U.S. Renal Care jobs in Greenwood, IN

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 Biomedical Technician is responsible for overseeing the overall operational condition, maintenance and repair of all water treatment equipment, all medical equipment and mechanical/electrical systems to ensure patient safety and the safety of all staff operating such equipment for their assigned clinic(s). ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. * Demonstrate effective use of supplies and staff labor hours. * Assist with purchasing as needed: place orders, perform weekly and month end inventory counts. * Be familiar with the overall procedures used in Inventory Control (FIFO) and assist in the documentation and control of excess inventory. * Perform duties as assigned to meet the patient care or operational needs of the clinic. * Troubleshoot, repair and maintain equipment as recommended by the manufacturer. * Repair, calibrate, test, clean and disinfect dialysis machines, water distribution loop and RO's according to protocol. * Perform water quality checks to include but not limited to: free chlorine, total chlorine, and water hardness testing. * Perform safety checks and tests on all pretreatment water equipment including but not limited to carbon tanks, water softeners, RO units, UV lamps and ultrafilters. * Collect samples of RO water and dialysate for microbiology testing according to protocol. * Collect water samples for AAMI analysis testing according to protocol. * Disinfection of central bicarbonate system and mixing tank according to protocol. * Disinfection of RO, distribution system, and hemodialysis machines according to protocol. * Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. * Perform electrical safety on dialysis machines and related equipment. * Be familiar with instruction manuals and operation for equipment in accordance with manufacturer's recommendations. Be capable of starting up and shutting down facility's equipment if necessary. * Maintain established preventative maintenance programs and required support documentation. * Maintain accurate maintenance records for the facility's equipment. * Have knowledge of the function and safe operation of water treatment equipment and related mechanical and electrical systems. * Address physical environment issues which could impact patient and staff safety. * Mix bicarbonate solution according to protocol. Mix acid concentrate solution according to protocol. * Assist in receiving, storing and stocking of supplies. * 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. * Update Material Safety Data Sheets (MSDS) as required. * Be aware of all contracts and contacts necessary for the emergency repair of the clinic's equipment and mechanical systems. * Obtain quotes from reputable and approved contractors as needed to address physical environment issues. * Present technical summaries in QAPI meetings. * Maintain collaborative working relationship with Administrator(s). Partner with Administrator(s) to ensure clinic needs are met. * Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. * Respond effectively to inquiries or concerns. * Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. * Complete initial and annual technical training on clinical staff as required. * Instruct staff in use and care of equipment and answer questions. * Participate in team concepts and promote a team effort. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * High school diploma or equivalent. * Valid driver' license in applicable state. License must be maintained as current, without restrictions and good driving record. * Previous dialysis, hospital, or medical experience preferred. * Confirmation of ability to distinguish all primary colors. * Ability to react and perform under stress and in emergency situations. * Ability to communicate and interface effectively with others. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Ability to work independently as well as with others to plan and organize work assignment. U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.

Posting Date 11/24/2025 1208 N Arlington Ave, Indianapolis, Indiana, 46219-3203, United States of America As a Healthcare Operations Manager (Facility Administrator) at DaVita, you'll be a part of a Team that values work-life balance and where your personal and professional growth is a top priority. DaVita has an open position for a Healthcare Operations Manager (Facility Administrator) who must be an ambitious, operationally-focused and results-driven leader. You will directly impact patient care as the trusted front-line leader in an outpatient clinic setting. Health care experience is not required! What you can expect as a Healthcare Operations Manager: * Patients come first. You have an opportunity to build on your relationship with your patients, while also continuously improving their health through clinical goal setting and quality improvement initiatives. * Meaningful Workday - EVERY Day. You'll go home every day knowing you are making a difference in patients' lives and that you are developing your team to reach their full potential. * Available when the clinic is open. * Lead a Team. Develop, mentor and inspire a cross-functional clinical team (census dependent on state laws) to deliver the best for our patients, teammates and community. * Financial Management. Manage complete operation and performance of the clinic: adhere to budget, forecast expenses, manage vendor relationships, order supplies, and monitor compliance. * Autonomy. It's your clinic to run. You aren't alone though. You will have the support and guidance of your director, regional peers and the greater company to help you manage your facility. We foster entrepreneurs and those who seek to continuously improve. * Culture & Growth. Our values are not just written in a book somewhere, but are an intentional part of everything we do. As leaders, you are able to reward others for demonstrating those shared beliefs and behaviors, and in turn, we intend to do the same for you. * Partner with Regional Operations Director to identify and address employee and patient concerns to drive towards Regional goals and standards Now is your time to explore your next journey-at DaVita. What you can expect: * Lead a Team that appreciates, supports and relies on each other in a positive environment. * Performance-based rewards based on stellar individual and team contributions. What we'll provide: DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our nurses to commit to improving patient health through clinical goal-setting and quality improvement initiatives. Comprehensive benefits: * DaVita offers a competitive total rewards package to connect teammates to what matters most. * We offer medical, dental, vision, 401k match, paid time off, PTO cash out, paid training and more. * DaVita provides the opportunities for support for you and your family with family resources, EAP counseling sessions, access to Headspace, backup child, elder care, maternity/paternity leave, pet insurance and so much more! Requirements: * Associate's degree required; Bachelor's degree in related area strongly preferred * Minimum of one year experience required in management (healthcare, business, or military) or equivalent renal experience (nurse, dietitian, social worker, LPN, etc.) at discretion of DVP and/or ROD * Current license to practice as a Registered Nurse if required by state of employment * Current CPR certification required (or certification must be obtained within 60 days of hire or change in position) * Other qualifications and combinations of skills may be considered at discretion of ROD and/or Divisional Vice President * Collaboration is a much to be successful in this role. You will be working with clinical and financial teams on a daily basis to produce results that align to business needs. * Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required. Now is your time to join Team DaVita. Take the first step and apply now. #LI-PK1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at *********************************** Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

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

Posting Date 11/19/2025 3541 S Emerson AveSte B, Indianapolis, Indiana, 46203-5902, United States of America The Role You'd Play: We are seeking an inspiring and motivated leader who will lead approximately 10 dialysis centers, 200 teammates and provide oversight of operations with complete accountability for approximately $30-$50MM P&L. As a Regional Operations Director (ROD), you'll provide strategic and tactical leadership, counsel, and direction to the field management of those assigned facilities to ensure safe, efficient, therapeutic and ethical patient care. Additionally, this position identifies and develops strategic growth opportunities, monitors division performance, and works closely with Divisional Vice President or SVP to develop competitive strategies in alignment with DaVita's mission and values. Position has budget and P&L accountability. This position is a key member of DaVita's field management team. Some specific examples include: * Create a team powerhouse. You'll have approximately 10-12 direct reports you will inspire to join you in the quest to ensure quality and compliant patient care. * Address top growth priorities, patient census and lead successful operational conversions on acquisitions. * You will be measured on key metrics and outcomes you are able to drive from the book of business you inherit. * Develop and execute strategic operating plans and goals for assigned division facilities. * Meet labor budget. * Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively; identify issues and implement solutions. * Manage financial and revenue growth, operations, and labor management, contract management, and clinical outcomes within the assigned division facilities. * Maintain awareness and knowledge of competition; proactively assess related SWOT (division strengths, weaknesses, opportunities, and threats). * Lead a growing, socially responsible business that strives to be the role model for American Healthcare. * Work at a place that gives back to the community. * Work at a company that honors and rewards teammate for living DaVita's 7 core values: Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun. * Thrive in a company that will challenge you to "Get Stuff Done" and reward you with incentives the right way - top performers earn more. * Work directly with FAs in clinics to identify and address employee and patient concerns to drive towards Regional goals and standards Our most meaningful resource is your passion and vision If you can see fresh approaches, envision bigger goals to move us ahead and are dedicated to building up those around you… you'll have our attention! We approach everyday operations with a sharp eye for how to stay on the cutting edge. What we want is sharp executive minds to keep us growing. Our diverse staff hails from a variety of backgrounds, all bringing their valuable perspectives and skills. Here, supporting teammates and their sense of belonging and offering all teammates the opportunity to grow and learn is a priority. We are looking for a candidate that has demonstrated success in the following areas: * Leadership for a multi-site operational business * Experience leading a unified team * Experience identifying and committed to growth in your territory * Bachelor's degree required, MBA preferred * Available for moderate travel (25%-50% overnight) * Philosophies that align with our core values * Demonstrated understanding of what makes the businesses successful, and able to balance that with patient and teammate satisfaction * And, a little bit of competitive spirit never hurts Our investment in you Our new teammates receive comprehensive training on how DaVita's dialysis clinics and hospital partnerships operate. You'll also receive opportunities to partner alongside innovative, compassionate and driven leads as well as access to a comprehensive total rewards package. Are you ready to transform health care with us? What We'll Provide: More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. * Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out * Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more * Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning. At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at *********************************** Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Willing to train! Fresenius offers a competitive compensation and benefits package including wellness plans and health insurance, matching 401(k), flexible schedules, and paid time off. 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. EOE, disability/veterans

Posting Date 06/17/2025550 N University Blvd, Indianapolis, Indiana, 46202, United States of America DaVita is looking for a Registered Dietitian (RD) to help educate our patients and their families in the Indianapolis, IN area! What you can expect: Build meaningful and long-term relationships with patients and their families in an intimate outpatient setting. Analyze lab-work results to educate patients and their families on what to eat based on their individualized needs and care Evaluate comprehensive nutrition assessments and reassessments consistent with CMS regulations. Assess on-going nutritional status to determine appropriate nutrition interventions and recommendations. Performance-based rewards based on stellar individual and team contributions. What we look for: State licensure as required by the State of Indiana Bachelor's degree in Nutrition, Dietetics, or similar area required 1 year of Clinical Dietitian experience required Flexible scheduling Monday through Friday (8am-5pm) - no weekends or holidays! Comfortable traveling within the Greater Indianapolis area when needed After hire and training, successful completion of the Competency Assessment for Renal Dietitians (CARD) with a score of at least 80% required Intermediate computer skills and proficiency with MS Word, Excel, and Outlook required as well as functional proficiency with DaVita specific applications within 60 days What we'll provide: Community first, company second culture based on our Core Values Clinical outcomes consistently ranked above the national average Education and training programs across multiple career paths to help you reach your potential Comprehensive Benefits including: insurance benefits (medical, dental, vision), 401K and employer match contributions, paid time off, PTO cash out, paid training, and more. At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. Salary/ Wage Range For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at *********************************** Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

**_Home Therapies Program_** Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours **PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. + Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. + Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. + Participate in patient care plan meetings. + Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. + Train and orient staff as necessary. + Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. + Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. + Maintain overall shift operation in a safe, efficient, and effective matter. + With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. + Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. + Supervise all documentation of patient information. + Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. + Assess daily patient care needs and develop and distribute patient care assignments appropriately. + Assume primary responsibility in an emergency situation. + Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. + Monitor and supervise all patient care activity during dialysis and assist as necessary. + Collaborate with direct patient care team in making decisions to benefit patient care. + Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. + Administer medications to patients per physician's orders. + Act as the subject matter expert and as a resource for staff members. + Supervise and participate in completion of short and long term care plans. + Admit new patients according to facility procedure. + Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. + Supervise the safe and effective use of all equipment involved in direct patient care. + Operate all dialysis related and emergency equipment safely and efficiently when needed. + Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. + Complete Nurse's Technical Training Program/Water Quality Facility + Assist with special projects or other duties as assigned by the Facility Administrator + Assist with the interviewing of potential direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality Assurance meetings. **_Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._** **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. + Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + Direct Patient Care Staff, Ward Clerk as assigned. **EDUCATION** **:** + Graduate of an accredited school of Nursing (R.N.) + Must be registered and licensed to practice in the applicable State. **EXPERIENCE AND REQUIRED SKILLS** **:** + Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. + Medical/surgical nursing preferred. + Supervisory or management experience preferred. + Certified in CPR or successfully complete course in CPR certification. + Good communication skills - verbal and written. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. · Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. · Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. · Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. · Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. · Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. · Administers medications as prescribed and documents appropriate medical justification and effectiveness. · Initiates and assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. · May be assigned to assist in an Outpatient facility on an as needed basis. · 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. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. · Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position requires travel to training/meeting sites and between assigned facilities. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · 6 months experience in acute dialysis 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 all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN · Minimum 9 months experience as a Registered Nurse, 12 months (preferred). · 6 months acute dialysis experience (preferred) · Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

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

**PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. + Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. + Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. + Participate in patient care plan meetings. + Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. + Train and orient staff as necessary. + Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. + Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. + Maintain overall shift operation in a safe, efficient, and effective matter. + With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. + Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. + Supervise all documentation of patient information. + Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. + Assess daily patient care needs and develop and distribute patient care assignments appropriately. + Assume primary responsibility in an emergency situation. + Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. + Monitor and supervise all patient care activity during dialysis and assist as necessary. + Collaborate with direct patient care team in making decisions to benefit patient care. + Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. + Administer medications to patients per physician's orders. + Act as the subject matter expert and as a resource for staff members. + Supervise and participate in completion of short and long term care plans. + Admit new patients according to facility procedure. + Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. + Supervise the safe and effective use of all equipment involved in direct patient care. + Operate all dialysis related and emergency equipment safely and efficiently when needed. + Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. + Complete Nurse's Technical Training Program/Water Quality Facility + Assist with special projects or other duties as assigned by the Facility Administrator + Assist with the interviewing of potential direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality Assurance meetings. **_Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._** **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. + Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + Direct Patient Care Staff, Ward Clerk as assigned. **EDUCATION** **:** + Graduate of an accredited school of Nursing (R.N.) + Must be registered and licensed to practice in the applicable State. **EXPERIENCE AND REQUIRED SKILLS** **:** + Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. + Medical/surgical nursing preferred. + Supervisory or management experience preferred. + Certified in CPR or successfully complete course in CPR certification. + Good communication skills - verbal and written. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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 Biomedical Technician is responsible for overseeing the overall operational condition, maintenance and repair of all water treatment equipment, all medical equipment and mechanical/electrical systems to ensure patient safety and the safety of all staff operating such equipment for their assigned clinic(s). ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Demonstrate effective use of supplies and staff labor hours. Assist with purchasing as needed: place orders, perform weekly and month end inventory counts. Be familiar with the overall procedures used in Inventory Control (FIFO) and assist in the documentation and control of excess inventory. Perform duties as assigned to meet the patient care or operational needs of the clinic. Troubleshoot, repair and maintain equipment as recommended by the manufacturer. Repair, calibrate, test, clean and disinfect dialysis machines, water distribution loop and RO's according to protocol. Perform water quality checks to include but not limited to: free chlorine, total chlorine, and water hardness testing. Perform safety checks and tests on all pretreatment water equipment including but not limited to carbon tanks, water softeners, RO units, UV lamps and ultrafilters. Collect samples of RO water and dialysate for microbiology testing according to protocol. Collect water samples for AAMI analysis testing according to protocol. Disinfection of central bicarbonate system and mixing tank according to protocol. Disinfection of RO, distribution system, and hemodialysis machines according to protocol. Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. Perform electrical safety on dialysis machines and related equipment. Be familiar with instruction manuals and operation for equipment in accordance with manufacturer's recommendations. Be capable of starting up and shutting down facility's equipment if necessary. Maintain established preventative maintenance programs and required support documentation. Maintain accurate maintenance records for the facility's equipment. Have knowledge of the function and safe operation of water treatment equipment and related mechanical and electrical systems. Address physical environment issues which could impact patient and staff safety. Mix bicarbonate solution according to protocol. Mix acid concentrate solution according to protocol. Assist in receiving, storing and stocking of supplies. 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. Update Material Safety Data Sheets (MSDS) as required. Be aware of all contracts and contacts necessary for the emergency repair of the clinic's equipment and mechanical systems. Obtain quotes from reputable and approved contractors as needed to address physical environment issues. Present technical summaries in QAPI meetings. Maintain collaborative working relationship with Administrator(s). Partner with Administrator(s) to ensure clinic needs are met. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or concerns. Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. Complete initial and annual technical training on clinical staff as required. Instruct staff in use and care of equipment and answer questions. Participate in team concepts and promote a team effort.

Anderson Acutes - Hospital Setting Paid training in dialysis provided! Full-Time (40 hours per week) Coverage for area hospitals in Anderson IN PURPOSE AND SCOPE: The professional registered nurse Inpatient Services 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 kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. · Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. · Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. · Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. · Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. · Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. · Administers medications as prescribed and documents appropriate medical justification and effectiveness. · Initiates and assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. · May be assigned to assist in an Outpatient facility on an as needed basis. · 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. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. · Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position requires travel to training/meeting sites and between assigned facilities. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · 6 months experience in acute dialysis 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 all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN · Minimum 9 months experience as a Registered Nurse, 12 months (preferred). · 6 months acute dialysis experience (preferred) · Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

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

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. What we're looking for * High school graduate or equivalent. * Desire to work in healthcare and care for patients. * Previous healthcare experience in dialysis, phlebotomy, or as a CNA is a plus. * Must be comfortable mixing acids and bicarbonate according to protocol. * Ability to distinguish all primary colors. Other requirements * Successful completion of USRC training program approved by the Medical Director, including demonstrated competency; this includes successful completion of USRC training course in the theory and practice of hemodialysis within 8 weeks of hire. * CPR certification required within 90 days of hire or as required by the state. * Patient Care Technician certification must be obtained through a state certification program or national commercially available certification program within 18 months of hire date and maintained in good standing thereafter. Specific state requirements may be applicable and required. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care! Are you with US? Apply today!

**PURPOSE AND SCOPE** **:** The Apheresis RN spends 80% or more of their time providing Apheresis treatments providing direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, therapeutic plasma exchange, RBC exchange and depletion, PLT and WBC depletions, PBSC and WBC collections, Photopheresis, and LDL apheresis. The Apheresis RN will partner with the hospital or outpatient facility to provide quality care to the patient and deliver care that provides a positive patient experience. **PRINCIPAL DUTIES AND RESPONSIBILITIES** **:** General: + Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to apheresis. + Responsible for direct patient care of assigned patients in the hospital or outpatient location, providing the appropriate treatment technique for assigned patients or donors as prescribed in all apheresis modality procedures, as appropriately defined, therapeutic plasma exchange, RBC exchange or depletion, WBC and PLT depletions, PBSC and all types of WBC collections, Photopheresis, LDL apheresis, and therapeutic phlebotomy. + Performs scheduled, un-scheduled and emergency Apheresis treatments and other extra-corporeal therapies (Therapeutic and Donor) in the assigned hospital(s) or outpatient locations, establishing priority of care. Initiates, monitors, and discontinues prescribed treatments and medication according to established FMCNA policies and procedures. + Gives organized, concise shift reports for patients on as assigned. Apply high level thinking skills to patient schedules to meet needs of more critical patients due to labs, MD orders, availability of access/replacement products or patient assessment. + Ensures adequate coverage of patient treatments and customer needs through appropriate scheduling. + Travels outside regional area as necessary to help with coverage of patient treatments to perform Apheresis or other extra-corporeal therapies. + Maintains a safe environment for self, patients and staff by following universal infection control precautions in performing patient care and handling of equipment. + Maintains current knowledge of the advancements in the Therapeutic Apheresis by ensuring that the apheresis LMS modules are reviewed and completed. Patient Care: + Assesses patients' responses to therapeutic apheresis making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Assesses patients pre, during and post treatment to detect mild, moderate and severe Apheresis and non-Apheresis related complications, notifying the appropriate hospital personnel. + Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed treatment modality, including appropriate notification of adverse reactions to physician and blood supplier. + Delivers safe, effective care in a timely and efficient manner. Reports all new or unusual incidents, information, complaints or problems to the applicable Apheresis Managers and/or hospital personnel, tracking and documenting all adverse events in accordance with the Variance Reporting guidelines. + Accurately documents all pertinent treatment information in the individual patient's record (ACES) and the hospital record, as needed. + Completes appropriate training programs to successfully deliver specific patient care to a variety of patients. + Utilizes the principles of growth and development to assess patient's status, identifying each patient's relative requirements, providing recommendations for the patient's plan of care. + Implements physician's orders and follows through appropriately. + Ensures patient confidentiality. + Assists in the evacuation of patients in the event of emergency, fire or disaster according to company and hospital policy and procedures. + Assists with, and performs all equipment preventative maintenance date confirmations, cleans and disinfects machine surface, chair, equipment, and surrounding areas between treatments according to inpatient policies and procedures. + Conducts all tasks necessary for preparation for apheresis treatments or collections and documents where appropriate. + Sets-up, monitors and discontinues use of Apheresis equipment, blood warmer and other equipment used for related procedures according to established standard operating procedure. + Assists with inventory control according to corporate and department policy, manufacturer recommendations and regulatory agency guidelines. + Manages and maintains supply inventory in an efficient and cost-effective manner, documenting all inventory control. + Performs all required pre-treatment apheresis machine alarm testing and documents information and equipment maintenance according to policy. + Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste. + Understands, conducts, and documents appropriately Apheresis machine safety tests/alarms tests, equipment calibration, machine safety tests, functional testing, and internal and external disinfection on all machines and complies with the documentation/notification standard per FMCNA polices. + Maintains a safe, neat, and adequately stocked supply and equipment area. + Reports all equipment and supply problems to repair personnel. Staff Related: + Completes and documents ongoing participation in QAI activities. + Responsible for reporting all new or unusual incidents, information, complaints, or problems to the Inpatient Program Manager and other parties per the Adverse Event Reporting requirements. May be assigned to other in-patient care on as needed basis. + Acts as a resource for other staff members. + Participates in staff meetings and mandatory continuing education as scheduled and participates in staff training and orientation as assigned. + Communicates effectively with physicians, supervisors, hospital staff, coworkers, patients and families. + Recognizes and utilizes opportunities for patient and family education specific to individual and family needs. + Maintains a positive working relationship with all company and hospital staff members to ensure effective and efficient treatments. Other: + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. **_Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._** **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + 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. + The position requires travel between assigned facilities and various locations within the community. + Position requires on-call rotation including night, day, weekend, and holidays. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. + May be potential for exposure to infectious and contagious diseases/materials. + Position provides direct patient care which regularly involves heavy lifting, moving of patient and/ or equipment > 200-lbs (with mechanical assistance). **SUPERVISION** : + None **EDUCATION** **:** + Current appropriate state licensure. + Must meet the practice requirements in the state in which employed. + Certification in Apheresis Nursing is highly encouraged. + Peripheral vein cannulation abilities preferred. + Maintains acquired knowledge and remains current in advancements of therapeutic apheresis, relative to inpatient care for hospitalized patients requiring varied treatment modalities. **EXPERIENCE AND REQUIRED SKILLS** **:** + One year of RN experience required. + One-year of Apheresis or ICU/CCU/ED experience preferred. + Demonstrated strong assessment skills related to the critically ill patient. + Successful completion of competency training course in theory and practice of Therapeutic Apheresis and related procedures. + BLS CPR Recognition. + ACLS CPR Recognition preferred, but not required. + Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing apheresis education. + Displays leadership skills and ability to direct and supervise others (such as Technical, Clerical Staff). + Valid driver's license. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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.

Willing to train! Fresenius offers a competitive compensation and benefits package including wellness plans and health insurance, matching 401(k), flexible schedules, and paid time off. PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed. · Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. · Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. · Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of equipment, patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. · The position may require travel to training sites, other facilities or patient homes. · May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 12 months experience as a RN. · Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Minimum of 1-year experience as a Registered Nurse (preferred) · Home dialysis therapy experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

+ Elmwood clinic is open MWF. Float to Noblesville on TThS may be required. + No previous dialysis experienced needed, on the job training is provided! **PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** **Patient Related** Education: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. **Staff Related** + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. **Education/Communication:** + Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system. **RECORD KEEPING:** + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect, label, appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **INFECTION CONTROL:** + Assists in collecting information for infection control audits. + Supports staff and patient Adherence to infection control practices. + Follows infection control Policies and Procedures + Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. **TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care + Reinforces all education and care related matters as it relates to the new patient as allowed by state law + Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. + Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. + Sets and preforms a treatment on all machines used in the transitional care unit. + Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. + Assists with coordination of transition to patient's modality choice. + Assists with supply ordering and inventory for TCU **PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**