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

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Dialysis Clinical Manager Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &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: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Patient Assessment / Care Planning / Counseling <ul><li> As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. </li><li> Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. </li><li> Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. </li><li>Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.</li><li>Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.</li><li> Provides educational and goal directed counseling to patients who are seeking transplant. </li><li> Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. </li><li> Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. </li><li> Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. </li><li> In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. </li><li> Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. </li><li> Documents based on MSW interaction and interventions provided to patient and/or family. </li></ul></li><li> Quality <ul><li> Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. </li><li> Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. </li></ul></li><li> Patient Education <ul><li> Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. </li><li> With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. </li><li> Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. </li><li> Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. </li><li> Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. </li><li> Collaborates with the team on appropriate QAI activities. </li></ul></li><li> Patient Admission and Continuity of Care <ul><li> Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns. </li><li> Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment. </li><li>The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership.</li></ul></li><li> Insurance and Financial Assistance <ul><li> Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. </li><li> In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs). </li><li> Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. </li><li> Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills </li></ul></li><li> Staff Related <ul><li> Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. </li><li> Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). </li><li> Provides training to staff pertaining to psychosocial topics as needed. </li><li> Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. </li></ul></li><li> Adheres to work defined caseload guidelines based on state regulatory requirements. </li><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.</li><li>Travel required (if multiple facilities or home visits, if applicable)</li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li> Masters in Social Work </li><li> Must have state required license </li><li> Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed </li></ul> EXPERIENCE AND SKILLS : <ul><li> 0 - 2 years' related experience </li></ul><ul><li>Th is position requires Master Level State Licensure for both Wisconsin/Iowa </li></ul>

Master Social Worker - MSW Part Time

Registered Nurse - RN

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. </li><li> Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. </li><li> Assesses daily patient care needs and develops appropriate patient care assignments. </li><li> Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. </li><li> Participates in staff training and orientation of new staff as assigned </li><li> Participates in all required staff meetings as scheduled. </li><li> Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). </li><li> Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. </li><li> Discusses with patient, and records education related to diet/fluid and medication compliance. </li><li> Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). </li><li> Ensures transplant awareness, modality awareness, and drive catheter reduction. </li><li> Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. </li><li> Provides safe and effective delivery of care to patients with ESRD. </li><li> Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. </li><li> Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. </li><li> Identifies and communicates patient related issues to Team Leader or physician. </li><li> Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. </li><li> Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. </li><li> Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. </li><li> Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. </li><li> Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li> Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. </li><li> Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. </li><li> Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. </li><li> Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. </li><li> Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. </li><li> Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. </li><li> Ensures that all labs are directed and delivered to appropriate labs. </li><li> Reports alert/panic and abnormal labs results to appropriate physician. </li><li> Ensures lab results are forwarded to physicians as requested. </li><li> Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. </li><li> Maintains overall shift operation in a safe, efficient, and effective manner. </li><li> Act as a resource for other staff members. </li><li> Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. </li><li> Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. </li><li> Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. </li><li> Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. </li><li> Oversees all documentation of patient information. </li><li> Maintains facility drug list for all required stock medications. </li><li> Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. </li><li> Ensures verification and availability of adequate emergency equipment. </li><li> Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. </li><li> Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. </li><li> Maintains appropriate recording of controlled substances as required by law. </li><li> Assists with the coordination of patient transportation if necessary. </li><li> Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. </li><li> Ensures competency in the operation of all dialysis-related equipment safely and effectively. </li><li> Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. </li><li> Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. </li><li> Ensures all appropriate patient related treatment data is entered into the Medical Information System. </li><li> Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. </li><li> Ensures and verify accuracy of Patient Care Technician documentation. </li><li> Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. </li><li> Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. </li><li> Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. </li><li> Completes monthly nurses' progress note. </li><li> Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). </li><li> Reviews transplant status and follows established procedure regarding appropriate action to be taken. </li><li> Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. </li><li> Completes any long-term programs that are due. </li><li> Completes initial and annual Nursing History and Assessment physical. </li><li> Ensures completion of Annual Standing Order Review with each physician as required. </li><li> Performs additional 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> The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. </li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS: <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 SKILLS :<ul><li> Minimum of one-year medical-surgical nursing experience preferred. </li><li> Hemodialysis experience preferred. </li><li> ICU experience preferred. </li><li> Successfully complete a training course in the theory and practice of hemodialysis. </li><li> Successfully complete CPR Certification. </li><li> Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. </li><li> Provide coverage at any or all area facilities as required by management. </li><li> Icd-9 coding Training. </li><li> Nurses Technical Training. </li></ul><ul><li> Must meet appropriate state requirements (if any). </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &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. **No Dialysis specific experience required!! Comprehensive, on-the-job training is provided!**<ul><li>No on-call</li><li>Every other Saturday required</li><li>Sundays off</li><li>Career Advancement Program (CAP) to advance your nephrology career from novice to expert</li><li>10-12 hour shifts</li></ul>Clinic Hours of Operation:<ul><li>MWF:0400-1615</li><li>TTS:0415-1500</li></ul>Clinic Location: 4021 N 52nd St Milwaukee, WI 53216

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 maintains a drug-free workplace in accordance with applicable federal and state laws.

Outpatient Licensed Practical Nurse - LPN LVN

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 maintains a drug-free workplace in accordance with applicable federal and state laws.

Patient Care Technician - PCT

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. &bull; Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. &bull; Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. &bull; Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. &bull; Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. &bull; Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. &bull; Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. &bull; Administers medications as prescribed and documents appropriate medical justification and effectiveness. &bull; Initiates and 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; May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. &bull; May be assigned to assist in an Outpatient facility on an as needed basis. &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; May be asked to provide essential functions of this position in other locations 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. &bull; The position requires travel to training/meeting sites and between assigned facilities. &bull; Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and modality specific training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; 6 months experience in acute dialysis 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 all states 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 an RN &bull; Minimum 9 months experience as a Registered Nurse, 12 months (preferred). &bull; 6 months acute dialysis experience (preferred) &bull; Hemodialysis and/or ICU 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.

Acute Inpatient Registered Nurse

<h2>Diesel Mechanic – $49/hr (Direct Hire, East Los Angeles)</h2><h3>About the Role</h3>Seeking an experienced Diesel Mechanic to perform maintenance, diagnostics, and repairs on diesel engines and truck systems. This is a direct‑hire position based in East Los Angeles.<h3>Key Responsibilities</h3><ul><li>Maintain and repair diesel engines and truck systems</li><li>Diagnose mechanical, electrical, and hydraulic issues</li><li>Perform inspections and preventive maintenance</li><li>Repair or replace parts (brakes, bearings, belts, etc.)</li><li>Document service and repair work accurately</li><li>Follow all safety and DOT regulations</li><li>Communicate repair status and parts needs</li><li>Maintain a clean, organized work area</li></ul><h3>Required Skills</h3><ul><li>Strong knowledge of hydraulics, pneumatics, and schematics</li><li>Ability to diagnose and test components</li><li>Experience with general truck repairs and engine accessories</li><li>Proficient with power tools and diagnostic equipment</li><li>Accurate record‑keeping abilities</li></ul><h3>Qualifications</h3><ul><li>Experienced Diesel Truck Mechanic</li><li>Own roll‑away tool cabinet and portable tool cart</li><li>Chassis maintenance experience preferred</li></ul><h3>Why Join the Team</h3><ul><li>Paid medical insurance, vacation, holidays, and sick time</li><li>401k participation</li><li>Work for a company with 100+ years of history</li></ul><h3>Work Environment</h3><ul><li>Truck yard and garage bay setting</li><li>Schedule: Monday–Friday, 7:00 AM–3:30 PM</li></ul>Job Type &amp; LocationThis is a Permanent position based out of Los Angeles, CA.Pay and BenefitsThe pay range for this position is $79000.00 - $102000.00/yr.Paid Medical Insurance 
Paid Vacation 
Paid Holidays 
Paid Sick Days
401k Retirement Plan
100 Years in BusinessWorkplace TypeThis is a fully onsite position in Los Angeles,CA.Application DeadlineThis position is anticipated to close on Jan 26, 2026. 
 
 <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.

Diesel Mechanic

<h2>Urgent requirement: Assembler (Pipe) $22/hr to $28/hr</h2><h3>Position Summary</h3>We are seeking an experienced Pipe Assembler to join our manufacturing team. In this role, you will assemble high-quality Lube Oil Consoles, Gas Conditioning Skids, and related systems by interpreting engineering drawings and schematics. This position supports critical equipment used throughout the global energy industry and requires precision, safety awareness, and the ability to work independently.<h3></h3><h3>Key Responsibilities</h3><ul><li>Interpret and work from arrangement drawings, piping and instrumentation diagrams (P&amp;IDs), and blueprints</li><li>Assemble skidded equipment and bolt piping systems accurately and efficiently</li><li>Install bolted, flanged, and gasketed connections in accordance with specified torque requirements</li><li>Perform pipe fitting and welding tasks as required</li><li>Drill and tap holes up to ½” in diameter</li><li>Operate hand and power tools including drills and grinders</li><li>Safely operate tow motors and overhead and jib cranes</li><li>Lift materials and components weighing up to 50 lbs</li><li>Follow all OSHA regulations and company safety policies</li></ul><h3>Required Personal Tools</h3>Candidates must supply their own tools, including but not limited to:<ul><li>Wrench and ratchet sets with sockets</li><li>Crescent wrenches and pipe wrenches</li><li>Pry bar set and C‑clamps</li></ul><h3>Pay</h3><ul><li>$22/hr to $28/hr (Based on experience and shift)</li></ul><h3>Schedule</h3><ul><li>1st Shift: 7:30 AM – 3:30 PM</li><li>2nd Shift: 3:30 PM – 12:00 AM</li></ul>Job Type &amp; LocationThis is a Contract to Hire position based out of Buffalo, NY.Pay and BenefitsThe pay range for this position is $22.00 - $28.00/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 Buffalo,NY.Application DeadlineThis position is anticipated to close on Jan 26, 2026. 
 
 <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.

Urgent Requirement: Assembler (Pipe) $22/hr To $28/hr

<h1>📣 1-Week Customer Service Support Assignment – Bay Area Airports (Super Bowl Surge)</h1>Location: San Jose, San Francisco, and Oakland Airports Duration: 5-day temporary assignmentExperience Level: Entry LevelIndustry: Private Aviation / Hospitality SupportAs our Bay Area airports prepare for a significant increase in private aviation traffic during the Super Bowl, we’re looking for energetic, customer‑focused individuals to join our team for a short‑term assignment. If you have a positive attitude, enjoy helping people, and thrive in fast‑paced environments, this is a great opportunity to shine.<h2></h2><h2>✨ What You’ll Do</h2>You’ll support various stations throughout the facility, providing high‑level hospitality and operational assistance. Responsibilities may include:<ul><li>Guiding arriving vehicles to appropriate parking areas (no valet services).</li><li>Greeting passengers with a warm, professional demeanor and directing them throughout the FBO.</li><li>Assisting with luggage handling in non‑tarmac areas.</li><li>Supporting catering operations: placing orders, distributing meals, setting up food areas, cleaning dishes, and maintaining refreshment stations.</li><li>Keeping common areas tidy with light spot‑cleaning of surfaces and floors.</li><li>Maintaining strong attention to detail and following all training instructions carefully.</li></ul><h2>🧩 Skills We’re Looking For</h2><ul><li>Customer service</li><li>Hospitality</li><li>Front desk or administrative support</li><li>Restaurant or food service experience</li><li>General customer support</li></ul>Top Skills: Customer Service, Hospitality<h2>📌 Additional Qualifications</h2><ul><li>Must be able to pass airport compliance requirements.</li><li>Preferred: experience with airport baggage handling.</li><li>in hospitality, concierge services, or high‑touch customer service roles.</li><li>Preferred: experience directing lobby or parking lot traffic with professionalism and courtesy.</li><li>Must demonstrate exceptional courtesy and a strong hospitality mindset — essential in private aviation environments.</li></ul>Job Type &amp; LocationThis is a Contract position based out of San Francisco, CA.Pay and BenefitsThe pay range for this position is $30.00 - $30.00/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 San Francisco,CA.Application DeadlineThis position is anticipated to close on Jan 16, 2026. 
 
 <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.

Hospitality Associate (SF)

Job Title: Manufacturing Assembly TechnicianJob DescriptionThe Manufacturing Assembly Technician is responsible for assembling products and operating equipment safely, productively, and ergonomically to manufacture quality parts and assemblies.Responsibilities<ul><li>Assemble, package, and label products efficiently.</li><li>Operate equipment and tools, including hand tools like impact wrenches, drills, mallets, screwdrivers, and pneumatic rivet guns.</li><li>Maintain continuous productivity under supervision.</li><li>Produce quality finished goods with acceptable workmanship and minimal quality issues.</li><li>Maintain assembly jigs, hand tools, and equipment in good working order.</li><li>Possess basic product knowledge, such as recognizing which types of wheels belong on specific products, model numbers, bearings, nuts, and bolts.</li><li>Keep a clean and organized workplace by appropriately storing tools and hardware, sweeping floors, and disposing of trash correctly.</li><li>Notify the Production Supervisor of tools needing repair, low inventory of daily-used items, and poor product quality.</li><li>Accurately read assembly drawings for dimensions, parts lists, assembly instructions, and critical-to-quality (CTQ) requirements.</li><li>Perform tasks safely, including wearing safety glasses and gloves as required by Job Hazard Analysis (JHA).</li><li>Perform other duties as assigned.</li></ul>Essential Skills<ul><li>Experience in manufacturing assembly is preferred.</li><li>Ability to read a tape measure in fractions and decimals.</li><li>Proficiency in order picking, warehouse operation, and general production.</li><li>Competence in reading blueprints and schematics.</li></ul>Additional Skills &amp; Qualifications<ul><li>Ability to operate various hand tools effectively.</li><li>Basic product knowledge related to assembly components.</li></ul>Why Work Here?We offer weekly pay, comprehensive health, dental, and vision insurance plans, and both short-term and long-term disability coverage. Our 401K retirement plan features a dollar-for-dollar match up to 5%, complemented by a yearly profit-sharing plan. Employees benefit from quarterly performance bonuses, 'Cart Cash' for voluntary benefits, and incentive days. Enjoy a corporate discount at a local fitness center and earn vacation days, with up to two weeks of vacation available after one year of employment.Work EnvironmentThe work environment is non-climate controlled and can be loud, requiring adherence to safety protocols such as wearing safety glasses and gloves.Job Type &amp; LocationThis is a Contract to Hire position based out of St. Peters, MO.Pay and BenefitsThe pay range for this position is $18.47 - $19.47/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 St. Peters,MO.Application DeadlineThis position is anticipated to close on Jan 26, 2026. 
 
 <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.

Assembler

Apprentice welder/grinder - Pay Up to $22.25/hr on All shiftsApply now for a call in 24 hours or less!Job Location - Anoka, MN Job DescriptionJoin our new state of the art facility as a Entry Level Assembler in Blaine, MN. This role offers weekly pay and has openings on 1st, 2nd, and 3rd shifts. As an assembler, you will be responsible for building and assembling copper piping and rubber tubing for a High-Density Liquid Cooling product. You will work with hand and power tools and utilize blueprints to construct complex assemblies of cooling systems and mild steel enclosures. In addition, you will learn to braze copper piping and grind finished products. This position requires standing throughout the shift and the ability to work independently and as part of a team.Essential SkillsExperience with hand tools and power tools.Ability to read and interpret blueprints.Capability to stand throughout the entire shift.Desire to enter the manufacturing industry.Job Type &amp; LocationThis is a Permanent position based out of Anoka, MN.Pay and BenefitsThe pay range for this position is $18.82 - $20.50/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)Job Type &amp; LocationThis is a Permanent position based out of Anoka, MN.Pay and BenefitsThe pay range for this position is $18.82 - $20.50/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 Anoka,MN.Application DeadlineThis position is anticipated to close on Jan 26, 2026. 
 
 <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.

Apprentice Welder/Grinder

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

Clinical Coordinator - Charge Registered Nurse - Dialysis

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

About this role: As a Home Therapies Registered Nurse, you will manage patient care in an independent home therapy program by providing education and support to patients and caretakers who have chosen to dialyze in the comfort of their home. This role is primarily clinic based, you will conduct an initial visit to the homes of patients to assess home therapy readiness with regular training and follow-up visits within the clinic environment. How you grow or advance: As a Home Therapies Registered Nurse, 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, and quality improvement activities that enhance patient care outcomes and home therapies program operations.</li><li>Identifies and evaluates candidates for the Home Therapies Program including assessment of patients' home environment if needed.</li><li>Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and caretaker readiness and ability to perform dialysis treatments in the home.</li><li>Admits new patients to the Home Therapies Program using the appropriate processes.</li><li>Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients.</li><li>Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols.</li><li>Analyzes dialysis data for Home Therapy patients and documents and adjusts or modifies the treatment plan as needed.</li><li>Provides initial and ongoing education to patient and family on home dialysis treatment and the operation and maintenance of all home therapies equipment.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.</li><li>Initiates or assist with emergency response measures.</li><li>Completes routine patient evaluations within the clinic setting.</li><li>Ensures correct laboratory collection, processing, and shipping procedures are performed.</li><li>Collaborates with the Interdisciplinary Team on the patient care plan.</li><li>Makes referrals to Social Worker and Registered Dietitian as appropriate.</li><li> Completes CAP requirements to either maintain or advance within the program. </li></ul> EDUCATION: <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>Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable.</li><li>Experience as a Registered Nurse (preferred but not required).</li><li>Chronic/home hemodialysis experience (preferred but not required).</li><li>Successfully pass the Ishihara Color Blind Test.</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, 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 home dialysis patient homes, 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>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: $37.00 - $63.00 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

PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. 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. PRINCIPAL DUTIES AND RESPONSIBILITIES: General and Staff Related: <ul><li> Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate. </li><li> Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients. </li><li> Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. </li><li> Participate in patient care plan meetings. </li><li> Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services. </li><li> Train and orient staff as necessary. </li><li> Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. </li><li> Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. </li><li> Maintain overall shift operation in a safe, efficient, and effective matter. </li><li> With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. </li><li> Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information. </li><li> Supervise all documentation of patient information. </li><li> Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient Care: </li><li> Assess daily patient care needs and develop and distribute patient care assignments appropriately. </li><li> Assume primary responsibility in an emergency situation. </li><li> Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. </li><li> Monitor and supervise all patient care activity during dialysis and assist as necessary. </li><li> Collaborate with direct patient care team in making decisions to benefit patient care. </li><li> Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. </li><li> Administer medications to patients per physician's orders. </li><li> Act as the subject matter expert and as a resource for staff members. </li><li> Supervise and participate in completion of short- and long-term care plans. </li><li> Admit new patients according to facility procedure. </li><li> Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. </li></ul> Technical: <ul><li> Supervise the safe and effective use of all equipment involved in direct patient care. </li><li> Operate all dialysis related and emergency equipment safely and efficiently when needed. </li><li> Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. </li><li> Complete Nurse's Technical Training Program/Water Quality Facility Training. </li></ul> Other: <ul><li> Assist with special projects or other duties as assigned by the Clinical Manager </li><li> Assist with the interviewing of potential direct patient care staff as requested. </li><li> Promote efficient use of medical supplies. </li><li> Attend and participate in monthly Quality Assurance meetings. </li><li> Other duties as assigned. </li></ul> Relationships: <ul><li> Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP) </li><li> External Contacts: Physicians, Back-up Hospitals </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. The duties 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. PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. </li><li> Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. </li><li> 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> SUPERVISION: <ul><li> Direct Patient Care Staff, Ward Clerk as assigned. </li></ul> EDUCATION : <ul><li> Graduate of an accredited school of Nursing (R.N.) </li><li> Current appropriate state licensure. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis </li><li> RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience. </li><li> Supervisory or management experience preferred. </li><li> Successfully completea training course in the theory and practice of hemodialysis. </li><li> Good communication skills - verbal and written. </li><li> Must meet appropriate state requirements (if any). </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

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