*UPGRADE IN PROGRESS* -- CareerCircle platform upgrades will occur between Monday June 27th 10PM Eastern Time through Tuesday June 28th 4AM Eastern Time.&nbsp; The system may be intermittently unavailable during this timeframe.&nbsp;&nbsp;

*UPGRADE IN PROGRESS* -- CareerCircle is upgrading its capabilities and as a result the system may be temporarily unavailable as we bring new capabilities and infrastructure online to better serve our members.&nbsp; If you receive an error during this timeframe please bear with us as we're working to improve our system and you may need to retry that operation at a later time.&nbsp; &nbsp;

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: <ul><li>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.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>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.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>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).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> 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. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>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. </li><li>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 </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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Patient Care Technician - PCT - Dialysis

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: <ul> <li> Responsible for driving the FMS culture through values and customer service standards. </li> <li> Accountable for outstanding customer service to all external and internal customers. </li> <li> Develops and maintains effective relationships through effective and timely communication. </li> <li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: <ul> <li> 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. </li> <li> Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. </li> <li> Evaluate vascular access for patency and report any unusual findings to nurse supervisor. </li> <li> Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. </li> <li> Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. </li> <li> Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. </li> <li> Perform administration of Heparin as delegated or as allowed by state law. </li> <li> Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li> <li> Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li> <li> Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. </li> <li> Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li> <li> Discontinue dialysis treatment according to established procedures, </li> <li> Evaluate patient prior to termination of venous access - standing & sitting blood pressure. </li> <li> Obtain Hemostasis and apply appropriate dressings. </li> <li> Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. </li> <li> Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification. </li> <li> Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. </li> <li> Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160. </li> <li> Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. </li> <li> Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li> <li> Report any significant information and/or change in patient condition directly to the nurse supervisor. </li> <li> Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor. </li> <li> Perform and document any intervention for unusual patient status and document patients' response to intervention. </li> <li> 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 nurse supervisor. </li> <li> Obtain all prescribed laboratory testing and prepare specimens for collection. </li></ul> MAINTENANCE/TECHNICAL: <ul> <li> Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. </li> <li> Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. </li> <li> Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. </li> <li> Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). </li> <li> Initiate Solution Delivery System (SDS) system. </li> <li> Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li> <li> Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li></ul> CLERICAL & ADMINISTRATIVE: <ul> <li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li> <li> Enters all treatment data into the designated clinical application accurately and in a timely manner. </li> <li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate. </li> <li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li> <li> Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li> <li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li> <li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> OTHER: <ul> <li> Perform additional duties as assigned. </li></ul> ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: <ul> <li> May assist HT RN on Home Visit as directed </li> <li> Reinforces PD / HHD education under supervision of qualified HT RN </li> <li> Schedules and contacts patients regarding appointments </li> <li> Weigh patient and obtain vital signs </li> <li> Collect treatment records and review for completion. Notify RN of incomplete / missing records. </li> <li> Cleaning and prepping treatment room; prep charts </li> <li> Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) </li> <li> Clerical duties as assigned (faxing, mailing to physician offices etc.) </li> <li> Obtain home hemo water sampling as directed by the HT RN </li> <li> Set-up of the home hemo machine and PD Cycler. </li> <li> Assist with exit site care when directed by HT RN. </li> <li> Warm dialysate solution when directed by the HT RN </li> <li> Draw dialysate solution for testing as directed by the HT RN </li> <li> Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review) </li> <li> Assembles/breaks down charts/thins charts </li> <li> Maintains logs as directed and applicable </li> <li> Inventory of Home Program </li> <li> Maintains par levels of home department supplies </li> <li> Files home patient packing slips/invoices </li> <li> Inventory for Patients </li> <li> Assists patient with supply management and contacting customer service </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. EDUCATION <ul> <li> Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. </li> <li> All appropriate state licensure, education and training (if any) required. </li></ul> EXPERIENCE AND REQUIRED SKILLS <ul> <li> Previous patient care experience in a hospital setting or related facility preferred. </li> <li> Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Patient Care Technician III

PURPOSE AND SCOPE: Functions as a member of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a registered nurse in accordance with Fresenius Kidney Care (FKC) policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists with clinical orientation precepting and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to FKC. Participates in the implementation and evaluation of patient care. Promote and assist in the maintenance of a safe and clean working environment. Supports the FKC commitment to the Quality Enhancement Program (QEP) and Quality Assurance Indicators (QAI) activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED<ul><li>Participates in the recruitment process for new clinical staff.</li><li>Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to FKC.</li><li>Functions as preceptor in direct patient care training programs to support the delivery of quality patient care as per the standards set forth in the FKC Clinical Services Clinical Training Manual(s), FKC policies and procedures, and FKC training standards.</li><li>Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other LPNs and PCTs.</li><li>Collaborates with the Clinical Manager and Education Coordinator in driving FKC quality standards through education regarding all Chronic Kidney Disease (CKD) regulatory and legal requirements and the practice of Continuous Quality Improvement.</li><li>Assists in training of applicable direct patient care staff on appropriate programs.</li><li>Provides coaching and developmental support to applicable clinical and facility staff.</li></ul>Education/Communication:<ul><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations.</li><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.</li><li>Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives.</li><li>Participates in implementing and potentially designs creative educational programs for direct patient care staff including contests and other team-based programs.</li><li>Monitors processes in the delivery of patient care through regular Quality Assurance Indicator (QAI) activities.</li><li>Ensures all FKC business policies, procedures and systems are incorporated into training, including compliance with ethical business practices.</li></ul>PATIENT RELATED: Education: <ul><li> Assists 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. </li></ul> Treatment: <ul><li>Welcomes assigned patients and inquire as to their well-being since their last treatment.</li><li>Evaluates vascular access for patency.</li><li>Obtains necessary pre - and post - treatment vital signs and weight.</li><li>Performs vascular access evaluation pre-treatment.</li><li>Performs vascular access cannulation.</li><li>Performs administration of Heparin, as delegated or as allowed by state law.</li><li>Responsible for the setup and operation of hemodialysis machines. </li><li>Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).</li><li>Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.</li><li>Monitors patients' response to dialysis therapy.</li><li>Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment</li><li>Discontinues dialysis treatment according to established procedures.</li><li>Evaluates patient prior to termination of venous access - standing & sitting blood pressure.</li><li>Obtains Hemostasis and applies appropriate dressings.</li><li>Evaluates the patient prior to discharge.</li><li>Performs and records pre and post dialysis evaluation, weight and vital signs with initial identification.</li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.</li><li>Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.</li><li>Responsible for accurate documentation of information related to patient treatment, including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.</li><li>Reports directly to the nurse supervisor.</li><li>Responsible for reporting and documenting any significant information and/or change in patient condition, all new or unusual incidents, information, complaints, or problems to the nurse supervisor.</li><li>Observes patient, and conducts machine safety checks according to facility policy. Reports any change or unusual findings to the nurse supervisor.</li><li>Performs and documents any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures; provides appropriate intervention as needed, documents and reports any unusual findings to the nurse supervisor.</li><li>Obtains all prescribed laboratory testing and prepare specimens for collection.</li><li>Assists in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet, and medications.</li><li>Assists with all emergency operational procedures.</li><li>Administers medications including intravenous in accordance with physician orders and state nurse practice laws.</li><li>Initiates basic CPR measures in the event of cardiac and/or pulmonary arrest and respond to emergency situations related to dialysis treatment.</li></ul>INFECTION CONTROL SPECIALIZATION:<ul><li>Assists with facility Quality Assurance Indicators (QAI) infection control audits.</li><li>Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee, monitors staff and patient adherence to infection control practices.</li><li>Reinforces new hire employee adherence to infection control Policies and Procedures.</li><li>Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice.</li><li>Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers or bulletin boards.</li><li>Under the direction of the Education Department, participates in education response to internal and external facility surveys.</li><li>Participates in and reinforces infection control education of new patients and families under the direction of the CM or designee.</li></ul>MAINTENANCE/TECHNICAL:<ul><li>Maintains environmental integrity and aesthetics; ensures all areas are safe and clean.</li><li>Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conducts all tasks necessary for preparation for dialysis treatment and document where appropriate.</li><li>Performs all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiates Solution Delivery System (SDS) system.</li><li>Ensures that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.</li><li>Prepares, organizes, and efficiently utilizes supplies and equipment to prevent wastage.</li></ul> RECORD KEEPING: <ul><li> Completes and documents ongoing participation in Quality Assurance Indicators (QAI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Reviews treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate. </li><li> Prepares initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepares lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collects, labels, appropriately prepares and stores lab samples according required laboratory specifications. </li><li> Ensures collection of lab specimens by appropriate lab courier. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> 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. </li><li> 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. </li><li> 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. </li><li> The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. </li></ul> EDUCATION AND LICENSES : <ul><li> Graduate of an accredited School of Practical Nursing (LPN, LVN) </li><li> Current appropriate state licensure </li><li> Attendance and active participation in all applicable preceptor training programs as established by the Regional Education Manager </li><li> Attends FKC and publicly offered skill-based training as assigned by Clinical Manager </li><li> History of high performance as measured by no lower than a commendable performance evaluation rating on reviews with no recent corrective actions </li><li> Participation in our Leading with Values and Patient Experience workshops desired </li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li> At least five years patient care experience in a hospital setting or a related facility preferred </li><li> Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment </li><li> Continued employment is dependent on successful completion of the FKC dialysis training program and successful completion of CPR certification </li><li> Intravenous Certification if required by State Nurse Practice Act </li><li> Excellent communication skills - both verbal and written </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

LPN/LVN Preceptor

POSITION FEATURES: **No Dialysis specific experience required!! Fully paid, on-the-job training is provided!** Clinic Location: 377 W. River Woods Pkwy, Ste 111 Glendale, WI 53212 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: <ul><li>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.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>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.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>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).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> 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. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>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. </li><li>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 </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Patient Care Technician - PCT - Training in Dialysis Provided

Patient Care Technician - PCT

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul> <li> Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. </li> <li> Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. </li> <li> Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department. </li> <li> Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools. </li> <li> Responsible for addressing and acting on adverse events and action thresholds. </li> <li> Oversees facility's Home Therapies Program if applicable. </li> <li> Accountable for compliance with all applicable federal, state and local laws and regulations. </li> <li> Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff. </li> <li> Maintains integrity of medical records and other FMS administrative and operational records. </li> <li> Complies with all data collections and auditing activities. </li> <li> Maintains facility environmental integrity, including safety. </li> <li> Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals. </li> <li> An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function. </li> <li> Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s). </li> <li> Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization. </li> <li> Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers. </li> <li> Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team. </li> <li> Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. </li> <li> Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. </li> <li> Provides technical guidance. </li> <li> Performs other related duties as assigned. PATIENT CARE: </li></ul><ul> <li> Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. </li> <li> Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime. </li> <li> Acts as a resource for the patient to address patient concerns and questions. </li> <li> Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility's Interdisciplinary Team to discuss patient care plans and to resolve patient problems. </li> <li> Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency. </li> <li> Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status. </li> <li> Develops action plans for unexcused and missed treatments in collaboration with the Director. </li> <li> Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. </li></ul> STAFF: <ul> <li> Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. </li> <li> Participates in the recruitment and interview process, and decision to hire new personnel. </li> <li> Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates. </li> <li> Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives. </li> <li> Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities </li> <li> Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance. </li> <li> Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff. </li> <li> Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth. </li> <li> Completes timely employee evaluations and establishes annual goals for staff. </li> <li> Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions. </li> <li> Participates in Corporate and Business Unit specific employee recognition and satisfaction programs. </li> <li> Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility. </li> <li> Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving. </li></ul> PHYSICIANS: <ul> <li> Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. </li> <li> Responsible for strong Director and physician relationships and facilitating staff relationships with physicians. </li> <li> Ensures regular and effective communication with all physicians, through regular meetings with Directors. </li> <li> Participates in Governing Body. </li> <li> Schedules and coordinates CQI meetings with physicians. </li></ul> MAINTENANCE/TECHNICAL: <ul> <li> Responsible for the integrity and safety of the facility water system. </li> <li> Must be knowledgeable in the operation of all facility equipment and technology. </li></ul> ADMINISTRATIVE: <ul> <li> Responsible for maintaining and updating all FMS manuals. </li> <li> Accountable for completion of the Annual Standing Order Review and ICD coding. </li> <li> Checks correspondence whether electronic, paper or voice mail, and responds as appropriate. </li> <li> Directs information gathering as required supporting billing and collection activities. </li> <li> Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies </li> <li> Participates in the completion and interpretation of the Pl-17 inventory supply use analysis. </li> <li> Reviews and approves facility payroll. </li> <li> Reviews profit and loss statements with Director </li> <li> Responsible for participating in all required Network reporting and on-site state or federal surveys. </li> <li> Participates in the completion of the FMS Administrative Clinical Review. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul> <li> 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. </li> <li> 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. </li> <li> Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians </li> <li> Position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li> <li> 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. </li></ul> SUPERVISION: <ul> <li> Responsible for the direct supervision of various levels of staff as designated by region. </li></ul> EDUCATION AND REQUIRED CREDENTIALS: <ul> <li> Bachelor's Degree; Advanced Degree desirable or an equivalent combination of education and experience </li> <li> Graduate of an accredited School of Nursing (RN). </li> <li> Current appropriate state licensure. </li></ul> EXPERIENCE AND SKILLS: <ul> <li> 6 - 8 years' related experience or an equivalent combination of education and experience. </li> <li> 3+ years' supervisory or project/program management experience preferred. </li> <li> Minimum of 12 months experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred. </li> <li> Minimum of 6 months chronic or acute dialysis nursing experience is required. </li> <li> Must be available as a full-time employee and provide on-call coverage when necessary. </li> <li> Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making. </li> <li> Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients. </li> <li> Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Dialysis Clinical Manager Registered Nurse - RN

POSITION FEATURES: Location: Wellstar Kennestone PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related:<ul><li> Provides patient care under the direct supervision of Hemodialysis Registered Nurse for assigned patient(s) in the acute setting excluding Intensive Care Units as permitted by state requirements.</li><li>Performs all technical aspects of dialysis procedures for assigned patients as prescribed to administer and monitor treatments in accordance with current treatment plan under the direction of the Hemodialysis RN. Responsible for reporting and documenting all new and unusual incidences, information, complaints, or problems to the RN. </li><li> Provides treatments for assigned patients as assigned to promote and assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). </li><li>With documented competency and proficiency, the LPN/LVN may set up and prime equipment as directed by the Hemodialysis RN for renal replacement therapies (hemodialysis, continuous renal replacement, and peritoneal dialysis therapies). </li><li> Evaluates vascular access for patency; obtains necessary pre and post treatment vital signs and weight; performs vascular access cannulation as defined by the state and reports any difficulties or unusual findings to the Hemodialysis RN.</li><li>Responsible for accurate documentation of information related to the patient treatment. This information is documented appropriately in the individual patient record to include the hospital Electronic Medical System (EMS) and the Acute Care Electronic System (ACES).</li><li>Responsible for reporting any significant information, change in patient condition, or equipment problems to the Hemodialysis RN.</li><li>Responsible for ensuring appropriate safety alarms are being used for every treatment.</li><li>Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment recorded in the EMS and ACES.</li><li>Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD).</li><li>Collects, labels specimens and ensures timely delivery of laboratory per facility policy.</li><li>Identifies intradialytic problems and provides intervention as prescribed by physician's order or as directed by Hemodialysis RN.</li><li>Performs and documents any interventions for the patient, documents patients' response to intervention, and reports any changes or unusual findings to the Hemodialysis RN.</li><li> Evaluates patient's vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents, discontinues dialysis treatment according to established procedures and reports any unusual findings to the Hemodialysis RN.</li><li> Evaluates patient prior to termination of venous access - obtains blood pressure prior to termination of venous access; obtains hemostasis and applies appropriate dressings; evaluates the patient prior to discharge and reports any unusual findings to the Hemodialysis RN.</li><li>Performs pre and post dialysis evaluation, weight and vital signs with initial identification and reports findings to RN for documentation and any necessary follow up. </li></ul><ul><li>Initiates basic CPR measures in the event of cardiac and/or pulmonary arrest and respond to emergency situations related to dialysis treatment. Responsible for re-enforcing education the patients received by the RN.</li></ul>Technical:<ul><li>Safely operates dialysis related equipment according to the proper procedures.</li><li> Provides trouble shooting when necessary. </li><li> Ensures a clean, safe and sanitary environment in the dialysis facility treatment area.</li><li> Ensures blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Operates all emergency equipment effectively and efficiently in accordance to the standard operation procedures.</li></ul> Staff Related: <ul><li>Participates in staff meetings as scheduled. </li><li>Participates in staff training and orientation of new employees as assigned.</li><li>Acquires information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes.</li></ul> Additional: <ul><li>Performs additional duties as assigned by Program Manager.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li> 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.</li><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. </li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over. </li><li> The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. The 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. </li><li> 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.</li><li> The position requires travel between assigned locations and various locations within the community.</li><li>Travel to meetings may be required. </li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION: <ul><li> Current appropriate state licensure. </li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Minimum of one year medical-surgical nursing experience. Six months of hemodialysis experience preferred but not required.</li><li>Successful completion of a training course in theory and practice of hemodialysis.</li><li>Successful completion of CPR Certification.</li><li> Certified Clinical Hemodialysis Certification preferred or obtained within first year of employment. </li><li> 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. </li><li> Effective communication skills - both verbal and written. </li></ul> . EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Inpatient Licensed Practical Nurse - LPN - Dialysis

Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: <ul><li> Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. </li><li> Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. </li><li> Superior training, UltraCare&reg; quality control, and certification procedures ensure your potential to succeed and advance as a professional. </li><li> Competitive compensation and exceptional benefits. </li><li> Outstanding tuition reimbursement program. </li><li> Recognized among Fortune's World's Most Admired Companies in 2011. </li><li> National Safety Award from CNA insurance companies for 11 consecutive years. </li><li> Opportunities to give back by participating in philanthropy and community outreach programs. </li></ul> PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment. DUTIES / ACTIVITIES : CUSTOMER SERVICE: <ul><li> Responsible for driving the FMCNA culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES: Patient Related: <ul><li> Provide direct patient care for assigned patient(s). </li><li> Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor. </li><li> Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record. </li><li> Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor. </li><li> Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications. </li><li> Assist with all emergency operational procedures. </li><li> Administer intravenous medication in accordance with physician orders and state nurse practice laws. </li><li> Perform and document pre, interim, and post treatment review of patient condition. </li><li> Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment. </li></ul> Technical: <ul><li> Safely operate all dialysis related equipment according to the proper procedures. </li><li> Provide minor troubleshooting when necessary. </li><li> Ensure a clean, safe and sanitary environment in the dialysis facility treatment area. </li><li> Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Operate all emergency equipment effectively in accordance to the standard operation procedures. </li></ul> Staff Related: <ul><li> Participate in staff meetings as scheduled. </li><li> Assist in short term and long term patient care plan meetings. </li><li> Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes. </li><li> Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. </li><li> Other duties as assigned. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility, staff and physicians. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment weighing up to 200lbs., and may lift chemical water solutions of up to 30lbs., up as high as 5 feet. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noises levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: <ul><li>Graduate of an accredited School of Practical Nursing (LPN, LVN)</li><li>Current appropriate State licensure. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>One year medical-surgical nursing experience preferred.</li><li>Hemodialysis experience preferred but not required.</li><li>ICU experience preferred but not required.</li><li>Successfully complete a training course in the theory and practice of hemodialysis.</li><li>Successfully complete CPR Certification.</li><li>Must complete the Nurses Technical Training Program upon hire or soon thereafter.</li><li>Ability to provide coverage at area facilities during times of short-staffing or as required.</li><li>Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.</li><li>Good communication skills, both verbal and written.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Dialysis Outpatient Licensed Practical Nurse - LPN - LVN

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: <ul><li>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.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>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.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li></ul><ul><li></li></ul><ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>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).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> 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. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>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. </li><li>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 </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul>EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul>EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

POSITION FEATURES: Additional Job Description Language Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours PURPOSE AND SCOPE: The 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. <ul><li>Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.</li><li>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.</li><li>Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>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.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.</li><li>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. </li><li>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. </li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> 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.<ul><li>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.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>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. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.</li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>The position may require travel to training sites, other facilities or patient homes.</li><li>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.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. 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:<ul><li> Successful completion of all FKC education and training requirements for new employees.</li><li> Must have a minimum of 12 months experience as a RN.</li><li> Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 1-year experience as a Registered Nurse (preferred)</li><li>Home dialysis therapy experience (preferred).</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. "

Registered Nurse - RN

PURPOSE AND SCOPE: Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: <ul><li> Responsible for driving the FMS culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: <ul><li> 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. </li><li> Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. </li><li> Evaluate vascular access for patency and report any unusual findings to nurse supervisor. </li><li> Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. </li><li> Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. </li><li> Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. </li><li> Perform administration of Heparin as delegated or as allowed by state law. </li><li> Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li> Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li> Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. </li><li> Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li> Discontinue dialysis treatment according to established procedures </li><li> Evaluate patient prior to termination of venous access - standing & sitting blood pressure. </li><li> Obtain Hemostasis and apply appropriate dressings. </li><li> Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. </li><li> Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. </li><li> Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. </li><li> Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160. </li><li> Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. </li><li> Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes. </li><li> Report any significant information and/or change in patient condition directly to the nurse supervisor. </li><li> Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor. </li><li> Perform and document any intervention for unusual patient status and document patients' response to intervention. </li><li> 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 nurse supervisor. </li><li> Obtain all prescribed laboratory testing and prepare specimens for collection. </li></ul> MAINTENANCE/TECHNICAL: <ul><li> Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. </li><li> Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy. </li><li> Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. </li><li> Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). </li><li> Initiate Solution Delivery System (SDS) system. </li><li> Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li> Prepare organize and efficiently utilize supplies and equipment to prevent wastage. </li></ul> CLERICAL & ADMINISTRATIVE: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application accurately and in a timely manner. </li><li> Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. </li><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect label appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> OTHER: <ul><li> Perform additional duties as assigned. </li></ul> ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: <ul><li> May assist HT RN on Home Visit as directed </li><li> Reinforces PD / HHD education under supervision of qualified HT RN </li><li> Schedules and contacts patients regarding appointments </li><li> Weigh patient and obtain vital signs </li><li> Collect treatment records and review for completion. Notify RN of incomplete / missing records. </li><li> Cleaning and prepping treatment room; prep charts </li><li> Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) </li><li> Clerical duties as assigned (faxing mailing to physician offices etc.) </li><li> Obtain home hemo water sampling as directed by the HT RN </li><li> Set-up of the home hemo machine and PD Cycler. </li><li> Assist with exit site care when directed by HT RN. </li><li> Warm dialysate solution when directed by the HT RN </li><li> Draw dialysate solution for testing as directed by the HT RN </li><li> Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) </li><li> Assembles/breaks down charts/thins charts </li><li> Maintains logs as directed and applicable </li><li> Inventory of Home Program </li><li> Maintains par levels of home department supplies </li><li> Files home patient packing slips/invoices </li><li> Inventory for Patients </li><li> Assists patient with supply management and contacting customer service </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs. and on an occasional lift basis up to 40 lbs. as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. EDUCATION <ul><li> Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. </li><li> All appropriate state licensure education and training (if any) required. </li></ul> EXPERIENCE AND REQUIRED SKILLS <ul><li> Previous patient care experience in a hospital setting or related facility preferred. </li><li> Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Patient Care Technician 1

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: <ul><li>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.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>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.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li></ul><ul><li></li></ul><ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>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).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> 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. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>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. </li><li>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 </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. 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 job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. 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. Employee Name (Please Print): Employee Signature: Date: ADDENDUM(S): Home Therapies Program (Not Home Assist) This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN) and in compliance with state laws.<ul><li> May assist HT RN on Home Visit as directed </li><li> Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law </li><li> Schedules and contacts patients regarding appointments </li><li> Weigh patient and obtain vital signs </li><li> Collect patient's treatment records and review for completion. Notify RN of incomplete / missing records. </li><li> Cleaning and prepping treatment room; preparing charts prior to clinic visit </li><li> Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) </li><li> Clerical duties as assigned (faxing, mailing to physician offices etc.) </li><li> Set-up of the home hemodialysis machine and PD Cycler </li><li> Assist with exit site care when directed by HT RN </li><li> Warm dialysate solution when directed by the HT RN </li><li> Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN </li><li> Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review) </li><li> Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements </li><li> Maintains logs as directed and applicable </li><li> Support patient registration and use of connected health </li><li> Provide patient home support as indicated and permissible under state law and applicable regulations </li></ul> Inventory of Home Program <ul><li> Maintains par levels of home department supplies </li><li> Files home patient packing slips/invoices </li></ul> Inventory for Patients <ul><li> Assists patient with supply management and contacting customer service </li></ul> Employee Name (Please Print): Employee Signature: Date: EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li>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.</li><li>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.</li><li>Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>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.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> 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.<ul><li>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.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>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.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position may require travel to training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>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.</li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Outpatient RN

Electrical Engineer - 1 Year Contract Tulsa, OK - Must live within a drivable distance Are you interested in being part of an innovative team that supports Westinghouse's mission to provide clean energy solutions? At WECTEC Staffing Services, a wholly-owned subsidiary of Westinghouse Electric Company LLC, we recognize that our employees are our most valuable asset and we seek to identify, attract and recruit the most qualified talent while recognizing and encouraging the value of diversity in the global workplace. Your Day-To-Day: Job Summary: Responsible to the assigned supervisor for performing entry level engineering work activities and projects requiring the application of engineering knowledge in a safe, effective, efficient, and economic accomplishment of assigned objectives. Essential Job Functions & Tasks: <ul> <li> Technical Expertise: Possesses entry-level knowledge and experience in the application of theory to solve well-defined problems or provide analysis, with guidance from higher-level engineers. Assists higher-level engineers in handling well-defined portions of more complex problems and analyses. Exhibits fundamental understanding of standards, codes, and regulations relevant to the area of assignment. Gains familiarity with standards, codes, and regulations relevant to the area of assignment. Gains familiarity with pertinent equipment, materials, systems, and business processes. </li> <li> Leadership & Guidance: Coordinates work activities of others as required to resolve routine engineering tasks. Demonstrates working knowledge of appropriate policies and procedures; however, activities are generally monitored by higher-level employees to ensure work is performed in accordance with established guidelines. Performs work activities as assigned and coached by higher-level employees. Demonstrates ability to work with others in both supplying information and seeking assistance as necessary. Demonstrates willingness and capabilities to assume leadership roles. </li> <li> Planning & Organization Ability: Provides input to routine project planning documents related to scheduling and understands the use of scheduling techniques (CPM, PERT, flow charts, etc.) for budget and planning activities. Monitors project status and recommends action accordingly. Prepares cost estimates using established standards. Develops understanding of the workflow for routine engineering projects. Accomplishes work according to plans and schedules established by higher-level employees. </li> <li> Problem Solving & Initiative: Actively seeks out information and understanding of engineering problems and solution techniques applicable to area of responsibility. Applies basic techniques to perform analysis associated with the resolution of routine technical problems. Uses initiative in looking for opportunities and presenting new ideas and new approaches. </li> <li> Communication: Assists and participates in the preparation of reports and technical papers. Assimilates information and instructions readily. Communicates effectively, both verbally and in writing and presents ideas clearly. Listens to and understands instructions, and requests clarification as required. </li> <li> Interpersonal Skills: Begins networking with peers to share information and encourage cooperation. Understands the agendas and perspectives of others. Develops effective give-and-take relationship. Demonstrates the ability to be a team player. Relates to people in an open, friendly, and sincere manner. </li> <li> Decision Making: Knows which decisions they are authorized to make. Develops decision-making skills under guidance of higher-level employees and makes routine decisions subject to review and contributes to team decision-making. </li> <li> Business Awareness & Characteristics: Demonstrates an attitude and desire to listen to and satisfy both internal and external customers who use and depend upon their organizational unit's work. Applies economic analysis techniques in problem solving. Pursues effective ways to protect and enhance the environment while providing reliable electricity at a competitive cost. Active participation in professional and business organizations is encouraged. Develops an understanding of the roles and responsibilities of the department. </li> </ul> Who You Are: Minimum Requirements: This is an entry level position for new graduates with a bachelor's degree in engineering in a program accredited by ABET*; Passing the Fundamentals of Engineering examination in preparation for future licensing as a Professional Engineer (PE) is encouraged and preferred. *ABET - Engineering Accreditation Commission of the Accreditation Board for Engineering and Technology. Acceptable alternatives are (1. a bachelor's degree in engineering (non-ABET), plus a Professional Engineers (PE) license in any state of the U.S. or (2. a bachelor's degree in engineering (non-ABET) plus a Master's degree or PhD in engineering from a university with an ABET accredited Bachelor's program. Monday and Tueday in the office. Why WECTEC Staffing Services? WECTEC Staffing Services provides customer-focused solutions with offerings ranging from high-volume and low-cost to specialized niche solutions, never compromising on delivering best-in-class customer service to both our clients and our employees each day. WECTEC Staffing Services offers competitive pay to all of our employees. Additionally, most positions qualify for benefits including the following: <ul> <li> Competitive Pay </li> <li> Comprehensive Health and Income Protection Benefits </li> <li> 401(k) Savings Plan </li> <li> Paid Vacations for Qualifying Positions </li> </ul> EOE of Minorities / Females / Vets / Disability. WECTEC Staffing Services continues to successfully place professional and technical resources into key roles globally. You can learn more by visiting www.wectecstaffing.com EOE of Minorities / Females / Vets / Disability. You can submit your completed application, and also explore other available options, using the following link: https://www.jobs.net/jobs/wectec/en-us/ Get connected with WECTEC Staffing Services on social media: LinkedIn Employment opportunities may require access to information which is subject to the export control regulations of the United States. Hiring decisions for such positions are required by law to be made in compliance with these regulations. Applicants for employment opportunities in other countries must be able to meet the comparable export control requirements of that country and of the United States.

Electrical Engineer - Tulsa, OK

Description Leidos is seeking full-time Customer Service Representatives at our FHA Resource Center in Albuquerque, NM. Our Leidos Customer Service team supports the US Department of Housing and Urban Development (HUD), Office of Single-Family Housing in their Mission to create strong, sustainable, inclusive communities and quality affordable homes for all. As a Customer Service Representative, you will assist renters, tenants, and property managers by providing resources and referrals to meet their rental needs. You may also assist homebuyers and homeowners with requests related to purchasing and owning a home. This is a great opportunity to gain knowledge of HUD rental assistance programs and to learn about FHA Housing Administration (FHA) mortgage programs through ongoing training while delivering excellent customer service to connect others with program resources. Customer Service Representative Opportunities available: <ul><li>9:30 am - 6:00 pm MT in Albuquerque, NM (subject to change based on customer needs)</li><li>Bilingual (English & Spanish)</li></ul>As a Customer Service Representative, you will:<ul><li>Reply to calls and emails from the public on housing and FHA mortgages</li><li>Utilize knowledge base and follow Standard Operating Procedures (SOPs) to answer customer requests</li><li>Deliver excellent customer service in a high-volume call center, including responding to customer complaints</li><li>Document customer email and phone communications within an internal database.</li></ul>To be a successful Customer Service Representative, you will possess:<ul><li>The capability to navigate multiple computer systems and applications, and utilize search tools to provide information to our clients</li><li>Excellent time management skills and dependability</li><li>Experience with MS Office (Outlook, Word, Teams)</li><li>Strong written and verbal communication skills including telephone etiquette</li><li>Keyboarding proficiency of at least 40 words per minute</li></ul>Required Qualifications:<ul><li>High School diploma or General Educational Development (GED) certificate</li><li>Minimum of 2 years of contact center experience or telephone customer service experience. </li><li>Ability to successfully obtain a Public Trust Security clearance, which includes a credit check and background investigation</li></ul>Preferred Qualifications:<ul><li>Bilingual (English & Spanish) verbal and written</li><li>Call Center (Omnichannel) background</li><li>Experience in rental property management or mortgage servicing, including handling complaints</li></ul>Join our team and enjoy Leidos employee benefits, including:<ul><li>Paid Time Off (PTO) accrued based on Leidos policy, up to 3 weeks per in the first year</li><li>Ten paid holidays per year</li><li>Access to benefits on the first day of employment (medical & dental insurance, 401K, Life, AD&D, Voluntary Disability plans)</li><li>Ongoing training opportunities to foster professional development </li><li>Tuition reimbursement based on Leidos policy</li><li>Gym membership reimbursement</li><li>Diversity and Inclusion Employee Resource Groups</li></ul>Leidos is a global leader providing solutions to make the world safer, healthier, and more efficient through technology, engineering, and science. Our company believes in engaging, developing, and empowering our diverse and valued people to foster a culture of creativity and growth. **The pay for this position is $17.00 per hour. ** This position is covered under the Service Contract Act and is subject to minimum wage demands as well as the minimum Health and Welfare benefits. Leidos ensures that all provisions are met through their wages and benefits. HUDFHA Original Posting Date: 2024-05-18 While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range: Pay Range - The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Customer Service Representative

Description The selected individual will be responsible for maintaining system administration support activities for a large complex network environment with geographically distributed systems. The position entails supporting solutions for system engineering requests that continues to meet operational needs as well as upgrading and maintaining capabilities. The selected candidate must be comfortable working in a fast-paced environment with multiple air-gapped systems which have individual domains, supporting infrastructure, and maintaining a complex IT environment with multiple logins and associated supporting storage and network infrastructure. The position requires an energetic, focused, and driven individual who can adapt well to a changing environment. Ideally, the selected candidate will possess strong system administration skills and troubleshooting skills or adapt quickly and complete various system administration network-centric undertakings. Primary Roles and Responsibilities: This individual will be responsible for installing and administrating systems, applications, and processes, and for ensuring that all issues are identified and resolved in a timely manner. He/she will be responsible for ensuring server and desktop configurations are optimized and running continuously and efficiently. The individual will also perform security management and application performance optimization functions. Additional responsibilities may include:<ul><li>Administration/sustainment of a system that provides a web-based application for storing, sharing, and distributing information.</li><li>Creating and maintaining complex server enclaves, including analyzing system scanning reports, patching, cert renewals, vulnerability management assessments, and active directory configurations.</li><li>Identifying and correcting hardware and software issues.</li><li>Responding to system administration, operations, and maintenance problems and developing re-work solutions.</li><li>Creating and maintaining documentation of complex server/network environments to ensure that clear, concise and accurate information is readily available for incident resolution.</li><li>Communicating with users and external support personnel regarding system outages and upgrades and conferring with upper management regarding recommended resolution options.</li></ul> Security Clearance Requirement: <ul><li>All candidates must possess an active TS/SCI with polygraph security clearance to be considered for this role.</li></ul> Required Qualifications: <ul><li>Bachelor's degree in system engineering, Computer Science, Information Systems, Engineering Science, Engineering Management, or a related technical field and at least twelve (12) to fifteen (15) years of relevant experience.</li><li>Must have experience as a systems administrator providing direct support to end users and technical staff (Developers, Testers, etc.).</li><li>Must be proficient with Windows Server 2012R2, 2016, 2019, and Active Directory.</li><li>Must have experience with Linux and Microsoft-based servers and workstations.</li><li>Must have experience with Windows 2019.</li><li>Must have experience with OS and Application Hardening to include DISA, Best Practices, and High Assurance environments.</li><li>Must have experience with software/hardware deployment, patches, and operating systems, basic system backup and restore functions.</li><li>Must have experience with and/or be familiar with SALT, Ansible, Splunk, Puppet, SolarWinds, Nessus.</li><li>Must have experience with and/or have knowledge of Red Hat 7 and 8, and VMWare.</li><li>Must have experience with Apache Tomcat, IIS, and/or SQL server database experience.</li><li>Must have experience documenting and providing information for security accreditation and certification. Understanding of advanced security protocols and standards. Experience with Network Security Technologies (e.g. Multiple Domain, PKI, SSP, and Vulnerability Assessment).</li><li>Must have experience with High Assurance platforms and application integration testing methods.</li><li>Must have experience with both Client and Server virtualization environments.</li><li>Must be able to lift up to 50 lbs.</li><li>Must have experience with installation, configuration, troubleshooting, reimaging hardware.</li><li>Must have experience with disk arrays, PowerShell and PowerCLI, KVMs,</li><li>Must have knowledge of PKI systems which uses HSMs to validate key and NTP for synchronization.</li><li>Must have experience optimizing system operations.</li><li>Must have a solid understanding of information security principles and practices.</li><li>Must have experience with or familiarity with software and security architectures.</li><li>Must have experience or familiarity with the following systems: Windows/Linux operating systems, VMware, and Networking: Switches, Routers, LANs, & cabling.</li><li>Must be able to support occasional day or short duration travel, if needed.</li></ul> Preferred Qualifications: <ul><li>Proficiency with SQL Server desired.</li></ul>CSSKEY CONMD careers.leidos.com/CONMD Original Posting Date: 2024-05-17 While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range: Pay Range $108,550.00 - $196,225.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Senior Systems Administrator

Description The RF & Intelligence Solutions Department, a Leidos Dynetics team located in Huntsville, AL, is seeking a talented Electrical or Computer Engineer to collaborate with a diverse team to create unique solutions for complex problems. With offices across the United States engaging in the defense, space, cyber and commercial fields, Leidos Dynetics provides responsive, cost-effective engineering, scientific and IT solutions. Primary Responsibilities The RF & Intelligence Solutions Department is a team of engineers who specialize in testing foreign threat radar systems, RF software-in-the-loop (SIL) and hardware-in-the-loop (HWIL) simulators, and open-air radar development. The candidate selected for this position will support projects for the Defense Intelligence Community, Air Force, and large prime contractors. Project assignments could be focused in one or multiple of the following areas:<ul><li>Development and maintenance of MATLAB scripts to automate testing of simulated radar and missile models in both software-based and hardware-in-the-loop configurations in a variety of environments including Windows, Linux, and hard real-time operating systems.</li><li>Development of MATLAB and C++ custom graphical user-interface tools to support simulation control and real-time visualization of simulation results.</li><li>Development and upkeep of testing procedures and user documentation for customer and internal use.</li><li>Creation of deployable professional software deliveries with supporting documentation including version descriptions, test results, and robust installation tools.</li><li>Collaboration with external customers to elicit requirements and define project goals.</li><li>Collaboration with cross-department teams to develop, validate, deliver, and sustain emulated software-based and hardware-based foreign radar threat systems</li></ul>Basic Qualifications<ul><li>Candidate must possess a Bachelor's (or Master's) Degree from an ABET accredited school in Electrical Engineering or Computer Engineering (or anticipate graduating in one of these majors within the next 3 months) with 0-3 years of relevant experience.</li><li>3.5 GPA or higher</li><li>Candidate must be a US Citizen and possess (and be able to maintain) a Final Secret Clearance or meet the eligibility to obtain (and maintain) a Secret Clearance.</li><li>Must have familiarity with MATLAB and a proficient background in coding</li><li>A background in C++ or object-oriented coding</li><li>Candidate must demonstrate relevant skills in one or more of the focus areas, have good interpersonal skills, and have the desire to work in a highly focused technical team.</li><li>Candidate should be able to apply academic background to the development, improvement, and maintenance of scripts, procedures, and user interfaces used to test Radar Foreign Threat Models.</li><li>Candidate should be able to apply engineering concepts to the development, debugging, or utilization of C++ coded software models.</li></ul>Preferred Qualifications<ul><li>Familiarity with Microsoft Visual Studio, Atlassian products (JIRA, Bitbucket, Confluence), Git, Bash or PowerShell Scripting, Microsoft Office, or Jenkins.</li><li>Familiarity with SCRUM, RF, radar, drafting test procedures and documentation.</li><li>Familiarity using testing equipment such as an Oscilloscope, Spectrum Analyzer, and Power Meter.</li></ul>Original Posting Date: 2024-05-17 While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range: Pay Range $53,950.00 - $97,525.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Electrical or Computer Engineer - Hardware/Software-in-the-Loop Testing - Entry Level

Description Leidos' Health Solutions Operation is seeking a dynamic, mission-centric hands-on Technical Deputy Program Manager (DPM) to support a federal agency's large, mission-critical enterprise program supporting P/L and 100+ person program. Candidate must be local to the DC Metro area for frequent onsite meetings in DC/Rockville, MD area. As a Technical eputy Program Manager, you will be accountable for directing customer support services, engineering, program management/ Project Management Office (PMO) and strategic support activities across all aspects of the program, including Digital Modernization, Data driven, Service Desk, Deskside/ White Glove Services, systems engineering, Low Code/ No Code, DevSecOps, Automation, Hybrid cloud infrastructure, and cybersecurity, engineering areas of the program. The DPM will have broad IT experience and deep understanding of IT management and engineering management processes, cost estimating, business acumen, project management, all aspects of ITSM, and make recommendations and advise on organization-wide system improvements and optimization. The DPM will work with the Program Manager (PgM) taking the lead on technical efforts, working closely with the client to develop technical plans. The successful candidate should have a technical background as a CTO or CIO and be collaborative, analytical, innovative thinker with strong problem-solving and in charge of information technology initiatives and strategy skills to deliver the best solutions in support of the customer's mission. The candidate must possess strong communications skills and the demonstrated ability to convey technical concepts to non-technical audiences. Primary Responsibilities<ul><li>The DPM guides all technical tasks during program startup and implementation, including establishing the engineering team for contract execution.</li><li>Works closely with the Leidos Program Leads and Deputy Program Manager to provide services and projects that adhere to quality, SLAs, schedule and budget.</li><li>Works closely with the client Program Office and other customer management at the most senior levels regarding IT strategy, contractual requirements, and service delivery.</li><li>Serves as the technical lead on large, complex projects and providing technical advice/input that impact successful contract execution.</li><li>Provide technical, managerial, and administrative direction for problem definition, analysis, requirements development, and implementation for complex to extremely complex systems in the subject matter area.</li><li>managing IT staff and developing department goals;</li><li>developing and overseeing the IT budget;</li><li>planning, deploying and maintaining IT systems and operations ;</li><li>developing IT policies, procedures and best practices</li><li>staying updated on IT trends and emerging technologies;</li><li>developing and enforcing IT best practices across the organization;</li><li>ensuring IT strategies and processes support agency wide goals;</li><li>overseeing relationships with vendors, contractors and service providers; and</li><li> explaining to the board of directors and other executives the benefits and risks of new IT-related projects.</li><li>Oversee reporting of performance, execution data and information on a periodic basis to address client concerns</li><li>Mentor and coach other technical staff. Works with customer and program office to achieve success.</li><li>Able to travel to client sites (in Washington, DC area) as needed for onsite support and critical meetings.</li></ul>Basic Qualifications<ul><li>PMP Certification and a Masters' degree is required</li><li>Have a minimum of 8 years of experience and experience managing large-scale projects/ program(s).</li><li>Have hands on experience driving digital transformation and data driven projects.</li><li>Experience within Federal Government, such as DHS, DARPA, FDA, NIH, or HHS.</li><li>Serve as the contact for the Government COR. Manage staff in the performance of the required work, assign tasks and deadlines. </li><li>Active Public Trust Clearance or ability to obtain a Public Trust Clearance</li></ul>Preferred Qualifications/Skills<ul><li>ITIL certification (or ability to obtain within 3 months)</li></ul>Original Posting Date: 2024-05-17 While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range: Pay Range $122,200.00 - $220,900.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Technical Deputy Program Manager (DPM)

Description Leidos' Health Solutions Operation is seeking a dynamic, mission-centric hands-on Technical Program Manager (PgM) to support a federal agency's large, mission-critical enterprise program supporting P/L and 100+ person program. Candidate must be local to the DC Metro area for frequent onsite meetings in DC/Rockville, MD area. As a Technical Program Manager, you will be accountable for directing customer support services, engineering, program management/ Project Management Office (PMO) and strategic support activities across all aspects of the program, including Digital Modernization, Data driven, Service Desk, Deskside/ White Glove Services, systems engineering, Low Code/ No Code, DevSecOps, Automation, Hybrid cloud infrastructure, and cybersecurity, engineering areas of the program. The PgM will have broad IT experience and deep understanding of IT management and engineering management processes, cost estimating, business acumen, project management, all aspects of ITSM, and make recommendations and advise on organization-wide system improvements and optimization. The PgM will work with the Portfolio Director taking the lead on technical efforts, working closely with the client to develop technical plans. The successful candidate should have a technical background as a CTO or CIO and be collaborative, analytical, innovative thinker with strong problem-solving and in charge of information technology initiatives and strategy skills to deliver the best solutions in support of the customer's mission. The candidate must possess strong communications skills and the demonstrated ability to convey technical concepts to non-technical audiences. Primary Responsibilities<ul><li>The PgM guides all technical tasks during program startup and implementation, including establishing the engineering team for contract execution.</li><li>Works closely with the Leidos Program Leads and Deputy Program Manager to provide services and projects that adhere to quality, SLAs, schedule and budget.</li><li>Works closely with the client Program Office and other customer management at the most senior levels regarding IT strategy, contractual requirements, and service delivery.</li><li>Serves as the technical lead on large, complex projects and providing technical advice/input that impact successful contract execution.</li><li>Provide technical, managerial, and administrative direction for problem definition, analysis, requirements development, and implementation for complex to extremely complex systems in the subject matter area.</li><li>managing IT staff and developing department goals;</li><li>developing and overseeing the IT budget;</li><li>planning, deploying and maintaining IT systems and operations;</li><li>developing IT policies, procedures and best practices</li><li>staying updated on IT trends and emerging technologies;</li><li>developing and enforcing IT best practices across the organization;</li><li>ensuring IT strategies and processes support agency wide goals;</li><li>overseeing relationships with vendors, contractors and service providers; and</li><li>explaining to the board of directors and other executives the benefits and risks of new IT-related projects.</li><li>Oversee reporting of performance, execution data and information on a periodic basis to address client concerns</li><li>Mentor and coach other technical staff. Works with customer and program office to achieve success.</li><li>Able to travel to client sites (in Washington, DC area) as needed for onsite support and critical meetings.</li></ul>Basic Qualifications<ul><li>PMP Certification and a Masters' degree is required</li><li>Have a minimum of 15 years of experience and experience managing large-scale projects/ program(s).</li><li>Have hands on experience driving digital transformation and data driven projects.</li><li>Experience within Federal Government, such as DHS, FDA, NIH, or HHS.</li><li>Serve as the contact for the Government COR. Manage staff in the performance of the required work, assign tasks and deadlines. </li><li>Active Public Trust Clearance or ability to obtain a Public Trust Clearance</li></ul>Preferred Qualifications/Skills<ul><li>ITIL certification (or ability to obtain within 3 months)</li></ul>Original Posting Date: 2024-05-17 While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range: Pay Range $122,200.00 - $220,900.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

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