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<h1>Senior R&amp;D Mechanical Engineer – Precision Equipment Development (St. Louis, MO)</h1>Full-Time | Onsite | High-Impact Product DevelopmentAre you a mechanical engineer who thrives on solving complex technical challenges, developing precision equipment, and owning projects from concept to completion? We’re looking for a Senior R&amp;D Engineer to take the lead in developing the next generation of our critical measurement systems used in high‑precision manufacturing.This is a rare opportunity to step into a key technical role with strong organizational visibility, where your work directly influences product quality, manufacturing capability, and long-term innovation.<hr><h2>What You’ll Be Working On</h2><ul><li>Leading the design and development of the next‑generation capillary tube measurement system.</li><li>Turning early concepts and requirements into a functional, manufacturable piece of equipment.</li><li>Working with software, quality, and manufacturing teams to ensure the system meets performance and reliability goals.</li><li>Integrating mechanical and electromechanical components, including commercial actuators, sensors, and encoders.</li><li>Testing prototypes, troubleshooting issues, and refining designs.</li><li>Creating clear documentation, including equipment manuals and troubleshooting guides, for long‑term support.</li></ul><hr><h2>What We’re Looking For</h2><h3>Required</h3><ul><li>Strong background in mechanical design for manufacturing equipment.</li><li>Experience with precision test systems or equipment involving fluid paths or fluid‑based measurement.</li><li>Familiarity with electro‑mechanical systems, especially positioning devices and encoders.</li><li>Comfort taking ownership of a project and driving it through design, validation, and handoff.</li></ul><h3>Nice to Have</h3><ul><li>Experience writing equipment manuals or documenting manufacturing processes.</li><li>Background in R&amp;D, prototyping, or instrumentation design.</li><li>Hands‑on build, test, or troubleshooting experience with custom equipment.</li></ul><hr><h2>What You Can Expect</h2><ul><li>A collaborative environment with close interaction between engineering, software, manufacturing, and quality.</li><li>The chance to lead a project that directly supports core manufacturing capabilities.</li><li>Competitive salary and full benefits.</li><li>A stable role with meaningful technical challenges and long-term impact.</li></ul>If you’re looking for your next role where you can take real ownership of a project, work directly with experienced technical teams, and make a lasting impact on manufacturing capabilities, we’d love to hear from you.Job Type &amp; LocationThis is a Contract position based out of Saint Louis, MO.Pay and BenefitsThe pay range for this position is $40.00 - $50.00/hr.Eligibility requirements apply to some benefits and may depend on your job
 classification and length of employment. Benefits are subject to change and may be
 subject to specific elections, plan, or program terms. If eligible, the benefits
 available for this temporary role may include the following:

 • Medical, dental &amp; vision
 • Critical Illness, Accident, and Hospital
 • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
 • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 • Short and long-term disability
 • Health Spending Account (HSA)
 • Transportation benefits
 • Employee Assistance Program
 • Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a hybrid position in Saint Louis,MO.Application DeadlineThis position is anticipated to close on Feb 3, 2026.<h2>About Actalent</h2>

 Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
 
 
 The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
 
 If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

public

Mechanical Engineer

Job Title: Warehouse WorkerResponsibilities:<ul><li>Pick, pack, and prepare orders for domestic and international shipping.</li><li>Handle shipments via FedEx and DHL, ensuring proper documentation and compliance with international shipping requirements.</li><li>Load and unload trucks and organize products in designated storage areas.</li><li>Maintain accurate inventory records and assist with cycle counts.</li></ul>Qualifications:<ul><li>Previous warehouse experience preferred.</li><li>Familiarity with FedEx and DHL international shipping processes.</li></ul>Location: Newbury ParkPay $20-$22 HourlyContract to HireApply now and expect a call from Nallely Angeles. Job Type &amp; LocationThis is a Contract to Hire position based out of Newbury Park, CA.Pay and BenefitsThe pay range for this position is $18.00 - $22.00/hr.Eligibility requirements apply to some benefits and may depend on your job
 classification and length of employment. Benefits are subject to change and may be
 subject to specific elections, plan, or program terms. If eligible, the benefits
 available for this temporary role may include the following:

 • Medical, dental &amp; vision
 • Critical Illness, Accident, and Hospital
 • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
 • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 • Short and long-term disability
 • Health Spending Account (HSA)
 • Transportation benefits
 • Employee Assistance Program
 • Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in Newbury Park,CA.Application DeadlineThis position is anticipated to close on Jan 30, 2026. 
 
 <h4>About Aerotek:</h4>

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

Material Handler

<h1>Construction Shop Helpers in Hugo, MN </h1><h1>1st Shift with 10 Hours of Overtime Available </h1><h1>No Interview - Start ASAP</h1><h2>____________________________________________________</h2><h1>If interested, contact: </h1><h1>Alyssa DeLuca </h1><h1>(651) 605-6908 (can text/call)</h1><h2>____________________________________________________</h2><h2>Job Description: </h2><ul><li>Assist with cutting, measuring, and preparing materials for carpenters and assemblers</li><li>Operate basic shop tools: saws, drills, hand tools, nail guns, and more</li><li>Load/unload materials and keep workstations stocked and organized</li><li>Maintain a clean, safe shop environment</li><li>Support assembly of walls, trusses, stairs, and other building components</li><li>Help with staging, palletizing, and prepping orders for production</li><li>Perform general labor tasks as assigned by shop supervisors</li></ul><h2>Qualificiations: </h2><ul><li>Can read a tape measure accurately to 1/8"</li><li>Comfortable using hand tools and basic power tools</li><li>Able to lift 50–75 lbs as needed</li><li>Strong work ethic and eagerness to learn</li><li>Thrive in a fast‑paced, production‑oriented environment</li><li>Dependable, team‑oriented, and safety‑minded</li><li>Experience in construction, carpentry, manufacturing, or general labor is a plus</li><li>Familiarity with nail guns, table saws, chop saws, or pneumatic tools</li><li>Forklift or material‑handling experience is helpful</li><li>Basic blueprint reading is a bonus</li></ul><h2>Why You’ll Love Working With Us</h2><ul><li>Steady, year‑round work with consistent hours</li><li>Clear pathways for growth into assembler, carpenter, or lead roles</li><li>Safety‑focused environment with training provided</li><li>Overtime opportunities</li><li>Paid time off and competitive benefits (if applicable)</li><li>Supportive team culture and hands‑on skill development</li></ul><h2>Work Environment</h2><ul><li>Clean, organized shop setting</li><li>Fast‑paced, collaborative team atmosphere</li><li>Active role involving standing, lifting, bending, and tool use throughout the shift</li><li>Schedule varies by department</li></ul>If you're ready to build your skills, grow your career, and be part of a team that values hard work and craftsmanship, we’d love to meet you.Job Type &amp; LocationThis is a Contract to Hire position based out of White Bear Lake, MN.Pay and BenefitsThe pay range for this position is $18.00 - $18.00/hr.Eligibility requirements apply to some benefits and may depend on your job
 classification and length of employment. Benefits are subject to change and may be
 subject to specific elections, plan, or program terms. If eligible, the benefits
 available for this temporary role may include the following:

 • Medical, dental &amp; vision
 • Critical Illness, Accident, and Hospital
 • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
 • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 • Short and long-term disability
 • Health Spending Account (HSA)
 • Transportation benefits
 • Employee Assistance Program
 • Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in White Bear Lake,MN.Application DeadlineThis position is anticipated to close on Feb 3, 2026. 
 
 <h4>About Aerotek:</h4>

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

Construction Helper

Job Title: Avionics Technician $51 per hour with per diem includedJob DescriptionWe are seeking skilled and detail-oriented Avionics RF Technicians to support the assembly and integration of avionics systems within our satellite production line. The primary focus will be on harness dressing, routing, securing of wire harnesses, and the installation of avionics components in accordance with aerospace standards and engineering documentation.Responsibilities<ul><li>Perform harness dressing, including routing, lacing, shielding, and clamping of cables and harnesses within spacecraft modules.</li><li>Install avionics equipment such as boxes, heaters, RTDs, and connectors following interface control documents (ICDs) and installation drawings.</li><li>Interpret and work from electrical schematics, wiring diagrams, installation drawings, and work instructions.</li><li>Ensure compliance with IPC/WHMA-A-620, NASA-STD-8739.4, and company quality standards.</li><li>Use tools such as torque drivers, wire strippers, crimpers, heat guns, and harness forming boards.</li><li>Perform point-to-point continuity checks and support in-process quality inspections.</li><li>Maintain cleanroom protocols and electrostatic discharge (ESD) controls during assembly operations.</li><li>Document work performed and report any non-conformances (NCRs) to engineering and quality teams.</li><li>Collaborate closely with engineering, quality, and integration teams to resolve technical issues.</li></ul>Essential Skills<ul><li>Proficient in assembly, blueprint reading, and wiring of avionics components.</li><li>Experience in bench work and electronics.</li><li>High school diploma or equivalent; technical certification in avionics or aerospace assembly preferred.</li><li>2+ years of experience in avionics harnessing, preferably in aerospace or satellite manufacturing.</li><li>Familiarity with harness dressing standards and practices in aerospace environments.</li><li>Ability to read and interpret technical drawings, wiring schematics, and work instructions.</li></ul>Additional Skills &amp; Qualifications<ul><li>Familiarity with CIRRIS or similar harness testing systems is a plus.</li><li>IPC/WHMA-A-620 or NASA workmanship certification is highly desirable.</li><li>Strong attention to detail, manual dexterity, and commitment to quality.</li><li>Willingness to work in a cleanroom environment with PPE as required.</li></ul>Why Work Here?Join a dynamic and innovative team committed to excellence in aerospace technology. Enjoy a collaborative work environment that encourages professional growth and development while working on cutting-edge satellite systems.Work EnvironmentWork in a cleanroom environment, adhering to safety and quality protocols with the use of PPE as required. The role involves bench work and the use of specialized tools and equipment in an atmosphere that values precision and attention to detail.This is a contract role in Midland, TX. Job Type &amp; LocationThis is a Contract position based out of Las Vegas, NV.Pay and BenefitsThe pay range for this position is $27.00 - $27.00/hr.Eligibility requirements apply to some benefits and may depend on your job
 classification and length of employment. Benefits are subject to change and may be
 subject to specific elections, plan, or program terms. If eligible, the benefits
 available for this temporary role may include the following:

 • Medical, dental &amp; vision
 • Critical Illness, Accident, and Hospital
 • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
 • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 • Short and long-term disability
 • Health Spending Account (HSA)
 • Transportation benefits
 • Employee Assistance Program
 • Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in Las Vegas,NV.Application DeadlineThis position is anticipated to close on Feb 3, 2026. 
 
 <h4>About Aerotek:</h4>

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

Avionics Technician

PURPOSE AND SCOPE: The Clinical Quality Manager is responsible for developing, implementing, and monitoring quality assurance and performance improvement (QAPI) programs to ensure the highest standards of patient care and regulatory compliance. This role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. The scope of the clinical quality oversight of the position covers assigned treatment modalities (e.g. in-center, home modalities, or home hemodialysis and home peritoneal dialysis) PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Lead or participate in the clinic's Quality Assessment and Performance Improvement (QAPI) program in alignment with CMS, state, and organizational standards.</li><li>Develop and implement action plans to address deficiencies and improve care delivery.</li><li>Conduct regular audits and quality reviews to ensure compliance with clinical policies & procedures.</li><li>Facilitate staff education and training related to quality improvement, patient safety, and best practices.</li><li>Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.</li><li>Prepare and present quality reports to clinic leadership and governing bodies.</li><li>Ensure accurate documentation, data collection, and reporting for internal and external stakeholders.</li><li>Promote a culture of accountability, safety, and continuous improvement within the clinic.</li><li>Manages the execution and achievement of Quality key performance indicators (assigned by Quality leadership team) and other clinical initiatives, interventions and standardized education materials with clinic teams within the assigned area(s).</li><li>Performs other related duties as assigned.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS :<ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation 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 facility staff and physicians. </li></ul></li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Field: The position requires travel between assigned facilities and various locations within the community, approx. 60%-80%. </li></ul> ○ Travel to Regional, Division and Corporate meetings may be required. <ul><li> Remote: The position could require travel up to 10-15% </li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li>Registered Nurse required</li><li>BSN or bachelor's degree in healthcare-related field preferred (or equivalent experience).</li><li>Certification in Nephrology Nursing or quality preferred</li></ul> EXPERIENCE AND SKILLS : <ul><li>3+ years of dialysis experience required.</li><li>2+ years' experience in a leadership role.</li><li>Strong organizational, critical thinking and customer service skills.</li><li>Demonstrated leadership competencies and adaptability to changes in priorities<ul><li>Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities.</li></ul></li><li>Strong verbal and written communications skills.</li><li>Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues</li></ul>This is a remote opportunity within the North Texas operational area! The individual selected must reside in the North Texas territory. Travel required!

Strategic Clinical Quality Manager - North Texas

PURPOSE AND SCOPE: The Clinical Quality Manager is responsible for developing, implementing, and monitoring quality assurance and performance improvement (QAPI) programs to ensure the highest standards of patient care and regulatory compliance. This role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. The scope of the clinical quality oversight of the position covers assigned treatment modalities (e.g. in-center, home modalities, or home hemodialysis and home peritoneal dialysis) PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Lead or participate in the clinic's Quality Assessment and Performance Improvement (QAPI) program in alignment with CMS, state, and organizational standards.</li><li>Develop and implement action plans to address deficiencies and improve care delivery.</li><li>Conduct regular audits and quality reviews to ensure compliance with clinical policies & procedures.</li><li>Facilitate staff education and training related to quality improvement, patient safety, and best practices.</li><li>Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.</li><li>Prepare and present quality reports to clinic leadership and governing bodies.</li><li>Ensure accurate documentation, data collection, and reporting for internal and external stakeholders.</li><li>Promote a culture of accountability, safety, and continuous improvement within the clinic.</li><li>Manages the execution and achievement of Quality key performance indicators (assigned by Quality leadership team) and other clinical initiatives, interventions and standardized education materials with clinic teams within the assigned area(s).</li><li>Performs other related duties as assigned.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS :<ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation 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 facility staff and physicians. </li></ul></li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Field: The position requires travel between assigned facilities and various locations within the community, approx. 60%-80%. </li></ul> ○ Travel to Regional, Division and Corporate meetings may be required. <ul><li> Remote: The position could require travel up to 10-15% </li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li>Registered Nurse required</li><li>BSN or bachelor's degree in healthcare-related field preferred (or equivalent experience).</li><li>Certification in Nephrology Nursing or quality preferred</li></ul> EXPERIENCE AND SKILLS : <ul><li>3+ years of dialysis experience required.</li><li>2+ years' experience in a leadership role.</li><li>Strong organizational, critical thinking and customer service skills.</li><li>Demonstrated leadership competencies and adaptability to changes in priorities<ul><li>Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities.</li></ul></li><li>Strong verbal and written communications skills.</li><li>Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues</li></ul>This is a remote opportunity but the individual selected must reside in the territory. Travel required!

Strategic Clinical Quality manager - Midsouth Home Therapy

PURPOSE AND SCOPE: <ul><li>Support FME's mission, vision, core values, and customer service philosophy. Adhere to the FMCNA Compliance Program, including following all regulatory and company policy requirements. </li><li>Drive the success of the Medical Information & Communication group (MIC) within the RTG Medical Department. Ensure compliance of all Medical Information & Communication (MIC) materials with medical best practices and internal and external regulations and guidance.</li><li>Provide excellence in medical information to ensure optimal use of FME products</li></ul>PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>Provide excellence in medical writing of medical information and educational materials</li><li>Develop non-product related clear and concise scientific presentations and manuscripts on disease state and best treatment practices</li><li>Regularly update the existing library of educational materials based on current published evidence and proven clinical best practices in the field of nephrology and dialysis</li><li>Apply scientific expertise in daily self-dependent professional medical writing and in-depth literature searches</li><li>Keep up-to-date with and provide expertise on current applicable FME and FDA legal and compliance guidance</li><li>Ensure and document compliance of medical information and educational materials for internal and external auditing</li><li>Ensure all current materials are approved in the FME document management system (Windchill)</li><li>Other duties as assigned.</li><li> Assist with various projects as assigned by a direct supervisor. </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS : Perform duties typically associated with working in an office environment (i.e., sitting, typing, and light lifting). Reasonable accommodations may be made for individuals with disabilities to perform the essential functions. Ability to invest time, as required to expediting or completing assignments that may necessitate working evening and/or weekend hours as necessary to meet business demands. Some domestic travel required up to 10% of the time. EDUCATION : <ul><li> Minimum of a Master of Science degree in an allied healthcare field with a strong background in academic medical and scientific research </li><li> PharmD., Ph.D. or MD strongly preferred </li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li> 5 - 8 years' related experience; or a Master's degree with 3 years' experience; or a PhD without experience; or equivalent directly related work experience.</li><li> Documented strong expertise in literature evaluation, data analysis and self-dependent professional medical writing is required. </li><li> Documented strong expertise in literature evaluation, data analysis and self-dependent professional medical writing is required. </li><li> Preferably, the candidate will have publications in relevant journals and experience in presenting at medical or scientific symposia and congresses. </li><li> Expertise in Nephrology and Dialysis strongly preferred </li><li> Good understanding of the pharmaceutical industry and health care environment and its regulations </li><li> Excellent proficiency and experience in medical and scientific literature identification and evaluation </li><li> Excellent medical writing and editorial skills, validated by past work experience. </li><li> Ability to present papers and communications in the professional medical environment. </li><li> Organizational and time management skills </li><li> Ability to handle frequent interruptions, changing priorities and multiple projects with tight deadlines </li><li> Team orientation and collaboration paired with independent and sound judgment </li><li> Familiarity with PC-based applications, including Microsoft Word, Excel and PowerPoint </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Senior Medical Information Scientist

PURPOSE AND SCOPE: The Clinical Quality Manager is responsible for developing, implementing, and monitoring quality assurance and performance improvement (QAPI) programs to ensure the highest standards of patient care and regulatory compliance. This role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. The scope of the clinical quality oversight of the position covers assigned treatment modalities (e.g. in-center, home modalities, or home hemodialysis and home peritoneal dialysis) PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Lead or participate in the clinic's Quality Assessment and Performance Improvement (QAPI) program in alignment with CMS, state, and organizational standards.</li><li>Develop and implement action plans to address deficiencies and improve care delivery.</li><li>Conduct regular audits and quality reviews to ensure compliance with clinical policies & procedures.</li><li>Facilitate staff education and training related to quality improvement, patient safety, and best practices.</li><li>Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.</li><li>Prepare and present quality reports to clinic leadership and governing bodies.</li><li>Ensure accurate documentation, data collection, and reporting for internal and external stakeholders.</li><li>Promote a culture of accountability, safety, and continuous improvement within the clinic.</li><li>Manages the execution and achievement of Quality key performance indicators (assigned by Quality leadership team) and other clinical initiatives, interventions and standardized education materials with clinic teams within the assigned area(s).</li><li>Performs other related duties as assigned.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS :<ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation 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 facility staff and physicians. </li></ul></li><li> The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. </li><li> Field: The position requires travel between assigned facilities and various locations within the community, approx. 60%-80%. </li></ul> ○ Travel to Regional, Division and Corporate meetings may be required. <ul><li> Remote: The position could require travel up to 10-15% </li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION AND REQUIRED CREDENTIALS : <ul><li>Registered Nurse required</li><li>BSN or bachelor's degree in healthcare-related field preferred (or equivalent experience).</li><li>Certification in Nephrology Nursing or quality preferred</li></ul> EXPERIENCE AND SKILLS : <ul><li>3+ years of dialysis experience required.</li><li>2+ years' experience in a leadership role.</li><li>Strong organizational, critical thinking and customer service skills.</li><li>Demonstrated leadership competencies and adaptability to changes in priorities<ul><li>Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities.</li></ul></li><li>Strong verbal and written communications skills.</li><li>Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues</li></ul>This is a remote opportunity within the Appalachian operational area! The individual selected must reside in the Appalachian territory. Travel required!

Strategic Clinical Quality Manager - Appalachian Mountain

PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. &bull; Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. &bull; Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed. &bull; Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. &bull; Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients. &bull; Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. &bull; Initiates or assists with emergency response measures. &bull; Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. &bull; Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. &bull; Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. &bull; Ensures patient awareness related to transplant and treatment modality options. &bull; Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. &bull; Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. &bull; Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. &bull; Required to complete CAP requirements to advance. &bull; Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of equipment, patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage. &bull; Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. &bull; The position may require travel to training sites, other facilities or patient homes. &bull; May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following: &bull; Successful completion of all FKC education and training requirements for new employees. &bull; Must have a minimum of 12 months experience as a RN. &bull; Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis. EDUCATION and LICENSURE: &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: &bull; Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. &bull; Minimum of 1-year experience as a Registered Nurse (preferred) &bull; Home dialysis therapy experience (preferred). The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $37.00 - $63.00 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. Home Therapy

Registered Nurse - RN

About this role: As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment equipment within our kidney care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical supplies required. How you grow or advance in your career: We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a Biomedical Technician specific career ladder with three potential levels of Biomedical Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice President of Technical Services and supported by Corporate Biomedical Support Managers. 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: &bull; Maintains, troubleshoots, and repairs dialysis equipment, ancillary equipment, and water treatment systems. &bull; Maintains the physical plant, as directed. &bull; Ensures outside vendor services are completed per contract. &bull; Purchases and retain an inventory of service parts. &bull; Performs, evaluates, and reports water/dialysate sample collection and any actions required. &bull; Conducts daily, weekly, and monthly trend analysis on the water system to assure system functions as designed. &bull; Documents all repairs and maintenance activity. &bull; Assists in planning and installing biomedical equipment to assure safe and effective operation of facility. &bull; Transports equipment as needed with supervisor consent. &bull; Participates in monthly technical and regulatory meetings. &bull; Collaborates with facility staff to ensure all regulatory and OSHA requirements are met. &bull; Manages inventory, including receiving and putting up deliveries, inventory counts, transporting goods between clinics as needed and assist clinical management with inventory costs. &bull; Performs initial and annual verification and ongoing monitoring of patient care staff's technique for testing water system, assuring tests and documentation comply with manufacturer's specifications for the devices and test equipment used. &bull; Completes all technical training programs required by state/federal regulations and company policy. &bull; Provides scheduled after hour technical on-call coverage for your clinics as needed. EDUCATION AND CREDENTIALS: <ul><li>High school diploma or G.E.D. required.</li><li>Associate Degree in electronics / biomedical technology, or equivalent (preferred but not required)</li><li>Valid Driver's License issued in the employee's state of residence required.</li><li>Continued employment is dependent on successful completion of Fresenius Biomedical Technician training within the first 24 months of service from date of hire.</li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>Qualities and traits: collaborative, independent, analytical, mechanical, self-motivated, self-starter, continuously strives for staying up to date and increasing their knowledge/skills</li><li>Less than 1-year related experience.</li><li>Prior experience working in a mechanical, automotive, or construction industry, dialysis, or medical technical setting (preferred but not required).</li><li>Manual dexterity required - ability to use common hand tools and small power equipment.</li><li>Good verbal and written communication skills.</li><li>Ability to lift up to 50 lbs. and safely move large/bulky equipment</li></ul>Ability to create a safe and efficient work environment, OSHA - 6S - Infection Control 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; Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that, failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. &bull; Position involves active work including lifting, bending, walking, and standing for considerable lengths of time. &bull; The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet. &bull; There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. &bull; Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. &bull; Evening, weekend, and holiday availability, as well as ability to take Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Must have Superior Customer Service Experience Technical Knowledge and Experience a Plus

Biomedical Equipment Technician

PURPOSE AND SCOPE: Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment. PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li> Under direct/close supervision, performs a variety of basic and routine clerical and secretarial duties. These may include but are not limited to: </li><li> Preparing and typing routine correspondence, form letters and reports </li><li> Answering telephone & routing calls to the appropriate person, </li><li> Greeting visitors and patients as applicable and conducting them to the appropriate location or person as needed. </li><li> Setting up and maintaining filing systems and basic databases as applicable. </li><li> Completing forms and reports as required by the various company offices and outside vendors and agencies. </li><li> Recording the minutes of meetings and providing the resulting documents as necessary. </li><li> Making copies of correspondence and other printed matter as required by manager. </li><li> Preparing purchase orders using the appropriate software application. </li><li> Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed. </li><li> Distributing incoming mail. </li><li> Maintaining calendar and daily schedules. </li><li> Scheduling appointments & arranging meetings. </li><li> Maintaining inventory of the necessary office forms and supplies. </li><li> Assisting with various basic personnel administrative functions as needed. </li><li> Acting as backup to other clerical personnel in office as needed. </li><li> Assists in the collection of Patient Statistical Profile and Continuous Quality Improvement Data. </li><li> Assists with month-end reporting requirements </li><li> Assists in auditing records for ongoing compliance with medical records standards. </li><li> Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc. <ul><li> Prepares medical records for facsimile or mail related to travel, transplant, disability and others. </li><li> Organizes travel for patients by contacting and providing requested medical records. </li><li> Coordinates with transient patient paperwork. </li><li> Coordinates transfer placements and confirmations along with Clinical Manager. </li><li> Confirms admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning. </li><li> Assist with medical appointment referrals and scheduling. </li><li> Assist with transportation coordination and referrals. </li></ul></li><li> Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART. </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> Day to day work includes desk and personal computer work and possible interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. The work environment may be characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials </li></ul> EDUCATION : <ul><li> High School Diploma required </li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li> Minimum 6 months relevant experience without a degree - 0-6 months experience with an Associate degree or secretarial school. </li><li> Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills. </li><li> Pleasant telephone manner. </li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Clinic Administrative Assistant

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

Outpatient Registered Nurse - RN

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

Charge RN II

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

Acute Inpatient Registered Nurse - RN

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

Dialysis Clinical Manager Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Inpatient 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 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 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. <ul><li>Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.</li><li>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 or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as indicated.</li><li>Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</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 including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse.</li><li>Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.</li><li>Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.</li><li>Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.</li><li>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.</li><li>Administers medications as prescribed and documents medical justification and effectiveness.</li><li>Initiates and 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>May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually.</li><li>May be assigned to assist in an Outpatient facility on an as needed basis. </li><li>May serve as a Preceptor to new employees.</li><li>Required to complete CAP requirements to 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>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position requires travel to training/meeting sites and between assigned facilities.</li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and modality specific training requirements.</li><li>6 months experience in acute dialysis as a RN.</li></ul> EDUCATION AND LICENSURE: <ul><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification</li><li>Must meet the practice requirements in all states employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS :<ul><li>Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN.</li><li>Acute dialysis experience (preferred).</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Inpatient Registered Nurse - RN

About this role: As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment equipment within our kidney care clinics. You will also train and educate colleagues on operational maintenance of our dialysis machines to ensure the safety of our dialysis patients, as well as manage the medical supplies required. How you grow or advance in your career: We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a Biomedical Technician specific career ladder with three potential levels of Biomedical Technician role as well as a leadership path from Area Technical Operations Manager, Regional Technical Operations Manager, and Senior Director Technical Services, overseen by a Vice President of Technical Services and supported by Corporate Biomedical Support Managers. 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: &bull; Maintains, troubleshoots, and repairs dialysis equipment, ancillary equipment, and water treatment systems. &bull; Maintains the physical plant, as directed. &bull; Ensures outside vendor services are completed per contract. &bull; Purchases and retain an inventory of service parts. &bull; Performs, evaluates, and reports water/dialysate sample collection and any actions required. &bull; Conducts daily, weekly, and monthly trend analysis on the water system to assure system functions as designed. &bull; Documents all repairs and maintenance activity. &bull; Assists in planning and installing biomedical equipment to assure safe and effective operation of facility. &bull; Transports equipment as needed with supervisor consent. &bull; Participates in monthly technical and regulatory meetings. &bull; Collaborates with facility staff to ensure all regulatory and OSHA requirements are met. &bull; Manages inventory, including receiving and putting up deliveries, inventory counts, transporting goods between clinics as needed and assist clinical management with inventory costs. &bull; Performs initial and annual verification and ongoing monitoring of patient care staff's technique for testing water system, assuring tests and documentation comply with manufacturer's specifications for the devices and test equipment used. &bull; Completes all technical training programs required by state/federal regulations and company policy. &bull; Provides scheduled after hour technical on-call coverage for your clinics as needed. EDUCATION AND CREDENTIALS: <ul><li>High school diploma or G.E.D. required.</li><li>Associate Degree in electronics / biomedical technology, or equivalent (preferred but not required)</li><li>Valid Driver's License issued in the employee's state of residence required.</li><li>Continued employment is dependent on successful completion of Fresenius Biomedical Technician training within the first 24 months of service from date of hire.</li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>Qualities and traits: collaborative, independent, analytical, mechanical, self-motivated, self-starter, continuously strives for staying up to date and increasing their knowledge/skills</li><li>Less than 1-year related experience.</li><li>Prior experience working in a mechanical, automotive, or construction industry, dialysis, or medical technical setting (preferred but not required).</li><li>Manual dexterity required - ability to use common hand tools and small power equipment.</li><li>Good verbal and written communication skills.</li><li>Ability to lift up to 50 lbs. and safely move large/bulky equipment</li></ul>Ability to create a safe and efficient work environment, OSHA - 6S - Infection Control 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; Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that, failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. &bull; Position involves active work including lifting, bending, walking, and standing for considerable lengths of time. &bull; The use of dollies or other equipment is mandatory when moving heavy weight items. May be required to frequently lift items weighing up to 50 lbs. as high as 5 feet. &bull; There is potential exposure to chemicals and infectious materials. Scope of work includes high voltage equipment. Personal Protective Equipment (PPE) is provided by the company. &bull; Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements. &bull; Evening, weekend, and holiday availability, as well as ability to take Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

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