Outpatient Registered Nurse - RN

A minimum of 2 years of Nephrology Nursing experience required. Join our team! • Rated as one of Forbes' U.S. Best Employers • Tuition reimbursement • Competitive Pay & Benefits • Paid time off • 401(K) and much more! PURPOSE AND SCOPE: The professional registered nurse Outpatient 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. 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. 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. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. 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. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. 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. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. May serve as a Preceptor to new employees. Required to complete CAP requirements to maintain or advance. 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. 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. 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. 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. 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 LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with minimum of 2 years of Nephrology Nursing experience Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Dialysis Program Manager Registered Nurse - RN

PURPOSE AND SCOPE: Manages the provision of quality patient care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Takes the appropriate actions and makes the necessary decisions to ensure the continuity of care and patient and staff safety. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapy patients to ensure that the highest standards of care are provided. Collaborates with the Business Unit management team to grow the assigned Home Therapies program(s). PRINCIPAL DUTIES AND RESPONSIBILITIES: Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, operational methods, growth, and quality and staffing. Provide leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current industry trends. Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals. Program or project responsibility generally within the Home Therapy Department. Manages the operations of one or more HT Programs, direct impact within assigned area. Manages the coordination of activities of a section or department with direct responsibility for results, including costs, operational methods, and staffing. Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Recommends changes to policies and procedures following company protocol as needed. Ensures that subordinates follow policy and procedures. Frequently interacts with supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers. Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team. Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve problems. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. Participates in the development and implements the area strategic plans, goals and objectives ensuring alignment with those of the region, division and company. Implements HT program-specific and area quality goals and action plans in order to achieve quality standards. Responsible and accountable for facility maintenance and environmental integrity. Promotes a culture of safety in assigned market. Provide technical guidance. Assist with various projects as assigned. Other duties as assigned. PATIENT CARE: Directs and manages all aspects of patient care for Home Therapies patients in assigned program from admission through discharge of the patient. Provides direction, guidance and support to staff members to ensure the safe and effective delivery of home therapy support care to patients with End Stage Renal Disease (ESRD). Ensures that the standard of dialysis provided is at least equivalent to that provided to facility patients. Oversees the identification and evaluation of candidates for the Home Therapies Program including assessment of patients' home environment if needed. Accountable for timely completion of patient care plans by organizing meetings of the health care team to discuss patient care plans and resolve patient problems. Maintains and communicates efficient and timely patient schedules to ensure maximization of the facility station efficiency. Ensures completion of Initial and Annual Nursing assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures is completed. Ensures patients' response to home dialysis treatment therapy is documented according to company policies and procedures and in compliance with pertinent regulatory requirements. Ensure appropriate intervention for changes in patient adequacy status and troubleshooting peritoneal and access flow issues are completed per physician orders. Identifies and communicates patient related issues to the physician. Develops action plans for missed treatments in collaboration with the Medical Director. Administers medications as prescribed including algorithm (as appropriate), and document appropriate medical justification if indicated. Responsible for the appropriate recording of controlled substances as required by law. Ensures reports of alert/panic and abnormal lab results are communicated to appropriate physician. Implements staffing and medical supply models to ensure provision of quality patient care. Ensures all educational needs of patient and family are met regarding End Stage Renal Disease (ESRD). Ensures education of the patient regarding quality measures, transplant options, modality awareness, and access care, including vascular catheter reduction and adherence to treatment regime. Oversees coordination transplant education and assists in transplant workup process. Ensures all patients are educated regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedules medications, and fluid as appropriate. Oversees the safe, effective and timely training of all home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment Acts as a resource for the patient to address concerns and questions. Develops a mechanism or process for acquiring and maintaining knowledge of the specific situation of each patient, including hospitalizations, and any significant change in patient care status. In the absence of a Kidney Care Advocate, the HT PM will manage the delivery of the Treatment Options Program. Manages and ensures all physician orders are accurately entered into the Medical Information System and that company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results are followed. Maintains appropriate skill levels with all emergency operational procedures, and initiates CPR and emergency measures in the event of cardiac and/or respiratory arrests when the patient is in the medical office. STAFF: Manages assigned program Home Therapies licensed personnel, direct patient care staff, indirect patient care personnel, and when necessary, technical staff. Provides employee education and guidance, and performance related feedback through ongoing informal advice and formally through the annual performance evaluation. Manages the Home Therapies staffing through the appropriate hiring, firing and disciplinary actions. Ensures completion of new hire orientation and training including mandatory in-services and ICD-9 code training when applicable. Collaborates with staff to establish personal goals and provides opportunities for professional growth and training to achieve these goals to ensure clinical competence. Conducts regular staff meetings to ensure appropriate communication of area, regional and corporate initiatives and policies and procedures, to educate and monitor staff regarding appropriate patient care techniques and other company and regulatory policies and procedures. Responsible for all patient care employees receiving appropriate training according to policy, including training to ensure ongoing compliance with all risk management initiatives. Ensure documentation completed for all annual in- service training. Collaborates with all appropriate departments to promote home therapy growth Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confer with the Director of Operations regarding the nature of the disciplinary decisions. Participates in Corporate and Business Unit specific employee recognition and satisfaction programs. Creates, maintains and communicates efficient and timely employee schedules according to the needs of the facility. Ensure all staff is trained in the principles and concepts and practice Customer Service Model. Creates and implements a (CQI) Process Improvement Team that involves staff in problem solving. Ensures competency of HT personnel in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone. Directs staff and patients in the preventive maintenance of home therapy equipment, including water systems and analyses as appropriate. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. . click apply for full job details

Clinical Coordinator - Charge Registered Nurse - Dialysis

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. 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. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. 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. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. 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 : 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 i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direc t Patien t Car e Staff , War d Cler k a s assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS : 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. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Dialysis Clinical Manager Registered Nurse - RN

Sign-on bonus available 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: Manages the operations of the clinic, including costs, processes, staffing, and quality standards. Provides leadership, coaching, and development plans for all direct reports. Partners with internal Human Resources, Quality, and Technical Services departments. Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program. Maintains integrity of medical and operations records and complies with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. Responsible for all required network reporting and on-site state or federal surveys. PATIENT CARE: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care. Acts as a resource for the patient and family to address concerns and questions. Accountable for timely completion of patient care assessments and care plans. Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments. Plans, coordinates, and validates patient eligibility for treatment. Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. STAFF: Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings. Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. Provides support for all clinical staff members at regular intervals and encourages professional growth. Maintains current knowledge regarding company benefits, policies, procedures, and processes. Completes employee evaluations and establishes annual goals. Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. Manages staff scheduling and payroll. PHYSICIANS: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. Responsible for strong physician relationships and ensures regular and effective communication. Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies. EDUCATION AND REQUIRED CREDENTIALS: Bachelor's Degree or an equivalent combination of education and experience. Graduate of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE AND SKILLS: Required: 6 years business operations experience in a healthcare facility. 12 months experience in clinical nursing. 6 months chronic or acute dialysis nursing experience. Successfully pass the Ishihara Color Blind Test. Preferred but not required: 3 years supervisory or project/program management experience. Med/surg or ICU/CCU experience. PHYSICAL DEMANDS AND WORKING CONDITIONS: Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians 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. The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Outpatient Registered Nurse - RN

America's 'Most Loved Workplaces' by Newsweek Major holidays off! No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator Around 110,000 dedicated employees, 292,000 patients, and 3,600 dialysis centers 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 Up to $4,400 tuition reimbursement per calendar year 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. 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. 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. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. 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. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. 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. 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. 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. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. 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: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis 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: $39.00 - $56.00 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. EOE, disability/veterans

Charge Registered Nurse - RN

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

Charge Registered Nurse - RN

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY: Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. Assists with implementing quality goals and develops facility specific action plans to achieve quality standards. Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives. Responsible for aggressively addressing and acting on adverse events and action thresholds. Ensures all Quality policies and procedures are communicated to and implemented by the facility staff. Maintains integrity of medical records and other administrative and operational records. Complies with all data collections and auditing activities. Maintains facility environmental integrity, including safety. PATIENT RELATED: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge. May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure. Ensures patients and patient's families are educated regarding post procedure care of vascular access. Acts as a resource for the staff to address patient concerns and questions. Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently. As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure. Identifies and communicates patient related issues to the Facility Manager. Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge. Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician. Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed. Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations. PHYSICIANS: Ensures regular and effective communication with all physicians on an as needed basis. Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings. Attends and participates in CQI meetings with physicians, reporting on assigned topics. Works with the physicians and staff to ensure possession of all necessary instruments and equipment. MAINTENANCE/TECHNICAL Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers. Ensures the inspection of all facility equipment on a regular basis. Report any malfunctions or maintenance issues immediately. Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility. Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times. Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies. ADMINISTRATIVE: Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies. Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement. Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required. Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis. Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff. Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines. Coordinates the collection and forwarding of all vendor invoices to the accounting department. Acts as the Facility Manager in the absence of the manager or at the direction of management. Ensure nurses' progress notes are accurate and complete. Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills. Complies with HIPPA policies and standards regarding patient information and medical records. Other duties as assigned. 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 : 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 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. SUPERVISION: May be responsible for the direct supervision of various levels of direct patient care staff. EDUCATION : Bachelor's Degree preferred; Advanced Degree desirable Graduate of an accredited School of Nursing (R.N.). Current appropriate state licensure and ACLS certification. EXPERIENCE AND REQUIRED SKILLS: 6 - 8 years' related experience. 3 years' supervisory or project/program management experience preferred. Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience. Minimum of three years of Interventional Radiology, scrub experience preferred. Supervisory or management experience within a medical or vascular access environment preferred. Proficiency with the Microsoft office suite is necessary. Experience with Medical database software. Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. Good communication skills - verbal and written. Certified in CPR or successfully complete course in CPR certification Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Charge Registered Nurse - RN

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

Clinical Coordinator - Charge Registered Nurse - Dialysis

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

Clinical Coordinator - Charge Registered Nurse - Dialysis

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. 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. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. 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. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. 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 : 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 i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. 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. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direc t Patien t Car e Staff , War d Cler k a s assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS : 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. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. 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: $95,000.00 - $159,000.00 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Clinical Coordinator - Charge Registered Nurse - Dialysis

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

Dialysis Clinical Manager 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: Manages the operations of the clinic, including costs, processes, staffing, and quality standards. Provides leadership, coaching, and development plans for all direct reports. Partners with internal Human Resources, Quality, and Technical Services departments. Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program. Maintains integrity of medical and operations records and complies with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. Responsible for all required network reporting and on-site state or federal surveys. PATIENT CARE: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care. Acts as a resource for the patient and family to address concerns and questions. Accountable for timely completion of patient care assessments and care plans. Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments. Plans, coordinates, and validates patient eligibility for treatment. Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. STAFF: Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings. Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. Provides support for all clinical staff members at regular intervals and encourages professional growth. Maintains current knowledge regarding company benefits, policies, procedures, and processes. Completes employee evaluations and establishes annual goals. Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. Manages staff scheduling and payroll. PHYSICIANS: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. Responsible for strong physician relationships and ensures regular and effective communication. Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies. EDUCATION AND REQUIRED CREDENTIALS: Bachelor's Degree or an equivalent combination of education and experience. Graduate of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE AND SKILLS: Required: 6 years business operations experience in a healthcare facility. 12 months experience in clinical nursing. 6 months chronic or acute dialysis nursing experience. Successfully pass the Ishihara Color Blind Test. Preferred but not required: 3 years supervisory or project/program management experience. Med/surg or ICU/CCU experience. PHYSICAL DEMANDS AND WORKING CONDITIONS: Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians 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. The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans