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Role Description: Provides support to end users on a variety of issues. Identifies researches and resolves technical problems. Responds to telephone calls email and personnel requests for technical support. Documents tracks and monitors the problem to ensure a timely resolution. Requirements: Minimum requirement would be HS Diploma. May require an associate's degree in a related area and 0-3 years of experience in the field or in a related area. Can train anyone- if someone is looking for a career change or wants to start a career in IT. Has knowledge of commonly used concepts practices and procedures within a particular field. Rely on instructions and pre-established guidelines to perform the functions of the job. Works under immediate supervision. Primary job functions do not typically require exercising independent judgment. Typically reports to a supervisor or manager. Job titles to keep an eye out for on resumes/ similar experience: cable technician wiring All physical requirements are expected with reasonable accommodations: - Regularly lift and/or move up to 40 pounds and participate in group lifts for 41 pounds - Ability to work in an environment that operates 24/7 with an ability to participate in primary responder rotation and provide after-hours support as needed - Working in cramped and/or elevated and/or noisy environments - Bending lifting stretching reaching standing and walking for up to 8 hours a day - Ascending and descending ladders stairs and gangways safely and without limitation Key job responsibilities - Moving and implementing large enterprise equipment - Installing Fiber and Copper cabling and patching cabling between equipment - Ensuring proper safety and security standards are maintained during cabling and rack installation - Following well established hardware installation procedures and break-fix activities - Safely using material handling tools and equipment

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Technical Support Technician

We are looking for a Level 2 Technician to support device imaging, configuration, and deployment services. This role will assist in preparing and maintaining desktops, laptops, and mobile devices with standard operating environments, applications, and security settings. Depending on experience, the technician will handle day-to-day imaging tasks, assist end users during deployments, and support escalated issues related to configuration and setup.

PC Deployment Technician

Job DescriptionFor this position you will be tasked with maintaining the hardware infrastructure of the latest cloud computing server technologies. The ideal candidate will be able to quickly and accurately resolve issues with server and network hardware through root cause analysis with a solid understanding of computers, servers, network devices and command line diagnostics. You must possess: technical aptitude and the ability to communicate advanced technical information with a variety individuals of varying technical knowledge, good situational awareness, the capability to contribute to strong inter and intra-team development, strong analytical skills, demonstrated problem solving ability, and the ability to operate solo or as part of a team with varying degrees of supervision. This position requires the ability to successfully operate in high-pressure, time-sensitive situations while handling multiple critical priorities simultaneously. Successful candidates must be able to demonstrate effective examples of situations where personal initiative and judgment were used to benefit team objectives. Some work will be performed in an AWS GovCloud region. Aaccess to the AWS GovCloud region will be restricted to individuals who are U.S. Citizens. (GovCloud may NOT be accessed from outside of the United States) Additional Skills: 1+ year of Computer Hardware experience. 1+ years of Computer Networking experience. 1+ years of Linux Operating Systems experience. All physical requirements are expected with reasonable accommodations. Candidates should be able to lift up to 50lbs and or work in elevated locations

Data Center Technician

Agents will support high inbound calls; previous inbound experience is required with familiarity with medical terminology a plus. Agents will be handling 60-100 inbound calls per day. High volume call experience is required. Average handle time per call is 6 minutes. Calls will include enrollment status, medication shipment status, general patient inquiries, outreach for missing information. Safety/adverse event experience is preferred. Customer service and empathy skills are a must. Agents could be handling a high volume of complaints initially. Agents will be be expected to have 100% call quality. Heavy call volume expected from February to March. The Program Specialist is responsible for serving as the customer’s primary point of contact providing operational and reimbursement support to complex programs within Neovance. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, and working with the appropriate parties to eliminate these obstructions for the customer. If you are selected for a Program Specialist will have the opportunity to work in an energetic, fast paced environment. Will be required to manage a high-volume of customer facing tasks daily or be responsible for quickly and accurately performing data entry in the program's tracking system. The Program Specialist must be disciplined with the ability to speak with customers, sit and talk for long stretches.Additional Skills &amp; QualificationsRequired experience: • Call Center Experience: (High Volume) At least 2 year of previous experience. • Customer Service: Minimum 2 years of experience in healthcare required. • Remote Work Experience: Proven ability to work effectively in a remote setting. • Computer/Technology Proficiency: Comfortable with using various software and technology tools. • Strong Communication Skills: Excellent verbal and written communication abilities. • Empathy and Patience: Ability to understand and address customer needs with compassion. • Attention to Detail: Strong focus on accuracy and thoroughness. • Independent Work: Capable of working independently with minimal supervision. Preferred experience in any of these areas: • Major medical experience • Buy and bill experience • Acquisition channel experience • Insurance benefits verification support

Program Specialist

PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li>Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.</li><li>Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.</li><li>Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.</li><li>Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. </li><li>Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. </li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of equipment, patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.</li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>The position may require travel to training sites, other facilities or patient homes.</li><li>May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:<ul><li> Successful completion of all FKC education and training requirements for new employees.</li><li> Must have a minimum of 12 months experience as a RN.</li><li> Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 1-year experience as a Registered Nurse (preferred)</li><li>Home dialysis therapy experience (preferred).</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

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). 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. ADDENDUM: FTN Group- International RN EDUCATION and LICENSURE: &bull; Bachelor's degree in nursing required and either a CGFNS (Commission on Graduates of Foreign Nursing Schools) Visa Screen Certificate OR an NCLEX (National Council Licensure Examination) pass letter OR a Registered Nursing License in the state of intended employment required. &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 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Registered Nurse- RN

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 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.

Licensed Practical or Vocational Nurse  - LPN LVN

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). EDUCATION and LICENSURE: &bull; Bachelor's degree in nursing required and either a CGFNS (Commission on Graduates of Foreign Nursing Schools) Visa Screen Certificate OR an NCLEX (National Council Licensure Examination) pass letter OR a Registered Nursing License in the state of intended employment required. &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 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Outpatient Registered Nurse -RN

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: <ul><li>Responsible for driving the FMS culture through values and customer service standards.</li><li>Accountable for outstanding customer service to all external and internal customers.</li><li>Develops and maintains effective relationships through effective and timely communication.</li><li>Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.</li></ul> 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 wellbeing 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 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>&bull;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.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>Enter 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: Perform additional duties as assigned. EDUCATION: (as of April 14, 2010)<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: <ul><li>Previous patient care experience in a hospital setting or related facility preferred.</li><li>Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.</li><li>Continued employment is dependent on successful completion of the 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 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). 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. ADDENDUM: FTN Group- International RN EDUCATION and LICENSURE: &bull; Bachelor's degree in nursing required and either a CGFNS (Commission on Graduates of Foreign Nursing Schools) Visa Screen Certificate OR an NCLEX (National Council Licensure Examination) pass letter OR a Registered Nursing License in the state of intended employment required. &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 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Willing to train! Fresenius offers a competitive compensation and benefits package including wellness plans and health insurance, matching 401(k), flexible schedules, and paid time off.

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: <ul><li> Responsible for driving the FMS culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: <ul><li> Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access. </li><li> Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. </li><li> Evaluate vascular access for patency and report any unusual findings to nurse supervisor. </li><li> Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. </li><li> Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. </li><li> Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. </li><li> Perform administration of Heparin as delegated or as allowed by state law. </li><li> Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li> Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li> Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. </li><li> Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li> Discontinue dialysis treatment according to established procedures </li><li> Evaluate patient prior to termination of venous access - standing & sitting blood pressure. </li><li> Obtain Hemostasis and apply appropriate dressings. </li><li> Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. </li><li> Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. </li><li> Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. </li><li> Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160. </li><li> Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. </li><li> Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes. </li><li> Report any significant information and/or change in patient condition directly to the nurse supervisor. </li><li> Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor. </li><li> Perform and document any intervention for unusual patient status and document patients' response to intervention. </li><li> Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor. </li><li> Obtain all prescribed laboratory testing and prepare specimens for collection. </li></ul> MAINTENANCE/TECHNICAL: <ul><li> Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. </li><li> Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy. </li><li> Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. </li><li> Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). </li><li> Initiate Solution Delivery System (SDS) system. </li><li> Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li> Prepare organize and efficiently utilize supplies and equipment to prevent wastage. </li></ul> CLERICAL & ADMINISTRATIVE: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application accurately and in a timely manner. </li><li> Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. </li><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect label appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> OTHER: <ul><li> Perform additional duties as assigned. </li></ul> ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: <ul><li> May assist HT RN on Home Visit as directed </li><li> Reinforces PD / HHD education under supervision of qualified HT RN </li><li> Schedules and contacts patients regarding appointments </li><li> Weigh patient and obtain vital signs </li><li> Collect treatment records and review for completion. Notify RN of incomplete / missing records. </li><li> Cleaning and prepping treatment room; prep charts </li><li> Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) </li><li> Clerical duties as assigned (faxing mailing to physician offices etc.) </li><li> Obtain home hemo water sampling as directed by the HT RN </li><li> Set-up of the home hemo machine and PD Cycler. </li><li> Assist with exit site care when directed by HT RN. </li><li> Warm dialysate solution when directed by the HT RN </li><li> Draw dialysate solution for testing as directed by the HT RN </li><li> Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) </li><li> Assembles/breaks down charts/thins charts </li><li> Maintains logs as directed and applicable </li><li> Inventory of Home Program </li><li> Maintains par levels of home department supplies </li><li> Files home patient packing slips/invoices </li><li> Inventory for Patients </li><li> Assists patient with supply management and contacting customer service </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs. and on an occasional lift basis up to 40 lbs. as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. EDUCATION <ul><li> Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. </li><li> All appropriate state licensure education and training (if any) required. </li></ul> EXPERIENCE AND REQUIRED SKILLS <ul><li> Previous patient care experience in a hospital setting or related facility preferred. </li><li> Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. $1000 sign on bonus (with CCHT), $500 sign on bonus (no CCHT)<ul><li>2021 America's 'Most Loved Workplaces' by Newsweek</li><li>NO: Overnight, Sunday or on-call shifts, major holidays off</li><li>No prior healthcare experience required, on the job training to become nationally certified, upon certification receive a pay increase & promotion</li><li>12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator</li><li>70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America</li><li>Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories</li><li>Up to $5,200 RN tuition reimbursement per calendar year</li><li>Benefits & PTO accrual start after 30 days of employment</li></ul>

Patient Care Technician I - PCT

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory and FVC/FMS policy requirements. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY: <ul><li> Responsible for supporting and driving FVC quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of FVC/FMS CQI tools. </li><li> Assists with implementation of FVC quality goals and facility specific action plans in order to achieve FVC quality standards. </li><li> Accountable for outstanding quality of patient care, as defined by the FVC quality goals, to ensure that FVC/FMC policies and procedures are followed. </li><li> Responsible for addressing and acting on adverse events and action thresholds in collaboration with facility management. </li><li> Maintains integrity of medical records and other FVC administrative and operational records. </li><li> Complies with all data collection and auditing activities. </li><li> Maintains facility environmental integrity and safety. </li></ul> PATIENT: <ul><li> Obtains necessary medical history, discusses procedure and answers questions, and performs nursing assessment on the day of the procedure. </li><li> Provides education to patients and patient's family regarding post procedure care of vascular access. </li><li> Monitors patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions. </li><li> Acts as a resource for the patient to address patient concerns and questions. </li><li> Identifies and communicates patient related issues to facility management, as needed. </li><li> Completes documentation of patient information from admission to discharge in an accurate manner. </li><li> Confirm written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions; delivery to appropriate labs; reporting and forwarding of lab results to appropriate physician. </li><li> Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures, as needed. </li><li> Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with FVC, company, federal, state and local regulations. </li><li> Acts as scrub technologist to assist the physician during procedure as needed; maintaining a sterile technique. </li><li> Assists with patient workflow by transporting patients as needed. </li><li> Performs point - of - care laboratory testing as directed per physician's orders and in compliance with FVC, company, federal, state and local regulations. </li><li> Performs IV insertion as per physician orders. </li><li> Performs additional tasks as designated by Physician, practicing in compliance with state regulations. </li></ul> PHYSICIANS: <ul><li> Provides regular and effective communication with physicians on an as needed basis. </li><li> Attends and participates in CQI meetings with physicians, reporting on assigned topics. </li><li> May assist facility management in working with the physicians and staff to verify all necessary instruments and equipment. </li><li> Assists the physician in completing and reporting state required adverse event reports and reporting internally as per FVC/FMC policy and procedure. </li></ul> MAINTENANCE/TECHNICAL: <ul><li> Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner. </li><li> Inspects operation of all facility equipment and reports malfunctions, and maintenance needs to ensure the safe and effective operation of all vascular access equipment. </li><li> Inspects operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility and reports any issues to the Facility Manager. </li><li> Ensures a clean, safe and sanitary environment in the vascular access facility at all times. </li><li> Ensures all blood spills are immediately addressed according to the FVC/FMCNA Bloodborne Pathogen Control Policies. </li></ul> ADMINISTRATIVE: <ul><li> Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FVC/FMS formularies. </li><li> May assist in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement. </li><li> Assists with Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required. </li><li> Assists with maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law. </li><li> Completes usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law. </li><li> Assists with maintaining facility supply inventory, including ordering and restocking of supplies as needed. </li><li> Examines emergency equipment and supplies, including stocking of the crash cart on a regular basis. </li><li> Completes medical records in an accurate manner in compliance with FVC policies and procedures prior to discharge of the patient. Perform chart audits on a regular basis. </li><li> May participate in facility regulatory and accreditation surveys and action plans to address any deficiencies. </li><li> Completes state required records for all implanted devices in an accurate and timely manner and in accordance with FVC/FMS records management guidelines. </li><li> Participates in staff meetings, training and orientation as assigned. </li><li> Complies with HIPPA policies and standards regarding patient information and medical records. </li><li> Assist with various projects as assigned by direct supervisor. </li><li> Other duties as assigned. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> 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. </li><li> The 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, patients and equipment of up to 200 lbs. There is a two-person assist program and material assist devices for the heavier items. </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, contagious diseases/materials and radiation. May be required to wear protective gear in procedure rooms for extended periods of time. </li></ul> EDUCATION : <ul><li> High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred </li><li> Graduate of an accredited School of Nursing (R.N.) </li><li> Current appropriate state licensure and ACLS certification required. </li></ul> EXPERIENCE AND REQUIRED SKILLS <ul><li> 4 - 6 years' related experience. </li><li> Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred. </li><li> Proficient in the use of computers and related software such as Microsoft Office is necessary. </li><li> Proficient in IV insertion. </li><li> Proficient in cardiac rhythm recognition. </li><li> Experience with Medical database software. </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: $41 - $68 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. This role is for a per diem RN role in our Los Angeles, CA surgery center. Must be able to work 1-2 Saturdays (daytime) per month. Other days of the week may also be available. Bilingual in English & Spanish a strong plus.

Registered Nurse RN Surgery Center Per Diem Los Angeles, CA

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 I  - PCT

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>

Master Social Worker - MSW

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. <ul><li> Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses. </li><li> Performs ongoing systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. </li><li> Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </li><li> Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. </li><li> Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. </li><li> Initiates or assists with emergency response measures. </li><li> Serves as a resource for health care team participates in staff training and orientation of new staff as assigned. </li><li> Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. </li><li> Ensures patient awareness related to transplant and treatment modality options. </li><li> Required to complete CAP requirements to advance. </li><li> Performs all other duties as assigned by Supervisor. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. <ul><li> The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. </li><li> This position requires frequent prolonged periods of standing and the employee must be able to bend over. </li><li> The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. </li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li> May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians. </li><li> The position may require travel to training sites or other facilities. </li><li> May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. </li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following: <ul><li> Successful completion of all FKC education and training requirements for new employees. </li><li> Must have a minimum of 9 months experience as a RN. </li><li> Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. </li></ul> EDUCATION and LICENSURE: <ul><li> Graduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Current or successful completion of CPR BLS Certification. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic/acute hemodialysis experience (preferred). </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

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.

Charge Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li>Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.</li><li>Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.</li><li>Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position may require travel to training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.</li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul> ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative. 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: $33 - $56 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. <ul><li>Location: 305 Mystic Ave, Medford, MA</li><li>Clinic hours: MWF 5a-9p, TTHS 5a-5p, No Sundays! </li><li>2021 and 2022 America's 'Most Loved Workplaces' by Newsweek</li><li>Outpatient offers NO: Overnight, Sunday or on-call shifts, major holidays off (Thanksgiving, Christmas and New Years Days)</li><li>No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator</li><li>70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America</li><li>Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories</li><li>Very team oriented staff that work together. </li><li>Up to $4,400 tuition reimbursement per calendar year</li></ul>

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

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