U.S. Renal Care jobs in Urban Honolulu, HI

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.

PURPOSE AND SCOPE: Under supervision is responsible for the operational condition, maintenance, and repair of all water systems, medical equipment, and mechanical/electrical systems so as to ensure safety of the patients as well as the staff operating the equipment. Responsible for inventory and housekeeping as required. Assists in cost containment in the facility. 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. DUTIES / ACTIVITIES: CUSTOMER SERVICE: Responsible for driving the FMS culture through values and customer service standards. Accountable for outstanding customer service to all external and internal customers. Develops and maintains effective relationships through effective and timely communication. Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL DUTIES AND RESPONSIBILITIES: MAINTENANCE/TECHNICAL: Maintains, tests and repairs all water treatment equipment, dialysis equipment, medical equipment, testing equipment, and mechanical/electrical systems as recommended by the manufacturer and by procedures established by FMCNA Clinical/Technical services as documented in the Technical Policies and Standards manual. Documents all maintenance and repairs. Ensures safety checks and routine tasks are conducted and documented in a timely fashion according to the established procedures. Conducts housekeeping check and follows-up housekeeping problems. Responsible for water treatment equipment cleaning and disinfecting. Ensures all testing equipment is properly maintained and calibrated. Ensures all areas are safe and clean - that environmental integrity and aesthetics are maintained. Conducts building maintenance as needed. Responsible for coordination of medical waste disposal. Collects and organizes supplies restocking relevant areas as needed. Assists in ordering and receiving disposable supplies. Assists in creating SAP purchase orders for supplies. Assists in conducting monthly and quarterly inventory of supplies with cost reporting through facility specific records. Evaluates and reports the current equipment inventory to appropriate sources. PATIENT CARE: Ensures visibility to patients with daily walk through during treatment times, when possible. Reinforces the concept of UltraCare™ and customer service - ensures availability for patient's questions and concerns. As requested, provides instructive tours of the water treatment equipment for patients and explains the basics of the machines. CLERICAL & ADMINISTRATIVE: Processes water and dialysate samples according to specified procedures, package samples for shipping. Participates in the completion and documentation of ongoing technical QAPI activities as appropriate. OTHER: Provides assistance at other facilities and/or acute programs, transport equipment and supplies as needed. Other duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position involves moderately active work including walking and standing for considerable lengths of time. Bending down to floor level is required for some repair and maintenance of equipment. The position requires a considerable amount of physical work. There is a two-person assist program and equipment available for moving the heavier loads/equipment. The employee must regularly move boxes, drums, and equipment of up to 600 lbs. in weight. The use of dollies or other equipment is mandatory while moving items that weigh approximately 600 lbs. The employee must frequently mix and lift chemical and water solutions of up to 50 lbs. up as high as 5 feet. During an emergency, ensuring patient well-being and safety is of the utmost priority so documented FMCNA emergency procedures must be followed. These could include hand cranking the dialysis machines, clamping and disconnecting bloodlines, and moving patients to safety. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. There may be some potential exposure to chemicals and infectious materials, however, proper training will be provided to handle any of these type chemicals and infectious materials. EDUCATION: High school/Vocational diploma or G.E.D. Technician training or AA Degree in electronics preferred. EXPERIENCE AND REQUIRED SKILLS: At least six months experience working in a technical (industry/hospital) setting. Must demonstrate organizational and leadership skills, including those required to problem-solve in a medical, health care environment. Attend all technical training programs required by state/federal regulations and FMCNA policy. Newly hired or promoted incumbents are responsible for the requirements of the respiratory fit policy. Valid Driver's License and/or ability to cover at other facilities and transport equipment and supplies as needed. Continued employment contingent upon successful completion of the FMCNA Training Program for Technical Staff. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24.00 - $38.00" EOE, disability/veterans

+ Sign on bonus available **PURPOSE AND SCOPE:** The Medical Assistant PPS has duties and responsibilities related to patient care in the ambulatory clinic environment. The incumbent displays responsible behaviors, communicates effectively to others and functions as a member of the healthcare team. The Medical Assistant PPS functions under the direct supervision and authority of the physician when performing clinical tasks during patient care. The incumbent maintains an inventory of examination/procedure room supplies, assists in the organization of efficient patient flow, and organizes the clinic environment to assure patient safety. The Medical Assistant PPS demonstrates problem-solving skills as they relate to patient care activities, provides guidance for and acts as a role model for other medical assistants in the clinical area. Prioritizes (triages) patient needs identified through phone, electronic, and walk-in communication, and returns patient messages timely. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assists in the performance of patient care: + Rooms patients + Obtains weight, vital signs, patient history + Complete forms, requisitions and consents as required + Documents in EMR + Able to elicit medical information from patients including but not limited to: health history, medication changes, chief complaint and other pertinent health information. + Records and documents health information accurately, appropriately and timely on a consistent basis. + Preps chart for patient office appointments, requires retrieving labs, test, imaging, and hospital notes. + Requests records on all new patients. + Performs basic filing, scanning, entry of lab result and photocopying duties as required. + Calls or electronically send prescriptions and refills as required. + Responsible for daily stocking of equipment and supplies in assigned rooms on a daily basis. + Able to identify and notifies provider of critical diagnostic data. + Prepares and closes medical records accurately, appropriately and timely on consistent basis. + Answers patient's questions regarding procedures and medications under Medical Assistant's scope of practice. + All phone calls are handled accurately, appropriately, consistently, and in a timely manner. + Knowledge of all patient programs and scheduling process for all programs such as: chronic kidney disease education, nutrition and other patient-related classes. + Communicates information in an accurate, concise, and timely and professional manner. + Answers telephone in a pleasant manner and deals with all internal and external customer needs expeditiously. + Coverage for other medical assistants as needed + Follows all processes and procedures uniformly. + Demonstrates outstanding customer service skills including empathy and compassion, respect, efficiency and professionalism when interacting with internal and external customers. + Assures confidentiality of information in written and verbal communications. + Protects patients' rights and privacy. + Works independently with integrity on behalf of the company and demonstrates organization of work and the ability to set priorities. Demonstrates a sense of importance on all matters related to our patients. + Accepts responsibility for individual actions and judgments. + Conducts all activities in compliance with applicable laws, regulations, standards, and practice policies and procedures. + Escalates issues to supervisor for resolution, as deemed necessary. + 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. + The employee is regularly required to sit, stand, and walk; use hands to finger, handle, and feel; reach with hands and arms; talk and hear. The employee is occasionally required to stoop, kneel, crouch, or crawl. + Must be able to lift/push/pull up to 50 lbs. + Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. + The work environment is a medical practice with a quiet to moderate noise level. While performing the duties of this job, the employee is exposed to various medical equipment. **EDUCATION:** + High School Diploma required. + Completion of an Accredited Medical Assistant training program, such as courses provided through community colleges and/or vocational schools. + Current certification in CPR. + Certified as a Medical Assistant preferred + Interpersonal and communication skills with patients, families, physicians and other health care team members in order to foster optimal quality of outpatient care. + The Certified Medical Assistant (CMA) certification from the American Association of Medical Assistants (AAMA) strongly preferred. + The National Certified Medical Assistant (NCMA) certification from the National Center for Competency Testing (NCCT) strongly preferred. + The Certified Clinical Medical Assistant (CCMA) certification from the National Healthcare Association (NHA) strongly preferred. **EXPERIENCE AND REQUIRED SKILLS:** + 1 - 2 years' related experience, preferably in a Nephrology practice setting. + Ability to interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. + Ability to write routine reports and correspondence. + Good verbal and written communication skills. + Working Knowledge of Electronic Medical Record systems- preferably EPIC + General math skills. + Intermediate computer skills and experience with electronic medical office systems such as electronic medical records, scheduling programs, switchboard, credit card machines, standard office equipment and any new technology that arises. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $22 - $33 **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

**PURPOSE** **AND** **SCOPE:** Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment. Be the "face" of one of our outpatient or hospital facilities-and use your administrative skills to impact the lives of our patients and their families. As a secretary/receptionist at Fresenius Kidney Care, you will be an integral part of a cross-functional team, providing administrative support to maintain clinic operations and provide the best customer care for patients living with kidney disease. **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** Under general supervision, follows established company policies and procedures and applies acquired job skills to: **Patient Engagement and Front Desk** **-** Responsibilities may include the following based on location and business need: + Answering telephone & routing calls to the appropriate person + Professionally greet all patients and guests. + Maintain a professional environment at all times. Monitors the reception and waiting areas. + Distributing incoming mail. + ObtainnecessarysignaturestoensuretheefficientprocessingofadmissionsdatainaccordancewithFMCNApolicies and procedures. + Ensureallaspectsofpatientconfidentialityaremaintainedatalltimes **Scheduling and Registration** **-** Responsibilities may include the following based on location and business need: + Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc. + Prepares medical records for facsimile or mail related to travel, transplant, disability and others. + Organizes travel for patients by contacting and providing requested medical records. + Coordinates with transient patient paperwork. + Coordinates transfer placements and confirmations along with Clinical Manager. + Confirms admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning. + Assist with medical appointment referrals and scheduling. + Assist with transportation coordination and referrals. + Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART. + Monthly insurance card scanning **Administrative and Additional Responsibilities** **-** Responsibilities may include the following based on location and business need: + Setting up and maintaining filing systems and basic databases as applicable. + Completing forms and reports as required by the various company offices and outside vendors and agencies. + Preparing purchase orders using the appropriate software application. + Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed. + Maintaining inventory of the necessary office supplies + Assists in auditing records for ongoing compliance with medical records standards (H&Ps, monthly physician progress notes, care plans, etc). + Assists in the collection of Patient Demographic Information and Continuous Quality Improvement Data. + Assemble,fileandmaintainpatientmedicalrecords + Printpatientscheduleandpullpatientchartsdaily. + Arrangeforpackagepickupanddelivery. + Assists with month-end reporting requirements. + Participate in collaboration sessions such as center/team huddles and staff meetings. + Attend education and training sessions as appropriate and apply key learnings. **SKILLS:** + Knowledge of office procedures required. + Proficient in Microsoft office applications + Ability to adapt to supporting software applications. + Professional attitude and appearance + Solid written and verbal communication skills + Ability to be resourceful and proactive when issues arise + Strong organizational skills + Multitasking and time-management skills, with the ability to prioritize tasks + Customer service attitude **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 possible interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. The work environment may be characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials **SUPERVISION:** + None **EDUCATION** : + HighSchoolDiploma or GED required **EXPERIENCE AND REQUIRED SKILLS** **:** + Minimum 6 months relevant experience without a degree. + 1-2 years related experience preferred. + Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills. + Pleasanttelephonemanner. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $17.00 - $28.00" **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

+ New graduates and candidates with less than 1-year experience are welcomed **PURPOSE AND SCOPE:** Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. + Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. + Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. + Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. + Calculates diet prescription according to standard of practice. + Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. + Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. + Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. + Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. + Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. + Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. + Adheres to FMCNA algorithm and medical record policies. + Reports on nutrition QAI results and participates in the interdisciplinary QAI program. + Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the interdisciplinary team as appropriate. + Communicates with physician and/or facility staff regarding lab results as appropriate. + Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). + Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. + Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. + Maintains and improves knowledge and skills for a competent and innovative practice. + Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. + Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. + Other nutrition management duties as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. + The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Dietitian as per Commission on Dietetic Registration + Board Certified Specialist in Renal Nutrition encouraged. + Current state licensure if applicable. **EXPERIENCE AND SKILLS** **:** + Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian. + Previous renal experience preferred. + Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. + Able to perform responsibilities with minimum supervision. + Basic computer skills required. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $74,000.00 - $124,000.00 **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

+ Sign on bonus available **PURPOSE AND SCOPE:** The Front Office Coordinator acts as the facility receptionist while answering incoming referral calls and completing admissions for patients. The incumbent is responsible for ensuring required demographic, financial, referral, and clinical and other admission data is collected, completed and communicated per related policies and procedures. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Documents patient cancelation and patient "no show" as appropriate. + Completes front end process of billing procedure ensuring all information is entered into the computer registration module. + Obtains necessary signatures to ensure the efficient processing of data in accordance with related policies and procedures. + Ensures all aspects of patient confidentiality are maintained at all times. + Provides patients with appropriate HIPAA information and documentation. + Verifies and obtains eligibility and benefits for all primary and secondary insurances. If verification is processed via Internet, prints out and includes in registration packet. + Performs pre-certification on all patients before visit is initiated. + Works closely with billing personnel to obtain and verify all necessary information for billing purposes. + Sends patient consultation reports to referral source as requested. + Prepares and types routine correspondence, forms, letters and reports. + Answers telephones and routes calls. + Greets visitors and patients. Demonstrates a positive attitude. Is polite, courteous and professional. + Distributes faxes and e-mails to the appropriate parties. + Makes copies of correspondence and other printed matter. + Maintains medical record in an organized manner; obtains medical records as requested/indicated. + Maintains effective lines of communication with peers. Interfaces with other health care providers and facilities. + Picks up and sort mail/faxes on a daily basis. Arranges for package pickup and delivery. + Participates in staff meetings and communicates (problem solves) issues related to quality of care. + Maintains inventory, orders and/or stocks office with supplies, equipment, forms and medications as directed by supervisors. + Maintains waiting room and ensures it is clean and free of debris. + Escalates issues to supervisor for resolution, as deemed necessary. + Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + Performs workflows for Work queues and Work Lists + Provides secretarial and administrative support as needed. + Assists with various projects as assigned by direct supervisor. + 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 may be required between clinic sites (mileage reimbursed in accordance with policy) + Must be able to lift and pull/push up to 25 pounds. **EDUCATION** **:** + High School Diploma or an equivalent combination of education and experience. **EXPERIENCE AND REQUIRED SKILLS** **:** + 0- 2 years' related experience (such as front office, administrative experience in medical office). + Intermediate computer skills and experience with electronic medical office systems such as electronic medical records, scheduling programs, switchboard, credit card machines, standard office equipment and any new technology. + Exceptional communication skills - verbal and written. + Outstanding organizational and planning skills. + Excellent project and time management skills. + Outstanding customer relations skills. + Possesses proper phone etiquette skills. + Exceptional interpersonal skills. + Ability to handle several tasks simultaneously. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $XX - $XX **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Demonstrate effective use of supplies and staff labor hours. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Assist physician during patient rounds and transcribe and implement physician orders timely. Assist with the implementation of anemia management and medication protocols as requested. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations. Responds to all emergencies in clinic. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Maintain collaborative working relationship with Medical Director and physicians. Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities. Assist in orientation of new staff as a preceptor or in assigning a preceptor. Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated. Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff

**PURPOSE AND SCOPE:** Under supervision is responsible for the operational condition, maintenance, and repair of all water systems, medical equipment, and mechanical/electrical systems so as to ensure safety of the patients as well as the staff operating the equipment. Responsible for inventory and housekeeping as required. Assists in cost containment in the facility. 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. **DUTIES / ACTIVITIES:** **CUSTOMER SERVICE:** + Responsible for driving the FMS culture through values and customer service standards. + Accountable for outstanding customer service to all external and internal customers. + Develops and maintains effective relationships through effective and timely communication. + Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **MAINTENANCE/TECHNICAL:** + Maintains, tests and repairs all water treatment equipment, dialysis equipment, medical equipment, testing equipment, and mechanical/electrical systems as recommended by the manufacturer and by procedures established by FMCNA Clinical/Technical services as documented in the Technical Policies and Standards manual. + Documents all maintenance and repairs. + Ensures safety checks and routine tasks are conducted and documented in a timely fashion according to the established procedures. + Conducts housekeeping check and follows-up housekeeping problems. + Responsible for water treatment equipment cleaning and disinfecting. + Ensures all testing equipment is properly maintained and calibrated. + Ensures all areas are safe and clean - that environmental integrity and aesthetics are maintained. + Conducts building maintenance as needed. + Responsible for coordination of medical waste disposal. + Collects and organizes supplies restocking relevant areas as needed. + Assists in ordering and receiving disposable supplies. + Assists in creating SAP purchase orders for supplies. + Assists in conducting monthly and quarterly inventory of supplies with cost reporting through facility specific records. + Evaluates and reports the current equipment inventory to appropriate sources. **PATIENT CARE:** + Ensures visibility to patients with daily walk through during treatment times, when possible. + Reinforces the concept of UltraCare and customer service - ensures availability for patient's questions and concerns. + As requested, provides instructive tours of the water treatment equipment for patients and explains the basics of the machines. **CLERICAL & ADMINISTRATIVE:** + Processes water and dialysate samples according to specified procedures, package samples for shipping. + Participates in the completion and documentation of ongoing technical QAPI activities as appropriate. **OTHER:** + Provides assistance at other facilities and/or acute programs, transport equipment and supplies as needed. + Other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. + The position involves moderately active work including walking and standing for considerable lengths of time. Bending down to floor level is required for some repair and maintenance of equipment. + The position requires a considerable amount of physical work. There is a two-person assist program and equipment available for moving the heavier loads/equipment. The employee must regularly move boxes, drums, and equipment of up to 600 lbs. in weight. The use of dollies or other equipment is mandatory while moving items that weigh approximately 600 lbs. The employee must frequently mix and lift chemical and water solutions of up to 50 lbs. up as high as 5 feet. During an emergency, ensuring patient well-being and safety is of the utmost priority so documented FMCNA emergency procedures must be followed. These could include hand cranking the dialysis machines, clamping and disconnecting bloodlines, and moving patients to safety. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. There may be some potential exposure to chemicals and infectious materials, however, proper training will be provided to handle any of these type chemicals and infectious materials. **EDUCATION:** + High school/Vocational diploma or G.E.D. + Technician training or AA Degree in electronics preferred. **EXPERIENCE AND REQUIRED SKILLS:** + At least six months experience working in a technical (industry/hospital) setting. + Must demonstrate organizational and leadership skills, including those required to problem-solve in a medical, health care environment. + Attend all technical training programs required by state/federal regulations and FMCNA policy. + Newly hired or promoted incumbents are responsible for the requirements of the respiratory fit policy. + Valid Driver's License and/or ability to cover at other facilities and transport equipment and supplies as needed. + Continued employment contingent upon successful completion of the FMCNA Training Program for Technical Staff. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $24.00 - $38.00" **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.

**PURPOSE** **AND** **SCOPE:** Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment. Be the "face" of one of our outpatient or hospital facilities-and use your administrative skills to impact the lives of our patients and their families. As a secretary/receptionist at Fresenius Kidney Care, you will be an integral part of a cross-functional team, providing administrative support to maintain clinic operations and provide the best customer care for patients living with kidney disease. **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** Under general supervision, follows established company policies and procedures and applies acquired job skills to: **Patient Engagement and Front Desk** **-** Responsibilities may include the following based on location and business need: + Answering telephone & routing calls to the appropriate person + Professionally greet all patients and guests. + Maintain a professional environment at all times. Monitors the reception and waiting areas. + Distributing incoming mail. + ObtainnecessarysignaturestoensuretheefficientprocessingofadmissionsdatainaccordancewithFMCNApolicies and procedures. + Ensureallaspectsofpatientconfidentialityaremaintainedatalltimes **Scheduling and Registration** **-** Responsibilities may include the following based on location and business need: + Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc. + Prepares medical records for facsimile or mail related to travel, transplant, disability and others. + Organizes travel for patients by contacting and providing requested medical records. + Coordinates with transient patient paperwork. + Coordinates transfer placements and confirmations along with Clinical Manager. + Confirms admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning. + Assist with medical appointment referrals and scheduling. + Assist with transportation coordination and referrals. + Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART. + Monthly insurance card scanning **Administrative and Additional Responsibilities** **-** Responsibilities may include the following based on location and business need: + Setting up and maintaining filing systems and basic databases as applicable. + Completing forms and reports as required by the various company offices and outside vendors and agencies. + Preparing purchase orders using the appropriate software application. + Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed. + Maintaining inventory of the necessary office supplies + Assists in auditing records for ongoing compliance with medical records standards (H&Ps, monthly physician progress notes, care plans, etc). + Assists in the collection of Patient Demographic Information and Continuous Quality Improvement Data. + Assemble,fileandmaintainpatientmedicalrecords + Printpatientscheduleandpullpatientchartsdaily. + Arrangeforpackagepickupanddelivery. + Assists with month-end reporting requirements. + Participate in collaboration sessions such as center/team huddles and staff meetings. + Attend education and training sessions as appropriate and apply key learnings. **SKILLS:** + Knowledge of office procedures required. + Proficient in Microsoft office applications + Ability to adapt to supporting software applications. + Professional attitude and appearance + Solid written and verbal communication skills + Ability to be resourceful and proactive when issues arise + Strong organizational skills + Multitasking and time-management skills, with the ability to prioritize tasks + Customer service attitude **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 possible interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. The work environment may be characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials **SUPERVISION:** + None **EDUCATION** : + HighSchoolDiploma or GED required **EXPERIENCE AND REQUIRED SKILLS** **:** + Minimum 6 months relevant experience without a degree. + 1-2 years related experience preferred. + Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills. + Pleasanttelephonemanner. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $17.00 - $28.00 **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

Sign on bonus available PURPOSE AND SCOPE: The Front Office Coordinator acts as the facility receptionist while answering incoming referral calls and completing admissions for patients. The incumbent is responsible for ensuring required demographic, financial, referral, and clinical and other admission data is collected, completed and communicated per related policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: Documents patient cancelation and patient “no show” as appropriate. Completes front end process of billing procedure ensuring all information is entered into the computer registration module. Obtains necessary signatures to ensure the efficient processing of data in accordance with related policies and procedures. Ensures all aspects of patient confidentiality are maintained at all times. Provides patients with appropriate HIPAA information and documentation. Verifies and obtains eligibility and benefits for all primary and secondary insurances. If verification is processed via Internet, prints out and includes in registration packet. Performs pre-certification on all patients before visit is initiated. Works closely with billing personnel to obtain and verify all necessary information for billing purposes. Sends patient consultation reports to referral source as requested. Prepares and types routine correspondence, forms, letters and reports. Answers telephones and routes calls. Greets visitors and patients. Demonstrates a positive attitude. Is polite, courteous and professional. Distributes faxes and e-mails to the appropriate parties. Makes copies of correspondence and other printed matter. Maintains medical record in an organized manner; obtains medical records as requested/indicated. Maintains effective lines of communication with peers. Interfaces with other health care providers and facilities. Picks up and sort mail/faxes on a daily basis. Arranges for package pickup and delivery. Participates in staff meetings and communicates (problem solves) issues related to quality of care. Maintains inventory, orders and/or stocks office with supplies, equipment, forms and medications as directed by supervisors. Maintains waiting room and ensures it is clean and free of debris. Escalates issues to supervisor for resolution, as deemed necessary. Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. Performs workflows for Work queues and Work Lists Provides secretarial and administrative support as needed. Assists with various projects as assigned by direct supervisor. 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 may be required between clinic sites (mileage reimbursed in accordance with policy) Must be able to lift and pull/push up to 25 pounds. EDUCATION: High School Diploma or an equivalent combination of education and experience. EXPERIENCE AND REQUIRED SKILLS: 0- 2 years' related experience (such as front office, administrative experience in medical office). Intermediate computer skills and experience with electronic medical office systems such as electronic medical records, scheduling programs, switchboard, credit card machines, standard office equipment and any new technology. Exceptional communication skills - verbal and written. Outstanding organizational and planning skills. Excellent project and time management skills. Outstanding customer relations skills. Possesses proper phone etiquette skills. Exceptional interpersonal skills. Ability to handle several tasks simultaneously. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $XX - $XX Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

How you'll change lives As a Dietitian at U.S. Renal Care, you will be an integral part of an interdisciplinary team, providing excellent care for patients living with kidney disease. U.S. Renal care dietitians work under the supervision of a RDN Regional Manager. What you'll be doing Patient Nutrition. Using the most current, science-based practices, you will recommend therapeutic diets based on patient nutritional needs, preferences, and changes in treatment, in consultation with the patient's physician. You will review lab results and provide appropriate education for nutritional interventions on such topics as fluid and sodium, potassium, and CKD-Mineral and Bone Disorder management. You will also conduct patient assessments and care planning activities, as well as participating in monthly interdisciplinary patient care conferences. Teamwork. You will collaborate with the Medical Director, physician/advanced practice provider, facility administrator, social worker, nurse, and patient care technician to maintain positive relationships with area hospitals, skilled nursing facilities, agencies, vendors, and the community. Safety & Quality. You will help with clinical and operational processes, with a focus on improving patient health and achieving target goals for patient outcomes. You will also help maintain a productive quality assurance program and participate in monthly Quality Assessment and Performance Improvement (QAPI) activities.

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. * Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. * Demonstrate effective use of supplies and staff labor hours. * Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. * Assist physician during patient rounds and transcribe and implement physician orders timely. * Assist with the implementation of anemia management and medication protocols as requested. * Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. * Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. * May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations. * Responds to all emergencies in clinic. * Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. * Maintain collaborative working relationship with Medical Director and physicians. * Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities. * Assist in orientation of new staff as a preceptor or in assigning a preceptor. * Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated. * Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: * Current RN license in applicable state. License must be maintained as current and in good standing. * 12 months experience in providing nursing care, including 3 months of experience in providing nursing care to patients on maintenance dialysis. * CPR certification required within 90 days of hire. * Confirmation of ability to distinguish all primary colors. * Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment. * Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. * Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. * Must meet any practice requirement(s) for the applicable state. (See addendum for RN Charge Nurse.)

How you will change lives As a Unit Clerk at US Renal Care, you will be an integral part of a cross-functional team, providing operational support to maintain clinic operations and provide the best customer care for patients living with kidney disease. What you will be doing Customer Care. You will be a critical member of the clinic team, creating a welcoming and professional atmosphere by greeting patients and visitors, answering phones, answering patient questions, and assisting patients with transportation arrangements, as needed. Operational Support. You will maintain clinic operations effectively by updating and maintaining medical records, preparing patient records and charts for treatments, and assisting in auditing records for ongoing compliance. You will support financial operations by entering charges and preparing billing and patient attendance logs. You will also complete forms and reports as required by governmental agencies. You will ensure adequate supplies and inventory and reordering when required. In addition, you will help process lab work by preparing lab slips and tubes and directing labs to the appropriate laboratory.

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.

**PURPOSE AND SCOPE:** As the Patient Services Coordinator this position coordinates scheduling pre-procedure communication medical record documents EMR demographic data entry requirements for payers and Revenue Cycle greets patients and answers multi-line telephone and fax. **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES** + Schedule and input all appointments scheduling module in a timely and efficient manner. Assure all pre-procedure/preoperative activities are scheduled or completed. Manages patient cancellations center cancellations (e.g. equipment issues) and additions to schedule in accordance to center scheduling parameters. Printpatientscheduleandpullpatientchartsdaily. + Facilitates the admission process by professionally greeting all patients and visitors and obtain patient identification and insurance information to initiate admissions process. + Assemble file and maintain patient medical records and financial records in a confidential and secure manner + Complete front-end process of billing procedure ensuring all information is entered into the computer registration module. + Performs Insurance Verification process and completes all required processes for prior authorizations or other actions required by payor. + Assistwithpatienttransportationifthepatientqualifiesperthe Company TransportationPolicy. + Ensure appropriate signatures are included on all necessary chart and admissionsdatainaccordancewith FMCNApolicies and procedures. + Ensure accuracy when scanning and filing documents and completes within 24 hours of completed visit including physician reports to referral sources. + Communicate all changes about procedure and insurance which is identified during patient visit to appropriate internal parties and directly to the patient record immediately. + Perform daily encounter checks to assure reporting accuracy. - what is this? + Coordinates collection processing maintenance storage retrieval documentation and distribution of medical records per policy and procedure. + Assures documentation of logs of medical record release. + Provides information to parties engaged in research or study projects involving patient care and utilization of services in accordance with policy. + Oversees the materials going in and out of the office including inventory shipments and deliveries. + Otherdutiesas assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Day to day work includes desk and computer work and interaction with patients facility staff and physicians. **SUPERVISION:** + None **EDUCATION:** + High School Diploma or an equivalent combination of education and experience Associate Degree or higher preferred **EXPERIENCE AND REQUIRED SKILLS:** + 1 - 2 years' related experience preferably in a medical setting with insurance billing. + Proficient in the use of computers and related software such as Microsoft Office is necessary. + Excellentcommunicationskills-verbalandwritten. + Abilitytohandleseveraltaskssimultaneously. + Ability to adapt to supporting software applications. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. **EOE, disability/veterans**

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

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for * Current nursing license in the applicable state. * Confirmation of ability to distinguish all primary colors. * One or more years of current nursing experience preferred. * Previous dialysis nursing experience preferred. Preferred * One or more years of current nursing experience preferred. * Previous dialysis nursing experience preferred. 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!

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!