Relief Charge Nurse jobs at Fresenius Medical Care North America Holdings Limited Partnership

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

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

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient's home. We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds. Work Schedule - Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility. Competitive on-call pay when placed in on-call rotation. Holidays - Home Training Nurses rarely work on a holiday. We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program. We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes. The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality. This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter. Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. Participate in infection control monitoring, implementation, and recording as requested. Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. Assist in obtaining data for the continuous quality improvement activities. Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned. Flexible with staffing locations and hours to accommodate patient and USRC home program needs. Regular and reliable attendance is required for the position. Home Hemodialysis Only: Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. Ensure required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results. QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Current RN license in applicable state. License must be maintained as current and in good standing. 12 months of clinical experience in providing nursing care and 3 months of experience in the specific modality for which the nurse will provide home dialysis training, except in states with a more stringent requirement such as Texas, which requires at least 6 months experience in the specific home modality. Previous experience in providing nursing care to patients on maintenance dialysis preferred. CPR certification required prior to patient care assignment. Confirmation of ability to distinguish all primary colors. Must successfully complete the Home Therapy Nurse Orientation program and maintain annual demonstration of skills and competency applicable for the modality assigned. Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. Must meet any practice requirement(s) for the applicable state. Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment. U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran. All Full Time employees are eligible for the following benefits:* Medical / Pharmacy* Dental* Vision* Voluntary benefits* 401k with employer match* Virtual Care* Life Insurance* Voluntary Benefits* PTOAll Part Time employees are eligible for the following benefits:* 401k with employer match* PTO

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

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

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 North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

i. Hemodialysis Experience required ii. Oversee the dialysis treatments for up to 6 patients in a dialysis den at a Skilled Nursing Facility iii. Work with a PCT to deliver dialysis treatments iv. Den Operates Monday-Friday during the day PURPOSE AND SCOPE: The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Educator Preceptor or in collaboration with another Registered Nurse. Performs ongoing systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed. Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides in collaboration with the patient home care partner direct and ancillary patient care staff all aspects of the provision of safe and effective delivery of dialysis therapies to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource leader coach mentor and role model for new and incumbent employees by setting examples of appropriate behavior work habits and attitudes towards patients co-workers supervisors and the company at the facility and area level. Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Assists in the identification evaluation selection and education of Home Dialysis candidates and Home Partners. Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner/ family readiness and ability to perform dialysis treatments in the home. Trains home dialysis patients and / or Home Partners on the safe effective operation and maintenance of all Home Dialysis equipment and treatment supplies through a formal standardized Home Dialysis Training Program. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. May serve as a Preceptor to new employees. Required to complete CAP requirements to either maintain or advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Rotates coverage with other licensed home therapy staff as assigned to ensure reliable and adequate coverage. Position requires participation in on-call rotation night weekend holiday or as defined by individual program needs. The position may require travel to training sites other facilities and patient homes. May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians. SUPERVISION: Assigned oversight of RNs LPNs/LVNs Patient Care Technicians and Home Therapies Care Team Assistants as a Team Leader or designated Nurse in Charge after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 3 months experience home dialysis therapies as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with a minimum of 2 years or more of Nephrology Nursing experience within the last 2 years as a RN. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

The incumbent in this role is expected to float based on the needs of the organization determined by the Home Therapies Operations Excellence Team. The expected geography may include Illinois and all states east of Illinois. In addition, floating assignments are at least six (6) weeks and require overnight stays. The incumbent is expected to perform all duties of the role as outlined in the job description (e.g. opening, closing, working weekends, etc.). The Home Therapy Registered Nurse -- Traveler, as qualified by federal and state regulations, travels to various U.S. Renal Care locations to provide patient training and ongoing support for all patients choosing a home dialysis modality. This position provides nursing relief/support for assigned programs on a temporary or short-term basis. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Participate in and support corporate initiatives that promote improved care and increase growth of the home department. · Understand vendor product delivery methods and associated fees. Teach patients the importance of proper and timely order placement. Ensure patients receive all supplies in timely manner to not disrupt care. · Assist with clinic and patient supply inventory, ensuring usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. · May assist with equipment management including equipment tracking and retrieval as needed. · Perform duties as assigned to meet the patient care or operational needs of the program. OUTCOMES · May assist with improving patient outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. May assist in obtaining data for the continuous quality improvement activities. · Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. · May complete and document monthly review of patient medication profiles as directed. Administer medications as ordered by the physician. · Provide patient education and follow up as needed. · Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS OPERATIONAL READINESS (cont.) · Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. · Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. · Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. · May conduct home visits to assess the patient's home environment per policy and as needed to improve care. · Inform (Direct Supervisor) and program Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. · Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. · May assist with developing and implementing the patient plan of care with the interdisciplinary team. · Participate in infection control monitoring, implementation, and recording as requested. · Use personal protective equipment as necessary. · Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. · Communicate on-call system to patients and ensure patients have access to nursing support at all times. Teach patients the importance of timely communication. · May perform on call nursing services, nights and weekends, on a rotational basis as needed or assigned. · Flexible with staffing locations and hours to accommodate patient and USRC home program needs. · Regular and reliable attendance is required for the position. Home Hemodialysis Only: · May coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. · May assist with ensuring required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results. PARTNERSHIPS · Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. · Maintain a positive/collaborative working relationship with physicians, state agencies and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION · Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. · May delegate tasks to competent licensed and unlicensed staff per applicable state practice act. · Assist with staff training as requested. · Lead staff in team concepts and promote a team effort.

Coverage area includes: Lone Tree and Aurora, CO and Ogden, Layton, and Logan, UT. Candidate should live close to major airport. The Home Therapy Registered Nurse -- Traveler, as qualified by federal and state regulations, travels to various U.S. Renal Care locations to provide patient training and ongoing support for all patients choosing a home dialysis modality. This position provides nursing relief/support for assigned programs on a temporary or short-term basis. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Participate in and support corporate initiatives that promote improved care and increase growth of the home department. · Understand vendor product delivery methods and associated fees. Teach patients the importance of proper and timely order placement. Ensure patients receive all supplies in timely manner to not disrupt care. · Assist with clinic and patient supply inventory, ensuring usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. · May assist with equipment management including equipment tracking and retrieval as needed. · Perform duties as assigned to meet the patient care or operational needs of the program. OUTCOMES · May assist with improving patient outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. May assist in obtaining data for the continuous quality improvement activities. · Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. · May complete and document monthly review of patient medication profiles as directed. Administer medications as ordered by the physician. · Provide patient education and follow up as needed. · Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS OPERATIONAL READINESS (cont.) · Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. · Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. · Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. · May conduct home visits to assess the patient's home environment per policy and as needed to improve care. · Inform (Direct Supervisor) and program Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. · Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. · May assist with developing and implementing the patient plan of care with the interdisciplinary team. · Participate in infection control monitoring, implementation, and recording as requested. · Use personal protective equipment as necessary. · Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. · Communicate on-call system to patients and ensure patients have access to nursing support at all times. Teach patients the importance of timely communication. · May perform on call nursing services, nights and weekends, on a rotational basis as needed or assigned. · Flexible with staffing locations and hours to accommodate patient and USRC home program needs. · Regular and reliable attendance is required for the position. Home Hemodialysis Only: · May coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. · May assist with ensuring required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results. PARTNERSHIPS · Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. · Maintain a positive/collaborative working relationship with physicians, state agencies and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION · Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. · May delegate tasks to competent licensed and unlicensed staff per applicable state practice act. · Assist with staff training as requested. · Lead staff in team concepts and promote a team effort.

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

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

$5,000 Sign-On Bonus (with minimum 1 year registered nursing experience) $7,500 Sign-On Bonus (with minimum 6 months of dialysis experience) Great opportunity to join a company that values our employees and the patients we serve! Centers for Dialysis Care is seeking experienced Registered Nurses to join our Team!Why Choose CDC? We offer a complete benefits package to include medical, dental, vision, 401K, Short/Long Term Disability options, along with company paid life insurance 250 Hours of PTO Tuition Reimbursement Program Employee Perks Program Career Development Opportunities No Dialysis Experience, No Problem! We will PAY you to TRAIN in Dialysis! Position Overview: The Registered Nurse functions as a patient advocate. He/she delivers care based on the nursing process. The Registered Nurse provides leadership through coordination of patient care activities. She/he performs direct patient care according to CDC patient care policies and procedures. This position participates in a team approach, communicates pertinent clinical information to other team members and remains in compliance with all CDC personnel policies and procedures as outlined in the Employee Handbook. Facility Schedule: (subject to change) (2) 8's - (MWF) 5a-2:30p and 1:30p-11p (2) 12's - (TTS) 5p-Close Responsibilities: Assists with the maintenance of physiologic functions through the conscientious initiation, monitoring, discontinuation of the hemodialysis treatments and related patient care tasks. Demonstrates a basic knowledge and understanding of the objectives of dialysis therapy Cannulates and provides direct patient care Trouble shoots machine alarm states and cannulation difficulties Demonstrates a basic knowledge and understanding of the importance of water treatment for dialysis. Demonstrates a basic knowledge and understanding of the practices and principles of dialyzer reuse Assesses patients effectively recognizing needs and utilizes the appropriate nursing skills and resources to meet those needs Completes primary patient documentation according to CDC standards and timeline Reviews new patient teaching and ongoing education for the patients and documents information Encourages patients to follow the prescribed dialysis treatment plan, gives explanations Demonstrates and adheres to aseptic techniques, universal precaution guidelines Demonstrates an understanding of the medications utilized for the ESRD population Maintains patient confidentiality and professional boundary guidelines Reviews all verbal orders given by the physician for safety, completeness, and efficacy Documents verbal orders according to CDC guidelines in the EMR Follows CDC hospital discharge policy for review of orders Follows manufacturers guidelines and CDC policy for the administration of medications at CDC Provides leadership in management of patient care through control of operations and personnel in his/her unit. Assists in development and maintenance of an organizational department climate in which the needs of the patient and staff are met with warmth, respect and responsiveness Demonstrates excellent customer service skills with patients, staff and physicians Assesses patients in crisis and initiates emergency response plan as necessary including CPR measures Actively works on quality initiatives to improve patient outcomes Manages CDC resources in an efficient fiscally responsible manner. Qualifications: Graduate from an accredited school of nursing Current Ohio licensure Current CPR certification Independent decision-making skills Good leadership and interpersonal qualities ICU experience preferred Requirements for Sign on Bonus: 1 year of recent dialysis experience

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

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. A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient's home. We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds. Work Schedule - Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility. Competitive on-call pay when placed in on-call rotation. Holidays - Home Training Nurses rarely work on a holiday. We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program. We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes. The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality. This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter. Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. Participate in infection control monitoring, implementation, and recording as requested. Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. Assist in obtaining data for the continuous quality improvement activities. Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned. Flexible with staffing locations and hours to accommodate patient and USRC home program needs. Regular and reliable attendance is required for the position. Home Hemodialysis Only: Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. Ensure required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results.

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

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

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

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

- Full-time, paid training to ensure you're set up for success from day one. - Earn More Where It Counts - Enjoy an acute care differential on top of your competitive base rate - Grow Your Nursing Career - Take advantage of our RN Cap Program for professional development, advancement, and leadership opportunities. - Opportunities to work across multiple hospitals within our network for greater flexibility and experience. - Comprehensive full-time benefits, including 401(k), medical, vision, and tuition reimbursement. **PURPOSE AND SCOPE:** The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. + Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. + Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. + Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. + Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. + Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. + Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. + Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. + Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Administers medications as prescribed and documents appropriate medical justification and effectiveness. + Initiates and assists with emergency response measures. + Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. + May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. + May be assigned to assist in an Outpatient facility on an as needed basis. + Required to complete CAP requirements to advance. + Performs all other duties as assigned by Supervisor. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. + This position requires frequent, prolonged periods of standing and the employee must be able to bend over. + The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. + Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. + The position requires travel to training/meeting sites and between assigned facilities. + Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. **SUPERVISION:** Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: + Successful completion of all FKC education and modality specific training requirements for new employees. + Must have a minimum of 9 months experience as a RN. + 6 months experience in acute dialysis as a RN. **EDUCATION and LICENSURE:** + Current appropriate state licensure. + Current or successful completion of CPR BLS Certification + Must meet the practice requirements in all states employed. **EXPERIENCE AND REQUIRED SKILLS:** + Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as an RN + Minimum 9 months experience as a Registered Nurse, 12 months (preferred). + 6 months acute dialysis experience (preferred) + Hemodialysis and/or ICU experience (preferred). **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**