Fresenius Medical Care Windsor, LLC jobs in Bear, DE - 35 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.

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

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. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional 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: * High School diploma or G.E.D. required. * Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. * All appropriate state licensure, education, and training (if any) required. * Demonstrated commitment to organization culture, values, and customer service standards EXPERIENCE AND REQUIRED SKILLS: * Previous patient care experience in a hospital setting or a related facility 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. Training will be held both day shift and evening shift. Once training is complete expected schedule will be MWF 12pm - 10pm and every Saturday 630am-530 pm * America's 'Most Loved Workplaces' by Newsweek * Major holidays off! * No prior healthcare experience required, on the job, paid 12 weeks of training to become nationally certified. Upon certification receive a pay increase & promotion * 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America * Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories * Up to $5,200 RN tuition reimbursement per calendar year Great for Nursing Assistants , CNA , Phlebotomist !

*** Dialysis Experience Required PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigneddirect 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 outlinedin the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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 Facility Administrator 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. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator 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 Facility Administrator 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 Facility Administrator 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. 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. 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 Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. 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. 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. 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. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 9 months of nursing experience, plus 3 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Annual Rate: $83,000 - $105,000 for Elkton, MD Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses. Performs ongoing systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN. Minimum of 9 months experience as a Registered Nurse (preferred). Chronic/acute hemodialysis experience (preferred). EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. " America's 'Most Loved Workplaces' by Newsweek Major holidays off! No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories Up to $4,400 tuition reimbursement per calendar year

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. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional 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: * High School diploma or G.E.D. required. * Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. * All appropriate state licensure, education, and training (if any) required. * Demonstrated commitment to organization culture, values, and customer service standards EXPERIENCE AND REQUIRED SKILLS: * Previous patient care experience in a hospital setting or a related facility preferred. * Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. * America's 'Most Loved Workplaces' by Newsweek * Major holidays off! * No prior healthcare experience required, on the job, paid 12 weeks of training to become nationally certified. Upon certification receive a pay increase & promotion * 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America * Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories * Up to $5,200 RN tuition reimbursement per calendar year Great for Nursing Assistants , CNA , Phlebotomist !

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 FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety PRINCIPAL DUTIES AND RESPONSIBILITIES: Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department. Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools. Responsible for addressing and acting on adverse events and action thresholds. Oversees facility's Home Therapies Program if applicable. Accountable for compliance with all applicable federal, state and local laws and regulations. Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff. Maintains integrity of medical records and other FMS administrative and operational records. Complies with all data collections and auditing activities. Maintains facility environmental integrity, including safety. Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals. An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function. Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s). Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization. Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers. Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team. Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. Provides technical guidance. Performs other related duties as assigned. PATIENT CARE: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime. Acts as a resource for the patient to address patient concerns and questions. Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility's Interdisciplinary Team to discuss patient care plans and to resolve patient problems. Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency. Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status. Develops action plans for unexcused and missed treatments in collaboration with the Director. Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. STAFF: Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. Participates in the recruitment and interview process, and decision to hire new personnel. Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates. Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives. Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance. Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff. Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth. Completes timely employee evaluations and establishes annual goals for staff. Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions. Participates in Corporate and Business Unit specific employee recognition and satisfaction programs. Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility. Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving. PHYSICIANS: Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. Responsible for strong Director and physician relationships and facilitating staff relationships with physicians. Ensures regular and effective communication with all physicians, through regular meetings with Directors. Participates in Governing Body. Schedules and coordinates CQI meetings with physicians. MAINTENANCE/TECHNICAL: Responsible for the integrity and safety of the facility water system. Must be knowledgeable in the operation of all facility equipment and technology. ADMINISTRATIVE: Responsible for maintaining and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, and responds as appropriate. Directs information gathering as required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies Participates in the completion and interpretation of the Pl-17 inventory supply use analysis. Reviews and approves facility payroll. Reviews profit and loss statements with Director Responsible for participating in all required Network reporting and on-site state or federal surveys. Participates in the completion of the FMS Administrative Clinical Review. 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 Position may require 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: Responsible for the direct supervision of various levels of staff as designated by region. EDUCATION AND REQUIRED CREDENTIALS: Bachelor's Degree; Advanced Degree desirable or an equivalent combination of education and experience Graduate of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE AND SKILLS: 6 - 8 years' related experience or an equivalent combination of education and experience. 3+ years' supervisory or project/program management experience preferred. Minimum of 12 months experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred. Minimum of 6 months chronic or acute dialysis nursing experience is required. Must be available as a full-time employee and provide on-call coverage when necessary. Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making. Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients. Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

PURPOSE AND SCOPE: Functions as part of the Inpatient Services 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 supervision of Hemodialysis Registered Nurse for assigned patient(s) in the dialysis suite in the acute setting; excluding Intensive Care Units. * 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 FKC Quality Enhancement Goals (QEP). * 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). * Will be responsible for assuring the dialysis machine has been set up, tested and found to be safe for dialysis treatment in accordance with manufacturer instructions for use and company policy and procedures. * Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN. * Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN. * Reports any difficulties in cannulation to FMCNA RN as permitted by state requirements; or unusual findings to FMCNA RN. * Responsible for accurate documentation of information related to the patient treatment. This information is documented appropriately in the individual patient record to include the hospital Electronic Medical System (EMS) and the Acute Care Electronic System (ACES). * 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). * 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. * 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 * 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 or supervising RN. * 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. * Day-to-day work includes personal computer work while standing and sitting, interaction with patients, facility staff and physicians. * The position requires travel between assigned facilities and various locations within the community. * 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: * None required. At least 6 months' experience is preferred in related Field (EMT, Surgical Technicians, Army, Phlebotomists, and technicians). * Must obtain CCHT within 18 months of hire. * Effective communication skills - both verbal and written. * 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. * Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. * Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. * Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. * Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. * Initiates or assists with emergency response measures. * Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. * Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. * Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. * Ensures patient awareness related to transplant and treatment modality options. * Required to complete CAP requirements to advance. * Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. * This position requires frequent, prolonged periods of standing and the employee must be able to bend over. * The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. * May be exposed to infectious and contagious diseases/materials. * Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. * The position may require travel to training sites or other facilities. * May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: * Successful completion of all FKC education and training requirements for new employees. * Must have a minimum of 9 months experience as a RN. * Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: * Graduate of an accredited School of Nursing. * Current appropriate state licensure. * Current or successful completion of CPR BLS Certification. * Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: * Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. * Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. * America's 'Most Loved Workplaces' by Newsweek * Major holidays off! * No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator * 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America * Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories * Up to $4,400 tuition reimbursement per calendar year

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 FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: * 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 Facility Administrator 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. * Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator 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 Facility Administrator 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 Facility Administrator 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. * 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. * 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 * Assist with special projects or other duties as assigned by the Facility Administrator * Assist with the interviewing of potential direct patient care staff * Promote efficient use of medical supplies. * Attend and participate in monthly Quality Assurance meetings. 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. * 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. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. * Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. * Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: * Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: * Graduate of an accredited school of Nursing (R.N.) * Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: * Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. * Medical/surgical nursing preferred. * Supervisory or management experience preferred. * Certified in CPR or successfully complete course in CPR certification. * Good communication skills - verbal and written. Dialysis Experience Required

PURPOSE AND SCOPE: Functions as part of the Inpatient Services 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 supervision of Hemodialysis Registered Nurse for assigned patient(s) in the dialysis suite in the acute setting; excluding Intensive Care Units. 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 FKC Quality Enhancement Goals (QEP). 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). Will be responsible for assuring the dialysis machine has been set up, tested and found to be safe for dialysis treatment in accordance with manufacturer instructions for use and company policy and procedures. Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN. Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN. Reports any difficulties in cannulation to FMCNA RN as permitted by state requirements; or unusual findings to FMCNA RN. Responsible for accurate documentation of information related to the patient treatment. This information is documented appropriately in the individual patient record to include the hospital Electronic Medical System (EMS) and the Acute Care Electronic System (ACES). 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). 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. 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 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 or supervising RN. 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. Day-to-day work includes personal computer work while standing and sitting, interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. 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: None required. At least 6 months' experience is preferred in related Field (EMT, Surgical Technicians, Army, Phlebotomists, and technicians). Must obtain CCHT within 18 months of hire. Effective communication skills - both verbal and written. 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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

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 FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: * 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 Facility Administrator 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. * Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator 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 Facility Administrator 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 Facility Administrator 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. * 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. * 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 * Assist with special projects or other duties as assigned by the Facility Administrator * Assist with the interviewing of potential direct patient care staff * Promote efficient use of medical supplies. * Attend and participate in monthly Quality Assurance meetings. 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. * 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. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. * Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. * Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: * Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: * Graduate of an accredited school of Nursing (R.N.) * Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: * Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. * Medical/surgical nursing preferred. * Supervisory or management experience preferred. * Certified in CPR or successfully complete course in CPR certification. * Good communication skills - verbal and written. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe and clean working environment within the home therapy program. Supports the organization's commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction, and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization's Quality Enhancement Goals (QEP). All duties and responsibilities of the PCT II HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with, and as permissible per state laws, regulations, and policies. PRINCIPAL DUTIES AND RESPONSIBILITIES (Not Home Assist): Reinforces home hemodialysis (HHD) and/or peritoneal dialysis (PD) training as permitted by law. Identifies and welcomes patients, obtains vital signs, weights, and gathers information needed to complete the Clinic Visit Intake form. Builds and maintains strong communication and collaboration processes and rapport with patients, care partners, the HT RN, direct and non-direct patient care staff, providers, and other team members. Obtains treatment records from patients and/or systems, reviews for completion, and reports missing or abnormal data to the HT RN. Assists with electronic home treatment/medication/oral nutritional supplement reconciliation and reports missing data/orders to the HT RN. May assist HT RNs with home visits. Provides home support as applicable and permissible. Prepares supplies for the collection of prescribed laboratory testing and prepares specimens for shipping. Assists with the tracking and shipping of transplant-related laboratory specimens and reinforces transplant education. Completes opening/closing daily chores and documents as appropriate. Disinfects dialysis machines, chairs, tables, and other equipment in between patient visits, and routinely. Prepares the exam/training room for home dialysis training, treatment, or other visits. Stocks exam, training, treatment, and storage rooms with supplies. Develops or follows a process for the management of supplies to maximize use and minimize waste. Schedules patient appointments and contacts patients/caregivers regarding dates, times, and reminders. Supports patient registration and use of connected health. Assists patients and care partners with supplies/inventory ordering and management. Maintains logs and tracking. May order and track clinic/office supplies, as directed. Participates in medical records, infection control, and other audit processes as directed. Actively collaborates with others during staff huddles or meetings. Helps collect required documentation for patient admission, prepares and maintains the electronic and/or hard-copy patient chart, as directed. Performs other clerical duties, as assigned (answering phones, faxing, email, provider office contact, etc.). Home Hemodialysis Reinforces HHD training. Sets up, tears down, programs, tests, and disinfects the HHD machine, as directed. Troubleshoots HHD Machinery/tools and connectivity issues. Prepares dialysate for use, as directed. Prepares dialysis supplies for HHD treatment according to standing/provider orders. Evaluates the dialysis access before treatment, documents all findings in the medical record, and reports abnormal findings to the HT RN. Initiates HHD treatment, while monitoring and documenting patient status, vital signs, and machine data in the treatment record. Performs and documents safety checks during treatment at intervals designated by CMS and facility policy. Reports observed significant changes in patient status during treatment to the HT RN, and documents in the medical record. Provides interventions during treatment in response to interdialytic events, and documents in the medical record, as directed and permissible. Obtains pre-treatment termination vitals and documents in the treatment record. Ensures hemostasis of the patient dialysis access is achieved before leaving the treatment area. Collects and documents post-treatment vitals in the treatment record and reports to the HT RN. Assists with quarterly, semi-annual, and annual water and dialysate testing as directed. Other duties, as assigned. Peritoneal Dialysis Reinforces PD training. Troubleshoots PD cycler, modem, and connectivity issues. Performs phlebotomy to obtain prescribed laboratory testing, as directed (must meet state and/or competency requirements to perform). Sets up PD cycler and prepares and warms PD solutions, as directed. Assists with exit site care, as directed. May help with tracking of PD equipment. Other duties, as assigned. Staff Related Participates in the recruitment process for new clinical staff. Assists with clinical orientation and supports ongoing training of all appropriate home therapies direct patient care personnel as well as the orientation of all facility staff to the organization. Partners with all IDT members, including Kidney Care Advocates, administrative staff, and others in developing ideas to improve awareness of Home Therapies for in-center staff and patients. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Employees are required to take Ishihara's Color Blindness test as a condition of employment. Note: failing the Ishihara Test for Color Blindness does not preclude employment. The company will consider whether reasonable accommodations can be made. Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit, and corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may assist. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and lower solutions frequently 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 heavier items. EDUCATION AND LICENSES: High School diploma or G.E.D. required. Must have a valid PCT national certification or state-specific certification as defined by the Center for Medicaid/Medicare Services (CMS). All appropriate state licensure, education, and training (if any) required. Demonstrated commitment to organization culture, values, and customer service standards EXPERIENCE AND REQUIRED SKILLS: At least two years of previous patient care experience in a hospital setting or a related facility preferred. Continued employment is dependent on successful completion of the organization's dialysis training program and successful completion of CPR certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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

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 FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS 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 CARE: * 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. * Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. * Evaluate vascular access for patency and report any unusual findings to nurse supervisor. * Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. * Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. * Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. * Perform administration of Heparin as delegated or as allowed by state law. * Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). * Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. * Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. * Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. * Discontinue dialysis treatment according to established procedures * Evaluate patient prior to termination of venous access - standing & sitting blood pressure. * Obtain Hemostasis and apply appropriate dressings. * Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. * Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. * Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. * Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160. * Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. * Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes. * Report any significant information and/or change in patient condition directly to the nurse supervisor. * Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor. * Perform and document any intervention for unusual patient status and document patients' response to intervention. * Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor. * Obtain all prescribed laboratory testing and prepare specimens for collection. MAINTENANCE/TECHNICAL: * Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. * Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy. * Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. * Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). * Initiate Solution Delivery System (SDS) system. * Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. * Prepare organize and efficiently utilize supplies and equipment to prevent wastage. CLERICAL & ADMINISTRATIVE: * Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. * Enters all treatment data into the designated clinical application accurately and in a timely manner. * Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. * Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. * Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination. * Collect label appropriately prepare and store lab samples according required laboratory specifications. * Ensure collection of lab specimens by appropriate lab courier. OTHER: * Perform additional duties as assigned. ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: * May assist HT RN on Home Visit as directed * Reinforces PD / HHD education under supervision of qualified HT RN * Schedules and contacts patients regarding appointments * Weigh patient and obtain vital signs * Collect treatment records and review for completion. Notify RN of incomplete / missing records. * Cleaning and prepping treatment room; prep charts * Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) * Clerical duties as assigned (faxing mailing to physician offices etc.) * Obtain home hemo water sampling as directed by the HT RN * Set-up of the home hemo machine and PD Cycler. * Assist with exit site care when directed by HT RN. * Warm dialysate solution when directed by the HT RN * Draw dialysate solution for testing as directed by the HT RN * Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) * Assembles/breaks down charts/thins charts * Maintains logs as directed and applicable * Inventory of Home Program * Maintains par levels of home department supplies * Files home patient packing slips/invoices * Inventory for Patients * Assists patient with supply management and contacting customer service 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 Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to 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 * Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. * All appropriate state licensure education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS * Previous patient care experience in a hospital setting or related facility preferred. * Continued employment is dependent on successful completion of the FMCNA 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. * America's 'Most Loved Workplaces' by Newsweek * Major holidays off! * No prior healthcare experience required, on the job, paid 12 weeks of training to become nationally certified. Upon certification receive a pay increase & promotion * 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America * Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories * Up to $5,200 RN tuition reimbursement per calendar year Great for Nursing Assistants , CNA , Phlebotomist !

PURPOSE AND SCOPE: This position is for graduates of an accredited school of Nursing working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used will be determined based on the state where the employee is employed. Functions as part of the hemodialysis health care team providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse while working towards obtaining their nursing license. Employees hired into this position will be required to obtain their nursing license within 90 days of their hire date. PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Care: Performs vascular access evaluation pre-treatment. Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification. Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to nurse supervisor. Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed. Monitors patients' response to dialysis therapy. Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment and documents appropriately. Evaluates patient prior to termination of venous access - standing & sitting blood pressure. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge. Documents information related to patient treatment including documentation in the patient health record. Reports any significant information and/or change in patient condition directly to the nurse supervisor. Performs and documents interventions for unusual patient status and document patients' response to intervention. Obtains all prescribed laboratory testing and prepares specimens for collection. Maintenance / Technical: Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate. Maintains environmental integrity and aesthetics - ensures all areas are safe and clean. Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. Performs all required pretreatment dialysis machine set up and testing. Ensures that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. Clerical & Administrative: Enters all treatment data into the designated clinical application accurately and in a timely manner. Reviews health care record for completeness and ensures omitted entries are completed or corrected where appropriate. Prepares lab requisitions for prescribed or stat lab specimens according to laboratory destination. Collects, labels, appropriately prepares and stores lab samples according required laboratory specifications. Ensures collection of lab specimens by appropriate lab courier. Other: As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. Maintains regular and punctual attendance. 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. 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. Work includes using a desk and personal computer as well as interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to 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. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Graduated from an accredited nursing program within the past 12 months. EXPERIENCE AND REQUIRED SKILLS: Previous patient care experience in a hospital setting or a related facility preferred. Required to obtain nursing license within 90 days of employment. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $29 - $48 Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional 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: * High School diploma or G.E.D. required. * Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. * All appropriate state licensure, education, and training (if any) required. * Demonstrated commitment to organization culture, values, and customer service standards EXPERIENCE AND REQUIRED SKILLS: * Previous patient care experience in a hospital setting or a related facility 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. * America's 'Most Loved Workplaces' by Newsweek * Major holidays off! * No prior healthcare experience required, on the job, paid 12 weeks of training to become nationally certified. Upon certification receive a pay increase & promotion * 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America * Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories * Up to $5,200 RN tuition reimbursement per calendar year Great for Nursing Assistants , CNA , Phlebotomist !