Fresenius Medical Care North America Holdings Limited Partnership jobs in Simi Valley, CA - 31 jobs

**No on-call, no weekends, outpatient surgery center, M-F opportunities available: Per Diem/FT/PT** Azura Vascular Care is a national leader in vascular specialty services, and a division of Fresenius Medical Care, the world's largest dialysis provider. We treat a range of vascular disorders using minimally invasive techniques in state-of-the-art outpatient centers to achieve optimal patient outcomes while delivering the best experience possible. We are hiring Certified Registered Nurse Anesthetist (CRNA) in Philadelphia. Visit our website to learn more about Azura Vascular Clinic: ********************************** Become a CRNA at Azura Vascular Care Join our team as a Certified Registered Nurse Anesthetist (CRNA) to work autonomously and with the healthcare team to provide high-quality, evidence-based anesthesia and pain care. As a vital member of our nursing team, you will care for patients of all acuity levels across various settings for procedures, including surgical, obstetrical, diagnostic, therapeutic, and pain management. Your responsibilities as a CRNA: + Pre-Anesthesia Assessment & Planning: Conduct pre-anesthesia evaluations, obtain informed consent, and develop anesthesia care plans. + Medication & Equipment Management: Select, administer anesthetics, adjuvant drugs, and fluids; manage and perform safety checks on equipment. + Anesthesia Administration: Administer anesthesia and sedation, manage airways, and ensure safe anesthesia delivery during procedures. + Intraoperative & Peri-Anesthetic Monitoring: Monitor patient condition, maintain time-based records, and adjust care to maintain stability. + Post-Anesthesia Care & Discharge: Manage patient emergence and recovery, provide follow-up care, and discharge from the post-anesthesia unit. + Pain Management & Advanced Techniques: Implement pain management strategies, including regional anesthesia and interventional procedures. + Emergency & Critical Interventions: Stabilize patients in emergencies, providing airway, cardiovascular, and respiratory support. + Compliance, Safety, & Collaboration: Ensure patient safety, comply with standards, participate in quality initiatives, and collaborate with teams. Education and required credentials: + Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor. + Current Appropriate State Licensure and complies with any applicable state statutory and regulatory requirements concerning CRNAs. + BLS and ACLS certification + Is currently certified or recertified by the National Board of Certification and Recertification for Nurse Anesthetists. + Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state. Experience and skills: + 8-12 years of related experience or equivalent education and experience; 5 years of CRNA experience preferred. + Competent in performing as a CRNA in a clinical setting. + Proficient in operating anesthesia equipment and providing perioperative or operating room support to patients. + Strong verbal and written communication skills for effective interdisciplinary collaboration. + Skilled in providing age- and population-appropriate patient care. + Understands principles of growth and development across the lifespan. + Knowledgeable in infection control practices. + Able to maintain confidentiality and follow facility policies and procedures. 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. $150.00 hr - $250.00 hr What we offer: + Key benefits incl. compensation, working hour flexibility, no-weekend/evening/on-calls, etc. Physical demands and working conditions: The physical demands and work environment described are representative of those required to perform this job's essential functions. Reasonable accommodations may be made for individuals with disabilities. + Work environment is typical of a healthcare facility, with controlled temperature and moderate noise levels. + Potential exposure to infectious diseases, contagious materials, and radiation. + Protective gear may be required in procedure rooms for extended periods. + Majority of time spent on feet. + Role involves lifting and positioning patients. + Must be able to lift objects over 50 pounds. + May require 10-15% travel, primarily during business hours, with occasional overnight travel. SUPERVISION: + None Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. **EOE, disability/veterans**

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

**PURPOSE AND SCOPE:** Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct supervision and coordination of inpatient staff. Responsible for high volume monthly treatments. Utilizes the FMC mission, core values and customer service philosophy to ensure quality service while maintaining a high level of efficiency management. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Monitors costs/spending in all areas including medical supply inventory, personnel and accounts payable. Determines innovative ways to reduce costs and maintain quality. + Ensures proper staffing and operations at all contracted facilities. Ensures efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. + Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. + Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring, coaching and counseling employees, including performance reviews, development, disciplinary action and terminations. + Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Reviews profit and loss statements for greater understanding of specific department performance. + Responsible for Acute Care Electronic System (ACES) include the following: + Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. + Collaborates with contracted facility representatives to maintain a state of survey readiness for internal and external agency surveys. Works with contracted facility (ies) to resolve specific department issues as suggested/directed as a result of a survey. + Maintains and prepares QAI data and presentations. Participates and presents at meetings with internal and external representatives, often leading a collaborative effort among members of a project team. Assures provision of facility specific QAI information as appropriate. + Interacts with internal departments and external customers; particularly in problem resolution and acting as the industry expert on behalf of the customer. + Ensures compliance with hospital regulations and participates in surveys conducted by TJC, CMS, OSHA and other agencies. + Ensures a proper orientation and training program for all clinical and technical staff. Ensures that continuing in-services are provided to all clinical and technical staff. Maintain documentation of all training. + Conducts and documents acute staff meetings on a regular basis. + Ensures provision of dialysis and related services such as hemoperfusion, apheresis, continuous renal replacement therapies, peritoneal dialysis, and UF complete if contracted to do so. + Ensures that treatment information is documented appropriately by staff performing treatments and oversees billing for services performed is timely and accurate. + If appropriately licensed, performs treatments as necessary to assist in times of high census, staffing shortages, and/or to assist with managing staffing costs as appropriate. + Confers routinely with Technical Program Manager and Technical Operations Manager to ensure preventative maintenance program for routine machine maintenance, to ensure the timely repair of disabled machines, to coordinate infection control measures, routine culturing, water testing, logging of results, transportation of equipment and supplies and communicate technical information to the staff. + Ensures all acute treatments are performed in contracted hospitals according to the established policies and procedures and in compliance with all applicable regulatory requirements. + Ensures efficient utilization of supplies and equipment. + Assists with various projects as assigned. + Performs other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Availability for night and weekend calls/troubleshooting may be necessary to oversee issues as they arise with management of a 24/7/365 service. + 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. Could possibly be exposed to infectious and contagious diseases/materials. **SUPERVISION:** + May be responsible for the direct supervision of various levels of inpatient staff as designated by region. **EDUCATION AND REQUIRED CREDENTIALS** **:** + Graduate of an accredited School of Nursing (RN); Advanced degree desirable + Current state licensure as applicable **EXPERIENCE AND SKILLS** : + 3-5 years' related experience. + 3+ years' supervisory or project/program management 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. Annual Rate: $111,197 - $185,203 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**

+ This is a full time role at our Los Angeles, CA surgery center. + Flexible start time between 6:30am and 8:30am. You will work (5) 8 hour shifts between Monday through Saturday. + Quarterly Bonus Opportunities! + In this role, you will greet patients, schedule surgical appointments, verify insurance and arrange transportation for patients. + Excellent Benefits- Medical, dental, vision, prescription, paid maternity & paternity leave, 401K w/ match, PTO, tuition assistance, life insurance, Long Term and Short Term disability, Flexible Spending for Healthcare, Dependent Care & Commuter Expenses **PURPOSE AND SCOPE:** As the Patient Services Coordinator this position coordinates scheduling pre-procedure communication medical record documents EMR demographic data entry requirements for payers and Revenue Cycle greets patients and answers multi-line telephone and fax. **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES** + Schedule and input all appointments scheduling module in a timely and efficient manner. Assure all pre-procedure/preoperative activities are scheduled or completed. Manages patient cancellations center cancellations (e.g. equipment issues) and additions to schedule in accordance to center scheduling parameters. Printpatientscheduleandpullpatientchartsdaily. + Facilitates the admission process by professionally greeting all patients and visitors and obtain patient identification and insurance information to initiate admissions process. + Assemble file and maintain patient medical records and financial records in a confidential and secure manner + Complete front-end process of billing procedure ensuring all information is entered into the computer registration module. + Performs Insurance Verification process and completes all required processes for prior authorizations or other actions required by payor. + Assistwithpatienttransportationifthepatientqualifiesperthe Company TransportationPolicy. + Ensure appropriate signatures are included on all necessary chart and admissionsdatainaccordancewith FMCNApolicies and procedures. + Ensure accuracy when scanning and filing documents and completes within 24 hours of completed visit including physician reports to referral sources. + Communicate all changes about procedure and insurance which is identified during patient visit to appropriate internal parties and directly to the patient record immediately. + Perform daily encounter checks to assure reporting accuracy. - what is this? + Coordinates collection processing maintenance storage retrieval documentation and distribution of medical records per policy and procedure. + Assures documentation of logs of medical record release. + Provides information to parties engaged in research or study projects involving patient care and utilization of services in accordance with policy. + Oversees the materials going in and out of the office including inventory shipments and deliveries. + Otherdutiesas assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and computer work and interaction with patients facility staff and physicians. **SUPERVISION:** + None **EDUCATION:** + High School Diploma or an equivalent combination of education and experience Associate Degree or higher preferred **EXPERIENCE AND REQUIRED SKILLS:** + 1 - 2 years' related experience preferably in a medical setting with insurance billing. + Proficient in the use of computers and related software such as Microsoft Office is necessary. + Excellentcommunicationskills-verbalandwritten. + Abilitytohandleseveraltaskssimultaneously. + Ability to adapt to supporting software applications. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24.00 - $29.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. **EOE, disability/veterans**

**About this role:** As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment equipment within our kidney care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical supplies required. **How you grow or advance in your career:** We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a Biomedical Technician specific career ladder with three potential levels of Biomedical Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice President of Technical Services and supported by Corporate Biomedical Support Managers. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits; we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** - Maintains, troubleshoots, and repairs dialysis equipment, ancillary equipment, and water treatment systems. - Maintains the physical plant, as directed. - Ensures outside vendor services are completed per contract. - Purchases and retain an inventory of service parts. - Performs, evaluates, and reports water/dialysate sample collection and any actions required. - Conducts daily, weekly, and monthly trend analysis on the water system to assure system functions as designed. - Documents all repairs and maintenance activity. - Assists in planning and installing biomedical equipment to assure safe and effective operation of facility. - Transports equipment as needed with supervisor consent. - Participates in monthly technical and regulatory meetings. - Collaborates with facility staff to ensure all regulatory and OSHA requirements are met. - Manages inventory, including receiving and putting up deliveries, inventory counts, transporting goods between clinics as needed and assist clinical management with inventory costs. - Performs initial and annual verification and ongoing monitoring of patient care staff's technique for testing water system, assuring tests and documentation comply with manufacturer's specifications for the devices and test equipment used. - Completes all technical training programs required by state/federal regulations and company policy. - Provides scheduled after hour technical on-call coverage for your clinics as needed. **EDUCATION AND CREDENTIALS:** + High school diploma or G.E.D. required. + Associate Degree in electronics / biomedical technology, or equivalent (preferred but not required) + Valid Driver's License issued in the employee's state of residence required. + Continued employment is dependent on successful completion of Fresenius Biomedical Technician training within the first 24 months of service from date of hire. **EXPERIENCE AND REQUIRED SKILLS:** + Qualities and traits: collaborative, independent, analytical, mechanical, self-motivated, self-starter, continuously strives for staying up to date and increasing their knowledge/skills + Less than 1-year related experience. + Prior experience working in a mechanical, automotive, or construction industry, dialysis, or medical technical setting (preferred but not required). + Manual dexterity required - ability to use common hand tools and small power equipment. + Good verbal and written communication skills. + Ability to lift up to 50 lbs. and safely move large/bulky equipment Ability to create a safe and efficient work environment, OSHA - 6S - Infection Control **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that, failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. - Position involves active work including lifting, bending, walking, and standing for considerable lengths of time. - The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet. - There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. - Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. - Evening, weekend, and holiday availability, as well as ability to take 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 - $36.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. **EOE, disability/veterans**

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. * Demonstrate effective use of supplies and staff labor hours. * May assist with billing log preparation and updates. * Perform duties as assigned to meet the patient care or operational needs of the clinic * Obtain blood samples for laboratory analysis as required to complete physician orders. * Complete and document monthly review of patient medication profiles. * Knowledge of and comply with applicable health care professionals practice act requirements. * Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations * Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. * Report any significant information or change in patient condition to the Charge Nurse. * Report machine problems to Biomedical Technician and Administrator. * Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. * Assist with staff training as requested. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Current LVN/LPN license in applicable state. License must be maintained as current and in good standing. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Previous dialysis experience preferred. * Successful completion of USRC training program approved by the Medical Director, including demonstrated competency, within 8 weeks of hire. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must be able to organize time and tasks well. * Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. * Must meet any practice requirement(s) for the applicable state.

PURPOSE AND SCOPE: Utilizes knowledge of the clinics, the admissions process and the various supporting programs to promote these to the patient as well as to external customers, including hospital discharge planners, referring physicians and other personnel making decisions regarding patient placement within an assigned market geography. Works with the Central Admissions Office staff to facilitate admissions, ensuring each patient receives a superior admission experience and is placed in the appropriate clinic, preferably with a desirable treatment shift schedule. Additional responsibilities within FMCNA-affiliated Acute Programs. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Grows clinic patient census/treatment volume and to improve commercial mix by providing superior customer service and admission support to referral sources and patients. + Builds, establishes and maintains referral source relationships. Develops and maintains strong relationships with new and existing partners to build the referral base. + Conducts one on one contacts with patients identified for admission to facilities in order to market our services and facilitate the admission. + Facilitates and coordinates the admission process for all patients being referred for Dialysis Services and provides outreach to hospitals and physician offices in the defined market to facilitate a timely admission. + Collaborates with appropriate physicians and hospital staff to obtain information necessary for outpatient placement. + Escalates admissions issues and problems according to the established procedures to ensure timely resolution. + Works with the applicable clinical manager(s) to accommodate shift requests as appropriate. + Exhibits knowledge of all insurers and private pay business. Assures that patients and families understand payer benefits. + Develops and maintains an extensive knowledge of the dialysis business and the support services provided by the clinics and within the community. + Maintains knowledge of the local market as well as industry trends in order to monitor and quickly react to changes which may impact the company and the patient services provided. Provides regular communication to management regarding program status, customer service issues, and obstacles affecting the referral and admissions process. + Conducts market analysis and develops, implements, and evaluates effective weekly, monthly and quarterly marketing plans. Meets regularly with management to review and revise these plans. + Consistently meets sales & marketing call objectives as established by management. Maintains accurate and timely account data and completes call reports as required. + Conducts professional sales presentations to all customers. + Participates in community outreach programs as determined by marketing plan. + Determines referral source satisfaction with admissions process and dialysis services. Collaborates with internal customers to effect positive customer service changes where required. + Collaborates with internal and external resources to provide new patients and referral source partners with renal education as requested by the referral source or patient. + Conducts the following l responsibilities and services in FMCNA-affiliated Acute Programs: + Develops and maintains an in-depth knowledge of the admissions processes for the local dialysis market to include all area dialysis providers. + Facilitates the placement of all in-patient dialysis (FMCNA -affiliated AND non-affiliated) patients into the out-patient setting, coordinating with the patient and discharge planners to identify appropriate placement for outpatient dialysis services according to the patient preferences, physician orders, and capacity of outpatient dialysis facilities within the market. + Collaborates with outpatient dialysis staff and hospital staff/partners to resolve issues relating to the placement of patients into the outpatient setting. Assesses related customer service issues reported by the referral source. + Focuses on decreasing the hospital length of stay by intervening early in the discharge process to impact timely discharge, discharge to vs. after dialysis, and readmissions. + Facilitates and coordinates the provision of renal services for pre-ESRD and ESRD patients by collaborating with the appropriate clinicians to provide services such as: renal education; treatment option education; vascular access education; insurance and financial education, etc. + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + May refer to senior level staff for assistance with higher level problems that may arise. + Escalates issues to supervisor/manager for resolution, as deemed necessary. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION: Bachelor's Degree required EXPERIENCE AND REQUIRED SKILLS: + Minimum 5 years' related experience. + Excellent oral and written communication skills with ability to communicate to all levels of personnel. + Detail oriented with excellent customer service, organizational and interpersonal skills. Professional appearance required. + Good computer skills with proficiency in Microsoft Office applications. + Completion of and compliance with the Marketing and Business Development Functional Compliance Program. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $64,000.00 - $107,000.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. **EOE, disability/veterans**

This is a per diem Interventional Radiology Technologist role in our Los Angeles, CA surgery center and will be on an as needed basis. The center is open Monday through Saturday 7:30am to 4:00pm. We are closed 6 major holidays. Shifts are 8 hours. Must have ARRT, CA RT License, Fluoro Cert **PURPOSE AND SCOPE:** Supports the Organization's mission, vision, core values and customer service philosophy. Adheres to the Organization's Compliance Program, including following all regulatory and policy requirements. Assists physicians in performing a variety of interventional radiology procedures. Responsible for the operation and quality control of the radiological equipment in accordance with the Organization's policies, procedures, and training. Assists with the inventory and supply management. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Performs various activities necessary for the preparation of the patient and the procedure room for the radiology procedures in compliance with the organization's policies and procedures and state and federal regulations. + Reviews patient specific procedure orders to determine materials/supplies that will be needed. + Sets up/ stocks the procedure room/procedure trays with all needed supplies and interventional equipment prior to procedure and cleans procedure room post procedure, including but not limited to cleaning of equipment/machinery. + Conducts all necessary preparations of the patient procedure room and documents when appropriate. + Explains procedure to the patient, answers questions and addresses patient concerns. + Assists with preparing the patient for the surgical procedure by positioning, shaving and prepping. + Performs patient transfers and transports patient to and from procedure room. + Inputs patient data into the C-Arm. + Acts as scrub assistant assisting the physician during interventional procedures and administers fluoroscopy to enable the physician to see flow through the blood vessels to identify areas in need of intervention while maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. + Complies with HIPPA policies and standards regarding patient confidentiality. + Draws up intravenous medication and labels as per the organization's medication labeling policy. + Processes x-ray images and archives to the image repository, CD or DVD to comply with the organization's policies and procedures for patient medical records and state regulations. + Provides outstanding quality of patient care by supporting and driving the organization's quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. + Assists with implementing the organization's quality goals and facility specific action plans to achieve the organization's quality standards. + Ensures medical records are accurate, complete and in compliance with the organization's policies and procedures. Maintains integrity of medical records, filing paperwork in patient files according to policies and procedures and performing audits on a regular basis. + Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary, and safe daily Ensures all facility equipment and instruments are in proper working condition by inspecting equipment daily before and after procedures. + Makes recommendations regarding replacement of equipment and repairs. + Assists with disposal of hazardous waste materials, dirty linen, and rugs. + Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. + Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings. + Ensures effective communication with physicians. + Attends and participates in CQI meetings with physicians, reporting on assigned topics. + Works with the physicians and staff to ensure all necessary instruments and equipment are on hand. + Addresses physician concerns in areas of responsibility. + Assists in training and orienting new employees. + Ensures patient billing is accurate and timely by reviewing all procedures, documenting patient equipment charges, and verifying CPT and ICD9 codes are correct. + Assists with inventory, ordering of supplies and re-stocking of supplies. + Acts as Radiation Safety Officer; monitors radiation badges and conducts in-services regarding radiation safety. + Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. + Other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Must be able to lift, push and pull up to 50 pounds and to perform patient transfers and positioning of patients up to 400 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. + 10% Travel. **SUPERVISION:** + None **EDUCATION:** + High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred. + Current ARRT Certification and/or State Licensure (as per state regulations) + Interventional Radiology certificate preferred. **EXPERIENCE AND REQUIRED SKILLS** : + 4 - 6 years' related experience desirable. + 1 year experience preferred for Candidates with ARRT. + Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment). + Experience with interventional procedures, using/ordering/maintaining required materials/supplies for each procedure. + Knowledge and experience of sterile techniques. + Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. + Successfully complete BLS certification. + Experience with monitoring and maintaining inventory. + Proficient in the use of computers and related software such as Microsoft Office (Word & Excel). The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $37.00 - $62.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the Fresenius Medical Care commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established Fresenius Medical Care guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established Fresenius Medical Care policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to Fresenius Medical Care algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FME Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. 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: $70,491 - $117,499. 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** **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity** **EOE, disability/veterans**

**PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** **Patient Related** Education: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. **Staff Related** + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. Education/Communication: + Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system. **RECORD KEEPING:** + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect, label, appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **INFECTION CONTROL:** + Assists in collecting information for infection control audits. + Supports staff and patient Adherence to infection control practices. + Follows infection control Policies and Procedures + Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. **TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care + Reinforces all education and care related matters as it relates to the new patient as allowed by state law + Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. + Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. + Sets and preforms a treatment on all machines used in the transitional care unit. + Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. + Assists with coordination of transition to patient's modality choice. + Assists with supply ordering and inventory for TCU **PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24 - $30 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**

**About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL RESPONSIBILITIES AND DUTIES** CLINIC OPERATIONS: + Manages the operations of the clinic, including costs, processes, staffing, and quality standards. + Provides leadership, coaching, and development plans for all direct reports. + Partners with internal Human Resources, Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program. + Maintains integrity of medical and operations records and complies with all data collections and auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + Responsible for all required network reporting and on-site state or federal surveys. PATIENT CARE: + Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. + Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care. + Acts as a resource for the patient and family to address concerns and questions. + Accountable for timely completion of patient care assessments and care plans. + Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments. + Plans, coordinates, and validates patient eligibility for treatment. + Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. STAFF: + Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings. + Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional growth. + Maintains current knowledge regarding company benefits, policies, procedures, and processes. + Completes employee evaluations and establishes annual goals. + Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. + Manages staff scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for strong physician relationships and ensures regular and effective communication. + Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies. **EDUCATION AND REQUIRED CREDENTIALS:** + Bachelor's Degree or an equivalent combination of education and experience. + Graduate of an accredited School of Nursing (RN). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+ years business operations experience in a healthcare facility. + 12 months experience in clinical nursing. + 6 months chronic or acute dialysis nursing experience. + Successfully pass the Ishihara Color Blind Test. + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians + Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required. + The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $71,000.00 - $166,000.00 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. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

**PURPOSE AND SCOPE:** The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1. The CAP RN 2 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. As a member of the Chronic Kidney Disease (CKD) health care team the CAP RN 2 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 Clinical Manager and with the guidance from the Educator Preceptor or a CAP RN 2 3 4 or 5 for the first 3 months of employment. + Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3. + 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 Clinical Manager or Physician as needed. + Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. + Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. + Directs and provides all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. + Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. + Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. + Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record. + Initiates or assists with emergency response measures. + Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. + Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. + Promotes infection control equipment and environmental safety. + Assesses collaborates and documents patient/family's basic learning needs including direct and ancillary patient care staff to provide initial and ongoing education to patients and family. + Serves as a 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. May serve as a Preceptor to new employees. + As a Preceptor fulfills the following: + Demonstrates reinforces and encourages attitudes and actions which are consistent with FKC Mission and Core Values. + Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting. + Seeks opportunities for new employees and communicates progress to Clinical Manager. Provides feedback about new employee's progress to the CM and the Education Department using evaluation tools and direct communication. + Completes all documentation in a timely manner. + Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and CM. + Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills. + Performs essential functions of a Team Leader as assigned by the Clinical Manager or Charge Nurse + Performs essential functions of a designated Nurse in charge as assigned by the Clinical Manager. + Collaborates with the interdisciplinary team in the assessment and development of patient plans of care. + 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. + Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. + Checks availability of adequate emergency equipment and supplies daily as assigned. + Assists with medication tracking and inventory as assigned. + Serves as a resource for health care team participates in staff training orientation of new staff as assigned. + Participates in all required staff meetings as scheduled. + Supports and promotes the FMCNA's mission vision values and customer service philosophy. + Provides education to staff members regarding updates to policy and procedures as directed by Supervisor. + Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. + 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 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. 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/LPNs as a Team Leader or designated Nurse in charge after the following: + Successful completion of all FKC education and training requirements for new employees _plus_ + Must have a minimum of 3 months experience in chronic hemodialysis _plus_ + _Achieve and maintain all CAP RN 2 level criteria._ **EDUCATION:** + Graduate of an accredited School of Nursing. + Current appropriate state licensure. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS:** + Entry level for RNs with 2 years or more of nephrology nursing experience within the last two years or BSN plus 1 year of nephrology nursing experience within the last two years. + Chronic hemodialysis experience (preferred). + Successful completion of FKC Education and Training requirements for new employees. + Successful completion and maintenance of CPR BLS Certification. + Meet all conditions of employment including Ishihara's Color Blindness Test. + Successful completion of all annual required education/training/competencies. + Successful completion of on-going training and education as assigned or 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. Hourly Rate: $34.50 - $59 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**

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Demonstrate effective use of supplies and staff labor hours. May assist with billing log preparation and updates. Perform duties as assigned to meet the patient care or operational needs of the clinic Obtain blood samples for laboratory analysis as required to complete physician orders. Complete and document monthly review of patient medication profiles. Knowledge of and comply with applicable health care professionals practice act requirements. Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. Report any significant information or change in patient condition to the Charge Nurse. Report machine problems to Biomedical Technician and Administrator. Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. Assist with staff training as requested.

**PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the Fresenius Medical Care commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established Fresenius Medical Care guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established Fresenius Medical Care policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to Fresenius Medical Care algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FME Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. 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: $70,491 - $117,499. 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** **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity** **EOE, disability/veterans**

**PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** **Patient Related** Education: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. **Staff Related** + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. Education/Communication: + Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system. **RECORD KEEPING:** + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect, label, appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **INFECTION CONTROL:** + Assists in collecting information for infection control audits. + Supports staff and patient Adherence to infection control practices. + Follows infection control Policies and Procedures + Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. **TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care + Reinforces all education and care related matters as it relates to the new patient as allowed by state law + Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. + Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. + Sets and preforms a treatment on all machines used in the transitional care unit. + Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. + Assists with coordination of transition to patient's modality choice. + Assists with supply ordering and inventory for TCU **PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24.00 - $30.00 31Benefit 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:** Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** General and Staff Related: + Provides day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participates in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommends disciplinary action to Clinical Manager and initiate as appropriate. + Ensures compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients. + Approves or disapproves time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. + Participates in patient care plan meetings. + Maintains knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled inservices. + Trains and orients staff as necessary. + Routinely observes and guides direct patient care staff for appropriate technique and adherence to facility policies and procedures. + Promotes and assists with compliance to OSHA programs in order to maintain a safe and clean working environment. + Maintains overall shift operation in a safe, efficient, and effective matter. + Conducts staff meeting with Clinical Manager at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. + Meets routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information. + Supervise all documentation of patient information. + Coordinates Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient Care: + Assesses daily patient care needs and develop and distribute patient care assignments appropriately. Assesses patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes inpatient care/treatment as directed. + Assumes primary responsibility in an emergency situation. + Monitors and supervises all patient care activity during dialysis and assist as necessary. + Collaborates with direct patient care team in making decisions to benefit patient care. + Continuously monitors patient's condition with regards to problems and potential complications associated with dialysis. + Administers medications to patients per physician's orders. + Acts as the subject matter expert and as a resource for staff members. Technical: + Supervises and participates in completion of short and long term care plans. + Admits new patients according to facility procedure. + Ensures educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet, and medication. + Supervises the safe and effective use of all equipment involved in direct patient care. + Operates all dialysis related and emergency equipment safely and efficiently when needed. + Performs required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. + Completes Nurse's Technical Training Program/Water Quality Facility Training. Other: + Assists with special projects or other duties as assigned by the Clinical Manager and the interviewing of potential direct patient care staff as requested. + Promotes efficient use of medical supplies. + Attends and participates in monthly Quality Assurance meetings. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. **SUPERVISION:** + Direct Patient Care Staff, Ward Clerk as assigned. **EDUCATION AND REQUIRED CREDENTIALS:** + Bachelor's Degree; Advanced Degree of an accredited school of Nursing (R.N.) desirable or an equivalent combination of education and experience. + Current appropriate state licensure. **EXPERIENCE AND SKILLS** **:** + Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis + RN charge nurses assuming responsibility for nursing and patient services in the absence of the Clinical Manager must have one-year clinical experience and six months dialysis experience. + Supervisory or management experience preferred. + Successfully complete a training course in the theory and practice of hemodialysis. + Good communication skills - verbal and written. + Must meet appropriate state requirements (if any). **ACKNOWLEDGEMENT:** I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. 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: $23.00 - $69.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **Fresenius Medical Care 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: $34.50 - $59.00 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**

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. * Demonstrate effective use of supplies and staff labor hours. * May assist with billing log preparation and updates. * Perform duties as assigned to meet the patient care or operational needs of the clinic * Obtain blood samples for laboratory analysis as required to complete physician orders. * Complete and document monthly review of patient medication profiles. * Knowledge of and comply with applicable health care professionals practice act requirements. * Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations * Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. * Report any significant information or change in patient condition to the Charge Nurse. * Report machine problems to Biomedical Technician and Administrator. * Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. * Assist with staff training as requested. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Current LVN/LPN license in applicable state. License must be maintained as current and in good standing. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Previous dialysis experience preferred. * Successful completion of USRC training program approved by the Medical Director, including demonstrated competency, within 8 weeks of hire. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must be able to organize time and tasks well. * Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. * Must meet any practice requirement(s) for the applicable state.