U.S. Renal Care jobs - 307 jobs

The Regional Human Resources Director provides strategic guidance and support to leadership in designated geographic regions regarding best practices on key HR functions including employee relations, affirmative action, employment law compliance, performance management, policy implementation, compensation, succession planning, change management, retention, talent development and conflict resolution. Leads and delivers high quality HR services to all levels of employees. This is a remote position with travel to clinics. Candidates should reside in the Salt Lake City, UT, Denver, CO or Phoenix, AZ area. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Objectively and effectively manage and investigate highly sensitive and complex employee relations issues and provide recommendations for resolution to Leadership. Align HR strategy with business goals; perform as internal consultant to leaders on organizational effectiveness and emerging HR initiatives. Serve as a seasoned change agent with proven ability to drive and influence strong and seasoned business leaders and implement improvements. Build strong working relationships with leadership, management and employees through proactive, thorough and timely response and resolution to all employee relations concerns. Collaborate with and engage with HR subject matter experts including Compensation, Training, Recruiting to execute on strategic plans for assigned business areas. Facilitate meetings, develop and present training programs on HR Related topics as needed. Oversee the performance management process and provide managers with appropriate guidance on documentation, coaching, and performance improvement plans. Provide policy guidance and interpretation of state specific and Federal labor law. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. May recruit, train, develop, and supervise personnel.

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Home Education Specialist is a dynamic clinical educator responsible for the development, coordination, and delivery of education and training programs that support clinical excellence in home dialysis therapies. This role ensures new and existing team members are equipped with the knowledge, skills and confidence to provide safe, effective, and patient centered care across the home modalities. The Home Education Specialist also contributes to patient education development, providing consistent, high-quality resources to support home therapy modalities. The Home Education Specialist is a results-driven professional committed to advancing both patient and team success through effective education and program development that meet the needs of the people and produce results . Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Team Member Education Create and facilitate engaging educational programs for home therapy teams, home program managers, and other organizational team members via in-person sessions, webinars, and one-on-one coaching. Identify, train, and support preceptor candidates to foster strong mentorship and skill development within the organization. Collaborate with clinical and operational leadership to identify learning gaps and create targeted educational interventions. Develop and conduct organization-wide training programs related to clinical updates and enterprise wide projects. Monitor and report educational program outcomes using established metrics and reports. Patient Education Champion the use of standardized curricula to ensure consistency and quality in patient training. Support team members in delivering consistent, high-quality patient education across home therapies programs. Quality and Regulatory Excellence Partner with quality teams and clinical experts to implement best practices into educational programs that enhance patient outcomes and retention. Collaborate with Home Therapy Specialists to align clinical policies with regulatory standards. Stay up to date on all relevant federal, state, and local laws and regulations. Partnership & Collaboration Promote and exemplify USRC's mission, vision and values in practice. Build and maintain positive relationships with regional leadership, physicians, stakeholders, and community partners. Partner with operational, clinical, and quality leaders to ensure educational programs support strategic goals and clinical outcomes. Communicate expectations clearly, maintain accountability standards, and support team efforts to meet organizational goals.

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY The Pharmacy Clinical Program Lead provides strategic leadership and subject-matter expertise in optimizing medication management and integrating pharmacy best practices into a value-based nephrology care model. In a centralized, non--patient-facing role, the Lead advances medication therapy management (MTM) strategies, medication adherence initiatives, and champions population health programs for individuals with chronic kidney disease (CKD) and end-stage renal disease (ESRD). This position leads collaboration with multidisciplinary care teams--including physicians, nurses, dietitians, social workers, care coordinators, and organizational leadership--to ensure that medication-related risks, costs, and barriers are systematically identified and addressed. The goal is to improve therapeutic outcomes, optimize cost-effectiveness, and enhance value-based care (VBC) performance. The role is 40% clinical program development and 60% central clinical consultative. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Program Development and Integration Partners with OCMO sponsor and Ops Excellence to design, implement, and refine pharmacy-led Initiatives, including MTM protocols, and adherence initiatives. Provides insight on the integration of medication-related risk stratification tools into population health strategies. Provide insight and implement population health medication strategies to address common medication-related challenges in CKD and ESRD, such as hypertension, anemia, mineral bone disorder, and diabetes management. Develop enterprise-wide resources -- such as drug utilization review protocols, patient-friendly medication education materials. Clinical Leadership & Patient Consultation Serve as the organization's central expert for nephrology-related pharmacotherapy.. Provide case consultation and guidance to physicians, nurses, and care teams regarding complex medication regimens, potential drug-drug interactions, high risk-medication reviews, and therapy optimization. Collaborate with care teams to address adherence barriers such as cost, access, literacy, and side effects. Policy, Procedure & Compliance Develop pharmacy policies, procedures, and clinical protocols aligned with VBC goals and national best practice standards (ASHP, CMS, FDA). Ensure compliance with medication safety, and regulatory requirements. Education & Capacity Building Design and deliver training for care teams on pharmacotherapy in CKD and ESRD, medication safety, and adherence support techniques. Create educational toolkits for clinicians and patients to support safe, and effective Relationship Management Foster effective relationships with internal USRC pharmacy partners. Partner with quality and affordability teams to identify opportunities to improve clinical outcomes and reduce medical and pharmacy spend through targeted interventions. Participate in provider meetings, engage Medical Directors, and contribute to quality improvement initiatives. Quality Measurement & Program Impact Partner with analytics teams to define benchmarks for medication-related outcomes (e.g., adherence rates, , medication error reduction). Lead the creation of pharmacy performance dashboards and contribute to quarterly and annual VBC performance reports. Monitor prescribing & adherence trends, identify gaps in medication therapy, and recommend program adjustments to improve effectiveness. Expectations: Regular and reliable attendance is essential. Commitment to professional development and continuous improvement.

Job Category: Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. The Coding Quality Reviewer II is responsible for performing quality analysis of coded medical records, documenting the analysis, summarizing the metrics and reporting quality statistics to management. Responsible for complex multi-specialty coding to include but not limited to: Neurosurgery, UI, Neurology, Critical Care, hospitalists, surgical and others as defined. The Coding Quality Reviewer II is also responsible for communicating identified issues to coding staff and management, as well as reviewing and correcting coding issues from the EMR and PMS systems. In addition, the Coding Quality Reviewer II may be called upon to provide education to staff and clients, prepare coding audits for physician education, and/or coding charts as business needs dictate. The Coding Quality Reviewer II is responsible for providing and ensuring accurate, complete and timely coding of professional services to include all surgical and inpatient services. All coding staff must ensure accuracy and compliance with regulatory standards. Coding Quality Reviewer II is also responsible for performing audits in accordance with NGPG's annual Compliance Work Plan and preparing written and oral communications to the Coding Compliance Manager. Minimum Job Qualifications Licensure or other certifications: CPC and/or CCS-P Coding Certification required Educational Requirements: High School Diploma or GED Minimum Experience: Three (3) years experience coding Multi-Specialty records required. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: Other: Job Specific and Unique Knowledge, Skills and Abilities Extensive knowledge of ICD-9, CPT, HCPCS coding, medical terminology, federal and state regulatory guidelines and third party payor requirements required Accuracy and attention to detail imperative Ability to interact well with others at all levels with a flexible, energetic, proactive and positive style In-depth knowledge of Optimal coding policy and procedures Highly skilled proficient with Microsoft Office products Ability to communicate (both verbally and written) technical coding information to both technical and non-technical audiences Ability to organize data and provide detailed reporting Ability to prepare presentations and present to large or small audiences Must be highly motivated, detail oriented individual Excellent written and oral communication skills Problem solving and analytical skills Ability to be a self starter/work independently and as a team player Ability to travel to NGHS/NGPG sites as needed Essential Tasks and Responsibilities Perform timely, concurrent quality review of coded medical records. Correct errors identified in the quality process in both EMR and PMS systems. Maintain coding quality statistics and provide detailed reporting to management. Communicate errors to the Posting, Clinicians and AR staff on an individual basis. Communicate to management any problem areas identified in the quality process and steps taken to resolve. Assist with the review and correction of coding errors in the billing process (TM queues). Assist with the review and correction of coding errors in the electronic claims process (clearinghouse on-line errors). Promptly and professionally respond to both verbal and written coding questions from the internal staff and other areas of the company. Review documentation deficiencies for accuracy and communicate identified errors to the coding staff and management. Prepare documentation audits as needed for on-site physician education. Production coding of medical records as per business needs. Adherence to Coding policy and procedures. Review charge slips/cards for completeness (providers are ultimately responsible for codes they assign). Attends Regional and Local sponsored in-services and/or continuing education. Participates in professional development activities and maintains professional affiliations as necessary. Provide and/or validate CPT, ICD-9-CM and HCPCS coding of professional services for outpatient clinics, outreach offices or programs, minor diagnostic procedures, and/or ancillary services. Review charge tickets for missing or inaccurate information. Items reviewed include service and diagnosis codes units of service, modifiers, facility code, place of service, provider billing numbers, etc. Communicate with providers and clinic staff to ensure charge capture of all professional services, supplies, drugs, vaccinations, etc. Monitor reconciliation procedures to ensure all charges are captured and billed in a timely manner. Research and correct claims manager edits in a timely manner by applying coding and carrier specific guidelines while maintaining compliance initiatives. Provide coding coverage to other specialties, departments, divisions, and/or units as required. Attend billing educational sessions to enhance coding knowledge i.e. American Academy of Professional Coders, Professional Medical Coding Curriculum, NGPG Compliance Proficiency training, specialty seminars. Performs other job duties as assigned. Cross trains in other positions as requested. Physical Demands Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time Weight Carried: Up to 20 lbs, Occasionally 0-30% of time Vision: Moderate, Frequently 31-65% of time Kneeling/Stooping/Bending: Occasionally 0-30% Standing/Walking: Occasionally 0-30% Pushing/Pulling: Occasionally 0-30% Intensity of Work: Frequently 31-65% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

The Clinical Specialist (CS) is responsible for positively impacting regulatory standards and clinical outcomes of clinics in an assigned geographic region. The CS is also responsible for the training of new employees and current clinical staff. The CS will also be responsible for conducting in-services and review classes, ensuring that the clinics have properly trained staff that meet regulatory standards and provide quality patient care. The CS reports directly to the next level of clinical management which may be the Director of Clinical Operations or Vice President of Clinical Operations/Services, depending on the region/demographics or responsibilities. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Responsible for overseeing overall clinical operation of assigned clinics from regulatory and growth perspective in accordance with Company goals. · Assist in clinical operational development and transition of new or acquired clinic(s) as needed or requested. · Assess and integrate clinical policy and regulatory requirements in acquired clinic(s). · Demonstrate effective use of company resources, i.e. supplies, safety and risk reduction, and best support methodologies. · Work with Administrators and regional management toward the achievement of monthly, quarterly and annual projections based on clinical outcomes and management objectives. · Perform duties as assigned to meet the patient care or operational needs of assigned clinics. OUTCOMES · Assist with developing, implementing and monitoring of quality of care processes for program regulatory compliance in accordance with Company goals. · Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations. · Assist with developing, implementing, and improving quality and productivity goals and measures. · Work with Administrators and regional management to ensure optimal patient care and regulatory compliance. · Remain current with dialysis industry and technology. · Assist with program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics. OPERATIONAL READINESS OPERATIONAL READINESS (cont.) · Knowledge of and remain current with federal, state, local laws and regulations. · Assure that assigned clinics are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies by conducting internal clinical reviews. · Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. · Assist Administrators and regional management with necessary Corrective Action Plan development, implementation and follow through as required for internal and external surveys. · Provide follow up on any/all deficiencies for all audits done internally (corporate) or externally (CMS & state specific). · Assure compliance with required Governing Body meetings, monthly CQI meetings and care plan conferences and assures documentation of such through recorded minutes. · Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards. · Assist with developing, implementing and monitoring of clinical, education and QAPI policies. · May assist with policy/procedure revisions and dissemination of new and revised policies. · Know and understand the function and safe operation of water treatment equipment and related mechanical and electrical systems. · Be familiar with all emergency equipment and emergency operational procedures. · Use appropriate safety measures including personal protective equipment as necessary. · Be familiar with OSHA regulations. PARTNERSHIPS · Understand, lead and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives. · Communicate with clinical operations management and regional management on a consistent basis regarding the status of each clinic in the region. · Communicate completion status of Plans of Correction for internal and external surveys to Administrators, regional management and clinical operations management. · Maintain collaborative working relationship with Administrator(s) and regional management. Partner with Administrator(s) and regional management to ensure clinic needs are met. · Maintain a positive/collaborative relationship with physicians, state agencies and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION · Ensure all clinical staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Orient and mentor Administrators in the QAPI process, outcomes, education programs and operational readiness in accordance with USRC practices. · Review IntraLearn assignments and compliance reports; communicate results to facility management as needed. · Coordinate and conduct PCT certification review programs, CPR certification training (if required), and ongoing mandatory continuing education. · Perform clinical education of new hires as needed or requested. · Provide clinic based in-service programs as needed or requested. · Coordinate and conduct charge nurse training and preceptor training programs as directed. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.

**About this role:** As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive adjustment, rehabilitation, and improved quality of life for our patients. As well as support the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient and family. **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 social work specific career ladder ranging from pre-licensed (in states where permitted), to three potential levels of facility social work, as well as a leadership path from Social Worker to Manager, Senior Manager and Senior Director. **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: As a member of the nephrology health care team, you will assess the patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Collaborates with the patient and health care team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of the 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. + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. + Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. + Provides information and assists the team and patient with referrals 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. + 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. + Reports on quality indicators related to adherence, such as missed and shortened treatments, quality of life trends, and service recovery. + Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + Provides educational and goal directed counseling to patients who are seeking transplant. + 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. + Provide training to clinic staff pertaining to psychosocial topics as needed. EDUCATION AND REQUIRED CREDENTIALS: + Masters in Social Work + Must have state required license EXPERIENCE AND SKILLS **:** + 0 - 2 years' related experience 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) **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

The key and primary responsibilities of the IT Business Systems Analyst include: advising and interacting with project end-users and coworkers, documenting and assisting in the system flow, design considerations and implementation of assigned projects according to stakeholder requirements, and QA testing and verification. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Collaborate with various project teams to develop IT project requirements, and document into specifications and mock-ups that can be presented for development. Promote USRC IT initiatives through documentation and communication. Organize and manage assigned tasks to ensure goals are met. Communicate clearly with project teams and departments about project developments. Serve as a positive support contact for IT development and reporting. Research problems and offer solutions or courses of actions to meet specified requirements. Coordinate changing priority requirements for projects, as requested by the project sponsors and stakeholders. Create and maintain project documentation, in alignment with USRC standards and tools. Evaluate potential problems and technical hitches and recommend solutions to resolve issues that could affect project goals and outcomes. Validate and organize testing of new development to confirm desired results before release. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Participate in team concepts and promote a team effort; perform duties in accordance with company policies and procedures. Regular and reliable attendance is required for the job.

Great opportunity to join a company that values our employees and the patients we serve! Centers for Dialysis Care is seeking an experienced Patient Financial Services Representative to work out of our Corporate Office located in Shaker Heights, OH. This position is onsite. Why Choose CDC? We offer a complete benefits package to include medical, dental, vision, 401K, Short/Long Term Disability options, along with company paid life insurance 210 Hours of PTO Tuition Reimbursement Program Employee Perks Program Career Development Opportunities Starting Salary is between $18.00 - $24.00 per hour (DOQ) Position Overview: The purpose of this position is to bill and collect insurance accounts receivable for multi-payer sources. Job Description: Prepares and sends claims monthly to payers for dialysis services rendered at our CDC clinics via an electronic billing system. Analyzes Accounts Receivable to ensure timely payment is received for claims billed. This includes root cause analysis, contact with payers (via phone or paper/electronic status inquires), ensuring patient responsibility is properly and timely identified. Follows and reports status of delinquent patient accounts to the Director of Patient Accounts and Chief Financial Officer Works on various revenue collection projects/duties as assigned Qualifications: High school diploma required, some college accounting courses or other field related continuing education Knowledge of electronic billing systems preferably Quadex is required. At least 3 years' experience in a Healthcare Accounts Receivable setting is essential Excellent customer service, interpersonal and communication skills required Knowledge of medical billing/collection practices Knowledge of business office procedures Knowledge of basic medical coding and third-party operating procedures and practices Ability to establish and maintain effective working relationships with patients, employees and the public Centers for Dialysis Care is proud to be an Equal Opportunity Employer.

Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ETL Architect is a high-level business intelligence professional that is a key part of the Data and Analytics Team and will be generally responsible for the dimensional model design, end to end ETL architecture design, ETL development, and implementation of data models and development of the Data Migration and Data Warehousing solutions. The ETL Architect is also responsible for requirements analysis, source data profiling, identifying data quality issues, designing transformation logic to address data quality issues, experienced with the concepts and/or implementation of metadata data capture, data lineage, master data management and reference data management. The ETL architect designs for data warehouse/data mart solutions should include appropriate staging databases to handle change data capture on the source data, error handling and audit balance control mechanisms. The ETL Architect will have extensive interaction with operational team members and leadership, and will be tasked with analysis of business data and analytics requirements, and the transformation of those requirements into analytics solutions. Working with customers and Management to determine priorities as well mentoring of other team members on ETL concepts and strategies is also an integral role of the position. Working with Infrastructure and DBA team members, ETL Architect is also responsible for keeping the ETL Environments updated periodically to the latest version of the ETL software. Minimum Job Qualifications Licensure or other certifications: Epic Revenue or Clinical Data Model or Cogito Project Manager Certificate required (must be obtained within 6 months of date of hire). Educational Requirements: Bachelors Degree in Computer Science or related field. In lieu of Bachelor's Degree related experience in the field, 11 years progressively responsible, professional job specific work experience and an equivalent combination of education and training that provides the required knowledge, skills and abilities, combined with demonstrated professional growth and achievement. Minimum Experience: A minimum of seven (7) years experience as a various BI and other analytic reporting software applications with strong preference for EPIC, SQL, and Crystal Report Writing. Prior experience providing production level support and/or development in business intelligence (BI)/enterprise data warehouse (EDW) environments. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: Experience in database development and management tasks such as creating indexes, functions, stored procedures, creating databases, file groups, users, configuring permissions and assigning roles to users. Working knowledge of data warehouse concepts, enterprise data management, modeling techniques and ability to create solutions, participate in strategy discussions and review them with customer as well as project stakeholders. Other: Job Specific and Unique Knowledge, Skills and Abilities Strong analytical and interpersonal skills; demonstrated ability to work with management and customers; proven ability to work independently or as a team member; strong problem solving and troubleshooting skills; initiative in enhancing system productivity, functionality, and performance. Advanced understanding of Data Migration/Data Warehousing/Data Mart delivery life cycle, from requirements definition to creating source to target mapping documents with transformation rules, Error handling design, data quality, design audit Balance control mechanisms to be able to automate jobs, notify proactively failures, write test cases and create templates to document all aspects of the projects throughout the lifecycle. Strong experience with concepts of data profiling, identifying and measuring data quality issues, advanced experience with Master data and reference data management techniques to eliminate hard coding within the ETL processes/jobs. Excellent communication (written, verbal and presentation) and people-facing skills, Proven ability to maintain positive peer, customer relationships, interacting positively and productively with teams across organizational lines. Demonstrates skills in leadership, critical thinking, and consensus and relationship building. Ability to review, re-engineer and/or tune legacy SQL queries and/or ETL jobs/processes to make them run efficiently and within a load window. Must be able to function in dynamic environment subject to changes in schedules and priorities, working on multiple projects/ issues concurrently. Responsibilities may require evening and weekend work in response to needs of the systems supported. Experience in estimation, specification gathering, review code/designs, general planning for execution, monitoring and control. Hands-on with ability to design, re-design (schemas, data models, entity relationships etc.), and probe and guide developers. Possess a solid understanding of data warehousing concepts, including relational and multidimensional modeling. Experience in designing, building, testing, executing and performance tuning of ETL and reporting applications, including automation of ETL jobs for recurring imports; fluent in Microsoft SQL. Experience in designing and developing database objects, tables, stored procedures, views, and triggers. Essential Tasks and Responsibilities Designs end to end ETL architecture for Data Migration, Data Warehousing or Data Mart Solutions using Microsoft SSIS tool. Ensure all ETL Jobs have adequate error handling and audit balance control mechanisms implemented to enable automation. Stands up a DW/ETL Center of Excellence to document and enforce best practices, standards, naming conventions etc. Creates a checklist to review all solutions developed to ensure adherence to the CoE standards. Mentors and trains staff to hold periodic CoE meetings. Implement a reference data management system using tools like Microsoft Master Data Management Services to eliminate hardcoding in ETL jobs. Maintains a service oriented approach with customers, providing follow up and responding to issues/ concerns in a timely manner. Answer staff and client questions in person, via email and via phone. Provide after-hours on-call support on a scheduled basis. Responsible for ensuring service level agreement adherence. Works with staff to adhere to department/organization policies and procedures, compliance and regulatory agency requirements. Works with leaders in IT as well as operations to identify data from other source systems to form richer data sets, including the capture of derived data to address gaps in source system repositories. Promotes and utilizes the data request and development process, including the development of an understanding of a data request, assessment of the appropriate tool to be used to provide the data, creation of a requirements document in partnership with the operational stakeholder and application analyst, development of the data extract and validation of the extract by the operational stakeholder to ensure quality, timeliness and accountability. Participates in and contributes to the data governance program - specifically, validating data lineage, capturing metadata for all existing and any newly developed assets (ETL Jobs), profile various data sources and address data quality issues, work with source system owners to reduce upstream data entry errors. Assists with all upgrade, update or enhancement efforts associated with the ETL tool. In partnership with the Manager of Business Intelligence and Analytics, serves as a mentor and advisor to the BI technical resources and other analysts and provides general project management skills to produce BI views that address customer's needs. Builds and maintains SQL scripts, indexes and complex queries for data analysis and extraction. Troubleshoots problems regarding the databases, applications, and development tools. Assists with the development and implementation of new data sources into the data warehouse or determine ways to be able to utilize data in other systems to support data and analytics for the organization. Conducts or coordinate tests to ensure that intelligence is consistent with defined needs. Responsible for data collection/extraction and developing methods for database design and validation reports. Prepares and maintains key documents and technical specifications for new and existing solutions. Documents specifications for business intelligence or information technology (IT) reports, dashboards, or other outputs. In collaboration with other team members and leadership, supports the evaluation, adoption and implementation of new methods, tools and technologies in order to meet current gaps in the organization-wide data and analytics infrastructure. Works closely with end-users to identify and explain data and reporting discrepancies. Prepares and maintains key documents and technical specifications for new and existing solutions. Provides solution design, perform reviews and participate strategic discussions. Provides application analysis and data modeling design to collect data or to extract data from various disparate systems. Monitors incident management queue. Efficiently troubleshoot, resolve, report and close active issues. Works on additional assignments as delegated by management. Physical Demands Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time Weight Carried: Up to 20 lbs, Occasionally 0-30% of time Vision: Moderate, Frequently 31-65% of time Kneeling/Stooping/Bending: Occasionally 0-30% Standing/Walking: Frequently 31-65% Pushing/Pulling: Occasionally 0-30% Intensity of Work: Occasionally 0-30% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Trauma Registrar - Remote Full-Time | 8:30 AM - 5:00 PM EST (with flexibility based on department needs) Northeast Georgia Health System Are you highly detailed, tech-savvy, and passionate about accurate clinical data? Join our Trauma Services team as a Remote Trauma Registrar, where your expertise supports quality improvement, patient care, and trauma program performance across our organization. Why This Role Matters As a Trauma Registrar, you play a vital role in maintaining the Trauma Registry by ensuring timely, precise abstraction and entry of clinical data. Your contributions directly support compliance, trauma outcomes reporting, and state and national trauma initiatives. What You'll Do Identify trauma patients who meet registry inclusion criteria using state guidelines, ICD-10 codes, and clinical documentation. Abstract complex medical records, including demographics, pre-hospital care, diagnoses, procedures, complications, and inpatient details. Assign AIS, ISS, and ICD-10 codes accurately. Enter and validate patient data in the Trauma Registry and ensure accuracy before submission. Complete 80% of trauma records within 60 days of patient discharge. Generate basic reports, charts, and graphs to support trauma program needs. Participate in trauma-related meetings, staff education, and state registry activities. Support performance improvement initiatives and team communication. What You Bring Required Qualifications High School Diploma or GED. Minimum one (1) year of experience with a clinical registry (Trauma, Cardiac, Stroke, Cancer, etc.). At least two (2) years of healthcare experience with strong knowledge of medical terminology, anatomy/physiology, ICD-10 coding, and chart abstraction. Excellent computer proficiency, including: Microsoft Office Word and strong Excel skills Ability to operate standard office equipment Strong attention to detail, accuracy, communication, and time‑management skills. Ability to work independently with minimal supervision. Preferred Qualifications Certified Specialist in Trauma Registry (CSTR)-or willingness to obtain within two years of eligibility. Previous Trauma Registrar experience (strongly preferred). Experience running or creating trauma registry reports and/or demonstrated ability to build charts and graphs in Excel (preferred). Training & Development AAAM Scaling Course and ATS Registry Course (or equivalent) required within the first 12 months. Maintains at least 8 hours of trauma registry-related continuing education annually. We are committed to continuous improvement, teamwork, empathy, and a culture of learning-core competencies that guide every member of our team. Physical Requirements Occasional lifting/carrying up to 20 lbs Frequent computer and keyboarding work Occasional walking, standing, kneeling, or bending Make an Impact with Us If you are detail-oriented, highly computer proficient, and bring prior Trauma Registrar or registry experience, we'd love to meet you. Your work will help strengthen trauma care for our community every single day. Apply today and help advance trauma outcomes-one accurate record at a time. Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

BASIC PURPOSE: Serves as a member of the facility operations team under the direction of the Regional Technical Coordinator. Primary responsibility for the maintenance and repair of technical systems/functions including treated water systems; clinical/biomedical equipment; dialyzer reuse; solution delivery systems (SDS); equipment interfaces with IS devices; supervision of the technical assistants; purchasing functions related to supplies and medications; and facility management issues including building and equipment systems. Administration/Leadership: Create an environment conductive to teamwork Coach direct reports for professional and personal development Set example by exhibition of exemplary behavior Complete performance evaluations, develop and work with reports to implement action plans for improvement and development Oversee technical operations and staff Trains personnel following training program Follow CDC critical notification policy and procedure when applicable Schedule and ensure proper staffing for completion of reuse job functions In-service all technical staff and ensure completion of all required competencies 100% compliance of staff completing Health Stream modules Facility Operations: Perform routine inspections and repairs of the facility's physical plant including basic electrical and plumbing repairs Schedule preventative maintenance of all building systems including annual fire system inspections (smoke detector, sprinkler and fire extinguisher); backflow preventer, HVAC air balancing; standby generator, ground fault circuit interrupter (GFCI), elevator, boiler and security systems Coordinate unscheduled maintenance to maintain physical plant in good condition Direct and ensure compliance with contract obligations for routine service providers including but not limited to exterminator, landscaper, cleaning company Ensure that facility is clean, free of clutter and organized Document all facility issues in the technical services software Follow proper CDC purchasing procedures to ensure prompt payment for services Maintain standby power system to ensure adequate supply of emergency power is available Maintain facility warehouse and storage areas in a safe and organized manner Solution Delivery System and Treated Water System: Understand the theory and operation of the solution distribution system (SDS) and treated water system Perform and document all routine maintenance per CDC policy and procedure Discuss all systems operation and performance issues with facility leadership team and Regional Technical Coordinator Ensure that updated schematics are obtained and posted when modifications are complete Draw cultures using sterile techniques Review culture results and when necessary, take appropriate action per CDC policies and procedures. Document events in the biomed software Ensure that emergency bicarbonate preparation instructions are clearly posted in the SDS room. Dialyzer Reprocessing: Provides initial and ongoing training of newly hired technical assistants Thorough working knowledge of the dialyzer reprocessing equipment and procedures Ensure compliance with AAMI standards and CDC policies and procedures Discuss all reuse operation, performance or quality assurance issues with the facility operations team and Regional Technical Coordinator Dialysis Equipment: Schedule and perform required preventative maintenance per CDC procedures Troubleshoot and repair equipment Draws cultures using sterile techniques Package cultures for transport to the reference laboratory Review culture results and when necessary take appropriate action per CDC policies and procedures. Document events in the biomed software Document all scheduled and unscheduled maintenance in the computerized maintenance management software Provide technical support to the clinical staff for equipment related issues in a timely professional manner Ensure that all equipment is clean and good appearance Ensure that equipment is repaired and an adequate number of backup machines are available to staff to provide all scheduled treatments Discuss all dialysis equipment operation, performance or quality assurance issues with the facility operations team and Regional Technical Coordinator Maintain patient data concentrating systems Supplies and Inventory: Thorough working knowledge of the purchasing system Order supplies following CDC purchasing policies and procedures Ensure that supplies are always available to patient care staff Perform physical inventory count according to CDC policy and procedures Quality Assurance and Risk Management: Reviews all risk management reports Participate in the audits and/or inspections including but not limited to technical services audits, insurance inspections, Fire Marshall inspections, Medicare Correct all deficiencies noted in the audits and inspections if applicable Acute Services: Travel to acute facilities upon request Perform scheduled maintenance of the water systems per CDC procedures and schedule Perform scheduled maintenance of the dialysis machines per CDC procedures and schedule Troubleshoot and repair dialysis equipment Perform disinfection of carts and water system Draw cultures using sterile techniques Review culture results and when necessary, take appropriate action per CDC policies and procedures. Document events in the biomed software Safety: Prepare the facility specific emergency preparedness procedures In-service the staff, conduct drills, analyze results of drills and propose changes when applicable (90%minimum) Maintain proper documentation for all emergency preparedness drills in the biomed software Provide new employees with facility tour, keys, security procedures and systems in-service, emergency preparedness procedures, location of fire extinguishers and parking restrictions Conduct and document chemical spill drills per CDC policies and procedures MSDS book available and up to date EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS: Associate degree preferred Technical expertise in treated water systems Technical expertise in Solution Distribution Systems (SDS) Excellent analytical, critical thinking, problem solving skills Proven communication skills Demonstrated team building skills Demonstrated team support and participation skills Training or experience in basic electronics and mechanics Basic electrical and plumbing knowledge Flexibility with schedule and facility assignment Expertise in technical services reuse procedures and systems Self-motivated and accountable for time management Good organizational skills Starting Salary between $24.00 - $32.00 per hour (DOQ)

The Total Rewards Specialist will be responsible for supporting the Senior Manager of Compensation and Benefits by providing effective communication, vendor management, and general support in executing the company's Total Rewards (Benefits and Employee Engagement) programs, initiatives, and strategic objectives. Candidates should reside in the Dallas / Fort Worth, Texas area. Occasional travel to the Corporate Office in Plano, TX. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Perform regular benefit audits, reports and workflow using advanced Excel functions (e.g., PivotTable, Vlookup, Xlookup, formatting and formulas). Develop, maintain, and improve audit templates and tracking tools in Excel to ensure benefit accuracy and efficiency. Identify discrepancies or irregularities in datasets and coordinate with relevant teams to resolve issues. Assist with the daily administration of the benefit plans. Assist with resolving employees' questions regarding benefits. Liaison with carriers, broker, and employees. Assist in creating and maintaining benefit communications to help increase employee understanding of the benefit plans. Partner with benefit vendors for issue resolution, as needed. Assist with annual benefits open enrollment and new hire benefits enrollment. Utilize existing systems and processed to update life event requests. Respond to inquiries from Short and Long Term Disability carrier. Maintain Summary Plan Descriptions, Plan Documents, Benefit Summaries and Summary of Benefits and Coverage (SBCs). Distribute required notices for Health Plan and 401(k) Plan. Ensure compliance with regulatory reports relating to Affordable Care Act. Respond to 401(k) inquiries from employees relating to enrollments, plan changes and contribution amounts. Ensure compliance with all applicable federal, state and local laws and regulations, as well as internal policies. Coordinate day-to-day processing of the tuition reimbursement and CEU reimbursement programs Coordinate ordering and tracking of semi-annual shirts and annual holiday gifts for employees. Maintenance of employment files through third-party vendor. Verify Employment and distribute mail. Identify confidential information and maintain strict confidentiality of information. Promote customer satisfaction, both internal and external. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Participate in team concepts and promote a team effort; perform duties in accordance with company policies and procedures. Regular and reliable attendance is required for the job.

The PART-TIME (24 hours) Medical Secretary monitors the operation of the administrative office of the facility. The incumbent will function as a secretary/receptionist and is responsible for all duties and functions of the office as dictated by the Policies and Procedures. This role requires a variety of skills and responsibilities that fall into the categories listed below. These duties and responsibilities are not set forth for the purpose of limiting the assignment of work. This is not to be construed as a complete list of duties to be performed by the individual holding this position. The duties listed may be divided among Medical Secretary Staff members to better suit the needs of specific facilities. Responsibilities: Demonstrates appropriate and professional communication skills Greets patients, and visitors and announces their arrival to the appropriate unit Checks patients in on patient schedule and daily calendar Calls appropriate transportation companies for patients when needed Follows appropriate procedures in emergency situations Answers telephone promptly and courteously, refers calls to the appropriate person, takes and relays messages as needed Distributes all incoming mail appropriately, including inter-office Displays a professional manner and demeanor when greeting incoming customers Follows appropriate chain of command Communicates in an appropriate and timely manner with coworkers Office Procedures: Demonstrates appropriate use of office equipment; maintains supplies Maintains postage Assures levels of lab supplies are sufficient for unit operation Medical Records: Maintains medical records according to policy and procedure Makes up new patient charts for the unit and administrative files Sends appropriate information to the business office Does appropriate data entry for all new patients Keeps computer data current for all patients Balances treatment count on a daily basis Audits / verifies ancillaries utilized during treatments Tracks patient hospitalizations and vacations Purges charts in appropriate manner Breaks down charts of non-current patients and runs appropriate reports Maintains facility filing system Does weekly update of Daily Patient Schedule for facility Runs and distributes reports as needed by the unit Prepares blood tubes, labels, and requisitions as needed Performs word processing and Excel tasks as needed Performs other duties as assigned EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS: High school diploma required, college courses preferred Proficient computer skills Good communication and interpersonal skills a must Starting Salary is between $18.00 - $23.00 per hour (DOQ)

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY As a Senior Project Manager at U.S. Renal Care, you will lead projects from start to finish across various business units. Responsibilities include managing project teams and resources, developing plans, stakeholder communication, risk management, and ensuring quality deliverables. The ideal candidate should have experience with adapting Agile methodologies, managing multiple development projects, and working collaboratively with internal and external teams. Successful candidates must be analytical, solution-oriented, flexible, and engage positively with stakeholders. At U.S. Renal Care, your work has purpose, colleagues care about your well-being, and you have the opportunity to grow and thrive. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Ability to manage multiple concurrent projects from concept to completion using agile mindset and methodologies; accountable to drive velocity and quality in delivery. Lead cross-functional project teams including business and technical stakeholders, third party vendors and contracted resources Develop and execute detailed project plans, including scope, timelines, budgets, and risk strategies Clear communication of project plans, status, and critical issues to Leadership, and the project stakeholders Proactively identify and track issues, risks, and dependencies; partner with teams to develop mitigation strategies Develop communication plans and facilitate regular meetings, including Steering Committee meetings Ability to facilitate Scrum ceremonies, including Sprint Planning, Daily Standups, Sprint Reviews, and Retrospectives Effectively communicate expectations; accepts accountability and holds others accountable for performance. Encourage collaboration amongst team members Facilitate the project change request process, implementation planning, and project cutover activities Lead post-project analysis to capture Lessons Learned to guide future projects Actively promotes GUEST customer service standards; develop effective relationships at all levels of the organization. Regular and reliable attendance is required for the job.

How you will change lives As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure. What you'll be doing Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders. Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed. Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.

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

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

The Clinical Research Coordinator (CRC) is responsible for the coordination of daily clinical trial activities. USRC has a research Partnership with the principal investigator (PI) and their physician practice. The local oversight and direction for activities related to the conduct of the clinical research is directed by the PI. The CRC will work collaboratively with the principal investigator (PI), the Sr. Clinical Research Coordinator (SCRC), the clinical site, sponsor(s), clinical research organization(s) (CROs), institutional review boards (IRBs), and study participants to ensure Execution of the clinical trial in accordance with the Study Protocol, the Food and Drug Administration (FDA), International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use (ICH) and applicable state and local regulations. The CRC will assist the PI in protecting the rights, safety and welfare of all study participants. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Coordinate all aspects of participant care from screening through study completion as defined by the protocol and PI delegation. Ensure and document that the informed consent process has occurred properly according to the Code of Federal Regulations (45 CFR part 46). Assist in the process of maintaining and updating each study participant's source records, including collection of medical history, assessment of eligibility and documentation of all study related procedures and relevant information. Promptly report adverse events, protocol deviations and unanticipated problems involving risk to human subjects or others to the PI, the Sponsor, the IRB and in accordance with the Federal Code of Regulations (21 CFR 312), with assistance as applicable. Ensure thorough, individualized, protocol-based study subject education on all study processes including but not limited to informed consent, study participation obligations, appropriate use of investigational product (IP), IP side effects and safety, communication with study staff and research rights. Provide timely and accurate exchange of participant information with the PI and research team as it pertains to study conduct and patient safety. Adhere to the Health Insurance Portability and Accountability Act (HIPAA Privacy Rule) and protect participant confidentiality at all times. Dispense, administer and instruct participants on proper use of the investigational product (IP) in accordance with the protocol, coordinator's scope of practice and at the direction of the PI, with assistance as needed. Collaborate with the USRC clinical team. Participate in trial implementation, and ensure compliance with the study protocol by our clinical partners, with assistance as needed. Perform accurate and timely data collection, source documentation, and entry into the USRC databases and sponsor Case Report Forms (CRFs)/ interactive web response systems (IWRS). Address queries and sponsor requests in a timely manner. Aid in the coordination of long-term storage of research records in accordance with contractual requirements, with direction from the Director of Clinical Research. Assist in the preparation of and attendance during site initiation meetings, monitoring visits, audit visits or regulatory authority inspections. Responsible for the preparation and ongoing maintenance of Essential Documents (The Trial Master File). This includes those documents that will allow for the evaluation of the clinical trial and demonstrate compliance of the sponsor and PI with the study protocol and GCP. (Including but not limited to: Form FDA 1572, financial disclosures, laboratory certifications, protocol, investigator brochure, institutional review board (IRB) related documents, IND reports delegation of authority (DOA), study specific enrollment logs, monitoring reports, with assistance as needed. Assists in the coordination of efforts of internal and external resources (industry partners, clinical research organizations) to ensure efficient trial selection, proper patient recruitment, achieving target enrollment goals and trial plan execution. Fosters a patient-care culture that emphasizes patient safety and quality in all aspects. Responsible for the patient stipend automated payment process including registration into the system and processing payments per the USRC policy and ongoing maintenance of payments during the trial. Adheres to the USRC Research quality assurance program guidelines. Travel to Investigator Meetings or similar research related meetings is required. Travel may be required between dialysis facilities or nephrology practices within the community. Develops a working knowledge of current clinical research practice standards and regulatory requirements. For example, but not limited to; (FDA Federal Code of Regulations Good Clinical Practice (GCP), Health Insurance Portability and Accountability Act (HIPPA), International Air and Transportation Association (IATA) - Shipping of Dangerous Goods. Maintains their industry standard licensures and certifications. May provide training and oversight of Clinical Research Coordinators and/or Research Assistants. Actively promotes GUEST customer service standards; develop effective relationships at all levels of the organization. Participate in team concepts and promote a team effort; perform duties in accordance with company policies and procedures. Participate in staff meetings as required. Regular and reliable attendance is required for the job. Actively promotes GUEST customer service standards; develops effective relationships at all levels of the organization. Participates in team concepts and promote a team effort; performs duties in accordance with company policies and procedures. Regular and reliable attendance is required for the job.

At US Renal Care, we're a mission-driven, international organization delivering life-saving dialysis care to patients around the world. As we continue to grow, we're expanding our technology team and looking for a skilled Full Stack .NET C# Developer to help modernize our systems, shape the future of patient-centered healthcare, and have an impact on the lives of our patients. SUMMARY In this role, you will design, develop, test, and maintain robust web applications using the Microsoft .NET framework and C#. You will contribute to projects across the full software development lifecycle, working collaboratively with cross-functional teams to deliver scalable and secure software that meets business and user needs. Experience with modern front-end frameworks, REST APIs, and cloud platforms will greatly enhance your success in this role. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Develop and maintain full-stack web applications using .NET technologies and C# Build responsive, user-friendly front-end interfaces using modern JavaScript frameworks such as React Design and implement RESTful APIs and integrate third-party services Develop efficient data models using Entity Framework Core and write optimized SQL queries for relational databases like SQL Server Enhance, maintain and support applications that utilize Microsoft Azure (e.g., Azure Functions, App Services, Azure SQL) as well as on-premises infrastructure Optimize application performance, scalability, and security best practices Participate in architecture and design discussions, providing input on technology choices Collaborate with product managers, UX/UI designers, QA, and other developers in an Agile/Scrum/Kanban environment Write clean, efficient, and well-documented code Troubleshoot, debug, and resolve software defects across the stack Assist with code reviews, testing, and continuous integration/deployment processes Stay current with technology trends and emerging tools relevant to .NET development Follow best practices to write testable, maintainable, and well-documented code Work closely with fellow developers and business partners to deliver secure, scalable solutions Support continuous integration and delivery efforts using tools like GitHub Actions Investigate and resolve performance issues, bugs, and bottlenecks in existing systems