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PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.</li><li>Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). </li><li> Promotes and assists in meeting Total Area Productivity goals (TAP).</li><li>With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies).</li><li>Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN.</li><li>Evaluates vascular access for patency and reports any unusual findings to FMCNA RN.</li><li>Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN.</li><li>Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to FMCNA RN.</li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160).</li><li>Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.</li><li>Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist.</li><li>Collects, labels specimens and ensures timely delivery to laboratory per facility policy.</li><li>Evaluates intradialytic problems and provides intervention as prescribed by physician's order or as directed by FMCNA RN. Monitors patient's response to dialysis therapy and report any unusual findings to FMCNA RN.</li><li>Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation.</li><li>Reports any change or unusual findings to FMCNA RN.</li><li>Performs and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents and reports any unusual findings to the FMCNA RN.</li><li>Discontinues dialysis treatment according to established procedures.</li><li>Evaluates patient prior to termination of venous access - standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN</li><li>Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.</li><li>Other duties as required.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS :<ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li>Day-to-day work includes desk and personal computer work, int e ractio n wit h patients , facili ty staf f an d physicians .</li><li> Th e positi o n requires travel between assigned facilities and various locations w i thi n th e community .</li><li> Trave l t o meeting s ma y b e required. </li><li>The work environment is characteristic of a healt h car e facilit y wit h ai r tempera t ure control and moderate noise levels.</li><li>May be exposed to infectious and contagious disease s /materials.</li><li>The position provides direct patien t car e tha t regularl y involve s hea v y liftin g an d movin g o f patients , an d assistin g wit h ambulation . E quipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and t h e employe e mus t b e abl e t o ben d over . Th e employe e may occasionally be required to assist in moving machines an d equipmen t o f u p t o 20 0 lbs. , an d ma y lif t chemica l an d 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> SUPERVISION: <ul><li> None </li></ul> EDUCATION : <ul><li> High School Diploma required </li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> 1 - 2 years' related experience. </li><li> Certified Clinical Hemodialysis Certification (CCHT) certification. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

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Patient Care Technician - PCT CCHT - Dialysis

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. &bull; 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. &bull; 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. &bull; Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; 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. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. &bull; Initiates or assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. &bull; Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &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. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. 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 REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. &bull; Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Outpatient Registered Nurse - RN

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

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> Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Outpatient Licensed Practical Nurse - LPN - LVN

PURPOSE AND SCOPE: Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Staff Related: <ul><li>Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.</li><li>Rotates with other licensed staff to ensure adequate coverage.</li><li>Participates in staff training and orientation of new staff as assigned.</li><li>Participates in all required staff meetings as scheduled.</li></ul>Quality: <ul><li>Provides outstanding quality of patient care, as defined by company quality goals and standards.</li><li>Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.</li><li>Participates in all monthly CQI meetings.</li></ul>Education: <ul><li>Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.</li><li>Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.</li><li>Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.</li><li>Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.</li><li>Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.</li></ul>Dialysis Treatment: <ul><li>Provides safe and effective delivery of home therapy support care to patients with ESRD.</li><li>Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.</li><li>Communicates patient related issues to the physician as needed.</li><li>Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.</li><li>Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.</li></ul>Laboratory Related: <ul><li>Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.</li><li>Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.</li></ul>General Duties: <ul><li>Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.</li><li>Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.</li></ul>Maintenance/Technical: <ul><li>Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.</li><li>Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.</li><li>Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.</li></ul>Medical Records & Documentation: <ul><li>Admits all new patients and documents as needed.</li><li>Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.</li><li>Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.</li><li>Completes all monthly and annual reporting as required by company policies and government regulations.</li></ul>Other: <ul><li>Performs other related 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.<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</li></ul>levels. May be exposed to infectious and contagious diseases/materials<ul><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</li></ul>accommodations can be made. SUPERVISION: <ul><li>None</li></ul> EDUCATION AND REQUIRED CREDENTIALS: <ul><li>Graduate of an accredited School of Nursing (R.N.)</li><li>Current appropriate state licensure</li></ul> EXPERIENCE AND SKILLS :<ul><li> Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred. </li><li>Minimum of one year dialysis experience preferred, peritoneal experience preferred.</li><li>Successfully complete a training course in the theory and practice of dialysis therapies.</li><li>Competent at operating all Home Therapies related equipment.</li><li>Successfully complete CPR certification with maintenance as required.</li><li>Icd-9 coding Training.</li><li>Demonstrated teaching abilities.</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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours

Registered Nurse - RN

PURPOSE AND SCOPE: Conduct routine laboratory tests, in support of manufacturing operations. Analyzes and records test data to monitor and maintain conformity to specifications. Performs duties in alignment with Test Methods (TM), Standard Operating Procedures (SOP), current Good Manufacturing Practices (cGMP), and Good Laboratory Practices (GLP). PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Under general supervision, follows established company policies and procedures and applies acquired job skills to</li></ul>Set up lab equipment and instrumentation required for tests, research, or process control.<ul><li>Responsible to perform daily analytical tests according to applicable test methods/procedures.</li><li>Responsible for the precision, accuracy and quality of work product.</li><li>Document results of test and analyses.</li><li>Maintain laboratory equipment through daily cleaning and consistent with PMs.</li><li>Responsible for the cleanliness of the work environment</li><li>Maintain general housekeeping of working area and plant.</li><li>Performs functions that require full knowledge of general aspects of the job.</li><li>Works on assignments that are semi-routine in nature, but recognizes the need for occasional deviation from accepted practice.</li><li>Contacts are typically with individuals within own department and occasionally with contacts outside own organization. Contacts involve obtaining or providing information or data requiring some explanation or interpretation.</li><li>May refer to senior level staff for assistance with higher level problems that may arise.</li><li>Escalates issues to supervisor for resolution, as deemed necessary.</li><li>Follow all Fresenius Policies.</li><li>Regular attendance and maintaining a good attendance record is an essential function of the job.</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 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: <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>While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; talk or hear; taste or smell and Personal Protective Equipment required may include: safety glasses. The employee must frequently lift and/or move up to 50 pounds and occasionally lift and/or move up to 100 pounds.</li><li>While performing the duties of this job, the employee is frequently exposed to toxic or caustic chemicals. The employee is occasionally exposed to wet and/or humid conditions; moving mechanical parts and fumes or airborne particles. The noise level in the work environment is usually moderate.</li></ul>EDUCATION:<ul><li>High School Diploma required</li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li>1 - 2 years' related experience.</li><li>Ability to interpret technical data for analytical instrumentation.</li><li>Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. </li><li>Ability to apply concepts of basic algebra and geometry. Ability to work with concepts such as linear regression and statistical deduction.</li><li>Ability to interpret a variety or technical instructions in mathematical or diagram form.</li><li>Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.</li><li>To perform this job successfully, an individual should have knowledge of Spreadsheet software and Word Processing software.</li><li>Must be able to meet Fresenius' minimum vision requirements for product inspection.</li></ul>Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Lab Tech 1

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>The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $31.00 - $52.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 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. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 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 Program Manager with guidance from the Educator, Preceptor or a Home Therapy CAP RN 2, 3, 4 or 5 for the first 6 months of employment. </li><li> Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. </li><li> Performs ongoing, systematic review and analysis of dialysis data for Home Therapy patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Supervisor or Physician as needed. </li><li> Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. </li><li> Assesses assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. </li><li> Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of chronic 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> Ensures correct patient laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record </li><li> Initiates or assists with emergency response measures. </li><li> Delegates appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. </li><li> Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. </li><li> Promotes infection control, equipment and environmental safety. </li><li> Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </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> Admits new patients to Home Therapy using the appropriate processes per Fresenius Kidney Care policy and procedure. </li><li> Trains Home Dialysis patients and / or Home Partners on the safe and effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. </li><li> Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols. Communicates patient related issues to the physician as needed </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> Makes referrals to Social Worker and Registered Dietitian as appropriate. </li><li> Checks availability of adequate emergency equipment and supplies as assigned. </li><li> Assists with medication tracking and inventory as assigned. </li><li> Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. </li><li> Participates in all required staff meetings as scheduled. </li><li> Supports and promotes the Fresenius Kidney Care mission, vision, values, and customer service philosophy. </li><li> Performs all other duties as assigned by Supervisor. </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 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. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Rotates coverage with other licensed home therapy staff as assigned to ensure reliable and adequate coverage. </li><li> Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs). </li><li> May be asked to provide essential functions of this position, travel to home dialysis patient homes and other locations with the same physical demands and working conditions as described above. </li></ul> SUPERVISION: <ul><li> Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: <ul><li> Successful completion of all FKC education and training requirements for new employees plus </li><li> Must have a minimum of 12 months experience as an RN plus </li><li> Successful completion of 3 months experience as an RN in home peritoneal dialysis and / or home hemodialysis. </li></ul></li></ul> EDUCATION : <ul><li> Graduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </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 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic Home dialysis or hemodialysis experience (preferred). </li><li> Successful completion of FKC Education and Training requirements for new employees. </li><li> Successful completion and maintenance of CPR BLS Certification. </li><li> Meet all conditions of employment including Ishihara's Color Blindness Test. </li><li> Successful completion of all annual required education/training/competencies. </li><li> Successful completion of on-going training and education as assigned or required. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Home Therapy Registered Nurse Paid one on one training and education provided. Empower, engage, and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment. Primarily works in the clinic setting and conducts initial home visits with another staff member present. Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours.

PURPOSE AND SCOPE: Supports Fresenius Medical Care's mission, vision, core values and customer service philosophy. Adheres to the Fresenius Medical Care Compliance Program, including following all regulatory and FME policy requirements. Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the Fresenius Medical Care commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. </li><li> Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. </li><li> Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. </li><li> Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. </li><li> Calculates diet prescription according to standard of practice. </li><li> Completes progress notes on all chronic dialysis patients according to established Fresenius Medical Care guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established Fresenius Medical Care policies and Federal and state regulations. </li><li> Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. </li><li> Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. </li><li> Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. </li><li> Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. </li><li> Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. </li><li> Adheres to Fresenius Medical Care algorithm and medical record policies. </li><li> Reports on nutrition QAI results and participates in the interdisciplinary QAI program. </li><li> Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. </li><li> When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. </li><li> Reviews nutrition related lab results: </li><li> Counsels patient and/or caregiver and formulates appropriate action. </li><li> Recommends treatment changes to the interdisciplinary team as appropriate. </li><li> Communicates with physician and/or facility staff regarding lab results as appropriate. </li><li> Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e. hospitals, short term and long term care facilities). </li><li> Participates in pertinent staff meetings (i.e. general staff, quality improvement), Care plan meetings, and others as applicable. </li><li> Consults with FME Corporate Dietitian regarding nutrition concerns as needed. </li><li> Maintains and improves knowledge and skills for a competent and innovative practice. </li><li> Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. </li><li> Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. </li><li> Other nutrition management 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> 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></ul> EDUCATION : <ul><li> Registered Dietitian as per Commission on Dietetic Registration </li><li> Board Certified Specialist in Renal Nutrition encouraged. </li><li> Current state licensure if applicable. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Minimum of 1 year professional work experience in clinical nutrition as a Registered Dietitian. </li><li> Previous renal experience preferred. </li><li> Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making. </li><li> Able to perform responsibilities with minimum supervision. </li><li> Basic computer skills required. </li></ul>Fresenius Medical Care maintains a drug-free workplace in accordance with EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity.

Registered Dietitian Part time

RN-Clinical 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></ul><ul><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></ul><ul><li>Initiates or assist with emergency response measures.</li></ul><ul><li>Ensures correct laboratory collection, processing, and shipping procedures are performed.</li><li>Collaborates with the Interdisciplinary Team on the patient care plan.</li></ul><ul><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: <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 SKILLS: <ul><li>Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable.</li><li>Experience as a Registered Nurse (preferred but not required).</li><li>Chronic/acute hemodialysis experience (preferred but not required).</li><li>Successfully pass the Ishihara Color Blind Test.</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> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. </li><li> Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. </li></ul><ul><li> Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. </li><li> Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. </li></ul><ul><li> Calculates diet prescription according to standard of practice. </li><li> Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. </li><li> Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. </li><li> Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. </li><li> Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. </li><li> Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. </li><li> Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. </li><li> Adheres to FMCNA algorithm and medical record policies. </li><li> Reports on nutrition QAI results and participates in the interdisciplinary QAI program. </li><li> Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. </li><li> When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. </li></ul><ul><li> Reviews nutrition related lab results: </li></ul><ul><li> Counsels patient and/or caregiver and formulates appropriate action. </li><li> Recommends treatment changes to the interdisciplinary team as appropriate. </li><li> Communicates with physician and/or facility staff regarding lab results as appropriate. </li><li> Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). </li></ul><ul><li> Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. </li><li> Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. </li><li> Maintains and improves knowledge and skills for a competent and innovative practice. </li><li> Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. </li><li> Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. </li></ul><ul><li> Other nutrition management duties as assigned. </li></ul><ul><li> Performs 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>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 personal computer work and interaction with patients, facility staff and physicians.</li><li>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></ul></li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li> Registered Dietitian as per Commission on Dietetic Registration </li><li> Board Certified Specialist in Renal Nutrition encouraged. </li><li> Current state licensure if applicable. </li></ul> EXPERIENCE AND SKILLS : <ul><li>Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian.</li><li>Previous renal experience preferred.</li><li>Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making.</li><li>Able to perform responsibilities with minimum supervision.</li><li>Basic computer skills required.</li></ul> ADDENDUM: CKD - CKD-ND Nutrition Services In specified markets will support the Chronic Kidney Disease non dialysis (CKDND) initiatives such as: <ul><li> Rollout of CKD programs </li><li> Acts as the dedicated CKD counselor on medical nutritional dietary matters </li><li> Coordinates with the interdisciplinary care team </li><li> Chart as needed </li><li> Utilizes the KidneyCare:365 or other approved material to educate as needed </li><li> Builds rapport and maintains effective relationships with members and families. </li><li> Provides members with care that is comprehensive, and evidence informed. </li></ul> The role will spend part of the time providing individual and group Medical Nutrition Therapy (MNT) counseling to CKD-ND patients using multiple platforms: telephonically, visual video platform or in person at approved locations upon program leadership request where member privacy can be ensured. CKD and ESRD duties need to be segregated and not performed in the same location. Must have applicable state licensure.

Registered Dietitian Part Time

PURPOSE AND SCOPE : The Support Technician provides in-depth support to diverse customer telephone inquiries of applicable devices within the assigned function(s). The incumbent communicates broad operational and technical support to diverse audiences to effectively resolve problems on an ongoing basis. In this capacity, the Support Technician provides outstanding customer service through effective and timely communication. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Address and resolve complex operational and/or technical issues by providing effective customer service of applicable devices within the assigned function(s). </li><li> Ensure data accuracy and integrity throughout the documentation process of all customer contacts in applicable systems. </li><li> Maintain various confidential patient and/or health information in compliance with company policies and procedures, HIPAA and other regulatory requirements. </li><li> Maintain current knowledge of applicable devices and/or troubleshooting techniques to continually provide effective customer service in a clear and concise manner; demonstrating broad knowledge and sound judgment in the resolution of diverse operational and/or technical issues. </li><li> May be required to have familiarity on the effective management of diverse testing/and or calibration tools within the assigned function(s). </li><li> Provide backup support for diverse positions within the assigned function(s) as required. </li><li> Act as a technical resource for cross-divisional teams and/or internal customers. </li><li> Establish and maintain strong relationships with internal and/or external customers through effective understanding and interpretation of established company policies and procedures during all customer interactions. </li><li> Mentor other staff as applicable. </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: <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> Must be available for inclusion in a rotating 24-hour call coverage schedule. </li><li> Must be available to work overtime as required. </li><li> Occasionally lift and/or move up to 30 pounds. </li><li> Travel may be required. </li></ul> EDUCATION: High School Diploma required; Associate's Degree desirable EXPERIENCE AND REQUIRED SKILLS: <ul><li> 2 - 4 years' related experience. </li><li> Demonstrated experience in a customer service, call center or clinical environment required; dialysis equipment experience preferred. </li><li> Fluency in Spanish preferred. </li><li> Strong computer skills with demonstrated proficiency in word processing, database, spreadsheet and email applications. </li><li> Possess logical and critical thinking skills to effectively resolve diverse problems in a clear and concise manner. </li><li> Strong time management skills with the ability to multitask concurrent priorities in an organized manner. </li><li> Excellent customer service skills to productively handle confidential information with a high level of professionalism, discretion and tact. </li><li> Strong oral and written communication skills to effectively communicate with diverse audiences and/or all levels of management. </li></ul>The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $26.11 - $41.85 for Lawrence, MA location Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Support Technician

PURPOSE AND SCOPE: Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Staff Related: <ul><li>Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.</li><li>Rotates with other licensed staff to ensure adequate coverage.</li><li>Participates in staff training and orientation of new staff as assigned.</li><li>Participates in all required staff meetings as scheduled.</li></ul>Quality: <ul><li>Provides outstanding quality of patient care, as defined by company quality goals and standards.</li><li>Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.</li><li>Participates in all monthly CQI meetings.</li></ul>Education: <ul><li>Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.</li><li>Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.</li><li>Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.</li><li>Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.</li><li>Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.</li></ul>Dialysis Treatment: <ul><li>Provides safe and effective delivery of home therapy support care to patients with ESRD.</li><li>Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.</li><li>Communicates patient related issues to the physician as needed.</li><li>Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.</li><li>Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.</li></ul>Laboratory Related: <ul><li>Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.</li><li>Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.</li></ul>General Duties: <ul><li>Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.</li><li>Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.</li></ul>Maintenance/Technical: <ul><li>Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.</li><li>Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.</li><li>Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.</li></ul>Medical Records & Documentation: <ul><li>Admits all new patients and documents as needed.</li><li>Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.</li><li>Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.</li><li>Completes all monthly and annual reporting as required by company policies and government regulations.</li></ul>Other: <ul><li>Performs other related 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.<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</li></ul>levels. May be exposed to infectious and contagious diseases/materials<ul><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</li></ul>accommodations can be made. SUPERVISION: <ul><li>None</li></ul> EDUCATION AND REQUIRED CREDENTIALS: <ul><li>Graduate of an accredited School of Nursing (R.N.)</li><li>Current appropriate state licensure</li></ul> EXPERIENCE AND SKILLS :<ul><li> Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred. </li><li>Minimum of one year dialysis experience preferred, peritoneal experience preferred.</li><li>Successfully complete a training course in the theory and practice of dialysis therapies.</li><li>Competent at operating all Home Therapies related equipment.</li><li>Successfully complete CPR certification with maintenance as required.</li><li>Icd-9 coding Training.</li><li>Demonstrated teaching abilities.</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. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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. &bull; Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. &bull; 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. &bull; Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; 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. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. &bull; Initiates or assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. &bull; Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. &bull; 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. &bull; 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. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; 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. &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; Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage. &bull; Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. &bull; The position may require travel to training sites, other facilities or patient homes. &bull; 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. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following: &bull; Successful completion of all FKC education and training requirements for new employees. &bull; Must have a minimum of 12 months experience as a RN. &bull; Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis. 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 REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. &bull; Minimum of 1-year experience as a Registered Nurse (preferred) &bull; Home dialysis therapy experience (preferred). 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours

Hiring MIG Blanket Welders In Pueblo, COSeeking skilled Blanket Welders to primarily engage in MIG welding on mild steel, with occasional stainless steel work.Pay: $22.00Shift: 6 AM-6 PM, 2-2-3 scheduleQualifications:<ul><li>6+ months of professional MIG welding experience</li><li>Experience using grinders and sanders</li><li>Able to assist in other areas of the fabrication shop as needed</li><li>Experience reading blueprints/welding symbols</li><li>Hand and power tool experience</li><li>Crane operation experience</li></ul>Job Description:<ul><li>Responsibilities include maintaining clean workspaces and tooling, prepping materials, sanding, grinding, and layout of brackets, among other duties.</li><li>MIG welding on carbon steel and stainless steel</li><li>Assembling various structural components</li><li>Responsible for cutting, prepping material, sanding, grinding, layout of brackets, etc.</li><li>Read and interpret blueprints, schematics, and diagrams</li></ul>Work Environment:<ul><li>This role is based in a large manufacturing environment.</li><li>Aside from their annual merit raises there are going to be periods of time where you can be eligible for quarterly reviews/promotions and weekly bonuses that are based on various factors (attendance, quality, efficiency, attitude, and more).</li></ul>Job Type &amp; LocationThis is a Contract to Hire position based out of Pueblo, CO.Pay and BenefitsThe pay range for this position is $22.00 - $22.00/hr.Eligibility requirements apply to some benefits and may depend on your job
 classification and length of employment. Benefits are subject to change and may be
 subject to specific elections, plan, or program terms. If eligible, the benefits
 available for this temporary role may include the following:

 • Medical, dental &amp; vision
 • Critical Illness, Accident, and Hospital
 • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
 • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 • Short and long-term disability
 • Health Spending Account (HSA)
 • Transportation benefits
 • Employee Assistance Program
 • Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in Pueblo,CO.Application DeadlineThis position is anticipated to close on Dec 24, 2025. 
 
 <h4>About Aerotek:</h4>

We know that finding work is hard, and finding meaningful work is harder. Aerotek connects 180,000+ light industrial and skilled trades workers with 14,000+ employers each year, helping our workers navigate an evolving labor market and find jobs that meets their goals, skills and interests. Since 1983, we have provided a variety of career opportunities across North American industry – from short-term assignments at Fortune 500 companies where you can build your skills, to long-term opportunities where you can play a vital role solving for companies’ construction, manufacturing and maintenance challenges. Our 1,500+ experienced recruiters across 250+ offices work relentlessly to put our workforce in a position to thrive. Let us rise to meet your challenges and put our people-are everything spirit to the test as your career continues to grow.
 
 
Aerotek offers weekly pay, employee benefits including medical, dental &amp; vision, life insurance, health advocacy and employee assistance programs, a 401(k) plan, and employee discounts.
 
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Welder

Aerotek is hiring for a Shipper at a manufacturing facility in New Castle, DE. Job DescriptionThe Shipper oversees all outbound shipments for a manufacturing facility, ensuring orders are picked, packed, documented, and dispatched accurately and on time. This role blends administrative and operational responsibilities, requiring high attention to detail, strong time management, and proficiency with computer programs.Responsibilities<ul><li>Plan, prioritize, and execute daily outbound shipments to meet cutoffs and customer delivery commitments.</li><li>Pick, pack, label, and stage orders in accordance with customer specifications and internal SOPs.</li><li>Verify product quantities, lot numbers, packaging, and condition prior to shipment.</li><li>Generate and maintain shipping documentation, including BOLs, packing lists, shipping labels, ASN details, and certificates.</li><li>Use email, Excel, and shipping software to manage shipments and records, ensuring documentation accuracy and retention.</li><li>Schedule pickups and coordinate with carriers, brokers, and internal teams.</li><li>Proactively communicate delays, exceptions, or discrepancies and drive timely resolution.</li><li>Adhere to shipping SOPs, customer routing guides, and packaging standards.</li><li>Support audits by maintaining clean, complete records and traceability.</li><li>Operate forklifts, pallet jacks, and other material handling equipment safely.</li><li>Perform loading/unloading, palletizing, stretch-wrapping, labeling, and staging.</li><li>Assist with cycle counts and inventory accuracy related to outbound shipments.</li><li>Track and report KPIs, identifying process improvements to reduce errors and enhance customer satisfaction.</li></ul>Essential Skills<ul><li>1–3 years of experience in shipping, distribution, or warehouse operations (manufacturing preferred).</li><li>Proficient with email and Microsoft Excel.</li><li>Experience with carrier portals, shipping software, and WMS/TMS/ERP systems (e.g., SAP, Oracle).</li><li>Forklift certification or ability to obtain.</li><li>Strong time management, attention to detail, problem-solving, and communication skills.</li><li>Ability to work in a fast-paced environment and meet deadlines.</li></ul>Additional Skills &amp; Qualifications<ul><li>High school diploma or equivalent required; post-secondary or logistics coursework is a plus.</li></ul>Why Work Here?Join a dynamic team within a manufacturing environment, where you will have the opportunity to contribute to efficient shipping operations. Benefit from a supportive work culture that values continuous improvement and employee growth.Work EnvironmentThe position is located in a manufacturing facility's shipping area, which is non-temperature controlled but comfortable and organized. Expect a hands-on role with a focus on safety and efficiency.Job Type &amp; LocationThis is a Contract to Hire position based out of New Castle, DE.Pay and BenefitsThe pay range for this position is $23.00 - $25.00/hr.Eligibility requirements apply to some benefits and may depend on your job
 classification and length of employment. Benefits are subject to change and may be
 subject to specific elections, plan, or program terms. If eligible, the benefits
 available for this temporary role may include the following:

 • Medical, dental &amp; vision
 • Critical Illness, Accident, and Hospital
 • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
 • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 • Short and long-term disability
 • Health Spending Account (HSA)
 • Transportation benefits
 • Employee Assistance Program
 • Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in New Castle,DE.Application DeadlineThis position is anticipated to close on Dec 26, 2025. 
 
 <h4>About Aerotek:</h4>

We know that finding work is hard, and finding meaningful work is harder. Aerotek connects 180,000+ light industrial and skilled trades workers with 14,000+ employers each year, helping our workers navigate an evolving labor market and find jobs that meets their goals, skills and interests. Since 1983, we have provided a variety of career opportunities across North American industry – from short-term assignments at Fortune 500 companies where you can build your skills, to long-term opportunities where you can play a vital role solving for companies’ construction, manufacturing and maintenance challenges. Our 1,500+ experienced recruiters across 250+ offices work relentlessly to put our workforce in a position to thrive. Let us rise to meet your challenges and put our people-are everything spirit to the test as your career continues to grow.
 
 
Aerotek offers weekly pay, employee benefits including medical, dental &amp; vision, life insurance, health advocacy and employee assistance programs, a 401(k) plan, and employee discounts.
 
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Shipper

Job Title: Custodial WorkerJob DescriptionWe are seeking a dedicated and reliable Custodial Worker to maintain cleanliness and orderliness in our facilities. You will play a crucial role in ensuring a safe, clean, and pleasant environment for everyone.Responsibilities<ul><li>Sweeping, mopping, and vacuuming floors; dusting furniture; cleaning and disinfecting restrooms, kitchens, and high-traffic areas.</li><li>Collecting and emptying trash and recycling bins.</li><li>Stocking restrooms and supply closets with essentials like toilet paper, soap, and paper towels; maintaining inventory.</li><li>Changing light bulbs, unclogging toilets, addressing spills, and performing basic equipment upkeep.</li><li>Removing snow and debris from sidewalks and tending to plants, if applicable.</li><li>Locking doors and securing premises at closing.</li><li>Notifying supervisors about major repairs or unsafe conditions.</li></ul>Essential Skills<ul><li>Reliability and strong work ethic.</li><li>Attention to detail.</li><li>Ability to work independently.</li><li>Physical stamina and ability to lift/move objects.</li><li>Knowledge of health and safety protocols.</li></ul>Additional Skills &amp; Qualifications<ul><li>Experience with packing, inventory, production, and picking.</li><li>Proficiency with RF scanners, shipping and receiving, and warehouse inventory.</li><li>Skills in general labor, packaging, material handling, loading, and pallet jack operation.</li></ul>Why Work Here?Join a team in the aerospace industry where you have the opportunity to work full-time from 7:00 AM to 3:30 PM, Monday through Friday. Enjoy the stability of full-time hours with the option for overtime.Work EnvironmentThe work environment is climate-controlled and offers a structured schedule. The role requires working during the day, with potential overtime to meet operational needs.Job Type &amp; LocationThis is a Contract to Hire position based out of Saint Louis, MO.Pay and BenefitsThe pay range for this position is $18.00 - $18.00/hr.Eligibility requirements apply to some benefits and may depend on your job
 classification and length of employment. Benefits are subject to change and may be
 subject to specific elections, plan, or program terms. If eligible, the benefits
 available for this temporary role may include the following:

 • Medical, dental &amp; vision
 • Critical Illness, Accident, and Hospital
 • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
 • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 • Short and long-term disability
 • Health Spending Account (HSA)
 • Transportation benefits
 • Employee Assistance Program
 • Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in Saint Louis,MO.Application DeadlineThis position is anticipated to close on Dec 31, 2025. 
 
 <h4>About Aerotek:</h4>

We know that finding work is hard, and finding meaningful work is harder. Aerotek connects 180,000+ light industrial and skilled trades workers with 14,000+ employers each year, helping our workers navigate an evolving labor market and find jobs that meets their goals, skills and interests. Since 1983, we have provided a variety of career opportunities across North American industry – from short-term assignments at Fortune 500 companies where you can build your skills, to long-term opportunities where you can play a vital role solving for companies’ construction, manufacturing and maintenance challenges. Our 1,500+ experienced recruiters across 250+ offices work relentlessly to put our workforce in a position to thrive. Let us rise to meet your challenges and put our people-are everything spirit to the test as your career continues to grow.
 
 
Aerotek offers weekly pay, employee benefits including medical, dental &amp; vision, life insurance, health advocacy and employee assistance programs, a 401(k) plan, and employee discounts.
 
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Custodial Worker

Job Title: FabricatorJob DescriptionAs a Fabricator, you will be responsible for operating and fabricating pipes and metal materials using a variety of equipment including table and tube lasers, tube benders, and CNC routers.Responsibilities<ul><li>Operate fabrication machinery such as table saws, tape measures, and CNC routers.</li><li>Create and assemble shipping crates.</li><li>Interpret and work from blueprints and carpentry instructions.</li><li>Lift materials up to 50 lbs as needed.</li><li>Operate various fabrication machines, including tube lasers, sheet lasers, tube benders, and turret/punch presses.</li></ul>Essential Skills<ul><li>Proficiency in saw operation, blueprint reading, and measuring.</li><li>Experience with CNC laser and sheet metal fabrication.</li><li>Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.</li><li>High school diploma or equivalent.</li></ul>Additional Skills &amp; Qualifications<ul><li>Experience with hand tools and press brakes.</li><li>Ability to work in a team-oriented environment.</li></ul>Why Work Here?Joining our team provides a wealth of opportunities for career advancement and growth within our company. We pride ourselves on being an Employee Stock Ownership Plan (ESOP) company, offering significant retirement benefits for long-term employees. Enjoy access to a free onsite nurse, outstanding benefits, a 401k match up to 6%, monthly production bonuses, and profit sharing. Our large campus offers a small shop feel with a supportive community.Work EnvironmentThe work environment is a clean, large shop that can be loud at times. Our campus consists of seven buildings with plans for expansion. The dress code is casual, and the facilities are well-maintained.Job Type &amp; LocationThis is a Contract to Hire position based out of Delano, MN.Pay and BenefitsThe pay range for this position is $24.00 - $32.00/hr.Eligibility requirements apply to some benefits and may depend on your job
 classification and length of employment. Benefits are subject to change and may be
 subject to specific elections, plan, or program terms. If eligible, the benefits
 available for this temporary role may include the following:

 • Medical, dental &amp; vision
 • Critical Illness, Accident, and Hospital
 • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
 • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 • Short and long-term disability
 • Health Spending Account (HSA)
 • Transportation benefits
 • Employee Assistance Program
 • Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in Delano,MN.Application DeadlineThis position is anticipated to close on Dec 31, 2025. 
 
 <h4>About Aerotek:</h4>

We know that finding work is hard, and finding meaningful work is harder. Aerotek connects 180,000+ light industrial and skilled trades workers with 14,000+ employers each year, helping our workers navigate an evolving labor market and find jobs that meets their goals, skills and interests. Since 1983, we have provided a variety of career opportunities across North American industry – from short-term assignments at Fortune 500 companies where you can build your skills, to long-term opportunities where you can play a vital role solving for companies’ construction, manufacturing and maintenance challenges. Our 1,500+ experienced recruiters across 250+ offices work relentlessly to put our workforce in a position to thrive. Let us rise to meet your challenges and put our people-are everything spirit to the test as your career continues to grow.
 
 
Aerotek offers weekly pay, employee benefits including medical, dental &amp; vision, life insurance, health advocacy and employee assistance programs, a 401(k) plan, and employee discounts.
 
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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