Fresenius Medical Care North America Holdings Limited Partnership jobs in Phoenix, AZ - 27 jobs

**PURPOSE AND SCOPE:** Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) 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 FKC Quality Goals. This is an entry level MSW role. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Patient Assessment / Care Planning / Counseling + As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. + Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. + Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. + Provides educational and goal directed counseling to patients who are seeking transplant. + Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. + In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. + Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. + Documents based on MSW interaction and interventions provided to patient and/or family. + Quality + Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. + Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. + Patient Education + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. + Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. + Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. + Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Collaborates with the team on appropriate QAI activities. + Patient Admission and Continuity of Care + Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns. + Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment. + The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership. + Insurance and Financial Assistance + Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. + In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs). + Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. + Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills + Staff Related + Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. + Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). + Provides training to staff pertaining to psychosocial topics as needed. + Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. + Adheres to work defined caseload guidelines based on state regulatory requirements. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel required (if multiple facilities or home visits, if applicable) **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Masters in Social Work + Must have state required license + Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed **EXPERIENCE AND SKILLS** **:** + 0 - 2 years' related experience **EOE, disability/veterans**

**Must have Superior Customer Service Experience** **Technical Knowledge and Experience a Plus** **About this role:** As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment equipment within our kidney care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical supplies required. **How you grow or advance in your career:** We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a Biomedical Technician specific career ladder with three potential levels of Biomedical Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice President of Technical Services and supported by Corporate Biomedical Support Managers. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits; we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** - Maintains, troubleshoots, and repairs dialysis equipment, ancillary equipment, and water treatment systems. - Maintains the physical plant, as directed. - Ensures outside vendor services are completed per contract. - Purchases and retain an inventory of service parts. - Performs, evaluates, and reports water/dialysate sample collection and any actions required. - Conducts daily, weekly, and monthly trend analysis on the water system to assure system functions as designed. - Documents all repairs and maintenance activity. - Assists in planning and installing biomedical equipment to assure safe and effective operation of facility. - Transports equipment as needed with supervisor consent. - Participates in monthly technical and regulatory meetings. - Collaborates with facility staff to ensure all regulatory and OSHA requirements are met. - Manages inventory, including receiving and putting up deliveries, inventory counts, transporting goods between clinics as needed and assist clinical management with inventory costs. - Performs initial and annual verification and ongoing monitoring of patient care staff's technique for testing water system, assuring tests and documentation comply with manufacturer's specifications for the devices and test equipment used. - Completes all technical training programs required by state/federal regulations and company policy. - Provides scheduled after hour technical on-call coverage for your clinics as needed. **EDUCATION AND CREDENTIALS:** + High school diploma or G.E.D. required. + Associate Degree in electronics / biomedical technology, or equivalent (preferred but not required) + Valid Driver's License issued in the employee's state of residence required. + Continued employment is dependent on successful completion of Fresenius Biomedical Technician training within the first 24 months of service from date of hire. **EXPERIENCE AND REQUIRED SKILLS:** + Qualities and traits: collaborative, independent, analytical, mechanical, self-motivated, self-starter, continuously strives for staying up to date and increasing their knowledge/skills + Less than 1-year related experience. + Prior experience working in a mechanical, automotive, or construction industry, dialysis, or medical technical setting (preferred but not required). + Manual dexterity required - ability to use common hand tools and small power equipment. + Good verbal and written communication skills. + Ability to lift up to 50 lbs. and safely move large/bulky equipment Ability to create a safe and efficient work environment, OSHA - 6S - Infection Control **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. - Position involves active work including lifting, bending, walking, and standing for considerable lengths of time. - The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet. - There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. - Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. - Evening, weekend, and holiday availability, as well as ability to take Fresenius Medical Care 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 Dialysis Support Coordinator is responsible for the management, distribution, and maintenance of equipment and supplies used in home dialysis programs. This role ensures compliance with regulatory requirements, supports safe and effective treatment for patients, and provides operational support to assigned home dialysis clinics. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Track, clean, maintain, and distribute home dialysis equipment in accordance with company policies and regulatory standards. Perform water quality checks, including but not limited to free chlorine, total chlorine, and water hardness testing. Collect and submit water and dialysate samples for microbiology and AAMI analysis testing per protocol. Maintain accurate water quality and maintenance logs in compliance with company and regulatory requirements. Coordinate ordering, receipt, organization, and storage of supplies for assigned home dialysis clinics. Monitor and maintain inventory levels to support uninterrupted patient care. Travel to assigned home programs to provide on-site support, troubleshooting, and equipment accountability. Collaborate with interdisciplinary teams to ensure safe and efficient patient care environments. Support continuous improvement initiatives by identifying process gaps and recommending solutions.

You will be able to work from your home location _within the United States_ PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Provides feedback and education to coders. Escalates compliance, risk-related issues to expedite mitigation. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. + Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA). + Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate ESRD designation. Reviews medical records for the determination of accurate assignment of all documented ICD-10 codes for diagnoses and procedures. + Uses discretion, experience and specialized coding training to accurately assign ICD-10 codes to patient medical records. + Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by Fresenius policy. + Reviews medical records to determine accurate required abstracting elements (clinic specific elements) including appropriate discharge disposition. + Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution. + Evaluates and prepares as indicated daily, weekly and monthly reports indicating quality levels and opportunities for charge capture and revenue maximization. + Monitors, prepares and presents reports including, but not limited to, Medical Record Delinquency Rates, Clinical Pertinence, H & P Compliance, Operative Note Compliance + Develops and delivers education to horizontal and vertical audiences on coding and charge capture. + Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10 coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10 and CPT updates) for outpatient coding. Quarterly review of AHA Coding Clinic. Attends or facilitates Quarterly Coding Updates and all coding conference calls. + 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: + Ability to sit for extended periods of time. + Must be able to efficiently use computer keyboard and mouse to perform coding assignments. + Capacity to work independently in a virtual office setting or in clinic setting if required to travel for assignment. + Duties may require bending, twisting and lifting of materials up to 25 lbs. + Duties may require travel via, plane, care, train, bus, and taxi-cab. EDUCATION: + AHIMA or AAPC Credentials + Associates degree in relevant field preferred or combination of equivalent of education and experience EXPERIENCE AND REQUIRED SKILLS: + 2+ years related experience. + Must be detail oriented and have the ability to work independently + Computer knowledge of MS Office + Extensive knowledge of medical record documentation requirements mandated by Medical Staff Bylaws, Rules and Regulations + State and federal regulations regarding patient confidentiality + Excellent verbal/written communication and interpersonal skills + Thorough/detailed knowledge of ICD-10 and CPT coding systems + Skilled in formulating and writing statistical reports + Skilled in performing quality assessment/analysis + Must display excellent interpersonal skills + Knowledge of disease pathophysiology and drug utilization + Knowledge of MSDRG classification and reimbursement structures + Knowledge of APC, OCE, NCCI classification and reimbursement structures **Fresenius Medical Care maintains a drug-free workplace in accordance with** **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity** If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (******************************************************************* **EOE, disability/veterans**

The Regional Director, Acute Programs is responsible for overseeing the operation of acute dialysis programs in an assigned geographic region. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Responsible for overseeing overall operation of assigned acute programs from a fiscal, clinical, technical, regulatory, personnel, business management and growth perspective in accordance with Company goals. · Organizes and coordinates all acute program development from identifying the opportunity, contracting, through opening. · Oversees patient admission and volume tracking by therapy. · Works with Administrators on developing optimal staffing and patient schedules. · Works with Administrators toward the achievement of monthly, quarterly and annual projections based on financial and management objectives. · Responsible for achieving financial targets to include budget, labor costs, supply costs and expenditures at assigned acute programs. OUTCOMES · Reviews all incident reports; makes recommendations and takes action relative to incidents as appropriate. · Works with Administrators to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieves program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned acute centers. OPERATIONAL READINESS · Knowledge of and remains current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assures that assigned acute programs are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies. · Works with Administrators to ensure compliance with all Company standards, guidelines, rules, policies and procedures. · Assists Administrators with necessary Corrective Action Plan development, implementation and follow through as required for internal and external surveys. · Follows up on any/all deficiencies for all audits done internally (corporate) or externally (CMS & TDH). · Assures compliance with required Governing Body meetings, monthly CQI meetings and care plan conferences and assures documentation of such through recorded minutes. PARTNERSHIPS PARTNERSHIPS (cont.) · Understands, leads and promotes the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives. · Communicates with regional management on a consistent basis regarding the status of each acute program in the region. · Develops physician and referral source relationships and oversees local marketing efforts. · Acts as liaison with Medical Directors and physicians to coordinate quality patient care. · Regularly communicates financial performance and capital expenditures with Joint Venture Partners. · Maintains a positive/collaborative relationship with physicians, area hospital agencies and the community. · Implements and monitors appropriate contractual agreements/arrangements with collaborating agencies. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Responsible for professional development of each Administrator in assigned acute programs. · Supervises the hiring of acute staff as needed in collaboration with Administrators and Human Resources Department. · Maintain effective personnel management and employee relations, including evaluating the performance of personnel; approving and submitting time worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort; perform duties in accordance with company policies and procedures. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.

Position location: You will be able to work remotely from your home location located within the United states **PURPOSE AND SCOPE:** The Patient Account Representative - Cash/Credit provides administrative support to the daily operations within the assigned function(s). The incumbent is responsible for the timely and accurate posting of electronic and manual cash receipts, adjustments and denials to patient accounts. The Patient Account Representative - Cash/Credit assists in the resolution of outstanding credit balances and overpayment packages. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Under general supervision, generate and analyze diverse reports and work lists in the identification and resolution of routine patient account issues. + May post electronic and manual cash receipts, adjustments and denials; ensuring reconciliation of all posted data. + May prepare and distribute overpayment packages as necessary. + Perform all responsibilities in compliance with company policies and procedures. + Assist with various projects as assigned by direct supervisor. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. + Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Occasionally lift and/or move up to 50 pounds. **EDUCATION:** High School Diploma required **EXPERIENCE AND REQUIRED SKILLS:** + 1 - 2 years' related experience. + Good computer skills with demonstrated proficiency in word processing, spreadsheet and email applications. + Detail oriented with good analytical and organizational skills. + Good interpersonal skills to work cohesively within a team environment. + Possess a positive, enthusiastic and energetic attitude. + Excellent oral and written communication skills to effectively communicate with all levels of management. If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (smartsheet.com) (******************************************************************* **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**About this role:** As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic. **How you grow or advance:** Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership 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, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse. + Sets up, tests, and operates hemodialysis machines for patient treatments. + Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient. + Evaluates vascular access pre-treatment and performs vascular access cannulation. + Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed. + Monitors patients' response to dialysis therapy. + Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures. + Reports any significant information and/or change in patient condition directly to supervisor. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications. + Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + Assists other healthcare members in providing patient education. + Prepares, organizes, and efficiently uses supplies and equipment to prevent waste. **EDUCATION AND LICENSES** **:** + High school diploma or G.E.D. required. **EXPERIENCE AND REQUIRED SKILLS** **:** + Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable. + Previous patient care experience in a hospital setting or a related facility (preferred but not required). + Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification. **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. We 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 healthcare 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. 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 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist" devices for the heavier items. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the 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. **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 Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP). **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **Staff Related:** + Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies. + Rotates with other licensed staff to ensure adequate coverage. + Participates in staff training and orientation of new staff as assigned. + Participates in all required staff meetings as scheduled. **Quality:** + Provides outstanding quality of patient care, as defined by company quality goals and standards. + Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet. + Participates in all monthly CQI meetings. **Education:** + Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment. + Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program. + Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program. + Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy. + Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions. **Dialysis Treatment:** + Provides safe and effective delivery of home therapy support care to patients with ESRD. + Assesses patients' response to home dialysis treatment therapy by following predetermined protocols. + Communicates patient related issues to the physician as needed. + Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events. + Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate. **Laboratory Related:** + Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results. **General Duties:** + Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office. + Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law. **Maintenance/Technical:** + Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone. + Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate. + Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment. **Medical Records & Documentation:** + Admits all new patients and documents as needed. + Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System. + Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented. + Completes all monthly and annual reporting as required by company policies and government regulations. **Other:** + 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. + 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 + 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. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS:** + Graduate of an accredited School of Nursing (R.N.) + Current appropriate state licensure **EXPERIENCE AND SKILLS** **:** + Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred. + Minimum of one year dialysis experience preferred, peritoneal experience preferred. + Successfully complete a training course in the theory and practice of dialysis therapies. + Competent at operating all Home Therapies related equipment. + Successfully complete CPR certification with maintenance as required. + Icd-9 coding Training. + Demonstrated teaching abilities. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**You will be able to work from your home location** **_within the United States_** **Epic Configuration, Workflow and Reporting Expertise a Must Have** **5-7 Years Progressive Experience in Epic Revenue Cycle Operations and Build** PURPOSE AND SCOPE: The Epic Revenue Cycle Manager is a vital part of the Revenue Cycle Management Enterprise team who partners with key stakeholders to provide technical and operational insight, facilitating inter-departmental organizational decision making, and enabling resolution of Epic/Acumen issues that impact overall operational performance and financial results. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Serves as the primary liaison between revenue cycle leadership, analysts and Acumen/Epic + Partners with revenue cycle leadership to advance cross-functional initiatives to streamline workflows, eliminate waste, and modernize revenue cycle processes + Leads configuration and maintenance for Epic/Acumen revenue cycle applications; and establishes master file governance + Demonstrates mastery with Epic reporting and validates business intelligence reporting + Monitors key performance indicators (KPIs). Analyzes prepares and delivers productivity and financial reports, recommending process improvements + Develops and maintains positive client relations and coordinates with various functions within the company to ensure client requests are handled appropriately + Presents and participates in meetings with internal and external representatives. + Frequently interacts with internal and external stakeholders to facilitate the decision making and problem-solving activities to ensure positive impact on physician practice partnerships. + Works with key stakeholders to assess impacts of change to systems or processes. + Drives the identification of ongoing ideas and solutions to ensure alignment of practices and revenue cycle management operations. + Builds and fosters relationships between Fresenius teams and Practice leadership and staff. + Assists in the development and implementation of short- and long-term objectives with direct responsibility for results, including revenue, methods and operational functions + Assists with development of policies, procedures and processes within assigned function, interpreting and recommending changes to policies and procedures that affect immediate organization(s). + Technically proficient in Physician Practice operations and serve as Epic/Acumen subject matter expertise for workflows + Technically proficient in Physician Practice operations and serve as Epic/Acumen subject matter expertise for workflows 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. SUPERVISION: + May manage subordinate supervisors and/or exempt staff - experienced professionals who exercise latitude and judgment. + May be responsible for the direct supervision of various levels of Revenue Cycle Management staff. EDUCATION: Bachelor's Degree required; Advanced Degree desirable EXPERIENCE AND REQUIRED SKILLS: + 5+ years in Revenue Cycle Management. + 3+ years Client/ Customer Service facing experience. + Experience in Physician Practice/ Revenue Cycle preferred. + 3+ years supervisory or project/program management experience preferred. + Strong reporting and analysis skills are essential so intermediate-advanced Excel skills are key including doing pivot tables & V-Lookups. Must have experience in identifying/reviewing trends in physician revenue cycle performance + Excellent communication and presentation skills are required to include a proven ability to work effectively with physicians and senior management + Candidates should have initiative, the ability to work independently, meet specific deadlines, and be flexible with work schedule priorities + Highly proficient in Microsoft Office applicants, specifically PowerPoint. + Strong organizational and analytical skills required. + Demonstrated ability to communicate orally and written with all levels of management and staff. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (******************************************************************* **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 Dialysis Support Coordinator is responsible for the management, distribution, and maintenance of equipment and supplies used in home dialysis programs. This role ensures compliance with regulatory requirements, supports safe and effective treatment for patients, and provides operational support to assigned home dialysis clinics. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. * Track, clean, maintain, and distribute home dialysis equipment in accordance with company policies and regulatory standards. * Perform water quality checks, including but not limited to free chlorine, total chlorine, and water hardness testing. * Collect and submit water and dialysate samples for microbiology and AAMI analysis testing per protocol. * Maintain accurate water quality and maintenance logs in compliance with company and regulatory requirements. * Coordinate ordering, receipt, organization, and storage of supplies for assigned home dialysis clinics. * Monitor and maintain inventory levels to support uninterrupted patient care. * Travel to assigned home programs to provide on-site support, troubleshooting, and equipment accountability. * Collaborate with interdisciplinary teams to ensure safe and efficient patient care environments. * Support continuous improvement initiatives by identifying process gaps and recommending solutions. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Demonstrated knowledge of materials management, dialysis and water treatment equipment, and the dialysis regulatory environment. * Previous dialysis, hospital, or medical experience preferred. * Must be able to independently travel up to 90% of the time. * Must be able to lift and transport equipment weighing 50+ lbs. * Valid driver's license in the applicable state with a clean driving record. * Ability to distinguish all primary colors. * Ability to prioritize multiple, competing tasks in a fast-paced environment. * Ability to react effectively in emergencies. * Strong verbal and written communication skills; ability to interface effectively with all levels of team members. * Ability to work independently as well as collaboratively within a team. Education: * High School Diploma, GED, or equivalent required.

**Home Therapies Program** **PURPOSE AND SCOPE:** Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-center staff and other support functions. Ensures provision of quality patient care in accordance with policies, procedures, and training. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Provides safe and effective oversight, support, training and scheduling of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. + Responsible for profit and loss management of the assigned program including optimal performance of program operations to achieve or exceed budgets and key performance indicators. + Directs and manages all aspects of patient care for Home Therapies patients in assigned programs from admission through discharge of the patient. Provides direction, guidance, and support to staff members to ensure the safe and effective delivery of home therapy support care to patients with End-Stage Renal Disease (ESRD). + Oversees patient and caregiver readiness and ability to perform dialysis treatments at home and assesses environment for suitability in the ongoing delivery of home dialysis therapy, including training patients and caregivers on the safe and effective operation and preventative maintenance of equipment. + Manages patient experience efforts by supporting company patient satisfaction initiatives, embodying the company values and patient experience drivers while encouraging others to do the same. + Ensures competency of staff in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone, maintaining appropriate staff licensures and CPR certifications. + Responsible for management of program supplies, equipment tracking, ensures that orders are replenished in a consistent and timely manner. + Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management and patient training success. + Directs data entry related activities such as patient admission, regulatory reporting, billing, physician orders, lab results, vital signs, patient status and any other treatmentrelated data into systems. + Ensures regulatory, compliance, and audit activities are accomplished on time. + Orients and supports new staff and provides ongoing education, ensuring compliance with all risk management initiatives, including in-center staff. + Participates in Business Unit initiatives, projects, and audits as directed. + 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. + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment used can vary in complexity. Equipment aids and/or coworkers may provide assistance. + The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. + This position requires frequent, prolonged periods of standing and/or walking and the employee must be able to bend over. + 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. **SUPERVISION:** + Typically supervises non-exempt staff **EDUCATION AND REQUIRED CREDENTIALS** **:** + Graduate of an accredited School of Nursing (R.N.). Current appropriate state licensure. + Successfully complete CPR Certification **EXPERIENCE AND SKILLS** **:** + Minimum of one year dialysis experience with three months peritoneal experience required, one year medical-surgical nursing or ICU experience preferred + Supervisory experience preferred + Successfully complete a training course in the theory and practice of dialysis therapies + Demonstrated leadership skills including, but not limited to communication, customer service, performance management and continuous quality improvement. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **EOE, disability/veterans**

**PURPOSE AND SCOPE:** The **Strategic Total Rewards Business Partner** serves as a strategic advisor and subject matter expert to our CDNA, ensuring that our total rewards strategies align with business objectives, attract top talent, and drive employee engagement. This role will provide comprehensive leadership and consultation on global compensation, benefits, and recognition programs, ensuring these initiatives are competitive, equitable, and compliant with local regulations across the regions where the business unit operates. **PRINCIPAL DUTIES AND** **RESPONSIBILITIES:** **_Strategic Business Partnership_** **:** + Partner with business leaders and Strategic HR Business Partners (HRBPs) to understand the function's goals, challenges, and business priorities. + Owns business strategy for own area of responsibility to inform to TR Ops. and SME. + Implement total rewards strategies that support business objectives and align with the company's global total rewards philosophy. + Provide thought leadership on emerging trends and innovative practices in total rewards to address global talent needs. + Primary contact of Total Rewards and our Business. + Liaison to business on escalations (ambassadors) + Expert in our business specific-structures. + Training/delivering of HR teams & Mgrs on TR Programs + Partnership with other HR CoEs + Functions + Develop TR budgets with the main stakeholders: business leaders, SHRBP's, Finance Business Partners, etc. + Influence stakeholders, who regularly have divergent interests, to achieve short-term global / country objectives; represent the CoE on global / and national level. + Problems faced are difficult and are often complex. + Improve existing methods, techniques and / or processes across job áreas. **_Compensation_** **:** + Co-Lead/Support the design, implementation, and communication of competitive compensation programs, including base pay, incentive plans, and executive compensation for the functions. + Establish a library of all existing business-specific incentive or pay-related programs and ensure alignment with best practices and the establishment of globally consistent structures and processes. + Collaborate with the global TR operations team to ensure consistent application of job architecture, leveling, and market benchmarking. + Analyze market trends, internal equity, and pay-for-performance outcomes to make data-driven recommendations. **_Benefits_** **:** + Partner with global benefits teams to ensure benefit programs meet the needs of employees in diverse geographies while remaining cost-effective and compliant. + Serve as a liaison between the functions and corporate benefits teams, identifying opportunities for enhancements and efficiencies. + Drive initiatives to improve employee understanding and appreciation of benefit offerings. **_Governance and Compliance_** **:** + Ensure compliance with local regulations and internal governance policies in all total rewards programs. + Partner with legal and compliance teams to mitigate risks and address emerging regulatory changes. **_Leadership and Collaboration_** **:** + Act as a change agent to influence and support cultural alignment with total rewards strategies. + Collaborate with cross-functional teams, including Finance, Legal, HR Operations, and regional HR leaders, to ensure seamless program delivery. **_Analytics and Reporting_** **:** + Leverage data analytics to monitor the effectiveness of total rewards programs and recommend adjustments as needed. + Provide business leaders with insights on trends, forecasts, and competitive positioning. **EXPERIENCE AND REQUIRED SKILLS:** + Bachelor's degree in Human Resources, Business Administration, or related fields. + 8+ years' related experience. + Experience supporting global business units in a complex, matrixed organization. + Deep knowledge of global compensation and benefits practices, regulatory environments, and market trends. + Strong interpersonal skills with the ability to communicate with all levels of management through diplomacy and tact. + Demonstrated ability to manage multiple priorities and deliver results in a fast-paced environment. + Interpreting and applying understanding of key financial indicators to recommend appropriate business solutions + Comfortable in working within a global environment, across multiple geographies and time-zones + High level of integrity, discretion, and professionalism If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (smartsheet.com) (******************************************************************* Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Functions as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe and clean working environment within the home therapy program. Supports the organization's commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction, and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization's Quality Enhancement Goals (QEP). **All duties and responsibilities of the PCT II HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with, and as permissible per state laws, regulations, and policies.** **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES (Not Home Assist):** + Reinforces home hemodialysis (HHD) and/or peritoneal dialysis (PD) training as permitted by law. + Identifies and welcomes patients, obtains vital signs, weights, and gathers information needed to complete the Clinic Visit Intake form. + Builds and maintains strong communication and collaboration processes and rapport with patients, care partners, the HT RN, direct and non-direct patient care staff, providers, and other team members. + Obtains treatment records from patients and/or systems, reviews for completion, and reports missing or abnormal data to the HT RN. + Assists with electronic home treatment/medication/oral nutritional supplement reconciliation and reports missing data/orders to the HT RN. + May assist HT RNs with home visits. + Provides home support as applicable and permissible. + Prepares supplies for the collection of prescribed laboratory testing and prepares specimens for shipping. + Assists with the tracking and shipping of transplant-related laboratory specimens and reinforces transplant education. + Completes opening/closing daily chores and documents as appropriate. + Disinfects dialysis machines, chairs, tables, and other equipment in between patient visits, and routinely. + Prepares the exam/training room for home dialysis training, treatment, or other visits. + Stocks exam, training, treatment, and storage rooms with supplies. + Develops or follows a process for the management of supplies to maximize use and minimize waste. + Schedules patient appointments and contacts patients/caregivers regarding dates, times, and reminders. + Supports patient registration and use of connected health. + Assists patients and care partners with supplies/inventory ordering and management. + Maintains logs and tracking. + May order and track clinic/office supplies, as directed. + Participates in medical records, infection control, and other audit processes as directed. + Actively collaborates with others during staff huddles or meetings. + Helps collect required documentation for patient admission, prepares and maintains the electronic and/or hard-copy patient chart, as directed. + Performs other clerical duties, as assigned (answering phones, faxing, email, provider office contact, etc.). **Home Hemodialysis** + Reinforces HHD training. + Sets up, tears down, programs, tests, and disinfects the HHD machine, as directed. + Troubleshoots HHD Machinery/tools and connectivity issues. + Prepares dialysate for use, as directed. + Prepares dialysis supplies for HHD treatment according to standing/provider orders. + Evaluates the dialysis access before treatment, documents all findings in the medical record, and reports abnormal findings to the HT RN. + Initiates HHD treatment, while monitoring and documenting patient status, vital signs, and machine data in the treatment record. + Performs and documents safety checks during treatment at intervals designated by CMS and facility policy. + Reports observed significant changes in patient status during treatment to the HT RN, and documents in the medical record. + Provides interventions during treatment in response to interdialytic events, and documents in the medical record, as directed and permissible. + Obtains pre-treatment termination vitals and documents in the treatment record. + Ensures hemostasis of the patient dialysis access is achieved before leaving the treatment area. + Collects and documents post-treatment vitals in the treatment record and reports to the HT RN. + Assists with quarterly, semi-annual, and annual water and dialysate testing as directed. + Other duties, as assigned. **Peritoneal Dialysis** + Reinforces PD training. + Troubleshoots PD cycler, modem, and connectivity issues. + Performs phlebotomy to obtain prescribed laboratory testing, as directed (must meet state and/or competency requirements to perform). + Sets up PD cycler and prepares and warms PD solutions, as directed. + Assists with exit site care, as directed. + May help with tracking of PD equipment. + Other duties, as assigned. **Staff** **Related** + Participates in the recruitment process for new clinical staff. + Assists with clinical orientation and supports ongoing training of all appropriate home therapies direct patient care personnel as well as the orientation of all facility staff to the organization. + Partners with all IDT members, including Kidney Care Advocates, administrative staff, and others in developing ideas to improve awareness of Home Therapies for in-center staff and patients. **PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. + Employees are required to take Ishihara's Color Blindness test as a condition of employment. Note: failing the Ishihara Test for Color Blindness does not preclude employment. The company will consider whether reasonable accommodations can be made. + Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilitiesand various locations within thecommunity.Traveltoregional, Business Unit, and corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayassist.This positionrequiresfrequent,prolongedperiods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment,exertingupto15poundsofforce.Theemployeemayberequiredtoliftandlowersolutionsfrequentlyof up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must have a valid PCT national certification or state-specific certification as defined by the Center for Medicaid/Medicare Services (CMS). + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + At least two years of previous patient care experience in a hospital setting or a related facility preferred. + Continued employment is dependent on successful completion of the organization's dialysis training program and successful completion of CPR certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

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

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

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

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic. How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership 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, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse. - Sets up, tests, and operates hemodialysis machines for patient treatments. - Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient. - Evaluates vascular access pre-treatment and performs vascular access cannulation. - Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed. - Monitors patients' response to dialysis therapy. - Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures. - Reports any significant information and/or change in patient condition directly to supervisor. - Enters all treatment data into the designated clinical application in an accurate and timely manner. - Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications. - Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. - Assists other healthcare members in providing patient education. - Prepares, organizes, and efficiently uses supplies and equipment to prevent waste. EDUCATION AND LICENSES: - High school diploma or G.E.D. required. EXPERIENCE AND REQUIRED SKILLS: - Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable. - Previous patient care experience in a hospital setting or a related facility (preferred but not required). - Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification. 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. We 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 healthcare 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. 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 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist" devices for the heavier items. **EOE, disability/veterans**