Nurse jobs at Fresenius Medical Care Windsor, LLC - 60 jobs

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.

Join our team! • Rated as one of Forbes' U.S. Best Employers • Paid one-on-one training • Tuition reimbursement • Competitive Pay & Benefits • Paid time off • 401(K) and much more RN-Clinical About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, 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. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. 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: 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. As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff. Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record. Adjusts or modify the treatment plan as indicated and notify supervisor as needed. Provides initial and ongoing education to patient and family. Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness. Initiates or assist with emergency response measures. Ensures correct laboratory collection, processing, and shipping procedures are performed. Collaborates with the Interdisciplinary Team on the patient care plan. Ensures patient awareness related to transplant and treatment modality options. Completes CAP requirements to either maintain or advance within the program. Makes referrals to Social Worker and Registered Dietitian as appropriate. Ensures patient awareness related to transplant and treatment modality options. 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 SKILLS: Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. Experience as a Registered Nurse (preferred but not required). Chronic/acute hemodialysis experience (preferred but not required). Successfully pass the Ishihara Color Blind Test. 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. 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 hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner. PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED: Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. PATIENT RELATED: Education: Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. Discusses with patient, and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). Ensures transplant awareness, modality awareness, and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Dialysis Treatment: Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Laboratory-related: Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. General duties: Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe, efficient, and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. MAINTENANCE/TECHNICAL: Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. MEDICAL RECORDS & DOCUMENTATION: General Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Daily Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Monthly Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Annually Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. 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. Maintain regular and punctual attendance. Perform other related 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. The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. 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. SUPERVISION: None Education: Graduated from an accredited nursing program within the past 12 months Experience and required skills: Required to obtain nursing license and registration within the timeline defined by state regulations, or within 90 days of hire, whichever occurs first. Current appropriate state Temporary Permit. Must meet the practice requirements in the state in which he or she is employed ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. ADDENDUM: Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: *********************************************************************************************************************************************************** For additional information please contact your Regional Education Coordinator. 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 the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: General and Staff Related: * Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate. * Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients. * Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. * Participate in patient care plan meetings. * Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services. * Train and orient staff as necessary. * Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. * Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. * Maintain overall shift operation in a safe, efficient, and effective matter. * With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. * Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information. * Supervise all documentation of patient information. * Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient Care: * Assess daily patient care needs and develop and distribute patient care assignments appropriately. * Assume primary responsibility in an emergency situation. * Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. * Monitor and supervise all patient care activity during dialysis and assist as necessary. * Collaborate with direct patient care team in making decisions to benefit patient care. * Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. * Administer medications to patients per physician's orders. * Act as the subject matter expert and as a resource for staff members. * Supervise and participate in completion of short- and long-term care plans. * Admit new patients according to facility procedure. * Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Technical: * Supervise the safe and effective use of all equipment involved in direct patient care. * Operate all dialysis related and emergency equipment safely and efficiently when needed. * Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. * Complete Nurse's Technical Training Program/Water Quality Facility Training. Other: * Assist with special projects or other duties as assigned by the Clinical Manager * Assist with the interviewing of potential direct patient care staff as requested. * Promote efficient use of medical supplies. * Attend and participate in monthly Quality Assurance meetings. * Other duties as assigned. Relationships: * Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP) * External Contacts: Physicians, Back-up Hospitals Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. PHYSICAL DEMANDS AND WORKING CONDITIONS: * The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. * Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. * The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. SUPERVISION: * Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: * Graduate of an accredited school of Nursing (R.N.) * Current appropriate state licensure. EXPERIENCE AND REQUIRED SKILLS: * Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis * RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience. * Supervisory or management experience preferred. * Successfully completea training course in the theory and practice of hemodialysis. * Good communication skills - verbal and written. * Must meet appropriate state requirements (if any). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, 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. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. 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: 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. As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff. Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record. Adjusts or modify the treatment plan as indicated and notify supervisor as needed. Provides initial and ongoing education to patient and family. Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness. Initiates or assist with emergency response measures. Ensures correct laboratory collection, processing, and shipping procedures are performed. Collaborates with the Interdisciplinary Team on the patient care plan. Ensures patient awareness related to transplant and treatment modality options. Completes CAP requirements to either maintain or advance within the program. Makes referrals to Social Worker and Registered Dietitian as appropriate. Ensures patient awareness related to transplant and treatment modality options. 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 SKILLS: • Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. • Experience as a Registered Nurse (preferred but not required). • Chronic/acute hemodialysis experience (preferred but not required). • Successfully pass the Ishihara Color Blind Test. 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. 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 an Acute Dialysis Registered Nurse (RN) with Fresenius Medical Care, you will support patients in a hospital setting within a network of local hospitals. You will use your leadership skills and independence in administering and assessing each patient's unique treatment plan in a fast-paced environment, working autonomously alongside the inpatient staff in ICU, CCU, and ED units. How you grow or advance: As an Acute Dialysis RN, you will enter our Clinical Advancement Program (CAP) which will allow you to develop clinical leadership skills, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. 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, scholarships to family members, relief when natural disasters strike, and 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: As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes in the inpatient environment. * Provides safe effective patient care and perform all essential functions of Acute RN under supervision. * Documents and enters patient data -before, during and after dialysis treatment. * Monitors and recognizes aspects and implications of patient status that vary from normal and modify the treatment plan in collaboration with appropriate healthcare team members. * Communicates with dialysis providers and appropriate hospital personnel to provide continuity of patient care. * Administers medications as prescribed and in accordance with contractual agreement. * Ensures nephrology physician orders for assigned patients are received and entered in the medical record. * Be familiar with both Fresenius Medical Care and hospital emergency policies and initiate or assist with emergency response measures. * Delegates appropriate tasks to direct patient care staff. * Monitors patient care staff for appropriate techniques and adherence to Fresenius Medical Care policy and procedures. * Promotes infection control, equipment, and environmental safety. * Provides initial and ongoing education to patients and family. * Coaches hospital staff on specialized care related to renal replacement and apheresis therapies (as needed). * Collaborates with the interdisciplinary team to update the care plan for assigned patients. * Completes and document ongoing participation in Continuous Quality Improvement (CQI) activities. * Serves as a resource for healthcare team and participates in staff training and orientation of new staff as assigned. * Assists in an outpatient facility on an as needed basis. * All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state, and federal regulations. * Complete CAP requirements to either maintain or advance within the program. 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: * Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable, flexible, independent. * Minimum of 9 months experience as a Registered Nurse (bonus but not required). * Hemodialysis and/or ICU experience (bonus but not required). * Minimum 6 months nephrology experience required before working independently and/or be on-call. * Successfully pass a Ishihara's Color Blindness Test. 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. * Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis. * The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. * This position requires frequent, prolonged periods of standing and the employee must be able to bend over. * The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. * May be exposed to infectious and contagious diseases/materials. * May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. * Day-to-day work includes desk work, computer work, and interaction with patients, facility/hospital staff, and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required. * Position requires participation in on-call rotation. (Nights, weekends, or as defined by individual program needs Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis. * Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT. * Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis. * Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. * Delivers safe, effective care in a timely an efficient manner. * Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment. * Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. * Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care. * Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed. * Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed. * Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures. * Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate. * Performs all required pre-treatment dialysis machine alarm testing. * If applicable, initiates Solution Delivery System. * Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste. * Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies. * Completes and documents ongoing participation in QAI activities. * Participates in staff meetings as scheduled. * Participates in staff training and orientation as assigned. * Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications. * Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis * Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. * Assist with various projects as assigned by direct supervisor. * Other duties as assigned. 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. * Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events. * Position requires on call rotation including night, day, weekend, and holidays. * There is potential for exposure to potentially infectious material and contagious diseases/material. * Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. SUPERVISION: * Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT. EDUCATION: * Current appropriate state licensure. * Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services). * Must meet the practice requirements in the state in which employed. * Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged. EXPERIENCE AND REQUIRED SKILLS: * One year RN experience required and required nursing skills. * Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services. * Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services. * Demonstrated strong assessment skills related to the critically ill patient. * ICU experience preferred but not required. * Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation. * BLS CPR Recognition. * ACLS CPR Recognition preferred, but not required. * Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education. * Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff). * Successful completion of Nurses Technical Training. 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. 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. 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. 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. 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

Become a Member of the Highly Skilled Akron Acute Team Provide Dialysis Treatments in a Hospital Setting PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. As a member of the Kidney Disease health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Program Manager (PM) and with guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2, 3, 4 or 5 for the first 6 months of employment. Expected to complete requirements to advance to the next Inpatient CAP level, for which they qualify, within 24 months from date of hire. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient's primary nurse and others as may be indicated. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care. Administers medications as prescribed and in accordance with contractual agreement. Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record. Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner. Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures. Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. Promotes infection control, equipment and environmental safety. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies. Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients. Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Participates in all required staff meetings as scheduled. May be assigned to assist in an Outpatient facility on an as needed basis. Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. Performs all other duties as assigned by manager within state, federal and contractual standards. 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. Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required. Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs). SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs as a designated Nurse in charge, after the following: Successful completion of all FKC education and modality specific training requirements for new employees plus Must have a minimum of 9 months experience as an RN plus 6 months experience in dialysis EDUCATION: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. Minimum of 9 months experience as a Registered Nurse (preferred). Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN 6 months dialysis experience required to be on-call. Hemodialysis and/or ICU experience (preferred). Successful completion of FKC Education and Training requirements for new employees. Successful completion and maintenance of CPR BLS Certification. Meet all conditions of employment including Ishihara's Color Blindness Test. Successful completion of all annual required education/training/competencies. Successful completion of on-going training and education as assigned or required 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 registered professional nurse Home Therapies 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. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. 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 with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed. · Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis 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. · Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. · Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. · Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. · 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 equipment, patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. · The position may require travel to training sites, other facilities or patient homes. · May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 12 months experience as a RN. · Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis. 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. · Minimum of 1-year experience as a Registered Nurse (preferred) · Home dialysis therapy experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative. 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: 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). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative. ADDENDUM: FTN Group- International RN EDUCATION and LICENSURE: * Bachelor's degree in nursing required and either a CGFNS (Commission on Graduates of Foreign Nursing Schools) Visa Screen Certificate OR an NCLEX (National Council Licensure Examination) pass letter OR a Registered Nursing License in the state of intended employment required. * 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 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY: * Responsible for supporting and driving organization quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. * Assists with implementation of organization quality goals and facility specific action plans in order to achieve organization quality standards. * Accountable for outstanding quality of patient care, as defined by the organization quality goals, to ensure that organization policies and procedures are followed. * Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management. * Maintains integrity of medical records and other organization administrative and operational records. * Complies with all data collection and auditing activities. * Maintains facility environmental integrity and safety. PATIENT: * Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure. * Provides education to patients and patient's family regarding post procedure care of vascular access. * Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions. * Acts as a resource for the patient to address patient concerns and questions. * Identifies and communicates patient related issues to facility management, as needed. * Completes documentation of patient information from admission to discharge in an accurate manner. * Confirm written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions; delivery to appropriate labs; reporting and forwarding of lab results to appropriate physician. * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed. * Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with organization, company, federal, state and local regulations. * Acts as scrub technologist to assist the physician during procedure as needed, maintaining a sterile technique. * Assists with patient workflow by transporting patients as needed. * Performs point - of - care laboratory testing as directed per physician's orders and in compliance with organization, company, federal, state and local regulations. * Performs IV insertion as per physician orders. * Performs additional tasks as designated by Physician, practicing in compliance with state regulations. PHYSICIANS: * Provides regular and effective communication with physicians on an as needed basis. * Attends and participates in CQI meetings with physicians, reporting on assigned topics. * May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment. * Assists the physician in completing and reporting state required adverse event reports and reporting internally as per organization/FMC policy and procedure. MAINTENANCE/TECHNICAL: * Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner. * Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment. * Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager. * Ensures a clean, safe and sanitary environment in the vascular access facility at all times. * Ensures all blood spills are immediately addressed according to the organization/FMCNA Bloodborne Pathogen Control Policies. ADMINISTRATIVE: * Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies. * May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement. * Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required. * Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law. * Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law. * Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed. * Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis. * Completes medical records in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis. * May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies. * Completes state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines. * Participates in staff meetings, training and orientation as assigned. * Complies with HIPPA policies and standards regarding patient information and medical records. * Assist with various projects as assigned by direct supervisor. * Other duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: * The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. * The 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, patients and equipment of up to 200 lbs. There is a two-person assist program and material assist devices for the heavier items. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious, contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. EDUCATION: * High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred * Graduate of an accredited School of Nursing (R.N.) * Current appropriate state licensure and ACLS certification required. EXPERIENCE AND REQUIRED SKILLS * 4 - 6 years' related experience preferred. * Office Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred. * Proficient in the use of computers and related software such as Microsoft Office is necessary. * Proficient in IV insertion. * Proficient in cardiac rhythm recognition. * Experience with Medical database software. * Certified in BLS & ACLS successfully completed course certifications. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. This is a full time RN role in our Greater Dayton, OH surgery center. Hours are Monday through Friday 7:00am to 3:30pm. No evenings, weekeends or major holidays. Quarterly Bonus Opportunities! Excellent Benefits: Medical, dental, vision, prescription, paid maternity & paternity leave, 401K w/ match, PTO, tuition assistance, life insurance, Long Term and Short Term disability, Flexible Spending for Healthcare, Dependent Care & Commuter Expenses

PURPOSE AND SCOPE: 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. Why Join Our Team! * Rated as one of Forbes' U.S. Best Employers * Paid one-on-one training * Tuition reimbursement * Competitive Pay & Benefits * Paid time off * 401(K) and much more * No experience required

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. 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. 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. 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

Become a Member of the Highly Skilled Columbus Acute Team Provide Dialysis Treatments in a Hospital Setting Dialysis or Critical Care Experience Preferred Paid Training Provided Acute RN's Eligible for an Acute Differential PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. As a member of the Kidney Disease health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Program Manager (PM) and with guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2, 3, 4 or 5 for the first 6 months of employment. Expected to complete requirements to advance to the next Inpatient CAP level, for which they qualify, within 24 months from date of hire. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient's primary nurse and others as may be indicated. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care. Administers medications as prescribed and in accordance with contractual agreement. Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record. Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner. Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures. Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. Promotes infection control, equipment and environmental safety. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies. Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients. Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Participates in all required staff meetings as scheduled. May be assigned to assist in an Outpatient facility on an as needed basis. Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. Performs all other duties as assigned by manager within state, federal and contractual standards. 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. Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required. Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs). SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs as a designated Nurse in charge, after the following: Successful completion of all FKC education and modality specific training requirements for new employees plus Must have a minimum of 9 months experience as an RN plus 6 months experience in dialysis EDUCATION: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. Minimum of 9 months experience as a Registered Nurse (preferred). Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN 6 months dialysis experience required to be on-call. Hemodialysis and/or ICU experience (preferred). Successful completion of FKC Education and Training requirements for new employees. Successful completion and maintenance of CPR BLS Certification. Meet all conditions of employment including Ishihara's Color Blindness Test. Successful completion of all annual required education/training/competencies. Successful completion of on-going training and education as assigned or required 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

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