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

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

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The unit secretary provides administrative support to the clinic staff, greets and assists patients with their appointments, and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. Schedule: Full-time, five 8-hour shifts starting at 8am; Sundays off; no overnight shifts Compensation: Pay range from $24-$30 per hour, depending on qualifications and experience Benefits: Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Enters treatment information into the MIS. Initiates, maintains, and completes the medical record. Assists in other data related needs which may include entering episodes of care, responding to requests for data from the Network or DCI request. Prepares meeting agendas and minutes as requested. Maintains accurate treatment statistics, including treatment dates, hospital dates, no-show information, and information on absences. Provides reports to the nurse manager or area operations director. May perform duties of receptionist including sorting and distributing mail, answering and routing phones calls, greeting and directing visitors, and other clerical duties. Works with integrity; upholds organizational goals and values. Reacts appropriately under pressure; accepts responsibility for own actions. Uses equipment and materials properly; adapts to changes in the work environment. Demonstrates attention to detail with accuracy and thoroughness. Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical excellence Desire to collaborate with care teams Ability to problem solve Education/Training: High school diploma or general education degree (GED) preferred. One to three months related experience and/or training; or equivalent combination of education and experience. Should have knowledge of Spreadsheet and Word Processing software. DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in an acute care environment. The Chief Dialysis Equipment Technician coordinates clinic technical and building maintenance, including water treatment systems, dialysis machines and other equipment, to ensure patients receive the safest care with the highest-quality outcomes. Schedule: Fulltime Monday through Friday, shifts start at 8am, on call as needed Compensation: Pay range from $27-$37 per hour, depending on technical equipment and dialysis experience Benefits: Up to 12 weeks' paid training Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards Educate direct patient care and technical staff on all equipment's proper use and maintenance, document training Ensure technical and direct care staff follow equipment and facility policies and procedures Confirm buliding and equipment maintenance is up to date and in good working order Schedule and oversee outside maintenance vendors as needed Maintain proper inventory following DCI guidelines Perform air quality testing according to clinic policy Stay updated on OSHA and other standards to provide a safe workplace Coordinate and document routine technical staff meetings Participate in on-call duties and be available during emergencies as required Attend and present in monthly Quality Assessment Performance Improvement meetings Qualifications Successful Candidates Bring: Excellent communication and organizational skills Demonstrated equipment proficiency Desire to collaborate with team members Ability to problem solve Electronics, plumbing or plant maintenance background Education/Training: Associate degree in biomedical applications or equivalent preferred One year related experience in biomedical equipment maintenance and repair required Managerial or supervisory experience preferred DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The Patient Care Technician (CCHT) provides care to patients with end-stage renal disease, supporting clinical staff throughout the dialysis treatment process to deliver prescribed treatments. Our PCTs are an integral part of the interdisciplinary team in ensuring safe care and the highest quality outcomes for every patient. Schedule: Per-Diem Compensation: Pay range from $24-$30 per hour, depending on experience Responsibilities What You Can Expect: * Actively participate in infection control, risk management and patient education activities * Guide new patients through 120-day education plan * Obtain and record patient vital signs and machine readings during treatment * Role under RN supervision * Set up and break down dialysis blood system for treatment * Insert and remove patient access needles * Monitor patients during dialysis, document changes and inform charge nurse of any concerns * Calculate patient's weight loss to reach dry weight * Determine patient care priorities and organize work load accordingly * Maintain professional working relationship, observing patient privacy and rights * Maintain and track inventory * Perform laboratory work Qualifications Successful Candidates Bring: * Excellent communication skills * Desire to collaborate with care teams * Ability to problem solve Education/Training: * High school diploma or GED required * Previous healthcare experience required * CNA, EMT, medical assistant, CNT and/or phlebotomy skills desired * DCI provides a 3-month comprehensive education program, including classroom group sessions and one-on-one skills training * Dialysis experience required DCI's Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: *************************************

**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 FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. 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. + Provide monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life + Provide 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 + Review 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) + Collaborate with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. + Refer 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. + In states where required works under appropriate supervision to meet state 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) **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Masters in Social Work + Must have state temporary license, Registered Social Worker Clinical Intern, Associated Social Work license or Provisional LCSW License (if required by state) + Obtains necessary state licensure to work independently without supervision within the first two (2) years or as required by state guidelines. **EXPERIENCE AND SKILLS** **:** + 0 - 2 years' related experience The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $71000 - $96000 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. **EOE, disability/veterans**

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states, “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off, and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. A Dialysis Registered Nurse provides specialized nursing care at one of DCI's in-center hemodialysis units as part of a patient care team. Our RNs are integral in ensuring safe care and the highest quality outcomes are prioritized for every patient. Schedule: Per-Diem Compensation: Pay ranges from $49-$60 per hour, depending on nursing and dialysis experience Responsibilities What You Can Expect: Prepare dialysis machine, its alarms, and treatment supplies and ensure quality standards are met Perform hemodialysis treatments per facility policies and procedures Ongoing patient education, training and health coaching Monitor patients during dialysis, assessing and communicating changes with physician and families Administer and chart all prescribed medications Follow CDC/CMS infection control regulations Participate in patient care conferences, rounds and chart reviews Document required patient education efforts Facilitate continuity of care with local hospitals Assist in medication inventory maintenance Lead a small patient care team Contribute to onboarding new staff members as directed Additional tasks as requested Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical excellence Desire to collaborate with care teams Ability to problem solve Education/Training: Accredited nursing degree required Dialysis experience not required, job shadow opportunities available DCI provides 3-months of comprehensive training, including classroom group sessions and one-on-one skills training New graduates encouraged to apply DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in a clinical setting. The Dialysis Chief Technical Area Lead is responsible for overseeing facility and equipment maintenance for multiple dialysis facilities in a designated geographic area. Schedule: Fulltime Monday through Friday, shifts start at 8am, call availability required as needed Compensation: Pay range from $29-$44 per hour, depending on level of experience and coverage area Benefits: Paid training for equipment certifications Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards Educate direct patient care and technical staff on proper use and maintenance of all equipment and document training as appropriate Ensure that building and equipment maintenance is up to date and in good working order, assist with preventive maintenance and repairs as needed Supervise biomedical technical staff to ensure that water treatment systems, dialysis machines and reuse equipment (if applicable) are serviced and maintained according to AAMI standards, and DCI and manufacturer guidelines Maintain proper inventory controls following DCI guidelines to ensure efficient resource utilization Act as liaision during onsite surveys by regulatory agencies, e.g., DOH, OSHA, CMS Coordinate maintenance services from outside vendors as needed Confirm each clinic performs air quality testing according to policy Stay updated on OSHA and other environment-of-care standards to provide a safe workplace Collaborate with patient care staff and encourage open communication between technical and clinical staff Schedule and document routine technical staff meetings Participate in on-call duties and be available during emergencies as required Attend and present technical and water quality data in monthly Quality Assessment Performance Improvement (QAPI) and governing body meetings Qualifications Successful Candidates Bring: Excellent communication and organizational skills Demonstrated dialysis equipment proficiency Desire to collaborate with team members Ability to problem solve Electronics, plumbing or plant maintenance background Education/Training: Associate degree in biomedical applications or equivalent preferred Two to three years' relevant dialysis or biomedical equipment maintenance and repair experience Two years' previous experience working with Fresenius T Machines required Supervisory experience strongly preferred DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in an area near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

**PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to FMCNA algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $71,000 - $115,000 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The unit secretary provides administrative support to the clinic staff, greets and assists patients with their appointments, and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. Schedule: Full-time, five 8-hour shifts starting at 8am; Sundays off; no overnight shifts Compensation: Pay range from $24-$30 per hour, depending on qualifications and experience Benefits: * Comprehensive medical, dental and vision benefits * Life and long-term disability insurance provided at no additional expense to employee * Paid time off (PTO) including holidays * Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave * Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent * Education reimbursement * Employee assistance program * Wellness program * Among others Responsibilities What You Can Expect: * Enters treatment information into the MIS. * Initiates, maintains, and completes the medical record. * Assists in other data related needs which may include entering episodes of care, responding to requests for data from the Network or DCI request. * Prepares meeting agendas and minutes as requested. * Maintains accurate treatment statistics, including treatment dates, hospital dates, no-show information, and information on absences. Provides reports to the nurse manager or area operations director. * May perform duties of receptionist including sorting and distributing mail, answering and routing phones calls, greeting and directing visitors, and other clerical duties. * Works with integrity; upholds organizational goals and values. * Reacts appropriately under pressure; accepts responsibility for own actions. * Uses equipment and materials properly; adapts to changes in the work environment. * Demonstrates attention to detail with accuracy and thoroughness. Qualifications Successful Candidates Bring: * Excellent communication skills * Demonstrated clinical excellence * Desire to collaborate with care teams * Ability to problem solve Education/Training: * High school diploma or general education degree (GED) preferred. * One to three months related experience and/or training; or equivalent combination of education and experience. * Should have knowledge of Spreadsheet and Word Processing software. DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI's Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: *************************************

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in an acute care environment. The Chief Dialysis Equipment Technician coordinates clinic technical and building maintenance, including water treatment systems, dialysis machines and other equipment, to ensure patients receive the safest care with the highest-quality outcomes. Schedule: Fulltime Monday through Friday, shifts start at 8am, on call as needed Compensation: Pay range from $27-$37 per hour, depending on technical equipment and dialysis experience Benefits: * Up to 12 weeks' paid training * Comprehensive medical, dental and vision benefits * Life and long-term disability insurance provided at no additional expense to employee * Paid time off (PTO) including holidays * Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave * Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent * Education reimbursement * Employee assistance program * Wellness program * Among others Responsibilities What You Can Expect: * Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards * Educate direct patient care and technical staff on all equipment's proper use and maintenance, document training * Ensure technical and direct care staff follow equipment and facility policies and procedures * Confirm buliding and equipment maintenance is up to date and in good working order * Schedule and oversee outside maintenance vendors as needed * Maintain proper inventory following DCI guidelines * Perform air quality testing according to clinic policy * Stay updated on OSHA and other standards to provide a safe workplace * Coordinate and document routine technical staff meetings * Participate in on-call duties and be available during emergencies as required * Attend and present in monthly Quality Assessment Performance Improvement meetings Qualifications Successful Candidates Bring: * Excellent communication and organizational skills * Demonstrated equipment proficiency * Desire to collaborate with team members * Ability to problem solve * Electronics, plumbing or plant maintenance background Education/Training: * Associate degree in biomedical applications or equivalent preferred * One year related experience in biomedical equipment maintenance and repair required * Managerial or supervisory experience preferred DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: *************************************

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The Patient Care Technician (CCHT) provides care to patients with end-stage renal disease, supporting clinical staff throughout the dialysis treatment process to deliver prescribed treatments. Our PCTs are an integral part of the interdisciplinary team in ensuring safe care and the highest quality outcomes for every patient. Schedule: Per-Diem Compensation: Pay range from $24-$30 per hour, depending on experience Responsibilities What You Can Expect: Actively participate in infection control, risk management and patient education activities Guide new patients through 120-day education plan Obtain and record patient vital signs and machine readings during treatment Role under RN supervision Set up and break down dialysis blood system for treatment Insert and remove patient access needles Monitor patients during dialysis, document changes and inform charge nurse of any concerns Calculate patient's weight loss to reach dry weight Determine patient care priorities and organize work load accordingly Maintain professional working relationship, observing patient privacy and rights Maintain and track inventory Perform laboratory work Qualifications Successful Candidates Bring: Excellent communication skills Desire to collaborate with care teams Ability to problem solve Education/Training: High school diploma or GED required Previous healthcare experience required CNA, EMT, medical assistant, CNT and/or phlebotomy skills desired DCI provides a 3-month comprehensive education program, including classroom group sessions and one-on-one skills training Dialysis experience required DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: ************************************* Click here to join our talent network

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care support. DCI offers paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment maintaining vital dialysis equipment in a clinical setting. The Dialysis Chief Technical Area Lead is responsible for overseeing facility and equipment maintenance for multiple dialysis facilities in a designated geographic area. Schedule: Fulltime Monday through Friday, shifts start at 8am, call availability required as needed Compensation: Pay range from $29-$44 per hour, depending on level of experience and coverage area Benefits: * Paid training for equipment certifications * Comprehensive medical, dental and vision benefits * Life and long-term disability insurance provided at no additional expense to employee * Paid time off (PTO) including holidays * Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave * Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent * Education reimbursement * Employee assistance program * Wellness program * Among others Responsibilities What You Can Expect: * Oversee equipment maintenance and repairs per manufacturer and DCI guidelines, as well as AAMI standards * Educate direct patient care and technical staff on proper use and maintenance of all equipment and document training as appropriate * Ensure that building and equipment maintenance is up to date and in good working order, assist with preventive maintenance and repairs as needed * Supervise biomedical technical staff to ensure that water treatment systems, dialysis machines and reuse equipment (if applicable) are serviced and maintained according to AAMI standards, and DCI and manufacturer guidelines * Maintain proper inventory controls following DCI guidelines to ensure efficient resource utilization * Act as liaision during onsite surveys by regulatory agencies, e.g., DOH, OSHA, CMS * Coordinate maintenance services from outside vendors as needed * Confirm each clinic performs air quality testing according to policy * Stay updated on OSHA and other environment-of-care standards to provide a safe workplace * Collaborate with patient care staff and encourage open communication between technical and clinical staff * Schedule and document routine technical staff meetings * Participate in on-call duties and be available during emergencies as required * Attend and present technical and water quality data in monthly Quality Assessment Performance Improvement (QAPI) and governing body meetings Qualifications Successful Candidates Bring: * Excellent communication and organizational skills * Demonstrated dialysis equipment proficiency * Desire to collaborate with team members * Ability to problem solve * Electronics, plumbing or plant maintenance background Education/Training: * Associate degree in biomedical applications or equivalent preferred * Two to three years' relevant dialysis or biomedical equipment maintenance and repair experience * Two years' previous experience working with Fresenius T Machines required * Supervisory experience strongly preferred DCI's Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in an area near you! *************** DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: *************************************

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states, "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off, and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. A Dialysis Registered Nurse provides specialized nursing care at one of DCI's in-center hemodialysis units as part of a patient care team. Our RNs are integral in ensuring safe care and the highest quality outcomes are prioritized for every patient. Schedule: Per-Diem Compensation: Pay ranges from $49-$60 per hour, depending on nursing and dialysis experience Responsibilities What You Can Expect: * Prepare dialysis machine, its alarms, and treatment supplies and ensure quality standards are met * Perform hemodialysis treatments per facility policies and procedures * Ongoing patient education, training and health coaching * Monitor patients during dialysis, assessing and communicating changes with physician and families * Administer and chart all prescribed medications * Follow CDC/CMS infection control regulations * Participate in patient care conferences, rounds and chart reviews * Document required patient education efforts * Facilitate continuity of care with local hospitals * Assist in medication inventory maintenance * Lead a small patient care team * Contribute to onboarding new staff members as directed * Additional tasks as requested Qualifications Successful Candidates Bring: * Excellent communication skills * Demonstrated clinical excellence * Desire to collaborate with care teams * Ability to problem solve Education/Training: * Accredited nursing degree required * Dialysis experience not required, job shadow opportunities available * DCI provides 3-months of comprehensive training, including classroom group sessions and one-on-one skills training * New graduates encouraged to apply DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI's Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and ********************************************************************************************************** Security Roles and Responsibilities can be reviewed at: *************************************

How you will change lives As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure. What you'll be doing Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders. Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed. Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $33.00 - $46.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

How you will change lives As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure. What you'll be doing Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders. Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed. Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings. What we're looking for * High school graduate or equivalent. * Desire to work in healthcare and care for patients. * Previous healthcare experience in dialysis, phlebotomy, or as a CNA is a plus. * Must be comfortable mixing acids and bicarbonate according to protocol. * Ability to distinguish all primary colors. Other requirements * Successful completion of USRC training program approved by the Medical Director, including demonstrated competency; this includes successful completion of USRC training course in the theory and practice of hemodialysis within 8 weeks of hire. * CPR certification required within 90 days of hire or as required by the state. * Patient Care Technician certification must be obtained through a state certification program or national commercially available certification program within 18 months of hire date and maintained in good standing thereafter. Specific state requirements may be applicable and required. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care! Are you with US? Apply today!

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, and area level. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. May serve as a Preceptor to new employees. Required to complete CAP requirements to maintain or advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with minimum of 2 years of Nephrology Nursing experience “The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $35.00 - $50.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. " EOE, disability/veterans

CHT Required PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient 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. Patient Treatment: Welcome assigned patients and inquire as to their well-being since their last treatment. Evaluate vascular access for patency. Obtain necessary pre and post treatment vital signs and weight. Perform vascular access evaluation pre-treatment. Perform vascular access cannulation. Perform administration of Heparin as delegated or as allowed by state law. 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. 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; Sodium (Na) modeling; 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 PCT III (if applicable) or nurse supervisor. Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the PCT III (if applicable) or nurse 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 PCT III (if applicable) or nurse supervisor. Obtain all prescribed laboratory testing and prepare specimens for collection. Maintenance/Technical: Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy. Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). Initiate Solution Delivery System (SDS) system. 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. 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 where appropriate. Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepare 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. 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. 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. up as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. EDUCATION AND LICENSES: High School diploma or G.E.D. required. Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. All appropriate state licensure education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS: At least two years previous patient care experience in a hospital setting or a related facility preferred. Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24.00 - $30.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

**PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations. + Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. + Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. + Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. + Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. + Initiates or assists with emergency response measures. + Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, and area level. + Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. + Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. + Ensures patient awareness related to transplant and treatment modality options. + Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. + May serve as a Preceptor to new employees. + Required to complete CAP requirements to maintain or advance. + Performs all other duties as assigned by Supervisor. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. + This position requires frequent, prolonged periods of standing and the employee must be able to bend over. + The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. + The position may require travel to training sites or other facilities. + May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. **SUPERVISION:** + Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: + Successful completion of all FKC education and training requirements for new employees. + Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. **EDUCATION and LICENSURE:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Current or successful completion of CPR BLS Certification + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS:** + Entry level for RNs with minimum of 2 years of Nephrology Nursing experience "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $35.00 - $50.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** " **EOE, disability/veterans**