Fresenius Medical Care North America Holdings Limited Partnership jobs in Tampa, FL - 44 jobs

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

The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS * Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse's responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment. * Demonstrated analytical and problem-solving skills are required. * Strong time management and organizational skills required. * 1 year previous dialysis management experience preferred. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire. * Must meet applicable, specific state requirements. (See addendum for Administrator. Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications: * Must be full-time employee of the Company and available to clinic staff during time clinic is open. * Current RN license in applicable state. License must be maintained as current and in good standing. * 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse)

Job Requirements Regional Vice President - Dialysis Operations (Tampa Bay & Northeast Florida) Travel-Based | Multi-Site Clinic Leadership | 50% Regional Travel We're hiring a Regional Vice President of Operations to lead a multi-market network of 15+ outpatient dialysis clinics across Tampa Bay and Northeast Florida. This role is responsible for operational performance, compliance, team development, physician partnership, and strategic growth across both in-center and home dialysis programs. The Regional Vice President serves as the senior operational leader for the region, reporting to the Group Vice President and partnering closely with executive leadership, clinical leadership, and Medical Directors. This is a field-based role requiring regular regional travel, including overnight stays. Key Responsibilities * Oversee daily operations across 18 dialysis clinics in Tampa Bay and Northeast Florida * Lead, coach, and support Clinic Managers and Program Directors across in-center and home dialysis settings * Provide operational leadership across clinics multiple dialysis modalities, ensuring consistency, quality, and regulatory readiness * Build strong partnerships with nephrologists, Medical Directors, hospital systems, and referral sources * Own, monitor and improve KPIs, quality outcomes, regulatory readiness, and patient satisfaction * Manage regional P&L, develop budgets, and implement performance improvement plans * Collaborate closely with Medical Directors to ensure clinical alignment and care quality * Recruit, coach, and develop high-performing teams to drive engagement and results * Ensure full compliance with CMS, state, and federal regulations What You'll Bring * Bachelor's degree in healthcare administration, business, or related field, Master's preferred * 5+ years leading multi-site healthcare operations, including full P&L accountability * Dialysis, renal care, or nephrology experience strongly preferred * Experience supporting both in-center and home dialysis programs * Demonstrated success driving quality, compliance, operational performance, and growth * Strategic leadership skills with strong communication and relationship-building capability * Ability to travel up to 50%, including overnight stays Benefits At Innovative Renal Care (IRC), our comprehensive benefits program is a key component of our total compensation package. It includes a 401(k) match, healthcare coverage, and a broad range of other benefits that compare favorably within our industry and marketplace. Learn more at IRC Benefits and Perks About Innovative Renal Care We are one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. Our mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions. Our Values: I CARE Integrity & Innovation - Earn trust by keeping promises and embracing new solutions. Compassion - Treat patients, families, and colleagues with respect and empathy. Accountability - Take ownership and recognize the contributions of others. Results-Driven - Strive for excellence and exceed expectations. Everyone Counts - Foster diversity, equity, teamwork, and collaboration. Why Join IRC? * Career Growth - Be part of a values-driven team making a meaningful impact. * Competitive Compensation - Salaries continually benchmarked against market and trends. * Enhanced PTO - Your most recent dialysis experience counts toward PTO accrual. * Team Culture - Thrive in a supportive environment that values innovation, accountability, and compassion. Innovative Renal Care is an equal opportunity and a drug free workplace. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origins, citizenship, disability or protected veteran status. All applicants will be subject to a drug screening and background check upon acceptance of an offer. IRC will only contact you from *************************** or team members with an @innovativerenal.com email address. Please be cautious and aware of spam or fraudulent emails soliciting personal or banking information. IRC will not request this information via email. #LI-SW1

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

PURPOSE AND SCOPE: Processes and dispenses prescribed medications, drugs and other pharmaceuticals to dialysis patients in accordance with state and federal pharmacy regulations and applicable standards of practice. Ensures the highest level of quality in provision of pharmacy services PRINCIPAL DUTIES AND RESPONSIBILITIES: + Reviews, interprets and dispenses prescriptions issued by physician ensuring patient confidentiality at all times. + Ensures compliance with all pertinent company standard operating procedures and policies and all local, state, and federal regulatory requirements. + Maintains established quality assurance procedures, security of all prescription medication, and appropriate disposal of materials, adhering to infection-control protocols, and maintaining a safe and clean working environment. + Ensures accuracy of prescription, identifies inconsistencies, and imitates appropriate action to correct identified problems. + Follows up with the appropriate staff and agencies to ensure that problems are resolved and corrected as required. + Identifies, recommends and implements process improvements and efficiencies as appropriate. + Responsible for all tasks and actions related to Schedule II medications prior to shipping. + Manages work queues + Ensures functions performed by junior staff have been reviewed. + Verifies the preparation and labeling of pharmaceuticals, order entries, and charges. + Acts as a resource for staff providing informal guidance, direction and advice through correct processes, procedures, and pertinent regulations. + Makes professional decisions regarding therapy management, often requiring the use of query reports. + Maintains pharmacy files, charge system, and inventory, using the Pharmacy Management software, ensuring accuracy of data at all times. + Tracks patient data, such as patient name, prescribed medication, and cost + For drug recalls, runs a report to determine the names of any patients who have received the drug(s). + Provides clinical consultation to internal personnel and/or patients regarding medication. + Answers questions and provides information to patients and internal personnel on drug interaction, side effects, dosage and storage of pharmaceuticals. + Resolves issues that arise when patient is out of medication + Maintains current pharmaceutical knowledge by attending educational workshops, reviewing professional publications and participating in professional societies. + Works with junior staff with pharmacy inventory, ensuring that it is maintained at all times. + Removes outdated and damaged drugs from the pharmacy inventory. + Provides recommendations to healthcare providers and patients. Consults with patient and physician regarding over the counter products, side effects, and dosages, ensuring accuracy of information at all times. + May provide work direction to per diem or temporary staff as needed. + Responsible for receiving drug deliveries and signing invoices confirming correct control substances delivered. + Mentor other staff as applicable. + On call services as required. + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + Assist with various projects as assigned by a 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. + Ability to both sit and stand for long periods of time + Ability to work on computers for long periods of time + Ability to lift a maximum of 10 pounds EDUCATION: + Bachelor's Degree from an accredited school of Pharmacy required; Advanced Degree preferred + Appropriate state licensure required EXPERIENCE AND REQUIRED SKILLS: + One year directly related work experience preferred. + Strong clinical background chronic kidney disease patients preferred. + Knowledge of current Pharmacy Law. + Continuing education in chronic kidney disease. + Mail order and/or retail experience helpful. + Ability to meet deadlines. + Excellent written and verbal communication skills. + Excellent organizational and analytical skills. + Proficient with PCs, Microsoft Office Applications and pharmacy management systems. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

**PURPOSE AND SCOPE:** The Field Service Technician performs client-site installation, service and maintenance on company manufactured and/or distributed equipment within the assigned regional area(s). The incumbent provides technical support in the diagnosis of operational and/or technical issues of applicable equipment. The Field Service Technician performs all responsibilities in compliance with company policies and procedures intended to meet health and safety, compliance and regulatory guidelines. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Performs all assigned equipment installation, service and/or maintenance in compliance with company policies and procedures. + Provides high level technical in-service support for cross-divisional teams and/or customers as requested. + Handles various confidential patient and/or health information in compliance with company policies and procedures, HIPAA, and other regulatory requirements. + Ensures data accuracy and integrity within applicable systems throughout the documentation process of all completed services performed. + Processes applicable documentation and corresponding parts in compliance with company policies and procedures on a routine basis. + Maintains field service inventory in compliance with management recommendations; ensuring accountability for the usage and/or dispersal of assigned inventory. + Maintains assigned company vehicle, credit card(s) and other business accounts in compliance with company policies and procedures. + Contributes to the improvement of ongoing operations within the assigned function(s) to maximize efficacy and efficiency in alignment with company goals and objectives. + May be required to provide cross-coverage of additional regional area(s) to meet business needs. + Assists 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. + Participation in the District On Call Technician (DOCT) and National After Hours On Call Technician (NACT) call rotations required. + Must be available for inclusion in a rotating 24-hour call coverage schedule. + Must be available to work overtime as required. + Exposure to blood borne pathogens and/or hazardous materials possible. + Routinely lift and/or move up to 70 pounds. + Extensive travel may be required. **EDUCATION:** High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred. **EXPERIENCE AND REQUIRED SKILLS:** + Minimum 4 - 6 years of related experience. + Valid driver's license required. + Prior experience in a dialysis and/or hospital environment preferred. + Strong computer skills with demonstrated proficiency in word processing, spreadsheet, database and email applications. + Excellent customer service skills to successfully handle confidential information with a high level of professionalism, discretion and tact. + Strong oral and written communication skills to effectively communicate with diverse audiences. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (smartsheet.com) (******************************************************************* **EOE, disability/veterans**

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

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

PURPOSE AND SCOPE: Assists pharmacists by working directly with physicians, physician offices, dialysis facilities, and other pharmacies to ensure that patients' medication profiles are accurately completed and that patients receive the necessary medication refills in a timely manner. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Under the guidance of Registered Pharmacist, takes the appropriate actions to ensure the accuracy of patient medication files for enrolled or prospective patients and the accurate fulfillment of prescriptions for enrolled patients. Works primarily with patient medication prescriptions and with medication prescribers. + After receipt of patient authorization, contacts physicians, physician offices, dialysis facilities, and other pharmacies regarding the accuracy and fulfillment of prescriptions for enrolled or prospective patients. + Ensures that patient medication profiles are accurate with appropriate attached documents and sent in a timely manner. + Ensures that patient prescription needs are met in a timely manner. + Speaks with physicians or nurses to verify correct information about a specific prescription. + Regularly requests prescriptions and refills from physicians by telephone and/or facsimile. Follows up as necessary to ensure the timely receipt of new prescriptions. + Contacts pharmacies to execute patient medication transfers to FreseniusRx. + Collaborates with related parties for all communication with patients regarding prescription issues or other identified anomalies pertaining to prescriptions. Ensures issues are resolved according to procedures escalating the more complex issues to supervisor as necessary. + Enters, scans, and links prescription and patient data into Pharmacy Management System. Contacts appropriate parties or researches National Provider Identifier/Drug Enforcement Agency databases (NPI/DEA) when information is missing. + Works to resolve prior authorizations and if necessary, contacts the insurance company for verification when prior authorizations are required. + Ensures the required level of customer service for patients by: + Prioritizing and completing assigned tasks appropriately and in a timely manner. + Provides backup as necessary for related parties during high volume times by taking patient calls. + Assists pharmacists in dispensing as necessary. + May perform intake duties and responsibilities which include but are not limited to: + Acts as a primary liaison between clinics and provider (doctor) staff. + Works system queue Pharmacy Management System to ensure documents processed in a timely fashion. + Ensures patient Protected Health Information (PHI) is entered and updated correctly. + Transfers patient profiles between FreseniusRx pharmacy locations. + Ensures accuracy with clinic locations, addresses, and contact information. + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + 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: + High School Diploma required; Associate's Degree desirable + Pharmacy Technician Certification required + Registered or able to be registered as a pharmacy technician in the state of Tennessee EXPERIENCE AND REQUIRED SKILLS: + 1 - 2 years' related experience. + Excellent customer service, communication, organizational and interpersonal skills required. + Understands the importance of, and demonstrates a customer service philosophy. + Excellent written and verbal communication skills. + Excellent organizational and analytical skills. + Detail oriented with the ability to enter information accurately on paper and into a database system. + Proficient with PCs. + Develops a working knowledge of pharmacy dispensing regulations, data systems, and billing practices and policies. + Develops a working knowledge of standard medical abbreviations and medical terminology. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS · Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse's responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.

**_Description_** _Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own._ **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. **Why Join the Fresenius Team?** Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: + Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. + Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. + Superior training, UltraCare quality control, and certification procedures ensure your potential to succeed and advance as a professional. + Competitive compensation and exceptional benefits. + Outstanding tuition reimbursement program. + Recognized among Fortune's World's Most Admired Companies in 2011. + National Safety Award from CNA insurance companies for 11 consecutive years. + Opportunities to give back by participating in philanthropy and community outreach programs. **PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment. **DUTIES / ACTIVITIES** : **CUSTOMER SERVICE:** + Responsible for driving the FMCNA culture through values and customer service 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 service issues with all customers in a timely manner. **PRINCIPAL RESPONSIBILITIES AND DUTIES:** **Patient Related:** + Provide direct patient care for assigned patient(s). + Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor. + Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record. + Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor. + Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications. + Assist with all emergency operational procedures. + Administer intravenous medication in accordance with physician orders and state nurse practice laws. + Perform and document pre, interim, and post treatment review of patient condition. + Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment. **Technical:** + Safely operate all dialysis related equipment according to the proper procedures. + Provide minor troubleshooting when necessary. + Ensure a clean, safe and sanitary environment in the dialysis facility treatment area. + Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. + Operate all emergency equipment effectively in accordance to the standard operation procedures. **Staff Related:** + Participate in staff meetings as scheduled. + Assist in short term and long term patient care plan meetings. + Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes. + Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. + Other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility, staff and physicians. The 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 weighing up to 200lbs., and may lift chemical water solutions of up to 30lbs., up as high as 5 feet. 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 noises levels. May be exposed to infectious and contagious diseases/materials. **EDUCATION:** + Graduate of an accredited School of Practical Nursing (LPN, LVN) + Current appropriate State licensure. **EXPERIENCE AND REQUIRED SKILLS:** + One year medical-surgical nursing experience preferred. + Hemodialysis experience preferred but not required. + ICU experience preferred but not required. + Successfully complete a training course in the theory and practice of hemodialysis. + Successfully complete CPR Certification. + Must complete the Nurses Technical Training Program upon hire or soon thereafter. + Ability to provide coverage at area facilities during times of short-staffing or as required. + Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. + Good communication skills, both verbal and written. **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. This is an entry level MSW role. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Patient Assessment / Care Planning / Counseling + As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. + Provide monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life + Provide supportive counseling services to patients as permitted within the scope of their clinical training and state license + Provides educational and goal directed counseling to patients who are seeking transplant. + Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. + In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. + Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. + Documents based on MSW interaction and interventions provided to patient and/or family. + Quality + Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. + Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. + Patient Education + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. + Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. + Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. + Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Collaborates with the team on appropriate QAI activities. + Patient Admission and Continuity of Care + Review Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns + Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment + The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership + Insurance and Financial Assistance + Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. + In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs) + Collaborate with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. + Refer patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills + Staff Related + Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. + Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). + Provides training to staff pertaining to psychosocial topics as needed. + Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. + Adheres to work defined caseload guidelines based on state regulatory requirements. + In states where required works under appropriate supervision to meet state requirements. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel required (if multiple facilities) **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Masters in Social Work + Must have state temporary license, Registered Social Worker Clinical Intern, Associated Social Work license or Provisional LCSW License (if required by state) + Obtains necessary state licensure to work independently without supervision within the first two (2) years or as required by state guidelines. **EXPERIENCE AND SKILLS** **:** + 0 - 2 years' related experience **EOE, disability/veterans**

**PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN. + Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). + Promotes and assists in meeting Total Area Productivity goals (TAP). + With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies). + Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN. + Evaluates vascular access for patency and reports any unusual findings to FMCNA RN. + Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN. + Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to FMCNA RN. + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160). + Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. + Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist. + Collects, labels specimens and ensures timely delivery to laboratory per facility policy. + Evaluates intradialytic problems and provides intervention as prescribed by physician's order or as directed by FMCNA RN. Monitors patient's response to dialysis therapy and report any unusual findings to FMCNA RN. + Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation. + Reports any change or unusual findings to FMCNA RN. + Performs and document any intervention for unusual patient status and document patients' response to intervention. + Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents and reports any unusual findings to the FMCNA RN. + Discontinues dialysis treatment according to established procedures. + Evaluates patient prior to termination of venous access - standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN + Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification. + Other duties as required. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day-to-day work includes desk and personal computer work, interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. + Travel to meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. + This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to assist in moving machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. + There is a two-person assist program and "material assist" devices for the heavier items. **SUPERVISION:** + None **EDUCATION** **:** + High School Diploma required **EXPERIENCE AND REQUIRED SKILLS** **:** + 1 - 2 years' related experience. + Certified Clinical Hemodialysis Certification (CCHT) certification. **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 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. **EOE, disability/veterans**

The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH • Develop and implement processes for program growth in accordance with Company goals. • Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. • Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. • Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES • Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. • Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. • Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. • Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. • Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS • Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. • Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. • Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. • May assume Charge Nurse's responsibilities as needed. • Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. • May fulfill responsibility of facility CEO as delegated by Governing Body. • Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. • Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. • Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. • Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) • Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. • Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. • Know and understand the water treatment and mechanisms of the equipment of the facility. • Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS • Monitor all contractual agreements; update as needed with corporate oversight. • Maintain collaborative working relationship with Medical Director and physicians. • Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. • Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. • Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION • Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. • Recruit, train, develop, and supervise all personnel. • Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. • Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. • Effectively communicates expectations; accepts accountability and holds others accountable for performance. ADMINISTRATOR State Specific Regulations Alabama IF DESIGNATED CEO FOR THE CLINIC, MUST: Hold at least a baccalaureate degree and has at least one (1) year of experience in a dialysis unit OR Meets the qualifications for a qualified physician director or qualified registered supervising nurse. Georgia Hold at least a baccalaureate degree and has at least one (1) year experience in an end stage renal disease facility OR Meets the qualifications for a physician director or a nurse responsible for nursing services for an end stage renal disease facility OR Has been acting for at least two (2) years as a facility administrator for an end stage renal disease facility which has been certified for the federal Medicare program. Maryland IF NOT THE DESIGNATED CEO FOR THE CLINIC, MUST: Be 21 years old or older. Possess a high school diploma or a high school equivalency diploma. Have at least one (1) year of dialysis experience. Have no criminal conviction or other criminal history that indicates behavior that is potentially harmful to patients, documented through either a criminal history records check or criminal background check completed within one (1) month before employment. New Jersey A baccalaureate degree from an accredited college or university and the equivalent of at least one (1) year experience in supervising renal dialysis services OR Five (5) years full-time experience in the provision of renal dialysis services and documentation of supervisory experience for at least one (1) year. South Carolina Hold at least a baccalaureate degree or have a minimum of an associate degree in a health-related field with at least two (2) years experience in ESRD within the past five (5) years. Wyoming PERSON IN CHARGE OF THE OPERATION OF THE FACILITY TWENTY-FOUR (24) HOURS PER DAY AND IS: A physician OR A Registered Nurse who has at least six (6) months of experience working in a renal dialysis center OR An individual with a bachelors degree and one (1) year experience in health service administration, preferably in a renal dialysis center. REGISTERED SUPERVISING NURSE State Specific Regulations Georgia RN with twelve (12) months of experience in clinical nursing, and an additional six (6) months of experience in nursing care of the patient with permanent kidney failure or undergoing kidney transplantation, including training in and experience with the dialysis process OR RN with eighteen (18) months of experience in nursing care of the patient with on maintenance dialysis, or the nursing care of the patient with a kidney transplant, including training in and experience with the dialysis process. Where the RN responsible for nursing services is also in charge of self-care dialysis training, at least three (3) months of the total required dialysis experience is in training patients in self-care. New Jersey THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF NJ AND MUST: Have twelve (12) months full time experience in nursing supervision and/or nursing administration obtained in a hemodialysis setting within the last twenty-four (24) months. South Carolina THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF SC AND MUST: Be a registered nurse with at least eighteen (18) months of experience in clinical nursing, with at least six (6) months experience in care of patients with ESRD. Texas THIS POSITION ALSO MAY BE KNOWN AS THE DIRECTOR OF NURSING IN THE STATE OF TX AND MUST: Have at least eighteen (18) months experience as an RN, which includes at least twelve (12) months experience in dialysis within the last twenty-four (24) months; OR Have at least eighteen (18) months experience as an RN, and holds a current certification from a nationally recognized board in nephrology nursing or hemodialysis.

**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. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** General and Staff Related: + Provide 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. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate. + Ensure 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. + Approve or disapprove 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. + Participate in patient care plan meetings. + Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services. + Train and orient staff as necessary. + Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. + Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. + Maintain overall shift operation in a safe, efficient, and effective matter. + With Clinical Manager conduct staff meetings 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. + Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information. + Supervise all documentation of patient information. + Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient Care: + Assess daily patient care needs and develop and distribute patient care assignments appropriately. + Assume primary responsibility in an emergency situation. + Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. + Monitor and supervise all patient care activity during dialysis and assist as necessary. + Collaborate with direct patient care team in making decisions to benefit patient care. + Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. + Administer medications to patients per physician's orders. + Act as the subject matter expert and as a resource for staff members. + Supervise and participate in completion of short- and long-term care plans. + Admit new patients according to facility procedure. + Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Technical: + Supervise the safe and effective use of all equipment involved in direct patient care. + Operate all dialysis related and emergency equipment safely and efficiently when needed. + Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. + Complete Nurse's Technical Training Program/Water Quality Facility Training. Other: + Assist with special projects or other duties as assigned by the Clinical Manager + Assist with the interviewing of potential direct patient care staff as requested. + Promote efficient use of medical supplies. + Attend and participate in monthly Quality Assurance meetings. + Other duties as assigned. Relationships: + Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP) + External Contacts: Physicians, Back-up Hospitals **Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.** The duties listed in this job description 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. **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. **SUPERVISION:** + Direct Patient Care Staff, Ward Clerk as assigned. **EDUCATION** **:** + Graduate of an accredited school of Nursing (R.N.) + Current appropriate state licensure. **EXPERIENCE AND REQUIRED 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 servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience. + Supervisory or management experience preferred. + Successfully completea training course in the theory and practice of hemodialysis. + Good communication skills - verbal and written. + Must meet appropriate state requirements (if any). **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

PURPOSE AND SCOPE: Performs general pharmacy technician duties and assists with counting and filling prescriptions. Contributes to the provision of quality pharmacy services to dialysis and other patients in accordance with state pharmacy regulations and Fresenius Medical Care Pharmacy policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Under Pharmacist guidance and per company policies and procedures, assists with dispensing of products and performs general pharmacy technician duties as follows: + Monitors the drug file in the software application and prepares prescriptions for packaging/distribution. + Retrieves count and obtains prescription drugs, devices, and related materials from stock. + Counts and fills patient prescriptions based on order. + Prepares prescription labels to be placed on dispensing containers. + Attaches additional information and instructions on the dispensing container, when necessary. + Presents final dispensed product(s) to Pharmacist for verification and final check. + On occasion, compounds products such as creams, ointments, and liquid oral products. + On occasion, responsible for IV sterile compounding. + Ensures that pharmacy dispensing, compounding supplies, and preparation bench areas are clean and orderly at all times. Cleans equipment and sterilizes glassware according to prescribed methods. + Assists with performing monthly inventory checks. Reviews stock for recalls and expired medications. Notifies Inventory Coordinator or supervisor if stock is low on a particular medication or product. + May assist in maintaining adequate levels of inventory by ordering drugs, devices, and related materials following established procedure. + Assists the shipping department with the packaging, distribution, and tracking of patient orders. + Prepares and labels stocked drugs, devices, and related materials for future dispensing. + Creates and updates patient's health and demographic information in computer system. + Obtains and enters patient, medical, or prescription order data into the patient information system. + Maintains an orderly filing system, as applicable. + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + 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: + High School Diploma required + Pharmacy Technician Certification (CPhT) required + Registered or able to be registered as a Pharmacy Technician in applicable state EXPERIENCE AND REQUIRED SKILLS: + 1 - 2 years' related experience. + Understanding of medical terminology and calculations is desirable. + Demonstrated skills or aptitude for learning the sterile admixture/aseptic technique is desirable. + Strong attention to detail. + Self-motivated with a strong work ethic. + Professional demeanor at all times. + Proficient with PCs. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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