Fresenius Medical Care Windsor, LLC jobs in Plano, TX - 40 jobs

PURPOSE AND SCOPE: The Secretary/ Receptionist performs general clerical support and office duties for the department and its Management. PRINCIPAL DUTIES AND RESPONSIBILITIES: Performs basic administrative functions including preparation of business correspondence, memorandums, informational packages, training materials and reports. Assists with scheduling. Maintains calendar and daily schedules. Maintains departmental tracking logs. Greets visitors and directs them to the appropriate location or person as needed. Establishes and maintains filing systems and basic databases as applicable. Performs routine general office duties such as filing, copying, and scanning. Provides general clerical support to management staff including scheduling meetings, routing phone calls and taking messages. Records minutes of meetings and providing the resulting documents as necessary. Sorts and distributes mail. Maintains inventory of the necessary office forms and supplies. Escalates issues to supervisor for resolution, as deemed necessary. Assist with various projects as assigned by direct supervisor. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION: High School Diploma required EXPERIENCE AND REQUIRED SKILLS: 1 - 2 years' related experience. Knowledge of office procedures required. Proficient in Microsoft office applications. Good interpersonal and communication skills required. Pleasant telephone manner. 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: Responsible for driving a non-CDL van/truck to deliver to customers. Ensures accuracy of all paperwork related to the job. Responsible for safety of crewmembers, fellow employees, and the public while operating company vehicles and/or supervising/performing any company activity. PRINCIPAL DUTIES AND RESPONSIBILITIES: Delivers and picks up products from customers including but not limited to, home patients, clinics, and hospitals. Communicate effectively with, but not limited to, co-workers, management, vendors, and customers (home patients). Ensures good customer relations by consistently delivering orders on time and behaving with integrity in a courteous and professional manner. Takes note of and possibly resolves customer complaints. Reports all issues and complaints to distribution center staff or customer service for remediation. Observes and reports any pertinent issues at customer sites. May set up product and/or place product on shelves or racks at customer sites. Performs all duties and functions safely and in accordance with company and OSHA standards and guidelines. When delivering, performs rotation and inventory checks of existing product when directed to do so. Obtains customer signatures for pickups (RGA's) and deliveries. Adheres to all federal and state specific DOT regulations including, but not limited to GVW (Gross Vehicle weight). Identifies and recommends options for route improvements to management as appropriate. Vehicle related responsibilities include, but are not limited to: Performing pre and post-trip inspections of assigned vehicle. Identify problems and address appropriately. May perform routine maintenance on Non-CDL van/truck. Unloading and loading of freight as required according to specified procedures and regulations. Maintain a clean van/truck. Participates in monthly/quarterly/annual training for Good Manufacturing Practices, Health & Safety, and Compliance (both corporate and DPD-specific). Remains updated with all annually revised regulatory standards. Operates material-handling equipment safely and efficiently according to established procedures as required. Fulfills assigned tasks in warehouse and/or office when necessary. May refer to senior staff for assistance with day-to-day problems that may arise. Escalates issues to supervisor for resolution, as deemed necessary. Assist with various projects as assigned by direct supervisor. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Heavy work with frequent lifting and carrying of objects 25 -75 pounds on a repetitive basis required. Some deliveries may require carrying product up multiple flights of stairs. Requires extended periods of sitting, standing, and walking. Operation of van/truck may average 6 to 11 hours per day. EDUCATION: High School Diploma, GED or equivalent work experience required. EXPERIENCE AND REQUIRED SKILLS: 0 - 1 years of related experience. Ability to learn functionality and operate on-board computers, paperless DOT logs and/or electronic capture applications. Must possess and maintain a satisfactory driving record. Ability to operate material handling equipment. Experience with on-board computers, paperless DOT logs. Strong communication skills and a professional demeanor at all times. Strong customer service skills. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

About this role: As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment equipment within our kidney care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical supplies required. How you grow or advance in your career: We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a Biomedical Technician specific career ladder with three potential levels of Biomedical Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice President of Technical Services and supported by Corporate Biomedical Support Managers. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits; we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PURPOSE AND SCOPE: Knowledgeable, developing intermediate level technician performing normal functions under general supervision. Performs scheduled and unscheduled semi-routine repair, maintenance activities and operational condition of all medical equipment, water systems and the physical plant in assigned facilities that ensure patient safety and staff operating equipment in accordance with company policies and procedures, manufacturer's documentation, industry standards and local, state and federal regulatory requirements. Performs cost containment activities related to repair and maintenance and monthly Technical CQI/QAI duties. Functions as an equipment "trouble-shooter" to identify and ensure resolution to problems. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general supervision, performs moderate scope semi-routine tasks in nature requiring full knowledge of general aspects of the job, including but not limited to the following: Repair and Maintenance: * Performs and/or oversees timely maintenance, troubleshooting, and repair activities to water treatment equipment, dialysis equipment, ancillary equipment, test equipment, and the physical plant as required and recommended by the manufacturer and established company policy and procedures, including maintaining aesthetics of the equipment and water room. * Coordinates and completes scheduled and unscheduled repair and maintenance of physical plant by company approved vendors. * Oversees maintenance of all ancillary devices assuring it follows manufacturer's recommendations and in compliance with company policies and procedures, industry standards and local, state and federal regulatory requirements. * Acts as equipment "trouble-shooter", identifying where problems exist and recommending resolution as needed utilizing acquired knowledge of company machinery, equipment, and systems. * Purchases and maintains an inventory of service parts using approved sources and ensures RGA and warranty parts are returned in a timely manner. * Performs water/dialysate sample collection and processing, and reviews, evaluates, and reports quality results per applicable policies and procedures. * Documents all daily, weekly, monthly repair and maintenance activity/repairs per applicable policies and/or procedures. * Oversees and updates project tracking or other company tracking/documentation systems as assigned. Regulatory Compliance: * Performs monthly Technical CQI/QAI duties. Analyzes, assembles, and assimilates information and data for the CQI/QAI process and leads technical discussion, including reporting outcomes and creating and implementing improvement plans. * Collaborates with facility staff to ensure all regulatory and OSHA requirements are met. * Reviews water system documentation to verify compliance (i.e. readings are within parameters). * Performs daily, weekly, and monthly trend analysis on the water system, anticipating appropriate action to assure system functions as designed. * Identifies instances where company policy and procedures are not being met including escalation of issues to next level management. Medical Supply Inventory: * Manages Program's Medical Supply Inventory by managing par values, making sure program has the correct inventory to support the patient treatments, performing physical inventory counts and generating a physical inventory report. Miscellaneous, Operational and Educational: * Must maintain water treatment equipment qualification by completing Annual Water Training. * Supports clinical education by administering return demonstrations during Annual Water Training. * Must maintain current required certifications. * Monitors and reviews patient care staff's technique for testing water system, assuring tests and documentation meet policy and comply with manufacturer's specifications for the devices and test equipment used. * Attends and successfully completes all technical training programs required by state/federal regulations and company policy. Refer to Biomedical Technician Career Pathway Department Operating Guideline for full list of training requirements. * Transports equipment as needed. * Escalates issues to supervisor for resolution, as deemed necessary. * Acts as a mentor, role model and resource for technical staff by setting an example of appropriate behavior, work habits and attitudes towards patients, coworkers, and management. * At supervisor's discretion, assists technical staff with general tasks that require a better understanding of functions and provides mentorship and training to new technical staff. * Works toward becoming subject matter expert in one or more areas through continued learning in professional subjects. * Other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that, failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. * Position involves active work including lifting, bending, walking and standing for considerable lengths of time. * The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet. * There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. * Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. * Evening and weekend availability, as well as ability to take on-calls are required. Overnight travel may be required. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: * High school diploma or G.E.D. required. * Successful completion of the Biomedical Technician Education Curriculum and Practicum. * Associate or Bachelor Degree in electronics / biomedical technology, or equivalent a plus. * Nephrology/Biomedical Industry Technical Certifications preferred - Board of Nephrology Examiners Nursing and Technology (BONENT), Certified Hemodialysis Technician (CHT), National Nephrology Certification Organization (NNCO), Certified Biomedical Nephrology Technician (CBNT), Water Quality Association (WQA) Water Treatment Specialist (WTS), Association for the Advancement of Medical Instrumentation (AAMI), Certified Biomedical Equipment Technician (CBET) * Valid Driver's License issued in the employee's state of residence required. EXPERIENCE AND REQUIRED SKILLS: * 1 - 2 years as a Biomedical Technician level I with successful completion of all required training, education curriculum and practicum and meet all other promotion requirements as outlined in the Biomedical Technician Career Pathway Department Operating Guideline. Or 2+ years' directly related experience working in an industrial/medical technical setting, 1+ years directly related experience with an Associate Degree in electronics/biomedical technology, or Bachelor Degree in electronics/biomedical technology with no experience - Must successfully complete all required training, education curriculum and practicum within the first 24 months from date of hire / job entry date. * Manual dexterity required - ability to use common hand tools and small power equipment. * Strong verbal and written communication skills with the ability to comprehend and communicate in the English language. * Proficient computer skills with the ability to navigate through common operating systems, such as Microsoft Office, SAP and TMS products. * Ability to work a flexible schedule including nights, weekends and holidays. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

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

This position is full time for 30 hours per week. PURPOSE AND SCOPE: Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. PRINCIPAL DUTIES AND RESPONSIBILITIES: Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. Calculates diet prescription according to standard of practice. Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. Adheres to FMCNA algorithm and medical record policies. Reports on nutrition QAI results and participates in the interdisciplinary QAI program. Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. Reviews nutrition related lab results: Counsels patient and/or caregiver and formulates appropriate action. Recommends treatment changes to the interdisciplinary team as appropriate. Communicates with physician and/or facility staff regarding lab results as appropriate. Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. Maintains and improves knowledge and skills for a competent and innovative practice. Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. Other nutrition management duties as assigned. Performs other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Registered Dietitian as per Commission on Dietetic Registration Board Certified Specialist in Renal Nutrition encouraged. Current state licensure if applicable. EXPERIENCE AND SKILLS: Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. Previous renal experience preferred. Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. Able to perform responsibilities with minimum supervision. Basic computer skills required. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. 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: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL DUTIES AND RESPONSIBILITIES: Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options: Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). Ensures patients have followed through with the application process. Obtains premium statements and signatures from patients. Discusses situation and options if employment status changes or other situations change. Completes and follows up with paperwork when claims are disputed for non-payment. Collects necessary documents to completed initial and annual indigent waivers. Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility. Discussing the Medicare application with eligible patients and assisting with the application process. Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements. Completing the annual open enrollment and Medicare reinstatement papers with the patients. Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends. Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts Works with patients to evaluate personal financial information and make determination for indigent program. Completes initial Indigent waiver applications. Tracks and completes annual indigent waiver applications. Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. Addresses any identified anomalies or discrepancies, researches and answers questions as needed. Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius. Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes Completes monthly audit exam to stay current on internal policies. May present on insurance and financial assistance options to patients as necessary. Assist with various projects as assigned by direct supervisor. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License. EDUCATION: Bachelor's Degree required; Social Work or other Healthcare focus preferred. EXPERIENCE AND REQUIRED SKILLS: 2 - 5 years' related experience; healthcare industry preferred. Experience with Medicare, Social Security and Medicaid systems a plus. Past patient interaction a plus. Excellent written and communication skills. A strong customer service philosophy. Strong organizational and time management skills. Ability to work independently. Proficient with PCs and Microsoft Office applications. Valid Driver's License Fresenius Medical Care 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 dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: Welcome assigned patients and inquire as to their wellbeing since their last treatment. Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. Monitor patients' response to dialysis therapy. Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure Obtain Hemostasis and apply appropriate dressings. Evaluate the patient prior to discharge. Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. Perform and document any intervention for unusual patient status and document patients' response to intervention. Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. Obtain all prescribed laboratory testing and prepare specimens for collection. Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. Monitors patients performing self-care under the supervision of RN. Staff Related Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. Education/Communication: Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). Initiate Solution Delivery System (SDS) system. RECORD KEEPING: Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. Enters all treatment data into the designated clinical application in an accurate and timely manner. Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. Collect, label, appropriately prepare and store lab samples according required laboratory specifications. Ensure collection of lab specimens by appropriate lab courier. INFECTION CONTROL: Assists in collecting information for infection control audits. Supports staff and patient Adherence to infection control practices. Follows infection control Policies and Procedures Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. TRANSITIONAL CARE UNIT: Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care Reinforces all education and care related matters as it relates to the new patient as allowed by state law Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. Sets and preforms a treatment on all machines used in the transitional care unit. Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. Assists with coordination of transition to patient's modality choice. Assists with supply ordering and inventory for TCU PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items. EDUCATION AND LICENSES: High School diploma or G.E.D. required. Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. All appropriate state licensure, education, and training (if any) required. Demonstrated commitment to organization culture, values, and customer service standards EXPERIENCE AND REQUIRED SKILLS: Previous patient care experience in a hospital setting or a related facility preferred. Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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

PURPOSE AND SCOPE:Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the home therapy health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a Registered Nurse. Participates in the implementation and evaluation of patient care. DUTIES / ACTIVITIES: CUSTOMER SERVICE: Responsible for driving the FMS culture through values and customer service standards. Accountable for outstanding customer service to all external and internal customers. Develops and maintains effective relationships through effective and timely communication. Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES: Under the direction of a Registered Nurse, provides direct patient care for assigned patients in compliance with physician orders, state nurse practice laws, company policies and procedures and all pertinent regulatory requirements. Administers intravenous medication in accordance with physician orders and state nurse practice laws. Assists Home Therapy RN/Coordinator in the identification, evaluation, and training of candidates for the home dialysis program. Responsible for accurate documentation of information related to the patients training and treatment. Ensures that the information is documented appropriately in the individual patient record and entered into the Medical Information System. Responsible for ongoing monitoring, assessment, and intervention for home patients including: home visits, clinical appointments, additional training sessions or reviews, lab studies and annual studies such as x-ray and EKG. Responds appropriately to problems or emergencies ensuring the correct actions are taken to achieve resolution. Responsible for compliance with patient supply procedures, appropriate documentation and ensuring maintenance of all durable medical equipment, i.e. preventative maintenance, water analysis. Performs monthly chart audits and reports results to RN/Coordinator or Manager. Monitors the Peritonitis Rate and PET test results. Reports the outcomes to the attending physician(s), the Quality Assurance Committee, and Home Therapy RN/Coordinator or Manager. Under the direction of the Home Therapy RN/Coordinator or Manager, collaborates with the physician to make changes in patient treatment plans as needed. Collaborates with Home Therapy RN/Coordinator or Manager and physician to schedule back-up treatments when necessary. Participates in education of pre-dialysis and existing ESRD patients regarding treatment options. Prepares home supply inventory packages and monitors for efficient use of supplies. Maintains current knowledge base in the operation of all dialysis related equipment that is utilized in the program and in the field, i.e., hemodialysis machines, water treatment systems, peritoneal cyclers, and peritoneal assist devices. Acquires information and knowledge in current practices related to dialysis principles and techniques by participating in scheduled in-service classes. Trouble-shoots equipment problems with the patient via telephone communication and ensures appropriate resolution. Ensures all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Participates in staff meetings as scheduled. Assists in short term and long term patient care plan meetings. Assists with provision of educational in-services regarding home therapies to in-center staff, hospitals, or nursing programs as needed. Participates in training to facility staff in the principles, concepts and practice of the FMS Customer Service Model. Acts as a resource person for other staff members. 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 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. EDUCATION:Graduate of an accredited School of Practical Nursing (LPN, LVN).Current appropriate state licensure.EXPERIENCE AND REQUIRED SKILLS: One year medical-surgical nursing experience preferred. Hemodialysis experience preferred but not required. ICU experience preferred but not required. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR certification. Must complete the Nurses Technical Training Program upon hire or soon thereafter. Good communication skills - verbal and written. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

About this role: As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment equipment within our kidney care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical supplies required. How you grow or advance in your career: We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a Biomedical Technician specific career ladder with three potential levels of Biomedical Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice President of Technical Services and supported by Corporate Biomedical Support Managers. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits; we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PURPOSE AND SCOPE: Knowledgeable, developing intermediate level technician performing normal functions under general supervision. Performs scheduled and unscheduled semi-routine repair, maintenance activities and operational condition of all medical equipment, water systems and the physical plant in assigned facilities that ensure patient safety and staff operating equipment in accordance with company policies and procedures, manufacturer's documentation, industry standards and local, state and federal regulatory requirements. Performs cost containment activities related to repair and maintenance and monthly Technical CQI/QAI duties. Functions as an equipment “trouble-shooter” to identify and ensure resolution to problems. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general supervision, performs moderate scope semi-routine tasks in nature requiring full knowledge of general aspects of the job, including but not limited to the following: Repair and Maintenance: Performs and/or oversees timely maintenance, troubleshooting, and repair activities to water treatment equipment, dialysis equipment, ancillary equipment, test equipment, and the physical plant as required and recommended by the manufacturer and established company policy and procedures, including maintaining aesthetics of the equipment and water room. Coordinates and completes scheduled and unscheduled repair and maintenance of physical plant by company approved vendors. Oversees maintenance of all ancillary devices assuring it follows manufacturer's recommendations and in compliance with company policies and procedures, industry standards and local, state and federal regulatory requirements. Acts as equipment “trouble-shooter”, identifying where problems exist and recommending resolution as needed utilizing acquired knowledge of company machinery, equipment, and systems. Purchases and maintains an inventory of service parts using approved sources and ensures RGA and warranty parts are returned in a timely manner. Performs water/dialysate sample collection and processing, and reviews, evaluates, and reports quality results per applicable policies and procedures. Documents all daily, weekly, monthly repair and maintenance activity/repairs per applicable policies and/or procedures. Oversees and updates project tracking or other company tracking/documentation systems as assigned. Regulatory Compliance: Performs monthly Technical CQI/QAI duties. Analyzes, assembles, and assimilates information and data for the CQI/QAI process and leads technical discussion, including reporting outcomes and creating and implementing improvement plans. Collaborates with facility staff to ensure all regulatory and OSHA requirements are met. Reviews water system documentation to verify compliance (i.e. readings are within parameters). Performs daily, weekly, and monthly trend analysis on the water system, anticipating appropriate action to assure system functions as designed. Identifies instances where company policy and procedures are not being met including escalation of issues to next level management. Medical Supply Inventory: Manages Program's Medical Supply Inventory by managing par values, making sure program has the correct inventory to support the patient treatments, performing physical inventory counts and generating a physical inventory report. Miscellaneous, Operational and Educational: Must maintain water treatment equipment qualification by completing Annual Water Training. Supports clinical education by administering return demonstrations during Annual Water Training. Must maintain current required certifications. Monitors and reviews patient care staff's technique for testing water system, assuring tests and documentation meet policy and comply with manufacturer's specifications for the devices and test equipment used. Attends and successfully completes all technical training programs required by state/federal regulations and company policy. Refer to Biomedical Technician Career Pathway Department Operating Guideline for full list of training requirements. Transports equipment as needed. Escalates issues to supervisor for resolution, as deemed necessary. Acts as a mentor, role model and resource for technical staff by setting an example of appropriate behavior, work habits and attitudes towards patients, coworkers, and management. At supervisor's discretion, assists technical staff with general tasks that require a better understanding of functions and provides mentorship and training to new technical staff. Works toward becoming subject matter expert in one or more areas through continued learning in professional subjects. Other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that, failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Position involves active work including lifting, bending, walking and standing for considerable lengths of time. The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet. There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. Evening and weekend availability, as well as ability to take on-calls are required. Overnight travel may be required. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: High school diploma or G.E.D. required. Successful completion of the Biomedical Technician Education Curriculum and Practicum. Associate or Bachelor Degree in electronics / biomedical technology, or equivalent a plus. Nephrology/Biomedical Industry Technical Certifications preferred - Board of Nephrology Examiners Nursing and Technology (BONENT), Certified Hemodialysis Technician (CHT), National Nephrology Certification Organization (NNCO), Certified Biomedical Nephrology Technician (CBNT), Water Quality Association (WQA) Water Treatment Specialist (WTS), Association for the Advancement of Medical Instrumentation (AAMI), Certified Biomedical Equipment Technician (CBET) Valid Driver's License issued in the employee's state of residence required. EXPERIENCE AND REQUIRED SKILLS: 1 - 2 years as a Biomedical Technician level I with successful completion of all required training, education curriculum and practicum and meet all other promotion requirements as outlined in the Biomedical Technician Career Pathway Department Operating Guideline. Or 2+ years' directly related experience working in an industrial/medical technical setting, 1+ years directly related experience with an Associate Degree in electronics/biomedical technology, or Bachelor Degree in electronics/biomedical technology with no experience - Must successfully complete all required training, education curriculum and practicum within the first 24 months from date of hire / job entry date. Manual dexterity required - ability to use common hand tools and small power equipment. Strong verbal and written communication skills with the ability to comprehend and communicate in the English language. Proficient computer skills with the ability to navigate through common operating systems, such as Microsoft Office, SAP and TMS products. Ability to work a flexible schedule including nights, weekends and holidays. 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: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role. PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Assessment / Care Planning / Counseling As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. Provides educational and goal directed counseling to patients who are seeking transplant. Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. Documents based on MSW interaction and interventions provided to patient and/or family. Quality Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. Patient Education Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. Collaborates with the team on appropriate QAI activities. Patient Admission and Continuity of Care Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns. Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment. The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership. Insurance and Financial Assistance Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs). Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills Staff Related Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). Provides training to staff pertaining to psychosocial topics as needed. Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. Adheres to work defined caseload guidelines based on state regulatory requirements. Performs other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Travel required (if multiple facilities or home visits, if applicable) SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Masters in Social Work Must have state required license Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed EXPERIENCE AND SKILLS: 0 - 2 years' related experience 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: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigneddirect patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlinedin the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 9 months of nursing experience, plus 3 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. 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: Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. PRINCIPAL DUTIES AND RESPONSIBILITIES: Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. Calculates diet prescription according to standard of practice. Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. Adheres to FMCNA algorithm and medical record policies. Reports on nutrition QAI results and participates in the interdisciplinary QAI program. Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. Reviews nutrition related lab results: Counsels patient and/or caregiver and formulates appropriate action. Recommends treatment changes to the interdisciplinary team as appropriate. Communicates with physician and/or facility staff regarding lab results as appropriate. Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. Maintains and improves knowledge and skills for a competent and innovative practice. Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. Other nutrition management duties as assigned. Performs other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Registered Dietitian as per Commission on Dietetic Registration Board Certified Specialist in Renal Nutrition encouraged. Current state licensure if applicable. EXPERIENCE AND SKILLS: Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. Previous renal experience preferred. Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. Able to perform responsibilities with minimum supervision. Basic computer skills required. Fresenius Medical Care 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 dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe and clean working environment within the home therapy program. Supports the organization's commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction, and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization's Quality Enhancement Goals (QEP). All duties and responsibilities of the PCT I HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with and as permissible per state laws, regulations, and policies. PRINCIPAL DUTIES AND RESPONSIBILITIES (Not Home Assist): * Reinforces home hemodialysis (HHD) and/or peritoneal dialysis (PD) training as permitted by law. * Identifies and welcomes patients, obtains vital signs, weights, and gathers information needed to complete the Clinic Visit Intake form. * Builds and maintains strong communication and collaboration processes and rapport with patients, care partners, the HT RN, direct and non-direct patient care staff, providers, and other team members. * Obtains treatment records from patients and/or systems, reviews for completion, and reports missing or abnormal data to the HT RN. * Assists with electronic home treatment/medication/oral nutritional supplement reconciliation and reports missing data/orders to the HT RN. * May assist HT RNs with home visits. * Provides home support as applicable and permissible. * Prepares supplies for the collection of prescribed laboratory testing and prepares specimens for shipping. * Assists with the tracking and shipping of transplant-related laboratory specimens and reinforces transplant education. * Completes opening/closing daily chores and documents as appropriate. * Disinfects dialysis machines, chairs, tables, and other equipment in between patient visits, and routinely. * Prepares the exam/training room for home dialysis training, treatment, or other visits. * Stocks exam, training, treatment, and storage rooms with supplies. * Develops or follows a process for the management of supplies to maximize use and minimize waste. * Schedules patient appointments and contacts patients/caregivers regarding dates, times, and reminders. * Supports patient registration and use of connected health. * Assists patients and care partners with supplies/inventory ordering and management. * Maintains logs and tracking. * May order and track clinic/office supplies, as directed. * Participates in medical records, infection control, and other audit processes as directed. * Actively collaborates with others during staff huddles or meetings. * Helps collect required documentation for patient admission, prepares and maintains the electronic and/or hard-copy patient chart, as directed. * Performs other clerical duties, as assigned (answering phones, faxing, email, provider office contact, etc.). Home Hemodialysis * Reinforces HHD training. * Sets up, tears down, programs, tests, and disinfects the HHD machine, as directed. * Troubleshoots HHD Machinery/tools and connectivity issues. * Prepares dialysate for use, as directed. * Prepares dialysis supplies for HHD treatment according to standing/provider orders. * Evaluates the dialysis access before treatment, documents all findings in the medical record, and reports abnormal findings to the HT RN. * Initiates HHD treatment, while monitoring and documenting patient status, vital signs, and machine data in the treatment record. * Performs and documents safety checks during treatment at intervals designated by CMS and facility policy. * Reports observed significant changes in patient status during treatment to the HT RN, and documents in the medical record. * Provides interventions during treatment in response to interdialytic events, and documents in the medical record, as directed and permissible. * Obtains pre-treatment termination vitals and documents in the treatment record. * Ensures hemostasis of the patient dialysis access is achieved before leaving the treatment area. * Collects and documents post-treatment vitals in the treatment record and reports to the HT RN. * Assists with quarterly, semi-annual, and annual water and dialysate testing as directed. * Other duties, as assigned. Peritoneal Dialysis * Reinforces PD training. * Troubleshoots PD cycler, modem, and connectivity issues. * Performs phlebotomy to obtain prescribed laboratory testing, as directed (must meet state and/or competency requirements to perform). * Sets up PD cycler and prepares and warms PD solutions, as directed. * Assists with exit site care, as directed. * May help with tracking of PD equipment. * Other duties, as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: * The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. * Employees are required to take Ishihara's Color Blindness test as a condition of employment. Note: failing the Ishihara Test for Color Blindness does not preclude employment. The company will consider whether reasonable accommodations can be made. * Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit, and Corporate meetings may be required. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials * The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may assist. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and lower solutions frequently of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for heavier items. EDUCATION AND LICENSES: * High School diploma or G.E.D. required. * Must meet Centers for Medicaid and Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. * All appropriate state licensure, education, and training (if any) required. * Demonstrated commitment to organizational mission, culture, core values, and customer service standards. EXPERIENCE AND REQUIRED SKILLS: * Previous patient care experience in a hospital setting or a related facility preferred. * Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

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

Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change liveswith Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. Superior training, UltraCare quality control, and certification procedures ensure your potential to succeed and advance as a professional. Competitive compensation and exceptional benefits. Outstanding tuition reimbursement program. Recognized among Fortune's World's Most Admired Companies in 2011. National Safety Award from CNA insurance companies for 11 consecutive years. Opportunities to give back by participating in philanthropy and community outreach programs. PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment. DUTIES / ACTIVITIES: CUSTOMER SERVICE: Responsible for driving the FMCNA culture through values and customer service standards. Accountable for outstanding customer service to all external and internal customers. Develops and maintains effective relationships through effective and timely communication. Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES: Patient Related: Provide direct patient care for assigned patient(s). Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor. Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record. Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor. Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications. Assist with all emergency operational procedures. Administer intravenous medication in accordance with physician orders and state nurse practice laws. Perform and document pre, interim, and post treatment review of patient condition. Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment. Technical: Safely operate all dialysis related equipment according to the proper procedures. Provide minor troubleshooting when necessary. Ensure a clean, safe and sanitary environment in the dialysis facility treatment area. Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Operate all emergency equipment effectively in accordance to the standard operation procedures. Staff Related: Participate in staff meetings as scheduled. Assist in short term and long term patient care plan meetings. Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes. Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. Other duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility, staff and physicians. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment weighing up to 200lbs., and may lift chemical water solutions of up to 30lbs., up as high as 5 feet. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.The work environment is characteristic of a health care facility with air temperature control and moderate noises levels. May be exposed to infectious and contagious diseases/materials.EDUCATION: Graduate of an accredited School of Practical Nursing (LPN, LVN) Current appropriate State licensure. EXPERIENCE AND REQUIRED SKILLS: One year medical-surgical nursing experience preferred. Hemodialysis experience preferred but not required. ICU experience preferred but not required. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Must complete the Nurses Technical Training Program upon hire or soon thereafter. Ability to provide coverage at area facilities during times of short-staffing or as required. Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Good communication skills, both verbal and written. 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: This position is for graduates of an accredited school of Nursing working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used will be determined based on the state where the employee is employed. Functions as part of the hemodialysis health care team providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse while working towards obtaining their nursing license. Employees hired into this position will be required to obtain their nursing license within 90 days of their hire date. PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Care: Performs vascular access evaluation pre-treatment. Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification. Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to nurse supervisor. Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed. Monitors patients' response to dialysis therapy. Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment and documents appropriately. Evaluates patient prior to termination of venous access - standing & sitting blood pressure. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge. Documents information related to patient treatment including documentation in the patient health record. Reports any significant information and/or change in patient condition directly to the nurse supervisor. Performs and documents interventions for unusual patient status and document patients' response to intervention. Obtains all prescribed laboratory testing and prepares specimens for collection. Maintenance / Technical: Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate. Maintains environmental integrity and aesthetics - ensures all areas are safe and clean. Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. Performs all required pretreatment dialysis machine set up and testing. Ensures that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. Clerical & Administrative: Enters all treatment data into the designated clinical application accurately and in a timely manner. Reviews health care record for completeness and ensures omitted entries are completed or corrected where appropriate. Prepares lab requisitions for prescribed or stat lab specimens according to laboratory destination. Collects, labels, appropriately prepares and stores lab samples according required laboratory specifications. Ensures collection of lab specimens by appropriate lab courier. Other: As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. Maintains regular and punctual attendance. Performs other related duties as assigned PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Work includes using a desk and personal computer as well as interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items. SUPERVISION: None Education and required credentials: Graduated from an accredited nursing program within the past 12 months Experience and required skills: Required to obtain nursing license within 90 days of employment 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

covers the North Fort Worth clinic for 35 hours per week PURPOSE AND SCOPE: Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. PRINCIPAL DUTIES AND RESPONSIBILITIES: Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. Calculates diet prescription according to standard of practice. Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. Adheres to FMCNA algorithm and medical record policies. Reports on nutrition QAI results and participates in the interdisciplinary QAI program. Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. Reviews nutrition related lab results: Counsels patient and/or caregiver and formulates appropriate action. Recommends treatment changes to the interdisciplinary team as appropriate. Communicates with physician and/or facility staff regarding lab results as appropriate. Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. Maintains and improves knowledge and skills for a competent and innovative practice. Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. Other nutrition management duties as assigned. Performs other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Registered Dietitian as per Commission on Dietetic Registration Board Certified Specialist in Renal Nutrition encouraged. Current state licensure if applicable. EXPERIENCE AND SKILLS: Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. Previous renal experience preferred. Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. Able to perform responsibilities with minimum supervision. Basic computer skills required. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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