*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: 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> 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. 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. "

public

Registered Nurse - RN

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></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 Registered Nurse - RN Bloomington (Will Train)

PURPOSE AND SCOPE: Functionsas part of the Inpatient Services Hemodialysis Health Care team in providing safe and effective dialysis therapy for assigned patients inaccordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federalagencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Providespatient care under the directsupervision of Hemodialysis Registered Nurse for assignedpatient(s) in the dialysissuite in the acutesetting; excluding Intensive Care Units.<ul><li>Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.</li><li>Promotes andassists in themaintenance of a safe and cleanworking environment. Supportsthe FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patientsatisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achievethe FKC Quality Enhancement Goals (QEP).</li><li>With documented competency and proficiency may set up and prime equipment as directed by the FreseniusNurse for renal replacement therapies(hemodialysis, continuous renal replacement and peritoneal dialysis therapies).</li><li>Will be responsible for assuring the dialysis machine hasbeen set up, tested and found to be safe fordialysis treatment in accordance with manufacturer instructions for use and company policy and procedures.</li><li>Welcomes assignedpatients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN.</li><li>Obtains necessary pre and post treatment vital signs and weight. Reportsunusual findingsto FMCNA RN.</li><li>Reports any difficulties in cannulation to FMCNA RN as permitted by state requirements; or unusual findings to FMCNA RN.</li><li>Responsible for accuratedocumentation of information related to the patienttreatment. 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 calculating and entry of individual patients'dialysis machineprogramming for Ultrafiltration (UF) goal; treatmenttime; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>Responsible for ensuringappropriate safety alarmsare enabled including narrowvenous limits (NVL 160).</li><li>Collects, labels specimens and ensurestimely delivery to laboratory per facilitypolicy.</li><li>Evaluates intradialytic problemsand provides intervention as prescribedby physician's order or as directedby FMCNA RN. Monitorspatient's responseto dialysis therapyand report any unusual findingsto FMCNA RN.</li><li>Obtains vital signs prior to reinfusion; performing all relevant functionsnecessary for the discontinuation of treatment- documentation.</li><li>Reports any change or unusual findingsto FMCNA RN.</li><li>Evaluates patient prior to termination of venousaccess - standing and sitting blood pressures prior to termination of venousaccess. Obtains hemostasis and appliesappropriate dressings. Evaluates the patientprior to dischargeand reports any unusualfindings to the FMCNA RN</li><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li>Assist with various projectsas assigned by direct supervisor or supervising RN.</li><li>Other duties as assigned.</li></ul>Additional responsibilities may include focuson one or moredepartments or locations. See applicable addendum for department or locationspecific functions. 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 functionsof this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> Day-to-day work includes personalcomputer work while standingand sitting, interaction with patients, facility staff and physicians. </li><li> The position requires travel between assignedfacilities and variouslocations within the community. </li><li> The work environment is characteristic of a healthcare facility with air temperature control and moderatenoise levels. </li><li> May be exposedto infectious and contagious diseases/materials. </li><li> The position providesdirect patient care that regularlyinvolves heavy liftingand moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provideassistance. </li><li> This position requires frequent,prolonged periodsof standing and the employee must be able to bend over. The employeemay occasionally be required to assist in moving machinesand equipment of up to 200 lbs., and may lift chemicaland water solutions of up to 30 lbs. up as high as 5 feet. </li><li> There is a two-person assist program and material assist devices for the heavier items. </li></ul> EDUCATION: <ul><li> High School Diploma required </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> None required. At least 6 months' experience is preferred in relatedField (EMT, SurgicalTechnicians, Army, Phlebotomists, and technicians). </li><li> Must obtain CCHT within 18 monthsof hire. </li><li> Effective communication skills - both verbaland written. </li><li> Employees are required to take the Ishihara's ColorBlindness test as a conditionof employment. Note that: Failing the Ishihara Test for Color Blindnessdoes not preclude employment. The Company will consider whetherreasonable accommodations can be made. </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.

PURPOSE AND SCOPE: As the Patient Services Coordinator, this position coordinates scheduling, pre-procedure communication, medical record documents, EMR demographic data entry, requirements for payers and Revenue Cycle, greets patients and answers multi-line telephone and fax. PRINCIPALDUTIES ANDRESPONSIBILITIES <ul><li> Schedule and input all appointments scheduling module in a timely and efficient manner. Assure all pre-procedure/preoperative activities are scheduled or completed. Manages patient cancellations, center cancellations (e.g. equipment issues) and additions to schedule in accordance to center scheduling parameters. Print patient schedule and pull patient charts daily. </li><li> Facilitates the admission process by professionally greeting all patients and visitors and obtain patient identification and insurance information to initiate admissions process. </li><li> Assemble, file and maintain patient medical records and financial records in a confidential and secure manner </li><li> Complete front-end process of billing procedure ensuring all information is entered into the computer registration module. </li><li> Performs Insurance Verification process and completes all required processes for prior authorizations or other actions required by payor. </li><li> Assist with patient transportation if the patient qualifies per the Company Transportation Policy. </li><li> Ensure appropriate signatures are included on all necessary chart and admissions data in accordance with FMCNA policies and procedures. </li><li> Ensure accuracy when scanning and filing documents and completes within 24 hours of completed visit, including physician reports to referral sources. </li><li> Communicate all changes about procedure and insurance which is identified during patient visit to appropriate internal parties and directly to the patient record immediately. </li><li> Perform daily encounter checks to assure reporting accuracy. - what is this? </li><li> Coordinates collection, processing, maintenance, storage, retrieval, documentation, and distribution of medical records per policy and procedure. </li><li> Assures documentation of logs of medical record release. </li><li> Provides information to parties engaged in research or study projects involving patient care and utilization of services in accordance with policy. </li><li> Oversees the materials going in and out of the office, including inventory, shipments, and deliveries. </li><li> Other duties as assigned. </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> 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> Day to day work includes desk and computer work and interaction with patients, facility staff and physicians. </li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION: <ul><li> High School Diploma or an equivalent combination of education and experience, Associate Degree or higher preferred </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> 1 - 2 years' related experience, preferably in a medical setting with insurance billing. </li><li> Proficient in the use of computers and related software such as Microsoft Office is necessary. </li><li> Excellent communication skills - verbal and written. </li><li> Ability to handle several tasks simultaneously. </li><li> Ability to adapt to supporting software applications. </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.

Front Desk Coordinator Surgery Center

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.

Patient Care Technician I

Outpatient Dialysis Patient Care Technician

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

Patient Care Technician 1

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 Clinic Licensed Practical Nurse - LPN - Will Train

PURPOSE AND SCOPE: Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and development programs including new employee orientation, preceptor training, facility specific in- services, and clinical, quality, and customer service training programs to promote quality patient care, and achieve Area, Regional and/or Enterprise wide initiatives & goals. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Aligns with regional, group, and corporate, business-related goals through all activities and actions. </li><li> Adheres to standards and scope of nursing practice, company policy, procedures, compliance, regulatory, legal, and ethical, requirements. </li><li> Focuses all programs towards achieving a culture of patient safety, clinical quality goals, and improving patient outcomes, using company and industry guidelines and standards. </li><li> Develops competency and skills to educate personnel in all chronic kidney disease treatment programs. </li><li> Empowers and promotes a culture of lifelong learning through professional programs, coaching, and available technologies. </li><li> Collaborates with relevant partners at all levels to schedule, provide, and implement education programs, technologies, and processes for new and current personnel. </li><li> Utilizes appropriate educational venues and generational learning techniques to deliver, support, and evaluate training. </li><li> Partners in the implementation of action plans through to resolution, as appropriate. </li><li> Uses facilitation techniques and the variety of tools and resources available to promote immersive, engaging, learning experiences. </li><li> Develops and maintains open, effective, and timely communication with internal and external customers such as, but not limited to, company management and facility team, government agencies, physicians, hospitals, and contracted travel personnel. </li><li> Demonstrates leadership competencies, excellent communication, customer service, continuous quality improvement, relationship development, critical thinking, team building, motivating employees, performance management, and decision- making skills. </li><li> Supports metric / KPI programs, with timely and complete data documentation, reporting, and ongoing quality improvement processes. </li><li> Maintains knowledge of products, services, and strategies to support and train staff appropriately in all modalities. </li><li> Perform other related duties as assigned. </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. <ul><li> Day to day work includes desk and personal computer work and interaction with patients, Regional and facility/program employees and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, departmental, 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> This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. </li><li> May be asked to provide essential functions of this position in other locations which may include overnight stays, with the same physical demands and working conditions as described above. </li></ul></li><li> This position requires between approximately 35-80% travel </li></ul> SUPERVISION: <ul><li> None </li></ul> EXPERIENCE AND SKILLS: <ul><li> Associate or Bachelor's degree from an accredited School of Nursing. </li><li> Advanced degree BSN or MSN (preferred) </li><li> Current appropriate RN state licensure in primary state of residence </li><li> Obtain and maintain RN state licensure in assigned states as directed </li><li> Must meet the practice requirements in the state of employment </li><li> Minimum 1-year dialysis experience as a Registered Nurse </li><li> CDN or CNN (preferred) or must attain within 18 months of employment </li><li> Successful completion and maintenance of CPR BLS (Basic Life Safety) Certification, all annual and ongoing required education / training / competencies. </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.

Clinical Consultant (Per Diem FL/GA)

Dialysis Clinic Patient Care Technician

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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> As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.</li> <li>Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff.</li> <li>Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.</li> <li>Adjusts or modify the treatment plan as indicated and notify supervisor as needed.</li> <li>Provides initial and ongoing education to patient and family.</li> <li>Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.</li> <li>Initiates or assist with emergency response measures.</li> <li>Ensures correct laboratory collection, processing, and shipping procedures are performed.</li> <li>Collaborates with the Interdisciplinary Team on the patient care plan.</li> <li>Ensures patient awareness related to transplant and treatment modality options.</li> <li>Completes CAP requirements to either maintain or advance within the program.</li> <li>Makes referrals to Social Worker and Registered Dietitian as appropriate.</li> <li>Ensures patient awareness related to transplant and treatment modality options.</li></ul> EDUCATION AND LICENSURE : &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification. &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS : &bull; Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. &bull; Experience as a Registered Nurse (preferred but not required). &bull; Chronic/acute hemodialysis experience (preferred but not required). &bull; Successfully pass the Ishihara Color Blind Test. 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. &bull; 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. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; 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. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position may require travel to training sites or other facilities. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. 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 Registered Nurse - RN

PURPOSE AND SCOPE: 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). 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 FMS. </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 FMS Clinical Services Clinical Training Manual(s) FMS policies and procedures and FMS training standards. </li><li> Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's. </li><li> Collaborates with the Clinical Manager and Education Coordinator in driving FMS quality standards through education regarding all ESRD 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 PCT staff including contests and other team-based programs. </li><li> Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed. </li><li> Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities. </li><li> Ensures all FMS business policies procedures and systems are incorporated into training including compliance with ethical business practices. </li></ul> PATIENT RELATED: Education: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access. Treatment: <ul><li> Welcome assigned patients and inquire as to their wellbeing since their last treatment. </li><li> Evaluate vascular access for patency. </li><li> Obtain necessary pre and post treatment vital signs and weight. </li><li> Perform vascular access evaluation pre-treatment. </li><li> Perform vascular access cannulation. </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. </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 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; 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> INFECTION CONTROL SPECIALIZATION: <ul><li> Assists with facility 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 Dept. 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> 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> 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 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> 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 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. 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> High School diploma or G.E.D. Bachelor's degree preferred. </li><li> Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or must meet 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 FMS culture values and customer service standards. </li><li> Attendance and active participation in all applicable preceptor training programs as established by the Regional Directors of Education. </li><li> Attends Fresenius 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 rating on reviews with no recent corrective actions. </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> 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 - PCT

About this role: As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will w ork with the health care team to promote positive adjustment, rehabilitation, and improved quality of life for our patients. As well as support the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient and family. How you grow or advance in your career: We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a social work specific career ladder ranging from pre-licensed (in states where permitted), to three potential levels of facility social work, as well as a leadership path from Social Worker to Manager, Senior Manager and Senior Director. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: As a member of the nephrology health care team , you will assess the patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. <ul><li> Collaborates with the patient and health care team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. </li><li> Utilizes patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of the assessment and care planning to address barriers and meet patient treatment goals. </li><li>Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.</li><li> Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. </li><li>Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.</li><li> Provides information and assists the team and patient with referrals to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. </li><li> Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. </li><li> Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. </li><li> Participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. </li><li> Reports on quality indicators related to adherence, such as missed and shortened treatments, quality of life trends, and service recovery. </li><li> Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. </li><li> Provides educational and goal directed counseling to patients who are seeking transplant. </li><li> Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. </li><li> Provides ongoing education to patient/family regarding psychosocial issues related to end stage renal disease (ESRD) and all support services that are available. </li><li> Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. </li><li> Provide training to clinic staff pertaining to psychosocial topics as needed. </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li> Masters in Social Work </li><li> Must have state required license </li></ul> EXPERIENCE AND SKILLS :<ul><li> 0 - 2 years' related experience </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>Travel required (if multiple facilities or home visits, if applicable)</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. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills and competencies and may fall outside of the range shown. Annual Rate: $50,000 - $81,000"

Master Social Worker - MSW

POSITION FEATURES: social work About this role: As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will w ork with the health care team to promote positive adjustment, rehabilitation, and improved quality of life for our patients. As well as support the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient and family. How you grow or advance in your career: We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a social work specific career ladder ranging from pre-licensed (in states where permitted), to three potential levels of facility social work, as well as a leadership path from Social Worker to Manager, Senior Manager and Senior Director. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: As a member of the nephrology health care team , you will assess the patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. <ul><li> Collaborates with the patient and health care team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. </li><li> Utilizes patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of the assessment and care planning to address barriers and meet patient treatment goals. </li><li>Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.</li><li> Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. </li><li>Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.</li><li> Provides information and assists the team and patient with referrals to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. </li><li> Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. </li><li> Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. </li><li> Participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. </li><li> Reports on quality indicators related to adherence, such as missed and shortened treatments, quality of life trends, and service recovery. </li><li> Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. </li><li> Provides educational and goal directed counseling to patients who are seeking transplant. </li><li> Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. </li><li> Provides ongoing education to patient/family regarding psychosocial issues related to end stage renal disease (ESRD) and all support services that are available. </li><li> Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. </li><li> Provide training to clinic staff pertaining to psychosocial topics as needed. </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li> Masters in Social Work </li><li> Must have state required license </li></ul> EXPERIENCE AND SKILLS :<ul><li> 0 - 2 years' related experience </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>Travel required (if multiple facilities or home visits, if applicable)</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. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills and competencies and may fall outside of the range shown. Annual Rate: $50,000 - $81,000"

PURPOSE AND SCOPE: Executes secretarial and administrative assignments of confidential nature and relieves management of clerical, administrative and business detail as necessary. Performs standard administrative functions such as screening telephone calls, opening mail, scheduling appointments and maintaining the calendar, sets up the office filing system, and coordinates meetings. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Under general supervision, provides a broad range of secretarial & administrative support that may include details of a confidential nature. </li><li> Executes secretarial and administrative assignments of a complex and confidential nature and relieves management of clerical work, administrative, and business detail as necessary. </li><li> Sets up and maintains official department filing system, records management, databases. </li><li> Prepares memos, correspondence, agendas, minutes, and policy explanations. </li><li> Collects, compiles and analyzes information as required by manager(s). Assists in department reporting requirements and form completion. </li><li> Assembles budgets and tracking budget expenses and variances. Pays and tracks invoicing. </li><li> Performs standard administrative functions such as screening telephone calls, opening mail, scheduling appointments and maintaining the calendar, and coordinating meetings (internal or external.) </li><li> Organizes travel arrangements and completes expense reports. </li><li> Interfaces with a various levels of management across organizations and with external customers. </li><li> May serve as a point of contact for other departments such as IT, HR, building and facilities, etc. </li><li> Assist with various projects as assigned by direct supervisor. </li><li> Other duties as assigned. </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION : High School Diploma required, some specialized secretarial training preferred. EXPERIENCE AND REQUIRED SKILLS: <ul><li> Minimum 1 - 2 years of related experience. </li><li> Knowledge of business & technical vocabulary. </li><li> Familiar with standard business concepts, practices & procedures within administrative support. </li><li> Able to employ basic reasoning and analytical skills. </li><li> Proficient in computer software such as Microsoft Office products, spreadsheets, presentations, database programs. </li><li> Proficient in organizational operations & procedures. </li><li> Experience handling incoming phone calls; remains professional at all times; front office etiquette. </li></ul> EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity ADDENDUM: Distribution Centers <ul><li> Performs financial support, as needed. </li><li> Works with management to complete financial accruals. </li></ul> Experience and Required Skills <ul><li> Administrative, Human Resources, Finance, Customer Service experience preferred. </li><li> Bilingual (Spanish and English) preferred </li></ul> Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Area Administrative Assistant

Patient Care Technician

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. "

Home Therapy RN

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.

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