and improve quality of life. + Utilizes FMS Ultra Care patient education programs established social work theory and methods and quality of life measurement instruments as part of assessment and care planning to resolve barriers and meet patient treatment goals. + Provides established outcomes driven psycho-educational counseling methods aimed at improving areas of need treatment adherence vocational/educational rehabilitation and/or quality of life. + Provides supportive and goal directed counseling to patients who are seeking transplant. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes if necessary with the healthcare team and the patient's family/support persons. + Will provide general information about Do Not Resuscitate Orders and Advanced Directives + Provides information and assists the team and patient with referral to community resources (home health services vocational rehabilitation etc.) to facilitate optimal treatment outcomes. + In collaboration with the physician and nurse participates in the discussion of patient DNR status in the facility to ensure patient understanding and informed decision making. + Provides usual care and/or Social Work Intensive to address non-adherence and quality of life concerns for all patients + Knowledgeable of and adheres to FMCNA Social Work Policy including documentation Patient Education: + Assess patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient family and health care team to provide education tailored to the patient's learning style and needs. + With other members of the interdisciplinary team provides appropriate information about all treatment modalities. Facilitates the transplant referral process and collaborates with interdisciplinary team if delegated by Clinical Manager. + Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. + Reviewed patient rights and responsibilities grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Collaborates with the team on appropriate QAI activities. Patient Admission: + Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment Insurance and Financial Assistance: + Collaborates with facility management Financial Coordinators and Billing Group staff to address patient issues related to insurance. + In collaboration with Financial Coordinators provides information and education to patients about payment to dialysis (federal state commercial insurance state renal programs AKF HIPP and entitlement programs) + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed become employed or receive education. + (Reassess patient demographic and insurance information changes every quarter. Notifies all appropriate departments of changes. + Understands FMCNA financial policies and procedures as they related to patient services. Collaborate with Financial Coordinators to educate patients about programs that may be available to assist with uncovered services how to resolve billing concerns and understand financial responsibilities. Staff Related: + Assist with interview process and decision to hire new personnel if requested by CM or AM/DO. + Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). + Develops and provides training to staff pertaining to psychosocial topics as needed. Trains staff in Ultra Care Programs as needed. + Other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel Required (if multiple facilities) **EDUCATION** **:** + Masters In Social Work Required **EXPERIENCE AND REQUIRED SKILLS** **:** + 0 - 2 years' related experience. + State Specific Licensure required The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $71,000.00 - $96,000.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

in our Culver City, CA surgery center. Must have ARRT and CA RT license. The center is open Monday thorugh Friday 7:30am to 4:00pm. No evenings, weekends or major holidays. **PURPOSE AND SCOPE:** Supports the Organization's mission, vision, core values and customer service philosophy. Adheres to the Organization's Compliance Program, including following all regulatory and policy requirements. Assists physicians in performing a variety of interventional radiology procedures. Responsible for the operation and quality control of the radiological equipment in accordance with the Organization's policies, procedures, and training. Assists with the inventory and supply management. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Performs various activities necessary for the preparation of the patient and the procedure room for the radiology procedures in compliance with the organization's policies and procedures and state and federal regulations. + Reviews patient specific procedure orders to determine materials/supplies that will be needed. + Sets up/ stocks the procedure room/procedure trays with all needed supplies and interventional equipment prior to procedure and cleans procedure room post procedure, including but not limited to cleaning of equipment/machinery. + Conducts all necessary preparations of the patient procedure room and documents when appropriate. + Explains procedure to the patient, answers questions and addresses patient concerns. + Assists with preparing the patient for the surgical procedure by positioning, shaving and prepping. + Performs patient transfers and transports patient to and from procedure room. + Inputs patient data into the C-Arm. + Acts as scrub assistant assisting the physician during interventional procedures and administers fluoroscopy to enable the physician to see flow through the blood vessels to identify areas in need of intervention while maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. + Complies with HIPPA policies and standards regarding patient confidentiality. + Draws up intravenous medication and labels as per the organization's medication labeling policy. + Processes x-ray images and archives to the image repository, CD or DVD to comply with the organization's policies and procedures for patient medical records and state regulations. + Provides outstanding quality of patient care by supporting and driving the organization's quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. + Assists with implementing the organization's quality goals and facility specific action plans to achieve the organization's quality standards. + Ensures medical records are accurate, complete and in compliance with the organization's policies and procedures. Maintains integrity of medical records, filing paperwork in patient files according to policies and procedures and performing audits on a regular basis. + Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary, and safe daily Ensures all facility equipment and instruments are in proper working condition by inspecting equipment daily before and after procedures. + Makes recommendations regarding replacement of equipment and repairs. + Assists with disposal of hazardous waste materials, dirty linen, and rugs. + Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. + Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings. + Ensures effective communication with physicians. + Attends and participates in CQI meetings with physicians, reporting on assigned topics. + Works with the physicians and staff to ensure all necessary instruments and equipment are on hand. + Addresses physician concerns in areas of responsibility. + Assists in training and orienting new employees. + Ensures patient billing is accurate and timely by reviewing all procedures, documenting patient equipment charges, and verifying CPT and ICD9 codes are correct. + Assists with inventory, ordering of supplies and re-stocking of supplies. + Acts as Radiation Safety Officer; monitors radiation badges and conducts in-services regarding radiation safety. + Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. + Other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + 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. Must be able to lift, push and pull up to 50 pounds and to perform patient transfers and positioning of patients up to 400 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. + 10% Travel. **SUPERVISION:** + None **EDUCATION:** + High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred. + Current ARRT Certification and/or State Licensure (as per state regulations) + Interventional Radiology certificate preferred. **EXPERIENCE AND REQUIRED SKILLS** : + 4 - 6 years' related experience desirable. + 1 year experience preferred for Candidates with ARRT. + Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment). + Experience with interventional procedures, using/ordering/maintaining required materials/supplies for each procedure. + Knowledge and experience of sterile techniques. + Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. + Successfully complete BLS certification. + Experience with monitoring and maintaining inventory. + Proficient in the use of computers and related software such as Microsoft Office (Word & Excel). The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $37.31-62.16 **EOE, disability/veterans**

**PURPOSE** **AND** **SCOPE:** _Performing_ _general_ _office_ _duties_ _incorporating_ _a_ _variety_ _of basic_ _and_ _routine_ _clerical_ _and_ _secretarial_ _duties_ _in_ _a_ _clinical_ _environment._ Be the "face" of one of our outpatient or hospital facilities-and use your administrative skills to impact the lives of our patients and their families. As a secretary/receptionist at Fresenius Kidney Care, you will be an integral part of a cross-functional team, providing administrative support to maintain clinic operations and provide the best customer care for patients living with kidney disease. **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** Under general supervision, follows established company policies and procedures and applies acquired job skills to: **Patient Engagement and Front Desk** **-** Responsibilities may include the following based on location and business need: + Answering telephone & routing calls to the appropriate person + Professionally greet all patients and guests. + Maintain a professional environment at all times. Monitors the reception and waiting areas. + Distributing incoming mail. + ObtainnecessarysignaturestoensuretheefficientprocessingofadmissionsdatainaccordancewithFMCNApolicies and procedures. + Ensureallaspectsofpatientconfidentialityaremaintainedatalltimes **Scheduling and Registration** **-** Responsibilities may include the following based on location and business need: + Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc. + Prepares medical records for facsimile or mail related to travel, transplant, disability and others. + Organizes travel for patients by contacting and providing requested medical records. + Coordinates with transient patient paperwork. + Coordinates transfer placements and confirmations along with Clinical Manager. + Confirms admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning. + Assist with medical appointment referrals and scheduling. + Assist with transportation coordination and referrals. + Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART. + Monthly insurance card scanning **Administrative and Additional Responsibilities** **-** Responsibilities may include the following based on location and business need: + Setting up and maintaining filing systems and basic databases as applicable. + Completing forms and reports as required by the various company offices and outside vendors and agencies. + Preparing purchase orders using the appropriate software application. + Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed. + Maintaining inventory of the necessary office supplies + Assists in auditing records for ongoing compliance with medical records standards (H&Ps, monthly physician progress notes, care plans, etc). + Assists in the collection of Patient Demographic Information and Continuous Quality Improvement Data. + Assemble,fileandmaintainpatientmedicalrecords + Printpatientscheduleandpullpatientchartsdaily. + Arrangeforpackagepickupanddelivery. + Assists with month-end reporting requirements. + Participate in collaboration sessions such as center/team huddles and staff meetings. + Attend education and training sessions as appropriate and apply key learnings. **SKILLS:** + Knowledge of office procedures required. + Proficient in Microsoft office applications + Ability to adapt to supporting software applications. + Professional attitude and appearance + Solid written and verbal communication skills + Ability to be resourceful and proactive when issues arise + Strong organizational skills + Multitasking and time-management skills, with the ability to prioritize tasks + Customer service attitude **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 possible interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. The work environment may be characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials **SUPERVISION:** + None **EDUCATION** : + HighSchoolDiploma or GED required **EXPERIENCE AND REQUIRED SKILLS** **:** + Minimum 6 months relevant experience without a degree. + 1-2 years related experience preferred. + Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills. + Pleasanttelephonemanner. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24 - $27 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

This is a per diem role for a surgical tech in our Culver City, CA surgery center. The center is open Monday through Friday 7:30am to 4:00pm. **PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the USV/FMCNA Compliance Program, including following all regulatory and USV/FMS policy requirements. Under the direct supervision of the Facility Manager or Chief Radiology Technologist, performs scrub and circulating duties during interventional procedures according to USV/FMS policies and procedures. Assists with preparation of procedure room, inventory of supplies and stocking of supplies in the procedure room and stock room. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assists with the maintenance and setting up of the procedure room in compliance with FMCNA/USV policies and procedures and state and federal regulations. + Stocks procedure room and procedure trays with all needed supplies and interventional equipment prior to procedure. + Cleans the procedure room including the equipment and machinery post procedure. + May assist with preparing the patient for the surgical procedure by positioning, shaving and prepping. + Performs additional tasks as designated by Physician, practicing in compliance with state regulations + Prepares and administers medications within the scope of practice and state regulations + Performs patient transfers and positioning of patients and transports patient to and from procedure room. + Acts as scrub assistant assisting the physician during interventional procedures under fluoroscopy; maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. + Draws up intravenous medication and labels as per Medication Labeling Policy, and Medication in the Sterile Field Competency. + Performs circulating duties in the procedure room. + Complies with HIPAA policies and standards in regards to patient confidentiality. + Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary and safe on a daily basis Ensures all facility equipment and instruments are in proper working condition by inspecting equipment on a daily basis before and after procedures. + May perform minor equipment repairs and general upkeep. Communicate problems to supervisor and document issues in the communications log. + Assists with disposal of hazardous waste materials, dirty linen and rugs. + May assist with instrument sterilization and packaging of surgical instruments. + Assists with preparing, organizing, and efficiently utilizing supplies and equipment to prevent wastage. + Provides outstanding quality of patient care by supporting and driving USV quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of USV/FMS CQI tools. + Assists with implementing USV quality goals and facility specific action plans in order to achieve USV quality standards. + Maintains integrity of medical records and other USV administrative and operational records. + Complies with all data collection and auditing activities. + Provides clerical and practical support to physicians and staff: + Works with the physicians and staff to have all necessary instruments and equipment are on hand. + May print images and send to the physician. + May assist with training and orienting new employees on the medical equipment. + Files paperwork in patient files according to policies and procedures. + Assists with inventory, ordering of supplies and re-stocking of supplies. + May process x-ray images after acquisitions. + May archive patient images to a CD or DVD to comply with USV policies and procedures for patient medical records and state regulations. + Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. + Other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The 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. Must be able to lift, push and pull up to 50 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. **EDUCATION** **:** + High School Diploma required + Surgical Technologist Certification as required by state regulation + All appropriate state licensure, and or certification education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS:** + 1 - 2 years' related experience. + Previous patient care experience preferred. + Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment), procedures and materials/supplies needed for each procedure. Knowledge of sterile techniques. + Experience with special procedures utilizing a C-Arm preferred. + Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. + Successfully complete BLS certification. **"The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $24.66 - $37.64** **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

This is a per diem front desk coordinator role in our surgery center in Riverside, CA The center is open Monday throuh Friday 7:30am to 4:00pm. You will need experience at a front desk in a medical setting and a high school diploma or GED Must have experience with EMR, outlook and excel and have excellent phone manners. In this role, you will greet patients, schedule surgical appointments, verify insurance and arrange transportation for patients. Excellent benefits: Medical, dental, vision, prescription, paid maternity & paternity leave, 401K w/ match, PTO, tuition assistance, life insurance, Long Term and Short Term disability, Flexible Spending for Healthcare, Dependent Care & Commuter Expenses PURPOSE AND SCOPE: As the Patient Services Coordinator, this position coordinates scheduling, pre-procedure communication, medical record documents, EMR demographic data entry, requirements for payers and Revenue Cycle, greets patients and answers multi-line telephone and fax. PRINCIPAL DUTIES AND RESPONSIBILITIES Schedule and input all appointments scheduling module in a timely and efficient manner. Assure all pre-procedure/preoperative activities are scheduled or completed. Manages patient cancellations, center cancellations (e.g. equipment issues) and additions to schedule in accordance to center scheduling parameters. Print patient schedule and pull patient charts daily. Facilitates the admission process by professionally greeting all patients and visitors and obtain patient identification and insurance information to initiate admissions process. Assemble, file and maintain patient medical records and financial records in a confidential and secure manner Complete front-end process of billing procedure ensuring all information is entered into the computer registration module. Performs Insurance Verification process and completes all required processes for prior authorizations or other actions required by payor. Assist with patient transportation if the patient qualifies per the Company Transportation Policy. Ensure appropriate signatures are included on all necessary chart and admissions data in accordance with FMCNA policies and procedures. Ensure accuracy when scanning and filing documents and completes within 24 hours of completed visit, including physician reports to referral sources. Communicate all changes about procedure and insurance which is identified during patient visit to appropriate internal parties and directly to the patient record immediately. Perform daily encounter checks to assure reporting accuracy. - what is this? Coordinates collection, processing, maintenance, storage, retrieval, documentation, and distribution of medical records per policy and procedure. Assures documentation of logs of medical record release. Provides information to parties engaged in research or study projects involving patient care and utilization of services in accordance with policy. Oversees the materials going in and out of the office, including inventory, shipments, and deliveries. Other duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk and computer work and interaction with patients, facility staff and physicians. SUPERVISION: None EDUCATION: High School Diploma or an equivalent combination of education and experience, Associate Degree or higher preferred EXPERIENCE AND REQUIRED SKILLS: 1 - 2 years' related experience, preferably in a medical setting with insurance billing. Proficient in the use of computers and related software such as Microsoft Office is necessary. Excellent communication skills - verbal and written. Ability to handle several tasks simultaneously. Ability to adapt to supporting software applications. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24.00 - $29.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Home Therapy Administrator is responsible for the overall daily management and operation of assigned home dialysis modality program(s). 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. * Develop and implement processes for program growth in accordance with Company goals. * Implement clinical and operational processes to improve patient health and continuity of care. * Oversee equipment management, including equipment tracking and retrieval. * Responsible for active Renal Care Options program to ensure patients are educated on all modality options. * Achieve financial targets to include budget, labor costs, supply costs and expenditures. * 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. * Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. * Assure that the program(s) is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. * May assume Home Therapy Nurse's responsibilities as needed. * Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the program(s). * Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. * Oversee on-call system for patients; ensure patients have access to nursing support at all times. * Ensure proper documentation of all nursing services in the Electronic Medical Record (EMR) including but not limited to training sessions, routine and non-routine in-person interactions, home visits and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. * Supervise the maintenance of equipment, building areas occupied by the program and other property belonging to the program. * Regular and reliable attendance is required for the position. * Monitor all contractual agreements; update as needed with corporate oversight. * Maintain collaborative working relationship with Medical Director and physicians. * Oversee communication of overall results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. * Effectively communicates expectations; accepts accountability and holds others accountable for performance. 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. * For multiple program oversight -- must hold a valid driver's license in the applicable state. Dependable transportation and proof of valid auto insurance. * Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment. * 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 home program 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 the specific modality of home program. * CPR certification required within 90 days of hire and prior to patient care assignment. * Confirmation of ability to distinguish all primary colors. * Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse) U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $34.50 - $51 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

How you will change lives As a Social Worker at US Renal Care, you will be an integral part of a cross-functional team, working to help patients living with kidney disease achieve maximum social functioning and psychological adjustment to dialysis treatment and rehabilitation. What you will be doing Advocate & Support. You will be part of an interdisciplinary team working to ensure patients receive the best care, including conducting all required patient assessment and care planning activities such as assessing new patient psychosocial needs and completing the KDQOL in accordance with company policy and all state/CMS regulations. You will identify and counsel psychosocial issues and provide patient and family education. As an advocate for your patients' needs, you will coordinate communities of support for patients and their families, identify social agencies and other resources (e.g., financial/funding), provide information and referrals, coordinate transient arrangements, and represent your patient as needed with appropriate local, state, and federal agencies. Teamwork. As part of the interdisciplinary clinic team, promote teamwork, educate staff, and provide training around patient psychosocial care. You will participate in all required continuing education and staff meetings. You will collaborate with the Medical Director and physicians and maintain positive relationships with area hospitals, agencies, vendors, and the community. Safety & Quality. You will help with clinical and operational processes to improve patient health and minimize missed treatments and hospitalizations, achieving target goals for patient outcomes. You will also participate in monthly Quality Assessment and Performance Improvement (QAPI) activities and ensure compliance with federal, state, and local laws and regulations. What we're looking for * Master's Degree in Social Work accredited by the Council of Social Work Education (CSWE). * Current licensure (in good standing) in applicable state is required unless employed in the state of AZ, PA or Guam. Must meet any practice requirement(s) for the applicable state. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Basic computer skills, including Microsoft Office (Word, Excel, Outlook). * Proficiency in all USRC clinical applications required within 90 days of hire. Preferred * Previous experience in providing social services to dialysis patients preferred. Other Requirements * Must meet any practice requirement(s) for the applicable state. * Additional license requirements may be applicable depending upon state. 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!

**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. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $71,000 - $166,000 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

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!

**PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to FMCNA algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Rate: $56,392.96 - $84,597.76. Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**