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PURPOSE AND SCOPE: The Supply Chain Planner is responsible for managing and optimizing the flow of materials and products within the supply chain. This role involves demand forecasting, inventory management, and supplier coordination to ensure the efficient operation of the supply chain. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Develop and maintain accurate demand forecasts to guide production and inventory planning. </li><li>Monitor and manage inventory levels to balance supply with demand and minimize excess stock. </li><li>Coordinate with suppliers to ensure timely and accurate delivery of materials and products. </li><li>Analyze supply chain data to identify trends, risks, and opportunities for improvement. </li><li>Collaborate with production, procurement, and logistics teams to resolve supply chain issues. </li><li>Prepare and present regular reports on supply chain performance metrics.</li><li>Reorder inventory on a national and warehouse level based on inventory targets, system reorder parameters, and distribution planning techniques. </li><li>Analyze daily backorder situations and perform necessary follow-up and expediting activities to ensure delivery of orders.</li><li>Coordinate with vendors for the replacement of defective material, cancellation of orders, rescheduling of delivery dates, pricing, and delivery discrepancies. Ensures credits are received when inventories are returned to suppliers.</li><li>Review purchase orders and purchase requests for appropriate approvals, quantities, descriptions, and processes.</li><li>Identify and propose disposition for excess, expired, obsolete, or otherwise unusable merchandise.</li><li>Study and understand current and changing market conditions. Maintain close contact with the market and suppliers of assigned products to identify price, lead-time, capacity, and supply trends or problems. Stay aware of new products, companies, or trends affecting the marketplace.</li><li>May assist junior-level staff with general tasks that require a better understanding of functions, as directed by immediate supervisor.</li><li>May refer to senior-level staff for assistance with higher-level problems that may arise.</li><li>Escalate issues to supervisor/manager for resolution, as deemed necessary.</li><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li>Assist with various projects as assigned by direct supervisor.</li><li>Other duties as assigned.</li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS :<ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.</li><li>Ability to travel as necessary to meet supply chain systems demands / requirements.</li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION : <ul><li>Bachelor's Degree preferred; equivalent combination of education and experience considered. </li><li>Major's Preferred: Engineer, MIS, Supply Chain Management, Business Administration </li></ul> EXPERIENCE AND SKILLS : <ul><li>1-3 years of relevant experience. </li><li>Ability to write reports, business correspondence, and procedure manuals.</li><li>Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.</li><li>Ability to solve practical problems and deal with a variety of concrete variables in situations where limited standardization exists.</li><li>Strong oral and written communication skills.</li><li>Proficient with PCs and Microsoft Office applications.</li><li>Excellent organizational skills and the ability to multi-task simultaneously is desirable, as well as taking responsibility and accountability for duties and assignments.</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. Annual Rate: $73,000.00 - $85,000.00 for Lawrence MA location Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Hybrid/Remote position - Monday through Friday, business hours.

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Supply Chain Planner

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. &bull; Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. &bull; Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. &bull; Initiates or assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. &bull; Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position may require travel to training sites or other facilities. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification. &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. &bull; Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Part Time

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. &bull; Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. &bull; Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. &bull; Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. &bull; Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. &bull; Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. &bull; Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. &bull; Administers medications as prescribed and documents appropriate medical justification and effectiveness. &bull; Initiates and assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. &bull; May be assigned to assist in an Outpatient facility on an as needed basis. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. &bull; Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position requires travel to training/meeting sites and between assigned facilities. &bull; Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and modality specific training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; 6 months experience in acute dialysis as a RN. EDUCATION and LICENSURE: &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification &bull; Must meet the practice requirements in all states in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN &bull; Minimum 9 months experience as a Registered Nurse, 12 months (preferred). &bull; 6 months acute dialysis experience (preferred) &bull; Hemodialysis and/or ICU experience (preferred). ACKNOWLEDGEMENT: I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative 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. Rate: $XX - $XX 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. This position is PART-TIME.

Acute Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. 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 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 therapies 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, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility and area level. </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 a formal standardized Home Dialysis Training Program.</li><li>Participates in education and quality improvement projects at the facility and area level as directed by Supervisor.</li><li>May serve as a Preceptor to new employees.</li><li>Required to complete CAP requirements to either maintain or 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>Rotates coverage with other licensed home therapy staff as assigned to ensure reliable and adequate coverage. </li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>The position may require travel to training sites, other facilities and 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></ul> SUPERVISION: Assigned oversight of RNs, LPNs/LVNs, Patient Care Technicians and Home Therapies 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 3 months experience home dialysis therapies 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 a minimum of 2 years or more of Nephrology Nursing experience within the last 2 years as a RN.</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: $34.50 - $65 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Staff Related: <ul><li>Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.</li><li>Rotates with other licensed staff to ensure adequate coverage.</li><li>Participates in staff training and orientation of new staff as assigned.</li><li>Participates in all required staff meetings as scheduled.</li></ul>Quality: <ul><li>Provides outstanding quality of patient care, as defined by company quality goals and standards.</li><li>Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.</li><li>Participates in all monthly CQI meetings.</li></ul>Education: <ul><li>Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.</li><li>Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.</li><li>Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.</li><li>Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.</li><li>Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.</li></ul>Dialysis Treatment: <ul><li>Provides safe and effective delivery of home therapy support care to patients with ESRD.</li><li>Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.</li><li>Communicates patient related issues to the physician as needed.</li><li>Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.</li><li>Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.</li></ul>Laboratory Related: <ul><li>Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.</li><li>Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.</li></ul>General Duties: <ul><li>Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.</li><li>Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.</li></ul>Maintenance/Technical: <ul><li>Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.</li><li>Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.</li><li>Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.</li></ul>Medical Records & Documentation: <ul><li>Admits all new patients and documents as needed.</li><li>Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.</li><li>Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.</li><li>Completes all monthly and annual reporting as required by company policies and government regulations.</li></ul>Other: <ul><li>Performs other related duties as assigned</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise</li></ul>levels. May be exposed to infectious and contagious diseases/materials<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable</li></ul>accommodations can be made. SUPERVISION: <ul><li>None</li></ul> EDUCATION AND REQUIRED CREDENTIALS: <ul><li>Graduate of an accredited School of Nursing (R.N.)</li><li>Current appropriate state licensure</li></ul> EXPERIENCE AND SKILLS :<ul><li> Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred. </li><li>Minimum of one year dialysis experience preferred, peritoneal experience preferred.</li><li>Successfully complete a training course in the theory and practice of dialysis therapies.</li><li>Competent at operating all Home Therapies related equipment.</li><li>Successfully complete CPR certification with maintenance as required.</li><li>Icd-9 coding Training.</li><li>Demonstrated teaching abilities.</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Registered Nurse - RN - Dialysis

PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li> Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. </li><li> Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. </li><li> Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. </li><li> Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. </li><li> Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. </li><li> Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic 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> Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record </li><li> Initiates or assists with emergency response measures. </li><li> Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. </li><li> Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. </li><li> Promotes infection control, equipment and environmental safety. </li><li> Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </li><li> Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. </li><li> Ensures patient awareness related to transplant and treatment modality options. </li><li> Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. </li><li> Checks availability of adequate emergency equipment and supplies as assigned. </li><li> Assists with medication tracking and inventory as assigned. </li><li> Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. </li><li> Participates in all required staff meetings as scheduled. </li><li> Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. </li><li> Performs all other duties as assigned by supervisor. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. 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: <ul><li> Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: <ul><li> Successful completion of all FKC education and training requirements for new employees plus </li><li> Must have a minimum of 9 months experience as an RN plus </li><li> Successful completion of 3 months experience in chronic hemodialysis. </li></ul></li></ul> EDUCATION: <ul><li> G raduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic hemodialysis experience (preferred). </li><li> Successful completion of FKC Education and Training requirements for new employees. </li><li> Successful completion and maintenance of CPR BLS Certification. </li><li> Meet all conditions of employment including Ishihara's Color Blindness Test. </li><li> Successful completion of all annual required education/training/competencies. </li><li> Successful completion of on-going training and education as assigned or required. </li></ul> Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &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). 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.

Outpatient Registered Nurse - RN-Float

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

Outpatient Licensed Practical Nurse - LPN LVN

Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysis healthcare, we form bonds that enable the best possible outcomes and professional satisfaction. While our extensive organization continues to grow, so do opportunities for our professionals to learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following: <ul><li> Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country. </li><li> Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development. </li><li> Superior training, UltraCare&reg; quality control, and certification procedures ensure your potential to succeed and advance as a professional. </li><li> Competitive compensation and exceptional benefits. </li><li> Outstanding tuition reimbursement program. </li><li> Recognized among Fortune's World's Most Admired Companies in 2011. </li><li> National Safety Award from CNA insurance companies for 11 consecutive years. </li><li> Opportunities to give back by participating in philanthropy and community outreach programs. </li></ul> PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment. DUTIES / ACTIVITIES : CUSTOMER SERVICE: <ul><li> Responsible for driving the FMCNA culture through values and customer service standards. </li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. </li></ul> PRINCIPAL RESPONSIBILITIES AND DUTIES: Patient Related: <ul><li> Provide direct patient care for assigned patient(s). </li><li> Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor. </li><li> Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record. </li><li> Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor. </li><li> Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications. </li><li> Assist with all emergency operational procedures. </li><li> Administer intravenous medication in accordance with physician orders and state nurse practice laws. </li><li> Perform and document pre, interim, and post treatment review of patient condition. </li><li> Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment. </li></ul> Technical: <ul><li> Safely operate all dialysis related equipment according to the proper procedures. </li><li> Provide minor troubleshooting when necessary. </li><li> Ensure a clean, safe and sanitary environment in the dialysis facility treatment area. </li><li> Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. </li><li> Operate all emergency equipment effectively in accordance to the standard operation procedures. </li></ul> Staff Related: <ul><li> Participate in staff meetings as scheduled. </li><li> Assist in short term and long term patient care plan meetings. </li><li> Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes. </li><li> Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. </li><li> Other duties as assigned. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility, staff and physicians. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment weighing up to 200lbs., and may lift chemical water solutions of up to 30lbs., up as high as 5 feet. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noises levels. May be exposed to infectious and contagious diseases/materials. EDUCATION: <ul><li>Graduate of an accredited School of Practical Nursing (LPN, LVN)</li><li>Current appropriate State licensure. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>One year medical-surgical nursing experience preferred.</li><li>Hemodialysis experience preferred but not required.</li><li>ICU experience preferred but not required.</li><li>Successfully complete a training course in the theory and practice of hemodialysis.</li><li>Successfully complete CPR Certification.</li><li>Must complete the Nurses Technical Training Program upon hire or soon thereafter.</li><li>Ability to provide coverage at area facilities during times of short-staffing or as required.</li><li>Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.</li><li>Good communication skills, both verbal and written.</li></ul>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: $22.00 - $35.00 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. * Full Time Position * Dialysis Experience Not Required, Will Train * 12 Week Paid Training * Growth and Advancement Opportunities * No On-Call, No Over Nights, No Sunday's

Outpatient Licensed Practical Nurse - LPN LVN - Dialysis

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. &bull; Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. &bull; Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. &bull; Initiates or assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. &bull; Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position may require travel to training sites or other facilities. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification. &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. &bull; Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. 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.

PURPOSE AND SCOPE: Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement activities that enhance the likelihood that patients will achieve their individualized patient-specific goals as determined by the patient's physician. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Assesses patient's knowledge of diet and kidney disease and provides education appropriate to patient's learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process. </li><li> Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process. </li></ul><ul><li> Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. </li><li> Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient's needs, in accordance with established Federal and, where applicable, state licensure guidelines. </li></ul><ul><li> Calculates diet prescription according to standard of practice. </li><li> Completes progress notes on all chronic dialysis patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established FMCNA policies and Federal and state regulations. </li><li> Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status. </li><li> Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient's albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver. </li><li> Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient's ability to achieve the goals. </li><li> Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V. </li><li> Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control. </li><li> Adheres to FMCNA algorithm and medical record policies. </li><li> Reports on nutrition QAI results and participates in the interdisciplinary QAI program. </li><li> Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate. </li><li> When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. </li></ul><ul><li> Reviews nutrition related lab results: </li></ul><ul><li> Counsels patient and/or caregiver and formulates appropriate action. </li><li> Recommends treatment changes to the interdisciplinary team as appropriate. </li><li> Communicates with physician and/or facility staff regarding lab results as appropriate. </li><li> Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e., hospitals, short term and long-term care facilities). </li></ul><ul><li> Participates in pertinent staff meetings (i.e., general staff, quality improvement), Care plan meetings, and others as applicable. </li><li> Consults with FMS Corporate Dietitian regarding nutrition concerns as needed. </li><li> Maintains and improves knowledge and skills for a competent and innovative practice. </li><li> Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable. </li><li> Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean. </li></ul><ul><li> Other nutrition management duties as assigned. </li></ul><ul><li> Performs other related duties as assigned. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS :<ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.</li><li>The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.</li></ul></li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li> Registered Dietitian as per Commission on Dietetic Registration </li><li> Board Certified Specialist in Renal Nutrition encouraged. </li><li> Current state licensure if applicable. </li></ul> EXPERIENCE AND SKILLS : <ul><li>Minimum of 1-year professional work experience in clinical nutrition as a Registered Dietitian.</li><li>Previous renal experience preferred.</li><li>Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making.</li><li>Able to perform responsibilities with minimum supervision.</li><li>Basic computer skills required.</li></ul>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. Rate: $29.86 - $44.78 Non-Bonus Eligible Positions: Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Registered Dietitian Part Time

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL RESPONSIBILITIES AND DUTIES CLINIC OPERATIONS: <ul><li>Manages the operations of the clinic, including costs, processes, staffing, and quality standards.</li><li>Provides leadership, coaching, and development plans for all direct reports.</li><li>Partners with internal Human Resources, Quality, and Technical Services departments.</li><li>Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program.</li><li>Maintains integrity of medical and operations records and complies with all data collections and auditing activities.</li><li>Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.</li><li>Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.</li><li>Responsible for all required network reporting and on-site state or federal surveys.</li></ul> PATIENT CARE: <ul><li>Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.</li><li>Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care.</li><li>Acts as a resource for the patient and family to address concerns and questions.</li><li>Accountable for timely completion of patient care assessments and care plans.</li><li>Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments.</li><li>Plans, coordinates, and validates patient eligibility for treatment.</li><li>Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. </li></ul> STAFF: <ul><li>Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.</li><li>Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.</li><li>Provides support for all clinical staff members at regular intervals and encourages professional growth.</li><li>Maintains current knowledge regarding company benefits, policies, procedures, and processes.</li><li>Completes employee evaluations and establishes annual goals.</li><li>Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.</li><li>Manages staff scheduling and payroll.</li></ul> PHYSICIANS: <ul><li>Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.</li><li>Responsible for strong physician relationships and ensures regular and effective communication.</li><li>Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.</li></ul>EDUCATION AND REQUIRED CREDENTIALS:<ul><li>Bachelor's Degree or an equivalent combination of education and experience.</li><li>Graduate of an accredited School of Nursing (RN).</li><li>Current appropriate state licensure.</li></ul>EXPERIENCE AND SKILLS: <ul><li>Required:<ul><li>6+ years business operations experience in a healthcare facility.</li><li>12 months experience in clinical nursing.</li><li>6 months chronic or acute dialysis nursing experience.</li><li>Successfully pass the Ishihara Color Blind Test.</li></ul></li><li>Preferred but not required:<ul><li>3+ years supervisory or project/program management experience.</li><li>Med/surg or ICU/CCU experience.</li></ul></li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians</li><li>Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required.</li><li>The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. </li></ul>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. Annual Rate: $85,000.00 - $143,000.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave 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.

Dialysis Clinical Manager Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. &bull; Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. &bull; Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. &bull; Initiates or assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. &bull; Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position may require travel to training sites or other facilities. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: &bull; Successful completion of all FKC education and training requirements for new employees. &bull; Must have a minimum of 9 months experience as a RN. &bull; Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification. &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. &bull; Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

About this role: As a Home Therapies Registered Nurse, you will manage patient care in an independent home therapy program by providing education and support to patients and caretakers who have chosen to dialyze in the comfort of their home. This role is primarily clinic based, you will conduct an initial visit to the homes of patients to assess home therapy readiness with regular training and follow-up visits within the clinic environment. How you grow or advance: As a Home Therapies Registered Nurse, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations. <ul><li>As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership, and quality improvement activities that enhance patient care outcomes and home therapies program operations.</li><li>Identifies and evaluates candidates for the Home Therapies Program including assessment of patients' home environment if needed.</li><li>Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and caretaker readiness and ability to perform dialysis treatments in the home.</li><li>Admits new patients to the Home Therapies Program using the appropriate processes.</li><li>Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients.</li><li>Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols.</li><li>Analyzes dialysis data for Home Therapy patients and documents and adjusts or modifies the treatment plan as needed.</li><li>Provides initial and ongoing education to patient and family on home dialysis treatment and the operation and maintenance of all home therapies equipment.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.</li><li>Initiates or assist with emergency response measures.</li><li>Completes routine patient evaluations within the clinic setting.</li><li>Ensures correct laboratory collection, processing, and shipping procedures are performed.</li><li>Collaborates with the Interdisciplinary Team on the patient care plan.</li><li>Makes referrals to Social Worker and Registered Dietitian as appropriate.</li><li> Completes CAP requirements to either maintain or advance within the program. </li></ul> EDUCATION: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable.</li><li>Experience as a Registered Nurse (preferred but not required).</li><li>Chronic/home hemodialysis experience (preferred but not required).</li><li>Successfully pass the Ishihara Color Blind Test.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. </li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. </li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position may require travel to home dialysis patient homes, training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li></ul> Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. <ul><li>Home clinic will be Middletown, but may need to travel to all four locations as needed- Enola, Camp Hill, Middletown and Newberry.</li><li>Position Hours: 8:00am - 4:30pm Monday to Friday, light on calls that will be discussed. </li></ul>

Registered Nurse - RN

PURPOSE AND SCOPE: Provides administrative and clinical support for the implementation and conduct of clinical trials under the direct supervision of the Principal Investigator (PI), Director, and other site personnel as applicable. Responsible for the collection and submission of regulatory documents, performance of study specific procedures, regulatory reporting requirements as instructed by the PI and governed by Good Clinical Practice (GCP) and ICH guidelines, and assisting with ongoing study activity. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Assists with obtaining and preparing regulatory/essential documents throughout the duration of a study including, but not limited to, FDA 1572, CVs, professional licensure, financial disclosure forms and IRB submission forms.</li><li>Under close supervision, ensures documents and forms are compiled and submitted in a timely manner to the CRO, study sponsor or IRB as applicable.</li><li>Assists with maintaining constant communication with Institutional Review Boards, study sponsors, dialysis facility, practice and field staff as necessary to ensure timely study start-up or the effective and efficient progression of the study.</li><li>Assists with the contracting process, document preparation and execution as required during study start-up activities and throughout the duration of a study.</li><li>Under close supervision, interfaces with potential study subjects for the purpose of promoting participation in research studies.</li><li>Assists with the screening of subjects for participation eligibility using inclusion/exclusion criteria as outlined in the study protocol and under the direction of the PI.</li><li>Assists with and documents the obtaining of informed consent according to GCP.</li><li>Assists with the timely and accurate data entry of study specific data into case report forms.</li><li>Assists with addressing and resolving study sponsor questions, concerns, and queries in accordance with timelines established by the study sponsor.</li><li>Processes and ships study specific lab specimens as directed by the PI.</li><li>Performs study specific procedures at protocol directed intervals under the supervision of the PI.</li><li>Provides general support for research projects as directed by the PI, Director, or other site personnel.</li><li>Obtains and updates essential documents for specific studies, as necessary.</li><li>Attends clinical research-related training as required.</li><li>Assists with study close-out activities as directed by PI.</li><li> Completes the clinical trials management system and electronic/paper case report forms in an accurate and timely manner. </li><li>Escalates issues to supervisor for resolution, as deemed necessary.</li><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and</li><li>federal laws and regulations.</li><li>Assists 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, field staff, physicians and study sponsors.</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>Must be willing to travel to other research dialysis facilities as needed. Travel to Regional, Divisional and Corporate meetings may be required. 20% travel.</li></ul> EDUCATION: <ul><li> High School Diploma required. Certified Medical Assistant preferred. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>0-1 year experience in a medical setting and/or clinical research preferred.</li><li>Willingness to obtain research specific training as needed.</li><li>Must be able to meet deadlines for multiple concurrent projects.</li><li>Ability to understand and follow study specific protocol and direction.</li><li>Ability to understand a dialysis medical record.</li><li>Attention to detail a must.</li><li>Proficient with PCs and Microsoft Office applications.</li><li>Strong communication skills, verbal and written.</li><li>Strong organizational skills.</li><li>Ability to take direction.</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. <ul><li>On Site position.</li><li>Office Hours are Monday-Friday 8am-4:30pm.</li></ul>

Clinical Research Assistant

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. <ul><li>America's 'Most Loved Workplaces' by Newsweek</li><li>Major holidays off!</li><li>No prior healthcare experience required, on the job, paid 12 weeks of training to become nationally certified. Upon certification receive a pay increase & promotion</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></ul>Great for Nursing Assistants , CNA , Phlebotomist !

Patient Care Technician - PCT - Training Provided

PURPOSE AND SCOPE: Dispenses drugs prescribed by physicians and other health practitioners and provide information to patients about medications and their use. May advise physicians and other health practitioners on the selection, dosage, interactions, and side effects of medications. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Plans, implements, and maintains procedures for mixing, packaging, or labeling pharmaceuticals, according to policy and legal requirements, to ensure quality, security, and proper disposal. </li><li>Monitors drug therapies for drug interactions, allergies and contraindications.</li><li>Controls medications by monitoring drug therapies; advising interventions.</li><li>Ensures accuracy of all prescriptions by checking all orders, identifies any inconsistencies and initiate appropriate action.</li><li>Obtains all licenses required for shipment of Rx products in coordination with Regulatory Affairs.</li><li>Maintains all required files to include: prescription files, patient files and profiles.</li><li>Provides clinical consultations to internal personnel regarding medication for drug interactions, side effects and dosage. Ensures the appropriate storage and security of medicinal products and supplements to provide purity, freshness and potency.</li><li>Maintains continuous knowledge with all current pharmacy practices and new drugs by participating in continuing education programs as required by each state board of pharmacy. Keep up with all company regulatory standards and policies.</li><li>Provides reports as needed, including state required drug monitoring programs.</li><li>Maintains pharmacy supplies.</li><li> Provides pharmacy coverage with daily schedules, vacation schedules, and call offs due to illness during pharmacy business hours. </li><li>Provides documented orientation and training for different departmental staff. Provide review and evaluation of staff if needed.</li><li>May provide assistance to junior level staff with more complex tasks that require a higher level of understanding of functions.</li><li>May escalate issues to supervisor/manager for resolution, as deemed necessary.</li><li>Mentors other staff as applicable.</li><li>Reviews and complies with the Code of Business Conduct and all applicable company policies and procedures, local, state, and federal laws and regulations.</li><li> Assists with various projects as assigned by a direct supervisor. </li><li>Other duties as assigned.</li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> Provides coverage for any emergency orders for weekends and after hours. </li><li> Serves as after-hours/on-call pharmacist for counseling. </li></ul> EDUCATION : <ul><li> Bachelor's Degree required; Advanced Degree desirable. </li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li>1 year required.</li><li>Must be willing to secure jurisprudence in individual states which require separate pharmacy licenses before granting reciprocity with their state on an as needed basis.</li><li> Strong computer skills. </li><li> Excellent oral and written communication skills. </li><li> Excellent organizational and analytical skills. </li><li> In-depth knowledge of pharmacy laws for Rx drugs and devices. </li><li> Familiarity with the process involved in the manufacture of dialysis preparation. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Pharmacist Per Diem

PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. <ul><li> Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. </li><li> Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. </li><li> Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. </li><li> Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. </li><li> Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. </li><li> Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic 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> Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. </li><li> Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record </li><li> Initiates or assists with emergency response measures. </li><li> Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. </li><li> Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. </li><li> Promotes infection control, equipment and environmental safety. </li><li> Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. </li><li> Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. </li><li> Ensures patient awareness related to transplant and treatment modality options. </li><li> Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. </li><li> Checks availability of adequate emergency equipment and supplies as assigned. </li><li> Assists with medication tracking and inventory as assigned. </li><li> Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. </li><li> Participates in all required staff meetings as scheduled. </li><li> Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. </li><li> Performs all other duties as assigned by supervisor. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. 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: <ul><li> Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: <ul><li> Successful completion of all FKC education and training requirements for new employees plus </li><li> Must have a minimum of 9 months experience as an RN plus </li><li> Successful completion of 3 months experience in chronic hemodialysis. </li></ul></li></ul> EDUCATION: <ul><li> G raduate of an accredited School of Nursing. </li><li> Current appropriate state licensure. </li><li> Must meet the practice requirements in the state in which he or she is employed. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. </li><li> Minimum of 9 months experience as a Registered Nurse (preferred). </li><li> Chronic hemodialysis experience (preferred). </li><li> Successful completion of FKC Education and Training requirements for new employees. </li><li> Successful completion and maintenance of CPR BLS Certification. </li><li> Meet all conditions of employment including Ishihara's Color Blindness Test. </li><li> Successful completion of all annual required education/training/competencies. </li><li> Successful completion of on-going training and education as assigned or required. </li></ul>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: $29.00 - $50.00 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. Alton, IL Location

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